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Behavior problems in young children from low-income families: The development of a new screening tool

Casey A Holtz1, Robert A Fox2

  • 1Wisconsin Lutheran College.

Infant Mental Health Journal
|May 19, 2017
PubMed

Insights

A new screening tool, the Early Childhood Behavior Screen (ECBS), effectively identifies challenging and prosocial behaviors in young children from low-income families. This tool supports early intervention and strength-based approaches in various settings.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Behavioral Science

Background:

  • Early identification of behavioral issues in children is crucial for timely intervention.
  • Existing screening tools may not adequately serve low-income populations.
  • Assessing both challenging and prosocial behaviors offers a comprehensive view of child development.

Purpose of the Study:

  • To develop and validate the Early Childhood Behavior Screen (ECBS) for children aged 1-5.
  • To create a brief, accessible screening tool for behavior problems and prosocial behaviors.
  • To serve children from low-income backgrounds in pediatric, psychological, and educational settings.

Main Methods:

  • Constructed the Early Childhood Behavior Screen (ECBS) with a 20-item scale.
  • Conducted field testing with 439 parents from a low-income, urban community.
  • Analyzed psychometric properties, including factor analysis, internal consistency, concurrent validity, sensitivity, and specificity.

Main Results:

  • The ECBS demonstrated a two-factor structure: Challenging Behavior and Prosocial Behavior.
  • Both factors showed high internal consistency (α = .87 and .92).
  • The Challenging Behavior factor exhibited adequate concurrent validity (r = .75), sensitivity (r = .82), and specificity (r = .80).

Conclusions:

  • The ECBS is a potentially valuable brief screening tool for identifying behavioral issues in young children.
  • Its strength-based approach, assessing prosocial behaviors, aids in treatment planning.
  • The ECBS is suitable for pediatric, psychological, and educational settings serving low-income populations.

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