Validity of a family-centered approach for assessing infants' social-emotional wellbeing and their developmental

Margriet Hielkema1, Andrea F De Winter2, Sijmen A Reijneveld2

  • 1Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, Groningen, The Netherlands. m.hielkema@umcg.nl.

BMC Pediatrics
|June 17, 2017
PubMed

Insights

Family-centered care in pediatrics shows promise for identifying infant social-emotional risks. However, agreement on risk factors was lower than for protective factors.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Family-centered care is a promising approach in preventive pediatrics.
  • Evidence is limited regarding its effectiveness in identifying risks to infants' social-emotional development.

Purpose of the Study:

  • To examine the validity of a family-centered approach in assessing infants' social-emotional development risks.
  • To determine the contribution of different domains to the overall risk assessment.

Main Methods:

  • Prospective cohort study involving 2976 children aged 2-15 months.
  • Preventive Child Healthcare (PCH) professionals used a family-centered approach during well-child visits.
  • PCH assessments were compared against validated questionnaires (gold standards) completed by parents.

Main Results:

  • Spearman's rank correlation coefficients ranged from 0.17-0.39, indicating reasonable agreement.
  • Agreement was reasonable to excellent for protective factors but lower for risk factors.
  • Barriers or life events within the care-giving context most contributed to an "at risk" assessment (OR 100.1).

Conclusions:

  • The family-centered approach shows partial convergent validity for assessing infant social-emotional wellbeing and developmental context.
  • The approach is more reliable in identifying protective factors than risk factors.
  • Further refinement may be needed to improve the identification of risks.
Abstract

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