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Family Functioning in Pediatric Primary Care Patients

Catherine A Van Fossen1, Keeley J Pratt1,2, Robert Murray3

  • 11 The Ohio State University, Columbus, OH, USA.

Clinical Pediatrics
|August 11, 2018
PubMed

Insights

The Family Assessment Device-General Functioning (FAD_GF) is a reliable tool for assessing family health in pediatric care. It helps identify families needing support, improving clinical decision-making for referrals.

Area of Science:

  • Pediatric primary care
  • Family psychology
  • Psychometric evaluation

Background:

  • Assessing family functioning is crucial in pediatric primary care.
  • Brief, reliable measures are needed for routine clinical settings.
  • The Family Assessment Device-General Functioning (FAD_GF) is a potential tool.

Purpose of the Study:

  • To pilot the Family Assessment Device-General Functioning (FAD_GF) measure.
  • To assess family functioning in caregivers of children aged 2-18 years.
  • To evaluate the FAD_GF's psychometric properties in a pediatric primary care sample.

Main Methods:

  • Psychometric evaluation of the FAD_GF in 400 families.
  • Confirmatory factor analysis using R for validation.
  • Weighted least squares means and variance (WLSMV) estimation for missing data.

Main Results:

  • The FAD_GF demonstrated high reliability (α = .90).
  • Excellent model fit indices (RMSEA = .01, CFI = .99) support the FAD_GF's structure.
  • Family functioning explained over 20% of the variance in FAD_GF items (R² > .25).
  • 12.6% of families were identified with clinically impaired family functioning.

Conclusions:

  • The FAD_GF is a reliable and valid brief measure for assessing family functioning in pediatric primary care.
  • Results support the use of FAD_GF for identifying families needing further support.
  • The FAD_GF enables evidence-informed decisions for referrals to family therapists.
Abstract

Keywords:
family functioningpediatricsprimary care

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