Validating a child acute stress measure in English and Spanish

用英语和西班牙语验证儿童急性压力测量

• 批准号: 7262118
• 负责人: Nancy Kassam-Adams
• 金额: $ 39.24万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-15 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7262118
• 关键词: Academic Medical Centers; Accident and Emergency department; Accidental Injury; Accidents; Acute; Address; Adherence; Adolescent; Adult; Affect; Anxiety; Area; Arizona; Behavioral; California; Caring; Child; Child Mental Health; Childhood; Clinical; Communities; Data; Development; Diagnosis; Disasters; Distress; Earthquakes; Effectiveness; Emergency Situation; Emergency medical service; Emotional; Ethnic Origin; Event; Exposure to; Face; Factor Analysis; Fire - disasters; Florida; Funding; Goals; Grant; Growth; Health Resources; Healthcare; Healthy People 2010; Hispanics; Housing; Hurricane; Incidence; Individual; Injury; Inpatients; Intervention; Investigation; Language; Literature; Los Angeles; Louisiana; Measurement; Measures; Medical; Mental Health; Methods; Modeling; National Institute of Mental Health; Natural Disasters; North Carolina; Numbers; Outpatients; Pain; Patient Self-Report; Persons; Philadelphia; Play; Population; Post-Traumatic Stress Disorders; Primary Health Care; Property; Prospective Studies; Provider; Psychometrics; Public Health; Race; Readiness; Recruitment Activity; Reporting; Research; Research Design; Research Personnel; Resources; Risk; Role; Sampling; Schools; Screening procedure; Secondary Prevention; Services; Severities; Stress; Structure; Surgeon; Symptoms; Testing; Texas; Time; Training; Translating; Translations; Trauma; Traumatic Stress Disorders; Triage; United States National Institutes of Health; Validation; Validity and Reliability; Violence; Visit; Week; Work; Youth; acute stress; acute traumatic stress disorder; biological adaptation to stress; day; demographics; depressive symptoms; experience; health care service utilization; injured; instrument; interest; practical application; prevent; programs; prospective; response; sound; theories; trafficking; volunteer

DESCRIPTION (provided by applicant): The broad, long-term objectives of this work are to establish a practical and empirically-sound means to assess children's acute stress reactions after potentially traumatic events (eg, accidents, fires, disasters) and to expand our understanding of acute traumatic stress responses in children. Brief, accessible measures of acute stress can optimize use of scarce mental health resources by identifying trauma-exposed children with immediate distress that warrants intervention and guiding efforts to prevent long-term sequelae. This study builds on an NIH-funded project that developed the first brief self-report measure for acute stress disorder (ASD) in children and adolescents (the Acute Stress Checklist for Children, or ASC-Kids), and subsequent work that utilized best practices in instrument translation / adaptation to create a Spanish version (the Reacciones Agudas Postraumaticas - Menores, or RAP-M). Specific aims of the current study are to assess the reliability and validity of the ASC-Kids and RAP-M in parallel samples of English- and Spanish-speaking children (200 each), to examine and compare the factor structures of the measures, and to assess potential differential item functioning between language versions. To achieve these aims, children (8 to 17) exposed to a potentially traumatic event within the past month will be recruited in healthcare settings in three states (PA, CA, FL) for an initial assessment and two brief follow-ups (1-7 days and 3 months later). The study will evaluate the measures' test-retest reliability, concurrent validity with clinician ASD diagnosis, convergent / discriminant validity (anxiety / depression symptoms), and predictive validity (later PTSD symptoms). Confirmatory factor analyses will assess the fit of three models, derived from theory and empirical literature, for the structure of ASD symptoms. Measurement invariance between English and Spanish versions will be examined via multi-sample CFA and by IRT analyses of differential item functioning. Associations between measures will also be examined in a bilingual sub-sample. This project addresses a key gap in assessment of child mental health consequences of trauma and violence and in assessment of Spanish-speaking children. It will advance the NIH objective of increasing mental health screening in health care settings, especially appropriate in the area of child acute stress because medical providers are among the first to see children after traumatic events such as traffic crashes, fires, or disasters.

描述（由申请人提供）：这项工作的广泛，长期目标是建立一种实用和经验的手段，以评估儿童在潜在创伤事件（例如，事故，火灾，灾难）之后的儿童急性压力反应，并扩展我们对儿童急性创伤性压力反应的理解。急性压力的简短措施可以通过确定具有直接困扰的暴露儿童来优化稀缺心理健康资源的使用，以保证干预和指导预防长期后遗症的指导努力。这项研究以NIH资助的项目为基础，该项目开发了儿童和青少年（儿童或ASC-KID的急性应激检查清单，或ASC-KID）的首个简短的自我报告措施，以及随后在仪器翻译 /适应中使用最佳实践来创建西班牙语版本（重新培养西班牙语）（重新培养了Postraumas postraumaticas-menores-menores-menores，或Rep-Menores，或RAP），或者当前研究的具体目的是评估英语和西班牙语儿童的平行样本中ASC-KID和RAP-M的可靠性和有效性（每个），以检查和比较措施的因素结构，并评估语言版本之间的潜在差异项目功能。为了实现这些目标，在过去一个月内暴露于可能创伤事件的儿童（8至17岁）将在三个州（PA，CA，CA，FL）的医疗保健环境中招募，进行初步评估和两次简短的随访（1-7天后3个月后）。该研究将评估措施的重测可靠性，与临床医生ASD诊断的同时有效性，收敛 /判别有效性（焦虑 /抑郁症状）以及预测有效性（后来的PTSD症状）。验证性因素分析将评估从理论和经验文献中得出的三种模型的拟合，以实现ASD症状的结构。英语版本和西班牙语版本之间的测量不变性将通过多样本CFA以及对差异项目功能的IRT分析进行检查。措施之间的关联也将在双语子样本中进行检查。该项目解决了评估创伤和暴力的儿童心理健康后果以及评估西班牙语儿童的关键差距。它将推进NIH的目标，即增加医疗保健环境中的心理健康筛查，尤其是在儿童急性压力领域中，因为医疗提供者是最早在创伤事件之后看到儿童的人，例如交通崩溃，火灾或灾难。