Title
Identification of children with psychosocial problems differed between preventive child health care professionals
Author
Vogels, A.G.C.
Jacobusse, G.W.
Hoekstra, F.
Brugman, E.
Crone, M.
Reijneveld, S.A.
TNO Kwaliteit van Leven
Publication year
2008
Abstract
Objective: To assess whether differences between individual Preventive Child Health Care (PCH) professionals in the percentage of children they identify as having psychosocial problems are larger than expected based on chance and whether such differences can be explained by differences in parent-reported problems or risk indicators. Study Design: We used data from three community-based studies among 3,170 Dutch children aged 8 till 12 years, invited for a routine health examination. Parents filled in the Child Behavior Checklist (CBCL) and questions on demographic characteristics. After the examination, PCH professionals registered whether they had identified any psychosocial problem in the child. We examined differences between professionals in the rate of identified children. We used multilevel logistic regression analysis to assess whether such differences could be explained by parent-reported problems or risk indicators. Results: Significant differences between PCH professionals were found (P < 0.001). These differences could not be explained by parent-reported problems or risk indicators. The differences were largest for children with a score above the CBCL clinical cut-off point. Conclusion: Some PCH professionals are more likely to identify psychosocial problems than others, independently from parent-reported problems or other risk indicators. © 2008 Elsevier Inc. All rights reserved.
Subject
Healthy for Life
Health
Healthy Living
Assessment
Child mental health
Clinical preventive services
Physician decision making
Psychosocial aspects
Public health
article
Child Behavior Checklist
child health care
child parent relation
health care personnel
logistic regression analysis
medical examination
preventive health service
priority journal
psychosocial disorder
risk assessment
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http://resolver.tudelft.nl/uuid:a5e5b754-dee4-4d2c-976e-bfd12da21ba8
DOI
https://doi.org/10.1016/j.jclinepi.2007.12.005
TNO identifier
241094
ISSN
0895-4356
Source
Journal of Clinical Epidemiology, 61 (11), 1144-1151
Document type
article