OBJECTIVE: Children's psychosocial problems are often not identified accurately. The present study addresses the effect of training of Child Health Doctors (CHDs) in a structured method to identify psychosocial problems on the accuracy of this identification in children aged 5-6. METHOD: The study was a randomised controlled trial (RCT) with a baseline and two follow-up measurements. A volunteer sample of 58 CHDs participated, randomly assigned to intervention or control condition. CHDs selected a population-based sample of 5-6-year-old children (n = 6375). RESULTS: The first follow-up showed that sensitivity had improved by 9% and specificity by 5% in the intervention condition, especially in children with severe problems (odds ratio = 3.7; 95% confidence interval: 1.2-11.8). The second follow-up showed a decrease in sensitivity and specificity in both conditions. CONCLUSION: The training improves identification of psychosocial problems, especially severe ones, although the availability of time and resources also influences the accuracy with which psychosocial problems are identified.
RCT Entities:
OBJECTIVE:Children's psychosocial problems are often not identified accurately. The present study addresses the effect of training of Child Health Doctors (CHDs) in a structured method to identify psychosocial problems on the accuracy of this identification in children aged 5-6. METHOD: The study was a randomised controlled trial (RCT) with a baseline and two follow-up measurements. A volunteer sample of 58 CHDs participated, randomly assigned to intervention or control condition. CHDs selected a population-based sample of 5-6-year-old children (n = 6375). RESULTS: The first follow-up showed that sensitivity had improved by 9% and specificity by 5% in the intervention condition, especially in children with severe problems (odds ratio = 3.7; 95% confidence interval: 1.2-11.8). The second follow-up showed a decrease in sensitivity and specificity in both conditions. CONCLUSION: The training improves identification of psychosocial problems, especially severe ones, although the availability of time and resources also influences the accuracy with which psychosocial problems are identified.
Authors: S A Reijneveld; M J K de Kleine; A L van Baar; L A A Kollée; C M Verhaak; F C Verhulst; S P Verloove-Vanhorick Journal: Arch Dis Child Fetal Neonatal Ed Date: 2006-07-28 Impact factor: 5.747
Authors: Louise Forsetlund; Mary Ann O'Brien; Lisa Forsén; Liv Merete Reinar; Mbah P Okwen; Tanya Horsley; Christopher J Rose Journal: Cochrane Database Syst Rev Date: 2021-09-15
Authors: Alice Charach; Forough Mohammadzadeh; Stacey A Belanger; Amanda Easson; Ellen L Lipman; John D McLennan; Patricia Parkin; Peter Szatmari Journal: J Can Acad Child Adolesc Psychiatry Date: 2020-05-01
Authors: Sijmen A Reijneveld; Carin H Wiefferink; Emily Brugman; Frank C Verhulst; S Pauline Verloove-Vanhorick; Theo G W Paulussen Journal: BMC Public Health Date: 2006-06-06 Impact factor: 3.295