Transcript The Survey of Wellbeing of Young Children
The Survey of Well-being of Young Children (SWYC)
Ellen C. Perrin, M.D.
R. Christopher Sheldrick, Ph.D.
We have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this CME activity.
We do not intend to discuss an unapproved/investigative use of a commercial product/device in this presentation.
Historical perspective
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Rosie D. lawsuit CBHI Available Instruments
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Lengthy
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Proprietary
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Scoring complex
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Fragmented
Our goals
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Surveillance Instrument (birth to 5)
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First level screening
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Integrate “behavior” and “development”
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Include family context/risks
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Quick to fill out, score & interpret
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“Developmental growth curve” Free and in public domain Amenable to electronic format
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Computer
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Telephone
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Internet
Behavior Development Family Context
Preschool Pediatric Symptom Checklist (PPSC) Behavior
•Internalizing •Externalizing
Development Baby Pediatric Symptom Checklist (BPSC) Family Risk
Preschool Pediatric Symptom Checklist (PPSC) Behavior
•Internalizing •Externalizing
Baby Pediatric Symptom Checklist (BPSC) Development Family Risk
•Delays •Autism
Milestones Parent’s Observations of Social Interactions (POSI)
Behavior Development Family Risk FAMILY RISK FACTORS Depression
PHQ-2
Substance Abuse
Alcohol Tobacco Other drugs
Parental Discord Hunger
Four Domains
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Social-emotional-behavioral
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BPSC (Birth to 18 months) – 12 items
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PPSC (18 months to 5 years) – 18 items Cognitive, Language and Motor
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Milestones (each WCV) – 10 items Autism
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POSI (18 to 36 months) – 7 items Family Risks
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Each WCV - 11 items
SWYC Psychometrics!
• • Latent variable modeling Comparative effectiveness
Latent variable modeling •Reliability •Differential Item Functioning SES
?
PPSC bifactor model
general factor
Social/ emotional problems Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7 Item 8 Item 9 Item 10 Item 11 Item 12 Item 13 Item 14 Item 15 Item 16 Item 17 Item 18
item clusters
f1 f2 f3
1.0
0.8
0.6
0.4
0.2
0.0
Total
PRIMARY CARE SAMPLE
Sensitivity Specificity 1.0
0.8
0.6
0.4
0.2
PPSC ASQ-SE Internalizing Externalizing
CBCL 1.5-5 0.0
Total PPSC ASQ-SE Internalizing Externalizing
CBCL 1.5-5
1.0
0.8
0.6
0.4
0.2
0.0
Total
CLINIC SAMPLE
Sensitivity Specificity 1.0
0.8
0.6
0.4
0.2
PPSC ASQ-SE Internalizing Externalizing
CBCL 1.5-5 0.0
Total PPSC ASQ-SE Internalizing Externalizing
CBCL 1.5-5
Sensitivity Specificity 1.0
0.8
0.6
0.4
0.2
0.0
ADHD Anxiety Behavior or Conduct Any diagnosis
Parent report of existing diagnosis
PPSC ASQ-SE CBCL 1.5-5
Specificity
Other SWYC studies
• • • POSI v MCHAT Milestones v ASQ-3 BPSC v ???
Example SWYC Forms 12-Month Milestones 24-Month Social/ Emotional Behavior
12-Month Page 2 (on the back) Autism 24-Month Family Risk Questions
Summary
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Surveillance/first level screening instrument Includes
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Cognitive, language, motor, and social emotional development
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Autism spectrum disorders
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Family context/risks Compares well with older instruments Free, public domain English and Spanish Convertible to computer platform
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Tailored for child’s age
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Link to follow-up questionnaires