Black Caregiver Perspectives During a Developmental Diagnostic Interview.

Despite increasing autism prevalence rates across racial and ethnic groups, research has traditionally overlooked the influence of culture on developmental diagnostic conversations. Addressing this gap in research is crucial to understanding and mitigating potential disparities in diagnostic experie...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 56; no. 3; pp. 916 - 933
Autores principales: Thompson Brown, Lillian, Kasambira Fannin, Danai, Lamptey, Ann, Uzonyi, Thelma E., Pearson, Jamie N.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
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      pub: Springer Nature
      place: New York, New York
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        atl: Black Caregiver Perspectives During a Developmental Diagnostic Interview.
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          Thompson Brown, Lillian
          Kasambira Fannin, Danai
          Lamptey, Ann
          Uzonyi, Thelma E.
          Pearson, Jamie N.
        affil: https://ror.org/000e0be47 Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA
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        subj:
          Child Development Disorders Diagnosis
          Caregivers Psychosocial Factors
          African Americans Psychosocial Factors
          Caregiver Attitudes Evaluation
          Interviews
          Human
          Male
          Female
          Retrospective Design
          Qualitative Studies
          Delphi Technique
          Content Analysis
          Videorecording
          Data Analysis Software
          Descriptive Statistics
          Purposive Sample
          Semi-Structured Interview
          Male
          Female
      ab: Despite increasing autism prevalence rates across racial and ethnic groups, research has traditionally overlooked the influence of culture on developmental diagnostic conversations. Addressing this gap in research is crucial to understanding and mitigating potential disparities in diagnostic experiences, especially among Black caregivers. Black caregivers encounter frustration and discrimination during the diagnostic process, citing dismissiveness and a lack of cultural competence from healthcare providers. To address these issues, this study centers the perspectives of Black caregivers as they participate in a developmental diagnostic program for toddlers under three years of age. This retrospective qualitative study, conducted exclusively by a Black research team, involved nineteen Black caregivers of thirteen toddlers as they participated in semi-structured interviews conducted by a multidisciplinary clinical team. The research team employed a conceptual content analysis to examine caregivers' descriptions of their children's behaviors and characteristics, as well as the factors and experiences associated with their descriptions. Caregivers provided distinct descriptions of behaviors and characteristics in the categories of language and communication, learning, and temperament, associating them with situational and dispositional factors and experiences. The findings offer valuable insights for implementing culturally responsive diagnostic practices. Additionally, these results may enhance the quality of caregiver-provider interactions during developmental assessment, leading to earlier and more accurate diagnoses for Black children.
      pubtype: Academic Journal
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    language: English
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