Identifying Psychosocial Risk Factors Among Families of Children With Craniofacial Conditions
| Autor: | Hillary M. Kapa, Jennifer L Litteral, Gregory D. Pearson, Richard E. Kirschner, Katherine Eastman, Canice E. Crerand |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Parents Adolescent Craniofacial Abnormalities 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine Prospective Studies Craniofacial Child Screening instrument Patient Care Team Psychological Tests business.industry Infant 030206 dentistry Hospitals Pediatric United States Cross-Sectional Studies Caregivers Otorhinolaryngology Child Preschool 030220 oncology & carcinogenesis Quality of Life Female Oral Surgery business Psychosocial Stress Psychological Clinical psychology |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 55:536-545 |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1177/1055665617748010 |
| Popis: | Objective: To evaluate the psychometric properties of the Psychosocial Assessment Tool–Craniofacial Version (PAT-CV), a screening instrument for psychosocial risk in families of children with craniofacial conditions, and to examine risk classification of patients in a craniofacial population. Design: Prospective, cross-sectional, single-center study. Setting: Interdisciplinary cleft lip and palate/craniofacial center at a US children’s hospital. Participants: Parents/caregivers (n = 242) of 217 children ages 1 month to 17 years being treated for a congenital syndromic or nonsyndromic craniofacial condition completed the PAT-CV and validating measures from July 2015 to July 2016. The PAT-CV was completed by 121 caregivers a second time to assess test-retest reliability. Main Outcome Measures: PAT-CV, Child Behavior Checklist, Adult Self-Report, Pediatric Quality of Life Inventory, Craniofacial Experiences Questionnaire, and Family Environment Scale. Results: Construct validity of the PAT-CV was supported by significant correlations ( P < .001) between PAT-CV total and subscale scores and the validated measures. PAT-CV total scores categorized 59.9% of families within the universal risk group, 32.3% within the targeted risk group, and 7.8% within the clinical range. Good criterion validity was indicated by significantly higher scores ( P < .0001) obtained on the validated measures for those in the targeted and clinical risk groups. Internal consistency (Cronbach’s α = 0.86) and test-retest reliability for the PAT-CV total score ( r = 0.77, P < .0001) were acceptable. Conclusions: The PAT-CV appears to be a reliable and valid screening instrument for psychosocial risk. Accurate identification of risk and implementation of appropriate interventions may contribute to improvements in medical and psychosocial outcomes. |
| Databáze: | OpenAIRE |
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