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Validation of a Screening Tool for Social Vulnerability in Pediatrics
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| Zeitschriftentitel: | European Journal of Public Health |
|---|---|
| Personen und Körperschaften: | , , , |
| In: | European Journal of Public Health, 29, 2019, Supplement_4 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Oxford University Press (OUP)
|
| Schlagwörter: |
| author_facet |
Laporte, R Jouve, E Daguzan, A Gentile, S Laporte, R Jouve, E Daguzan, A Gentile, S |
|---|---|
| author |
Laporte, R Jouve, E Daguzan, A Gentile, S |
| spellingShingle |
Laporte, R Jouve, E Daguzan, A Gentile, S European Journal of Public Health Validation of a Screening Tool for Social Vulnerability in Pediatrics Public Health, Environmental and Occupational Health |
| author_sort |
laporte, r |
| spelling |
Laporte, R Jouve, E Daguzan, A Gentile, S 1101-1262 1464-360X Oxford University Press (OUP) Public Health, Environmental and Occupational Health http://dx.doi.org/10.1093/eurpub/ckz185.603 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Screening for social vulnerability is emphasized improve access and quality and of healthcare. In pediatrics although some specific tools exist, a global screening tool for social vulnerability and access to healthcare was missing. A Vulnerable Child Scale (VUCHIS) was developed with expert focus groups. It included short evaluation about several issues: medical follow-up, health assurance, children schooling, housing, close entourage, comorbidities, recent migration, language comprehension and food insecurity. Fifteen items were addressed in a short and easy to translate interview. The aim of this study was to validate this tool.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>This multicenter study was conducted in two pediatric emergency departments in France. VUCHIS questionnaire was completed by the emergency department caregiver. Another blinded interview with a social worker, expert in social vulnerabilities diagnosis, was conducted to assess the need for care in a clinic for socially vulnerable children. Clinical exam was recorded. The main criteria for this study was the clinimetric properties of VUCHIS compared to the expert caregiver opinion.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>480 children were included. Their mean age was 8.3 years (SD = 3.8); 264 (55.0 %) were boys. The expert evaluation identified 57 (11.9 %) children with social vulnerabilities. VUCHIS ranged from 0 to 79 (mean = 6.9; SD = 14.7). ROC curve area was 0.83 (SD = 0.04). The selected diagnostic threshold was 10. This showed sensitivity = 0.70; 95% confidence interval (CI) = [0.56; 0.81]; specificity = 0.89; CI = [0.86; 0.92]; positive likelihood ratio = 6.60; CI = [4.77; 9.12] and negative likelihood ratio = 0.33; CI = [0.22; 0.50].</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>VUCHIS has good clinimetric qualities that will promote the screening of social vulnerability in pediatric clinical practice.</jats:p> </jats:sec> <jats:sec> <jats:title>Key messages</jats:title> <jats:p>Pediatricians need global and easy-to-use tools to implement social vulnerabilities in their clinical routine, especially in emergency departments. Implementing tool-mediated screening for social vulnerabilities in pediatrics prevent inappropriate orientation and prescriptions and poor therapeutic adherence.</jats:p> </jats:sec> Validation of a Screening Tool for Social Vulnerability in Pediatrics European Journal of Public Health |
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Oxford University Press (OUP), 2019 |
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Oxford University Press (OUP), 2019 |
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1101-1262 1464-360X |
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| title |
Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_unstemmed |
Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_full |
Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_fullStr |
Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_full_unstemmed |
Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_short |
Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_sort |
validation of a screening tool for social vulnerability in pediatrics |
| topic |
Public Health, Environmental and Occupational Health |
| url |
http://dx.doi.org/10.1093/eurpub/ckz185.603 |
| publishDate |
2019 |
| physical |
|
| description |
<jats:title>Abstract</jats:title>
<jats:sec>
<jats:title>Background</jats:title>
<jats:p>Screening for social vulnerability is emphasized improve access and quality and of healthcare. In pediatrics although some specific tools exist, a global screening tool for social vulnerability and access to healthcare was missing. A Vulnerable Child Scale (VUCHIS) was developed with expert focus groups. It included short evaluation about several issues: medical follow-up, health assurance, children schooling, housing, close entourage, comorbidities, recent migration, language comprehension and food insecurity. Fifteen items were addressed in a short and easy to translate interview. The aim of this study was to validate this tool.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Methods</jats:title>
<jats:p>This multicenter study was conducted in two pediatric emergency departments in France. VUCHIS questionnaire was completed by the emergency department caregiver. Another blinded interview with a social worker, expert in social vulnerabilities diagnosis, was conducted to assess the need for care in a clinic for socially vulnerable children. Clinical exam was recorded. The main criteria for this study was the clinimetric properties of VUCHIS compared to the expert caregiver opinion.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results</jats:title>
<jats:p>480 children were included. Their mean age was 8.3 years (SD = 3.8); 264 (55.0 %) were boys. The expert evaluation identified 57 (11.9 %) children with social vulnerabilities. VUCHIS ranged from 0 to 79 (mean = 6.9; SD = 14.7). ROC curve area was 0.83 (SD = 0.04). The selected diagnostic threshold was 10. This showed sensitivity = 0.70; 95% confidence interval (CI) = [0.56; 0.81]; specificity = 0.89; CI = [0.86; 0.92]; positive likelihood ratio = 6.60; CI = [4.77; 9.12] and negative likelihood ratio = 0.33; CI = [0.22; 0.50].</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusions</jats:title>
<jats:p>VUCHIS has good clinimetric qualities that will promote the screening of social vulnerability in pediatric clinical practice.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Key messages</jats:title>
<jats:p>Pediatricians need global and easy-to-use tools to implement social vulnerabilities in their clinical routine, especially in emergency departments. Implementing tool-mediated screening for social vulnerabilities in pediatrics prevent inappropriate orientation and prescriptions and poor therapeutic adherence.</jats:p>
</jats:sec> |
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| author | Laporte, R, Jouve, E, Daguzan, A, Gentile, S |
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| description | <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Screening for social vulnerability is emphasized improve access and quality and of healthcare. In pediatrics although some specific tools exist, a global screening tool for social vulnerability and access to healthcare was missing. A Vulnerable Child Scale (VUCHIS) was developed with expert focus groups. It included short evaluation about several issues: medical follow-up, health assurance, children schooling, housing, close entourage, comorbidities, recent migration, language comprehension and food insecurity. Fifteen items were addressed in a short and easy to translate interview. The aim of this study was to validate this tool.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>This multicenter study was conducted in two pediatric emergency departments in France. VUCHIS questionnaire was completed by the emergency department caregiver. Another blinded interview with a social worker, expert in social vulnerabilities diagnosis, was conducted to assess the need for care in a clinic for socially vulnerable children. Clinical exam was recorded. The main criteria for this study was the clinimetric properties of VUCHIS compared to the expert caregiver opinion.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>480 children were included. Their mean age was 8.3 years (SD = 3.8); 264 (55.0 %) were boys. The expert evaluation identified 57 (11.9 %) children with social vulnerabilities. VUCHIS ranged from 0 to 79 (mean = 6.9; SD = 14.7). ROC curve area was 0.83 (SD = 0.04). The selected diagnostic threshold was 10. This showed sensitivity = 0.70; 95% confidence interval (CI) = [0.56; 0.81]; specificity = 0.89; CI = [0.86; 0.92]; positive likelihood ratio = 6.60; CI = [4.77; 9.12] and negative likelihood ratio = 0.33; CI = [0.22; 0.50].</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>VUCHIS has good clinimetric qualities that will promote the screening of social vulnerability in pediatric clinical practice.</jats:p> </jats:sec> <jats:sec> <jats:title>Key messages</jats:title> <jats:p>Pediatricians need global and easy-to-use tools to implement social vulnerabilities in their clinical routine, especially in emergency departments. Implementing tool-mediated screening for social vulnerabilities in pediatrics prevent inappropriate orientation and prescriptions and poor therapeutic adherence.</jats:p> </jats:sec> |
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| spelling | Laporte, R Jouve, E Daguzan, A Gentile, S 1101-1262 1464-360X Oxford University Press (OUP) Public Health, Environmental and Occupational Health http://dx.doi.org/10.1093/eurpub/ckz185.603 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Screening for social vulnerability is emphasized improve access and quality and of healthcare. In pediatrics although some specific tools exist, a global screening tool for social vulnerability and access to healthcare was missing. A Vulnerable Child Scale (VUCHIS) was developed with expert focus groups. It included short evaluation about several issues: medical follow-up, health assurance, children schooling, housing, close entourage, comorbidities, recent migration, language comprehension and food insecurity. Fifteen items were addressed in a short and easy to translate interview. The aim of this study was to validate this tool.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>This multicenter study was conducted in two pediatric emergency departments in France. VUCHIS questionnaire was completed by the emergency department caregiver. Another blinded interview with a social worker, expert in social vulnerabilities diagnosis, was conducted to assess the need for care in a clinic for socially vulnerable children. Clinical exam was recorded. The main criteria for this study was the clinimetric properties of VUCHIS compared to the expert caregiver opinion.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>480 children were included. Their mean age was 8.3 years (SD = 3.8); 264 (55.0 %) were boys. The expert evaluation identified 57 (11.9 %) children with social vulnerabilities. VUCHIS ranged from 0 to 79 (mean = 6.9; SD = 14.7). ROC curve area was 0.83 (SD = 0.04). The selected diagnostic threshold was 10. This showed sensitivity = 0.70; 95% confidence interval (CI) = [0.56; 0.81]; specificity = 0.89; CI = [0.86; 0.92]; positive likelihood ratio = 6.60; CI = [4.77; 9.12] and negative likelihood ratio = 0.33; CI = [0.22; 0.50].</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>VUCHIS has good clinimetric qualities that will promote the screening of social vulnerability in pediatric clinical practice.</jats:p> </jats:sec> <jats:sec> <jats:title>Key messages</jats:title> <jats:p>Pediatricians need global and easy-to-use tools to implement social vulnerabilities in their clinical routine, especially in emergency departments. Implementing tool-mediated screening for social vulnerabilities in pediatrics prevent inappropriate orientation and prescriptions and poor therapeutic adherence.</jats:p> </jats:sec> Validation of a Screening Tool for Social Vulnerability in Pediatrics European Journal of Public Health |
| spellingShingle | Laporte, R, Jouve, E, Daguzan, A, Gentile, S, European Journal of Public Health, Validation of a Screening Tool for Social Vulnerability in Pediatrics, Public Health, Environmental and Occupational Health |
| title | Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_full | Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_fullStr | Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_full_unstemmed | Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_short | Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| title_sort | validation of a screening tool for social vulnerability in pediatrics |
| title_unstemmed | Validation of a Screening Tool for Social Vulnerability in Pediatrics |
| topic | Public Health, Environmental and Occupational Health |
| url | http://dx.doi.org/10.1093/eurpub/ckz185.603 |