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Pediatric psychoSocial Risk Index: Factor Analysis and Item Reduction Study

Justine Cohen-Silver1,2,3, Katherine Cost4,5, Jose Navarro2,6

  • 1Women and Children's Program, Unity Health Toronto, Toronto, Canada.

Hospital Pediatrics
|May 7, 2024
PubMed

Insights

The Pediatric psychoSocial Risk Index (PSRI) was shortened from 86 to 16 items. This validated screening tool effectively identifies psychosocial risks in families, enhancing pediatric care.

Area of Science:

  • Pediatric psychoSocial Risk Index (PSRI)
  • Psychosocial risk screening
  • Health practitioner tools

Background:

  • The Pediatric psychoSocial Risk Index (PSRI) is a screening instrument for psychosocial risk.
  • Health practitioners utilize the PSRI to assess risks in families with children.
  • Validating a shortened version of the PSRI is crucial for efficient clinical application.

Purpose of the Study:

  • To confirm the validity evidence of a truncated version of the Pediatric psychoSocial Risk Index (PSRI).
  • To develop a more concise and efficient psychosocial risk screening tool for pediatric health settings.

Main Methods:

  • Principal component analysis (PCA) was employed for item reduction.
  • Test-retest reliability and internal consistency of the shortened instrument were assessed.
  • The study involved 100 parents of children aged 0-18 years, with 50 completing the PSRI twice.

Main Results:

  • The PSRI was successfully reduced from 86 to 16 items.
  • The final 16-item PSRI demonstrated high test-retest reliability (0.98) and internal consistency (Cronbach's α = 0.9).
  • The shortened PSRI encompasses 9 key social risk themes.

Conclusions:

  • The 16-item PSRI retains high internal consistency and reliability.
  • The validated, shortened PSRI effectively supports practitioners in screening families for psychosocial risks.
  • This tool enhances the ability to identify and address psychosocial challenges in pediatric care.
Abstract

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