A Web-based Tool for Assessing and Addressing Mental Health of Young Children

用于评估和解决幼儿心理健康问题的网络工具

• 批准号: 7545757
• 负责人: Barbara Jo Howard
• 金额: $ 40.12万
• 依托单位: TOTAL CHILD HEALTH, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7545757
• 关键词: Academy; Address; Adopted; Advisory Committees; Age; Algorithms; American; Appendix; Area; Award; Behavior; Behavioral; Biological Models; Books; Caregivers; Caring; Cataloging; Catalogs; Categories; Child; Child Care; Child health care; Childhood; Classification; Climate; Clinic; Clinical; Code; Communication; Computer software; Consensus; Consultations; Critiques; DSM-IV; Daily; Data; Data Collection; Databases; Development; Diagnosis; Diagnostic; Diagnostic and Statistical Manual; Disease; Education; Electronics; Elements; Ensure; Environmental Risk Factor; Equilibrium; Face; Family; Feedback; Focus Groups; Freedom; Functional disorder; Future; GDF15 gene; Goals; Grant; Guidelines; Health; Health Professional; Home environment; Individual; Infant; Information Systems; Letters; Link; Logic; Manuals; Manuscripts; Marketing; Measures; Medicaid; Memory; Mental Health; Modeling; Modification; Names; Numbers; Nursery Schools; Online Systems; PLAB Protein; Parent-Child Relations; Parents; Participant; Pathology; Pattern; Pediatrics; Phase; Physicians; Physicians' Offices; Preparation; Primary Health Care; Printing; Psychologist; Publishing; Quality of Care; Questionnaires; Reading; Recruitment Activity; Research; Resources; Running; Safety; Schedule; School-Age Population; Score; Screening procedure; Secure; Sensitivity and Specificity; Services; Side; Sleep; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Software Engineering; Sorting - Cell Movement; Specialist; Standards of Weights and Measures; Supervision; Surveys; System; Technology; Testing; Text; Time; Toddler; Translating; Triage; Validation; Vendor; Visit; Week; Work; abstracting; age group; base; care systems; chlorfenethol; clinical application; computerized tools; concept; daily functioning; design; developmental disease; digital; early childhood; experience; feeding; health application; imprint; improved; infancy; innovation; innovative technologies; instrument; interest; member; multidisciplinary; new technology; pediatrician; psychosocial; response; satisfaction; simulation; software systems; tool; virtual

DESCRIPTION (provided by applicant): National guidelines (e. g., American Academy of Pediatrics, 2002; New Freedom Commission, 2003) call for primary care clinicians to screen for and triage problems related to mental health, development, and family functioning. However, most clinicians lack the time to adequately perform these services and have limited information regarding available and appropriate screening tools, treatments, and referral options. The Child Health and Development Interactive System for Infants and Toddlers (CHADIS 0-3) is a web-based tool designed to assist pediatricians in better assessing and managing mental health and developmental problems among infants, toddlers, and their families, while also streamlining other requirements of the pediatric visit. Through CHADIS 0-3, parents complete questionnaires assessing child and family functioning online via a secure website. This information is summarized and translated to an electronic clinician worksheet for use by the pediatrician during the visit. This worksheet also provides the clinician with linked educational text for his/her use, as well as linking identified problems directly to a database of resources for parents, including educational text, recommended books and other products, and local specialists relevant to the problem(s).This proposal focuses on finalizing CHADIS 0-3 through consultation with national experts and through focus groups and pilot testing, and subsequently assessing its validity, acceptability, and feasibility in preparation for marketing the product. Phase I efforts will include: testing the system's technology; vetting of the system by national experts in infant/toddler mental health and pediatrics; focus groups and pilot testing by parents and pediatricians; and an assessment of test-retest reliability. Phase II efforts will be centered on the assessment of CHADIS' validity, acceptability, and feasibility. Four hundred fifty caregivers of infants and toddlers ages 4-36 months from two general and one NICU graduate clinics will complete CHADIS questionnaires prior to pediatric visits. Caregivers and their children will then attend their scheduled visits, in which participating physicians will use CHADIS data and tools. Caregivers will also complete comparison measures assessing infant/toddler and family functioning to evaluate validity. Measures of satisfaction will be completed by caregivers, as well as physicians and office staff. Once feasibility is proven, a number of possible marketing options can be explored. Child health professionals will want to use it to enhance their clinical work. EMR vendors will see value added by CHADIS. Other professionals such as home visitors and therapists can benefit from using CHADIS. Finally, online CHADIS data can be shared by all professionals involved with a family, forming a communication network and making CHADIS of potential value to systems of care. The proposed research has significant public health implications in that it focuses on the development of a web-based assessment tool called the Child Health and Development Interactive System (CHADIS) 0-3 that enables child health providers to fulfill the recommendations of the American Academy of Pediatrics and Surgeon General for universal mental health screening. CHADIS 0-3 also comprises a point of contact clinician education and resource identification tool and communication mechanism to help users better address the problems identified. Should CHADIS 0-3 prove valid, acceptable, and feasible, as is expected to be determined in this proposal, and widely disseminated more positive mental health of children and families and improved functional long term outcomes may be obtained.

描述（由申请人提供）：国家指南（例如，美国儿科学会，2002 年；新自由委员会，2003 年）要求初级保健临床医生筛查和分类与心理健康、发育和家庭功能相关的问题。然而，大多数临床医生没有时间充分执行这些服务，并且关于可用和适当的筛查工具、治疗和转诊选项的信息有限。婴幼儿儿童健康和发育互动系统 (CHADIS 0-3) 是一个基于网络的工具，旨在帮助儿科医生更好地评估和管理婴幼儿及其家人的心理健康和发育问题，同时还简化其他儿科就诊的要求。通过 CHADIS 0-3，家长可以通过安全网站完成在线评估儿童和家庭功能的调查问卷。这些信息被汇总并翻译成电子临床医生工作表，供儿科医生在就诊期间使用。该工作表还为临床医生提供链接的教育文本供其使用，并将已识别的问题直接链接到家长资源数据库，包括教育文本、推荐书籍和其他产品，以及与问题相关的当地专家。 ）。该提案的重点是通过与国家专家协商、焦点小组和试点测试最终确定 CHADIS 0-3，并随后评估其有效性、可接受性和可行性，为产品营销做准备。第一阶段的工作将包括：测试系统的技术；由国家婴幼儿心理健康和儿科专家对该系统进行审查；家长和儿科医生的焦点小组和试点测试；以及重测可靠性评估。第二阶段的工作将集中于评估 CHADIS 的有效性、可接受性和可行性。来自两个普通诊所和一个 NICU 研究生诊所的 450 名 4-36 个月婴儿和幼儿护理人员将在儿科就诊之前填写 CHADIS 调查问卷。然后，护理人员及其孩子将参加预定的就诊，参与的医生将使用 CHADIS 数据和工具。护理人员还将完成评估婴儿/幼儿和家庭功能的比较措施，以评估有效性。满意度衡量将由护理人员、医生和办公室工作人员完成。一旦可行性得到证实，就可以探索多种可能的营销方案。儿童健康专业人员将希望用它来加强他们的临床工作。 EMR 供应商将看到 CHADIS 带来的附加值。其他专业人士（例如家庭访客和治疗师）可以从使用 CHADIS 中受益。最后，在线 CHADIS 数据可以由家庭相关的所有专业人员共享，形成通信网络并使 CHADIS 对护理系统具有潜在价值。拟议的研究具有重大的公共卫生影响，因为它重点开发一种名为儿童健康与发展互动系统 (CHADIS) 0-3 的基于网络的评估工具，使儿童健康提供者能够满足美国科学院的建议。儿科和外科医生进行普遍心理健康筛查。 CHADIS 0-3还包括临床医生教育联络点和资源识别工具以及沟通机制，以帮助用户更好地解决所识别的问题。如果 CHADIS 0-3 被证明是有效的、可接受的和可行的，正如本提案中预期确定的那样，并且广泛传播儿童和家庭更积极的心理健康，并且可以获得改善的功能性长期结果。