A universal 30-month child health assessment focussed on social and emotional development
Notice bibliographique
Résumé
Background : The Glasgow Parenting Support Framework was published in 2009 with a view to improving universal and targeted parenting support for families in the city of Glasgow. In order to provide structured support to families at all levels of need (i.e., either the whole population (universal) or those families with identified problems (targeted)), it was important to have a robust means of assessing the needs of families. To this end, two routine family visits by Health Visitors (community child nurses) were piloted in order to assess their utility in assessing need for parenting support. Both visits involved home assessments, one when the child reached 13 months of age and the other at 30 months. The utility of the 13 month visit is reported elsewhere [6] . We describe findings from the 30 month contact in this paper. Aims : The present study aimed to assess the utility of a home visit at 30 months of age in assessing families’ need for parenting support. It describes (a) the level of need established and (b) the extent to which the home assessment influenced health visitors’ choice of subsequent action. Methods : Health visitors were asked to arrange to see the principal carer (usually the mother) of the child at home with the child within a month of the child reaching 30 months of age. They collected data on: existing problems and service provision to families, including whether there were known developmental problems for the child or parental issues such as substance misuse or medical problems; parenting stress reported by the child’s principal carer using the Parenting Daily Hassles Scale; parent’s perception of their child’s language development using a two-item brief language screen and parent’s perception of the child’s behaviour using the Behaviour Screening Questionnaire. Using unique Community Health Index identification numbers, linked data from the Child Health Surveillance System, which allowed us to allocate a social deprivation score (using Scottish Index of Multiple Deprivation (SIMD)) to families, were incorporated into statistical models of service use. Results : From a whole population of 819, data were obtained for 437 families of which 330 had a completed visit. The remaining families were not visited usually due to difficulties in securing an appointment or families not being home at the time of the planned appointment. Parenting stress was generally low and behaviour problems commonly reported. Scores on both parenting stress and behaviour measures were higher in families already identified to have higher levels of need and those living in more deprived areas. Health visitors were more likely to intend to revisit or refer as parenting stress and behaviour scores increased, and where there was previously identified need and socio-economic deprivation. Conclusions: Current service provision matches need to some extent but routine visits focused on children’s social and emotional development at 30 months may help to identify families needing support who would not otherwise have received it.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».