Milton Guendica, Yu Chen, Caitlin F Canfield, Anna Miller-Fitzwater, Mariana Glusman, Adriana Weisleder
{"title":"Culturally Effective Care for Dual Language Learners: Pediatric Providers' Language Promotion and Developmental Surveillance.","authors":"Milton Guendica, Yu Chen, Caitlin F Canfield, Anna Miller-Fitzwater, Mariana Glusman, Adriana Weisleder","doi":"10.1016/j.acap.2026.103451","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Culturally effective care for dual-language learners (DLLs) should incorporate evidence-based guidance on bilingual language development. This study assessed pediatric providers' knowledge of bilingualism and provision of culturally effective language promotion and developmental surveillance for DLLs. We also investigated provider-level factors related to these practices.</p><p><strong>Methods: </strong>Pediatric providers (N=349) who conduct birth-five well-child visits completed an online survey that asked about: knowledge of bilingual language development, self-reported language promotion with DLLs, difficulty identifying language delays, and application of culturally effective language promotion and developmental surveillance in clinical vignettes.</p><p><strong>Results: </strong>The percent of providers who agreed with the evidence-based statements testing knowledge of bilingual language development ranged from 26% to 98% depending on the statement. The percent of providers who self-reported frequently providing culturally effective language promotion to DLLs ranged from 36% to 93% depending on the item. Most (79%) providers reported difficulty identifying language delays in DLLs in cases of language non-concordance, compared to 38% in cases of language concordance and 7% for monolinguals. The percent of providers who responded correctly to hypothetical clinical vignettes ranged from 29% to 95% depending on the vignette. Providers who were bilingual, had received bilingualism training, encountered more DLL patients, and were more knowledgeable about bilingualism reported engaging in more culturally effective care.</p><p><strong>Conclusion: </strong>This study revealed gaps in pediatric providers' knowledge and provision of culturally effective language promotion and developmental surveillance for DLLs. Promoting a linguistically diverse workforce and providing training on bilingualism may be important ways to support families of DLLs.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103451"},"PeriodicalIF":2.8000,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.acap.2026.103451","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Culturally effective care for dual-language learners (DLLs) should incorporate evidence-based guidance on bilingual language development. This study assessed pediatric providers' knowledge of bilingualism and provision of culturally effective language promotion and developmental surveillance for DLLs. We also investigated provider-level factors related to these practices.
Methods: Pediatric providers (N=349) who conduct birth-five well-child visits completed an online survey that asked about: knowledge of bilingual language development, self-reported language promotion with DLLs, difficulty identifying language delays, and application of culturally effective language promotion and developmental surveillance in clinical vignettes.
Results: The percent of providers who agreed with the evidence-based statements testing knowledge of bilingual language development ranged from 26% to 98% depending on the statement. The percent of providers who self-reported frequently providing culturally effective language promotion to DLLs ranged from 36% to 93% depending on the item. Most (79%) providers reported difficulty identifying language delays in DLLs in cases of language non-concordance, compared to 38% in cases of language concordance and 7% for monolinguals. The percent of providers who responded correctly to hypothetical clinical vignettes ranged from 29% to 95% depending on the vignette. Providers who were bilingual, had received bilingualism training, encountered more DLL patients, and were more knowledgeable about bilingualism reported engaging in more culturally effective care.
Conclusion: This study revealed gaps in pediatric providers' knowledge and provision of culturally effective language promotion and developmental surveillance for DLLs. Promoting a linguistically diverse workforce and providing training on bilingualism may be important ways to support families of DLLs.
期刊介绍：
Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
