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Parenting support needs assessment: screening for child maltreatment risk in young families
Insights
The Parenting Support Needs Assessment (PSNA) is a valid and reliable tool for primary care settings to identify families at risk for child maltreatment, improving referrals to support services.
Area of Science:
- Pediatrics
- Family Medicine
- Social Work
Background:
- Child maltreatment poses significant public health challenges.
- Early identification of at-risk families in primary care is crucial for intervention.
- Existing screening tools may lack comprehensive assessment for parenting support needs.
Purpose of the Study:
- To evaluate the Parenting Support Needs Assessment (PSNA) for content validity, reliability, and clinical utility.
- To determine the PSNA's effectiveness in identifying families with child maltreatment risk factors.
- To assess the PSNA's suitability for primary care clinicians.
Main Methods:
- Content validity was assessed by child maltreatment experts (Phase I).
- Nurse practitioners pilot-tested the PSNA and referral algorithm for clinical usefulness (Phase II).
- Internal consistency reliability was estimated using pilot test data.
Main Results:
- The PSNA demonstrated content validity and clinical usefulness.
- Referrals to family support services increased significantly after PSNA implementation.
- The PSNA exceeded the reliability threshold of .80.
Conclusions:
- The PSNA is a valid, reliable, and clinically useful instrument for primary care.
- The PSNA facilitates early identification and intervention for families at risk of child maltreatment.
- Routine use of the PSNA in primary care settings can enhance child protective services.
Objectives:
The objective of the study was to examine the Parenting Support Needs Assessment (PSNA) for content validity, internal consistency reliability, and clinical usefulness. The PSNA was designed for use by primary care clinicians who care for young children and their families, to identify families with risk factors for child maltreatment.
Methods:
Phase I of the study consisted of the content validity assessment by child maltreatment experts, and phase II was a pilot test of the PSNA and referral algorithm by nurse practitioners (NPs) for clinical usefulness. Data obtained during the pilot testing were used to examine individual PSNA items, establishing an estimate of internal consistency reliability and identify the instrument's clinical usefulness.
Results:
The PSNA instrument and referral algorithm was found to have content validity and clinical usefulness. The number of referrals to family support social service agencies increased from 4 to 22 over the pre-PSNA use (with different children) and the instrument exceeded the internal consistency reliability threshold of .80.
Conclusions:
The PSNA instrument was found to be valid, reliable, and clinically useful in the primary care setting. The PSNA represents a significant step forward in screening for child maltreatment risk in families of young children during routine primary care.
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