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Screening for adverse social conditions in child healthcare settings: protocol for a systematic review

Rosemarie Schwenker¹, Adrienne Alayli², Lena Rasch²

¹Clinic of General Pediatrics, Neonatology and Pediatric Cardiology and Center for Health and Society (CHS), Unit of Child Health Services Research, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany rosemarie.schwenker@med.uni-duesseldorf.de.

|June 21, 2024

Insights

Healthcare providers can screen children for adverse social conditions during visits. This systematic review identifies tools to support early intervention for child development and well-being.

Area of Science:

Child Health
Social Determinants of Health
Pediatric Healthcare

Background:

Adverse social conditions significantly impact child development and long-term health.
Early identification and intervention are crucial for mitigating negative outcomes.
Healthcare settings offer a vital opportunity for screening and support.

Purpose of the Study:

To systematically review and describe screening tools for adverse social conditions in pediatric care.
To identify instruments used in outpatient and inpatient settings to assess factors affecting child well-being.

Main Methods:

Systematic literature review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Searched PubMed, PsycInfo, and Web of Science databases (2014-present).
Included peer-reviewed articles on screening tools for multiple social conditions in child healthcare settings; assessed quality using COSMIN checklist.

Main Results:

The review will summarize characteristics and methodological quality of available screening tools.
Structured tables will present extracted data on screening instruments.
Evidence on the effectiveness and application of these tools will be synthesized.

Conclusions:

Healthcare settings are pivotal for screening social conditions affecting children.
This review will provide a comprehensive overview of available screening tools.
Findings will inform the selection and implementation of effective screening strategies in pediatric practice.

Read full analysis

Abstract

Introduction:

Adverse social conditions affect children's development and health outcomes from preconception throughout their life course. Early identification of adverse conditions is essential for early support of children and their families. Healthcare contacts with children provide a unique opportunity to screen for adverse social conditions and to take preventive action to identify and address emerging, potentially harmful or accumulating social problems. The aim of our study is to identify and describe available screening tools in outpatient and inpatient healthcare settings that capture social conditions that may affect children's development, health or well-being.

Methods And Analysis:

We will conduct a systematic review and will report the results following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance. A systematic search of three databases (PubMed (Ovid), PsycInfo (EBSCOhost) and Web of Science Core Collection (Clarivate)) for English-language and German-language articles from 2014 to date will be conducted. We will include peer-reviewed articles that develop, describe, test or use an instrument to screen children for multiple social conditions in paediatric clinics or other outpatient or inpatient child healthcare settings. Key study characteristics and information on screening tools will be extracted and presented in structured tables to summarise the available evidence. We will assess the methodological quality of the instruments with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.

Ethics And Dissemination:

Ethical approval is not required for this study as we will not be collecting any personal data. Dissemination will consist of publications, presentations, and other knowledge translation activities.

Keywords:

child protection health services public health social medicine systematic review

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