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Updated: Feb 16, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
[Access to Early Childhood Interventions in Children̛s Hospital: Screening as Clinical Routine Procedure -
Florian Belzer1, Tanja Gölz1, Isolde Krug1
1Department of Pediatrics and Adolescent Medicine, University Medical Center, Medical Faculty, University of Freiburg, Freiburg.
Insights
A new study shows children's hospitals can identify parents needing support. A standardized stress assessment tool effectively flags at-risk families, enabling timely early childhood interventions.
Area of Science:
- Pediatrics
- Public Health
- Social Work
Background:
- Early childhood interventions are crucial for preventing risks from insufficient family care.
- Children's hospitals are an under-explored setting for identifying families needing support.
- Parental stress can negatively impact child development and family well-being.
Purpose of the Study:
- To assess the feasibility of a standardized risk assessment tool in a pediatric setting.
- To identify stressed parents during routine healthcare visits.
- To determine the utility of children's hospitals in connecting families to early childhood interventions.
Main Methods:
- A proof-of-concept study was conducted in a university children's hospital department.
- A standardized risk assessment tool was implemented during routine work for doctors and nurses.
- Data were collected on parental stress and referral rates to support services.
Main Results:
- The standardized screen effectively identified stressed parents, particularly those with infants under one year.
- Psychosocial stress was most frequently observed in families with newborns.
- Referral rates to early childhood interventions (8.5%) and youth welfare services (11.3%) aligned with existing literature.
Conclusions:
- Children's hospitals can serve as a vital, low-threshold entry point for early childhood interventions.
- The risk assessment tool acts as a 'call button,' initiating further specialized support for families.
- Integrating such tools into routine pediatric care can improve access to essential family support services.
Background:
In order to prevent risks associated with insufficient family care, it is mandatory to provide early childhood interventions for parents unable to cope with their young children in best time. Children̛s hospitals represent one pillar that hasn´t been fully explored yet.
Methods:
As a proof-of-concept, we performed a study to determine the feasibility of a standardized risk assessment tool during routine work of doctors and nurses in a university department.
Results:
Our data indicate that a standardized screen to assess stress is powerful in identifying stressed parents, especially those with children under the age of one year. In this context, psychosocial stress in families with newborns was most frequently indicated. The placement rates into early childhood interventions (8.5%) and youth welfare services (11.3%) correspond to the literature.
Discussion And Conclusion:
The standardized risk assessment tool can be used as a "call button" and delivers a basis for further differentiated exploration of the families by a specialized team and might be used to deliver services for these families. In summary children's hospitals might be useful to provide a low-threshold access into early childhood interventions.
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