Evidence map›Paper›PMID 28330490›Full record

ArticleBMC health services research2017

Explaining culturally and linguistically diverse (CALD) parents' access of healthcare services for developmental surveillance and anticipatory guidance: qualitative findings from the 'Watch Me Grow' study.

Pankaj Garg, My Trinh Ha, John Eastwood, Susan Harvey, Sue Woolfenden, Elisabeth Murphy, Cheryl Dissanayake, Bin Jalaludin, Katrina Williams, Anne McKenzie and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Are Parent-Held Child Health Records a Valuable Health Intervention? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2019
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  10. The Building Blocks for Successful Hub Implementation for Migrant and Refugee Families and Their Children in the First 2000 Days of Life.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 1 country.

Pankaj GargDepartment of Community Paediatrics, Liverpool Hospital, Liverpool, Australia.
My Trinh HaUniversity of Western Sydney, Penrith, NSW, Australia.
John EastwoodSchool of Women's and Children's Health, University of New South Wales, Sydney, NSW, Australia.
Susan HarveySchool of Nursing and Midwifery, Griffiths University, Queensland, Australia.
Sue WoolfendenSydney Children's Hospital Network (Randwick), UNSW, Sydney, Australia.
Elisabeth MurphyNSW Ministry of Health, Sydney, Australia.
Cheryl DissanayakeOlga Tennison Autism Research Centre, La Trobe University, Bundoora, Victoria, Australia.
Bin JalaludinSouth Western Sydney Local Health District and UNSW, Sydney, Australia.
Katrina WilliamsRoyal Children's Hospital, Melbourne and University of Melbourne, Murdoch Childrens Research Institute, Melbourne, Australia.
Anne McKenziePrimary and Community Health, Child, Youth and Family, Child and Family Health Nursing, South Western Sydney Local Health District, Sydney, Australia.
Stewart EinfeldCentre for Disability Research and Policy and Brain and Mind Centre, University of Sydney, Sydney, Australia.
Natalie SiloveThe Children's Hospital at Westmead, University of Sydney, Sydney, Australia.
Kate ShortLiverpool Hospital, South Western Sydney LHD, University of Sydney, Sydney, Australia.
Valsamma EapenUNSW, South Western Sydney LHD, Ingham Institute of Applied Medicine, Liverpool, Australia. v.eapen@unsw.edu.au.ORCID 0000-0001-6296-8306
The University of Sydney · AUGriffith University · AULiverpool Hospital · AUUNSW Sydney · AULa Trobe University · AUNew South Wales Department of Health · AURoyal Children's Hospital · AUSydney Local Health District · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegular health visits for parents with young children provide an opportunity for developmental surveillance and anticipatory guidance regarding common childhood problems and help to achieve optimal developmental progress prior to school entry. However, there are few published reports from Australian culturally and linguistically diverse (CALD) communities exploring parents' experiences for accessing child health surveillance programs. This paper aims to describe and explain parental experiences for accessing developmental surveillance and anticipatory guidance for children.

methodsQualitative data was obtained from 6 focus groups (33 parents) and seven in-depth interviews of CALD parents recruited from an area of relative disadvantage in Sydney. Thematic analysis of data was conducted using an ecological framework.

resultsAn overarching theme of "awareness-beliefs-choices" was found to explain parents' experiences of accessing primary health care services for children. "Awareness" situated within the meso-and macro-systems explained parents knowledge of where and what primary health services were available to access for their children. Opportunities for families to obtain this information existed at the time of birth in Australian hospitals, but for newly arrived immigrants with young children, community linkages with family and friends, and general practitioner (GPs) were most important. "Beliefs" situated within the microsystems included parents' understanding of their children's development, in particular what they considered to be "normal" or "abnormal". Parental "choices", situated within meso-systems and chronosystems, related to their choices of service providers, which were based on the proximity, continuity, purpose of visit, language spoken by the provider and past experience of a service.

conclusionsCALD parents have diverse experiences with primary health care providers which are influenced by their awareness of available services in the context of their duration of stay in Australia. The role of the general practitioner, with language concordance, suggests the importance of diversity within the primary care health workforce in this region. There is a need for ongoing cultural competence training of health professionals and provisions need to be made to support frequent use of interpreters at general practices in Australia.

Indexed as

Child DevelopmentCultural DiversityChildChild Health ServicesCommunity Health ServicesCultural CompetencyEmigrants and ImmigrantsFemaleFocus GroupsHealth PersonnelHealth Services AccessibilityHumansLanguageNew South WalesParentsPrimary Health CareAccessChild developmentCulturally and linguistically diverseEcological frameworkHealth services

Identifiers

PMID28330490
PMCPMC5361826
OpenAlexW2600989918

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.