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The Effectiveness of the BITSEA as a Tool to Early Detect Psychosocial Problems in Toddlers, a Cluster Randomized

Ingrid Kruizinga1, Wilma Jansen2, Nicolien C van Sprang3

  • 1Department of Public Health, Erasmus University Medical Center, Rotterdam, the Netherlands.

Plos One
|September 19, 2015
PubMed

Insights

The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) effectively reduces psychosocial problems in young children. This early detection tool proved more efficient than standard care, supporting its use in child health settings.

Area of Science:

  • Child Health
  • Psychosocial Development
  • Early Detection Tools

Background:

  • Early detection of psychosocial problems in young children is crucial for effective intervention.
  • Existing tools may not adequately address the needs of very young children in healthcare settings.

Purpose of the Study:

  • To evaluate the effectiveness of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA) in reducing psychosocial problems.
  • To compare BITSEA's impact on psychosocial issues and quality of life against standard care at a one-year follow-up.

Main Methods:

  • A cluster randomized controlled trial involving 2610 two-year-old children across well-child centers in Rotterdam.
  • Intervention group utilized BITSEA, while the control group received standard care.
  • Multilevel regression analyses assessed effects on the Child Behavior Checklist (CBCL) and Infant-Toddler Quality of Life (ITQOL).

Main Results:

  • Children in the BITSEA intervention group showed significantly fewer psychosocial problems (CBCL scores) at follow-up compared to the control group.
  • Fewer referrals were made by child health professionals in the intervention group.
  • BITSEA completion was more time-efficient for both parents and professionals, though parental preparedness for visits was slightly lower.

Conclusions:

  • The BITSEA is a valuable tool for early detection of psychosocial problems in two-year-olds.
  • Findings support the integration of BITSEA into routine child health care for improved early identification and intervention.
  • Further research in diverse populations is recommended to validate these findings.
Abstract

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