Developmentally and culturally appropriate screening in primary care: development of the behavioral health checklist.

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TitleDevelopmentally and culturally appropriate screening in primary care: development of the behavioral health checklist.
Publication TypeJournal Article
Year of Publication2013
AuthorsPower, TJ, Koshy, AJ, Watkins, MW, Cassano, MC, Wahlberg, AC, Mautone, JA, Blum, NJ
JournalJ Pediatr Psychol
Volume38
Issue10
Pagination1155-64
Date Published2013 Nov
ISSN1465-735X
KeywordsAfrican Americans, Checklist, Child, Child Behavior Disorders, Child, Preschool, Cultural Characteristics, Female, Humans, Male, Mass Screening, New England, Primary Health Care, Psychiatric Status Rating Scales, Reproducibility of Results
Abstract

OBJECTIVE: To evaluate the construct validity of the Behavioral Health Checklist (BHCL) for children aged from 4 to 12 years from diverse backgrounds.METHOD: The parents of 4-12-year-old children completed the BHCL in urban and suburban primary care practices affiliated with a tertiary-care children's hospital. Across practices, 1,702 were eligible and 1,406 (82.6%) provided consent. Children of participating parents were primarily non-Hispanic black/African American and white/Caucasian from low- to middle-income groups. Confirmatory factor analyses examined model fit for the total sample and subsamples defined by demographic characteristics.RESULTS: The findings supported the hypothesized 3-factor structure: Internalizing Problems, Externalizing Problems, and Inattention/Hyperactivity. The model demonstrated adequate to good fit across age-groups, gender, races, income groups, and suburban versus urban practices.CONCLUSION: The findings provide strong evidence of the construct validity, developmental appropriateness, and cultural sensitivity of the BHCL when used for screening in primary care.

DOI10.1093/jpepsy/jst063
Alternate JournalJ Pediatr Psychol
PubMed ID23978505
PubMed Central IDPMC3888156
Grant ListT73MC00051 / / PHS HHS / United States
T77MC00012 / / PHS HHS / United States
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