دورية أكاديمية
Feasibility, Acceptability, and Predictive Validity of a Psychosocial Screening Program for Children and Youth Newly Diagnosed With Type 1 Diabetes.
| العنوان: | Feasibility, Acceptability, and Predictive Validity of a Psychosocial Screening Program for Children and Youth Newly Diagnosed With Type 1 Diabetes. |
|---|---|
| المؤلفون: | SCHWARTZ, DAVID D.1,2 ddschwar@bcm.edu, CLINE, VIRGINIA DEPP1,2, AXELRAD, MARNI E.1,2, ANDERSON, BARBARA J.1,2 |
| المصدر: | Diabetes Care. Feb2011, Vol. 34 Issue 2, p326-331. 6p. |
| مصطلحات موضوعية: | *PEDIATRICS, *CHILDREN'S health, *DIABETES, *PEOPLE with diabetes, *DIABETES in children |
| مستخلص: | OBJECTIVE--Psychosocial screening has been recommended for pediatric patients with newly diagnosed type 1 diabetes and their families. Our objective was to assess a psychosocial screening protocol in its feasibility, acceptability to families, and ability to predict early emerging complications, nonadherent family behavior, and use of preventive psychology services. RESEARCH DESIGN AND METHODS--A total of 125 patients and their caregivers were asked to participate in a standardized screening interview after admission at a large urban children's hospital with a new diagnosis of type 1 diabetes. Medical records were reviewed for subsequent diabetes-related emergency department (ED) admissions, missed diabetes clinic appointments, and psychology follow-up within 9 months of diagnosis. RESULTS--Of 125 families, 121 (96.8%) agreed to participate in the screening, and a sub-sample of 30 surveyed caregivers indicated high levels of satisfaction. Risk factors at diagnosis predicted subsequent ED admissions with a sensitivity of 100% and a specificity of 98.6%. Children from single-parent households with a history of behavior problems were nearly six times more likely to be seen in the ED after diagnosis. Missed appointments were likeliest among African Americans, 65% of whom missed at least one diabetes-related appointment. Psychology services for preventive intervention were underutilized, despite the high acceptability of the psychosocial screening. CONCLUSIONS--Psychosocial screening of newly diagnosed patients with type 1 diabetes is feasible, acceptable to families, and able to identify families at risk for early emerging complications and nonadherence. Challenges remain with regards to reimbursement and fostering follow-up for preventive care. [ABSTRACT FROM AUTHOR] |
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