Early Detection of Psychosocial Problems in Children Aged 5 to 6 Years by Preventive Child Healthcare: Has It Improved?

Theunissen, M.H.C.; Vogels, A.G.C.; Reijneveld, Sijmen A.

doi:10.1016/j.jpeds.2011.08.038

Cited by 12 publications

(14 citation statements)

References 21 publications

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“…This reflects inadequate training and a lack of confidence in the GPs’ competence as indicated by Danish [4,19,26] and international studies [9,27,28]. But it also reflects ethical considerations, not least the GPs’ own understanding and values [17].…”

Section: Discussionmentioning

confidence: 99%

GPs’ strategies in exploring the preschool child’s wellbeing in the paediatric consultation

2013

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BackgroundAlthough General Practitioners (GPs) are uniquely placed to identify children with emotional, social, and behavioural problems, they succeed in identifying only a small number of them. The aim of this article is to explore the strategies, methods, and tools employed by GPs in the assessment of the preschool child’s emotional, mental, social, and behavioural health. We look at how GPs address parental care of the child in general and in situations where GPs have a particular awareness of the child.MethodTwenty-eight Danish GPs were purposively selected to take part in a qualitative study which combined focus-group discussions, observation of child consultations, and individual interviews with GPs.ResultsAnalysis of the data suggests that GPs have developed a set of methods, and strategies to assess the preschool child and parental care of the child. They look beyond paying narrow attention to the physical health of the child and they have expanded their practice to include the relations and interactions in the consultation room. The physical examination of the child continues to play a central role in doctor-child communication.ConclusionThe participating GPs’ strategies helped them to assess the wellbeing of the preschool child but they often find it difficult to share their impressions with parents.

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Section: Discussionmentioning

confidence: 99%

GPs’ strategies in exploring the preschool child’s wellbeing in the paediatric consultation

2013

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“…The attendance rate of the routine program is >90%. 12 The PCH assessments are conducted by specialized community physicians or nurses ("PCH professionals"). When problems are identified by PCH professionals, they decide whether to refer for extra assessments by PCH or to external specialized care.…”

Section: What This Study Addsmentioning

confidence: 99%

“…These health indicators were chosen because identification procedures for these items are known to be valid. 12,13 The assessment procedures were described in uniform protocols for all PCH services covered by this study and the PCH professionals participating were informed about these protocols. For the sake of completeness, a random sample of the data set from the PCH records was checked manually.…”

Section: Data Collectionmentioning

confidence: 99%

A Novel Triage Approach to Identifying Health Concerns

et al. 2016

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“…Around 10 to 25 % of children have emotional or behavioural problems [ 1 , 2 ]. Recent studies have shown that only one in five of the identified children with emotional or behavioural problems receive psychosocial care [ 1 , 3 ]. Children with psychosocial problems are likely to experience difficulties in various aspects of their daily functioning.…”

Section: Introductionmentioning

confidence: 99%

Comparing three short questionnaires to detect psychosocial problems among 3 to 4-year olds

et al. 2015

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BackgroundValidated questionnaires help community pediatric services to identify psychosocial problems. Our aim was to assess which of three short questionnaires was most suitable for this identification among pre-school children.MethodsWe included 1,650 children (response 64 %) aged 3–4 years undergoing routine well-child health assessments in 18 services across the Netherlands. Child healthcare professionals (CHPs) interviewed and examined children and parents. Parents were randomized regarding filling out the Strengths and Difficulties Questionnaire (SDQ) or the KIPPPI, a Dutch-origin questionnaire. In addition, all filled out the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) and the Child Behavior Checklist (CBCL). We assessed the internal consistency and validity of each questionnaire, with CBCL and treatment status as criteria, and the degree to which each questionnaire could improve identification based solely on clinical assessment.ResultsThe internal consistency of the total problems scale of each questionnaire was satisfactory, Cronbach's alphas varied between 0.75 and 0.98. Only the SDQ discriminated sufficiently between children with and without problems as measured by the CBCL (sensitivity = 0.76 at a cut-off point with specificity = 0.90), in contrast to the other two questionnaires (with sensitivity indices varying between 0.51–0.63). Similar results were found for the treatment status criterion, although sensitivity was lower for all questionnaires. The SDQ seemed to add most to the identification of psychosocial problems by CHPs, but the differences between the SDQ and the ASQ:SE were not statistically significant.ConclusionsThe SDQ is the best tool for the identification of psychosocial problems in pre-school children by community paediatric services.

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Early Detection of Psychosocial Problems in Children Aged 5 to 6 Years by Preventive Child Healthcare: Has It Improved?

Cited by 12 publications

References 21 publications

GPs’ strategies in exploring the preschool child’s wellbeing in the paediatric consultation

GPs’ strategies in exploring the preschool child’s wellbeing in the paediatric consultation

A Novel Triage Approach to Identifying Health Concerns

Comparing three short questionnaires to detect psychosocial problems among 3 to 4-year olds

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