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Developmentally and culturally appropriate screening in primary care: development of the behavioral health checklist

Thomas J Power1, Anson J Koshy, Marley W Watkins

  • 1CHOP North (3535 Market) - Room 1471, The Children's Hospital of Philadelphia, 34th St. and Civic Center Blvd., Philadelphia, PA 19104, USA. power@email.chop.edu.

Journal of Pediatric Psychology
|August 28, 2013
PubMed

Insights

The Behavioral Health Checklist (BHCL) shows strong construct validity for screening children aged 4-12 in primary care. This tool is developmentally appropriate and culturally sensitive for diverse populations.

Area of Science:

  • Child Psychology
  • Behavioral Health Assessment
  • Pediatric Primary Care

Background:

  • Accurate screening tools are crucial for identifying behavioral health issues in children.
  • The Behavioral Health Checklist (BHCL) is used for children aged 4-12.
  • Evaluating the construct validity of the BHCL across diverse populations is essential.

Purpose of the Study:

  • To assess the construct validity of the Behavioral Health Checklist (BHCL).
  • To determine if the BHCL is appropriate for diverse pediatric populations aged 4-12 years.
  • To examine the BHCL's suitability for primary care settings.

Main Methods:

  • Parents of 1,406 children (aged 4-12) from urban and suburban primary care practices completed the BHCL.
  • Participants represented diverse racial and socioeconomic backgrounds.
  • Confirmatory factor analyses were used to examine the BHCL's factor structure and model fit.

Main Results:

  • The BHCL demonstrated a robust 3-factor structure: Internalizing Problems, Externalizing Problems, and Inattention/Hyperactivity.
  • The model fit was adequate to good across various demographic groups (age, gender, race, income) and practice settings (urban/suburban).

Conclusions:

  • The BHCL exhibits strong construct validity for pediatric behavioral health screening.
  • The findings support the BHCL's developmental appropriateness and cultural sensitivity.
  • The BHCL is a reliable tool for use in primary care settings for diverse children.
Abstract

Keywords:
behavior problemsmental healthprimary care

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