Pediatric psychosocial preventative health model: Achieving equitable psychosocial care for children and families.

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Families Systems & Health Pub Date : 2024-03-01 Epub Date: 2023-11-27 DOI:10.1037/fsh0000856
Anne E Kazak, Michele Scialla, Janet A Deatrick, Lamia P Barakat
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引用次数: 0

Abstract

Objective: The Pediatric Psychosocial Preventative Health Model (PPPHM) is a three-tier model of family psychosocial risk used to guide intervention approaches in pediatric healthcare settings. Screening all families to determine levels of risk supports equitable care. We review evidence from papers using the Psychosocial Assessment Tool (PAT), a brief caregiver-report measure of family psychosocial risk with scores that map to the PPPHM, to characterize the distribution of risk. We predict that across study samples the distribution of risk on the PPPHM will be approximately 60% universal (low), 30% targeted (moderate), and 10% clinical (high).

Method: We conducted a scoping review searching PubMed, MEDLINE, Emcare, and PsycInfo for articles that reported PPPHM data using the PAT.

Results: Forty-seven samples from 43 papers were included, reporting on patients with 17 conditions. PPPHM scores were highly consistent with median percentages of 55% universal, 34% targeted, and 11% clinical. There is evidence of higher levels of risk for samples using the Spanish version of the PAT, from weight management programs and with families who have children with autism spectrum disorder.

Conclusions: The data demonstrate consistent patterns of psychosocial risk distributions on the PPPHM and support implementation of universal family psychosocial risk screening, followed by delivery of personalized care based on level of risk. Screening all families promotes health equity in pediatric health care settings by normalizing the importance of understanding psychosocial risk and resiliencies and assuring family input in the delivery of integrated psychosocial care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

儿童社会心理预防保健模式:为儿童和家庭实现公平的社会心理保健。
目的:儿科心理社会预防健康模型(PPPHM)是一个家庭心理社会风险的三层模型,用于指导儿科医疗保健机构的干预方法。对所有家庭进行筛查,以确定风险水平,从而支持公平护理。我们回顾了使用心理社会评估工具(PAT)的论文中的证据,PAT是一种简短的照顾者报告家庭心理社会风险的测量方法,其得分与PPPHM相对应,以表征风险的分布。我们预测,在所有研究样本中,PPPHM的风险分布约为60%(低),30%(中等),10%(高)。方法:我们在PubMed, MEDLINE, Emcare和PsycInfo中搜索使用PAT报告PPPHM数据的文章进行了范围综述。结果:纳入43篇论文的47份样本,报告了17种情况的患者。PPPHM评分与中位百分比高度一致:普遍55%,靶向34%,临床11%。有证据表明,在体重管理项目和有自闭症谱系障碍儿童的家庭中,使用西班牙语版PAT的样本风险更高。结论:数据显示PPPHM的社会心理风险分布模式一致,支持实施普遍的家庭社会心理风险筛查,随后根据风险水平提供个性化护理。对所有家庭进行筛查,使了解社会心理风险和复原力的重要性正常化,并确保家庭参与提供综合社会心理护理,从而促进儿科卫生保健环境中的卫生公平。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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