A universal 30-month child health assessment focussed on social and emotional development
Bibliographic record
Abstract
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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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".