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Development and validation of the social determinants of health screening scale-parent form

Duygu Yılmaz1, Rabiye Güney2

  • 1Independent Researcher, Stirling, UK.

Journal of Pediatric Nursing
|December 20, 2024
PubMed

Insights

A new scale effectively screens for social determinants of health (SDOH) in children and adolescents via parents. This validated tool aids clinical practice and research for early intervention in pediatric populations.

Area of Science:

  • Pediatric Health Research
  • Public Health Screening Tools
  • Social Determinants of Health (SDOH) Assessment

Background:

  • The American Academy of Pediatrics advocates for routine screening of social determinants of health (SDOH) in children.
  • Identifying SDOH is crucial for addressing health disparities in pediatric populations.

Purpose of the Study:

  • To develop and validate a reliable screening tool for assessing social determinants of health (SDOH) in children and adolescents aged 0-18.
  • The tool is designed for use by parents or guardians to facilitate comprehensive pediatric health assessments.

Main Methods:

  • Methodological research involving 748 parents of hospitalized children in Turkey.
  • Item pool generation through literature review and expert interviews.
  • Scale validation and reliability testing via pilot and main applications.

Main Results:

  • A 33-item scale across five factors was developed, explaining 57.256% of total variability.
  • Confirmatory factor analysis demonstrated good model fit (RMSEA=0.052, χ2/df=2.013).
  • High reliability was confirmed with Cronbach's Alpha values ranging from 0.646 to 0.909 (sub-dimensions) and 0.886 (overall).

Conclusions:

  • The developed scale is a valid and reliable instrument for screening social determinants of health (SDOH) in pediatric patients through parental input.
  • This tool offers a practical solution for healthcare professionals in clinical settings and academic research for early identification and intervention.
Abstract

Keywords:
Child healthParent questionnaireScreening toolsSocial determinants of health

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