Family Partner Navigation for Children

Successful behavioral health service goal completion obtained from the electronic health record including Family Partner's template documentation.

Time frame: 6 months

Population: Data are available for all 312 dyads.

Time to goal completion obtained from the electronic health record including Family Partner's template documentation.

Time frame: 18 months

Population: This outcome was calculated for dyads with successful goal completion. This measure examines goal completion up to 18 months from baseline.

The Family Resource Scale (FRS) is a 30-item scale assessing numerous family needs and factors: growth/support, health/necessities, physical necessities, physical shelter, intra-family support, communication/employment, child care, and personal resources. Each item is rated on a five-point scale ranging from not-at-all-adequate to almost-always-adequate. Total scores were calculated by a sum across the 30-items. The minimum score is 30 and the maximum score is 150. Higher scores indicate more adequate levels of family resources. Change in score was calculated by taking the difference between total scores at baseline and 6 months. This was done by subtracting 6 month scores from baseline scores for each participant. Of note, a negative change value is due to a higher scores at baseline than at 6 months. The differences were averaged across the participants in each condition.

Time frame: baseline, 6 months

Population: There were 75 parents who could not be reached through telephone calls for survey administration at the 6-month time frame. There were also 4 parents who completed less than 10% of the survey due to time constraints. Parents missing either a baseline or 6 month score could not be analyzed for a change in score.

The Patient Health Questionnaire-2 (PHQ-2) is a validated 2-question depression screening tool. PHQ-2 total score ranges from 0-6. The authors of the measure identified a score of 3 as the optimal cut-point when using the PHQ-2 to screen for depression. If the score is 3 or greater, major depressive disorder is likely. Change in score was calculated by taking the difference between total scores at baseline and 6 months. This was done by subtracting 6 month scores from baseline scores for each participant. Of note, a negative change value is due to a higher scores at baseline than at 6 months. The differences were averaged across the participants in each condition.

Time frame: baseline, 6 months

Population: This survey was part of the enhanced factor and therefore was only administered to 8 out of 16 conditions. This survey was administered to the parents/guardians.

Scores from the Pediatric Symptom Checklist-17 (PSC-17) will be used to assess child symptoms. The PSC-17 is a 17-item psychosocial screen designed to recognize cognitive, emotional, and behavioral problems. A value of 0 is assigned to Never, 1 to Sometimes, and 2 to Often. The total score is calculated as a sum each of the 17-item level scores, with a potential range of total scores of 0 to 34. A PSC-17 score of 15 or higher suggests the presence of significant behavioral or emotional problems or at risk. Change in the Pediatric Symptom Checklist-17 (PSC-17) total score was calculated between the baseline and 6-month follow-up. Increased risk at 6-month is a change from a PSC-17 total score from below 15 at baseline to a score of 15 or greater at 6-month. Decreased risk at 6-month is a change from a PPSC total score at or above 15 at baseline to one below 15 at 6-month follow-up. No change is either both scores remained at risk or both scores remained low risk.

Time frame: baseline, 6 months

Population: This survey is appropriate for children 4-18 years old. It was administered to eligible children 5-12 years old in the study. In addition, the PSC-17 was part of the enhanced factor and therefore was only administered in 8 out of 16 conditions.

The Parental Attitudes Toward Psychological Services Inventory (PATPSI) measure consists of 26 Likert-type items, assessing help-seeking attitudes, help-seeking intentions, and mental health stigma, and is scored on a Likert-type scale from 0 (strongly disagree) to 5 (strongly agree). Scores can range from 0 to 130. Higher scores are more favorable. Change in score was calculated by taking the difference between total scores at baseline and 6 months. This was done by subtracting 6 month scores from baseline scores for each participant. Of note, a negative change value is due to a higher scores at baseline than at 6 months. The differences were averaged across the participants in each condition.

Time frame: baseline, 6 months

Population: There were 75 parents who could not be reached through telephone calls for survey administration at the 6-month time point. There were also 4 parents who completed less than 10% of the survey due to time constraints.

The Survey of Well-being of Young Children (SWYC) screens for cognitive, motor, language, and social-emotional development among children up to 5½ years of age. Behavioral symptoms were tracked using the SWYC's subscale called the Preschool Pediatric Symptom Checklist (PPSC). The PPSC is an 18-item questionnaire. The total score is summed and can range from 0 to 36. A PPSC total score of 9 or greater indicates that a child is at risk. Change in the SWYC's PPSC subscale was calculated by finding the difference between the 6 month score and baseline. Participants with increased risk at 6-month is a change from a PPSC total score of below 9 at baseline (low risk) to a score of 9 or greater at 6-month (at risk). Decreased risk at 6-month is a change from a PPSC total score at or above 9 at baseline (at risk) to one below 9 at 6-month follow-up (low risk). No change is either both scores remained at risk or both scores remained low risk.

Time frame: baseline, 6 months

Population: This survey is appropriate for children 3-5 years of age therefore administered to a subset of children. In addition, the SWYC was part of the enhanced factor and therefore was only administered in 8 out of 16 conditions.

The Interpersonal Relationship with Navigator (PSN-I) tool is a validated 9-item scale with strong psychometric properties in samples of culturally diverse, underserved patients. For each item the participant can respond, strongly disagree =1, disagree =2, are undecided=3, agree =4, or strongly agree =5. Total scores are summed across the 9-items and can range from 9 to 45; higher scores indicate higher satisfaction with their interpersonal relationship with the patient navigator.

Time frame: 6 months

Population: There were 75 parents who could not be reached through telephone calls for survey administration at the 6-month time frame.

The Satisfaction with Hospital Care Questionnaire (SHCQ) addresses aspects of hospital care. Three subscales were used: Information (6 questions), Patient Autonomy (2 questions), and Emotional Support (3 questions). Each question is self rated on a scale of 1 to 10 where 1=poor and 10 = excellent. Total scores were summed across the three subscales. Total scores can range from 11 to 110. Higher scores suggest greater satisfaction with hospital care.

Time frame: 6 months

Population: There were 75 parents who could not be reached through telephone calls for survey administration at the 6-month time frame.