sociale en psychosociale problematiek Social- and psychosocial problems
Conditions
Interventions
Interdisiplinary
Mental
Psychosomatic
Intervention
The intervention consists of the procedure that started in 2015 at the Amphia
hospital, Breda, The Netherlands. In this procedure, pediatric nurses act as
the linking pin between pediat
(Psycho)social
Sponsors
GGD West-Brabant
Eligibility
Age
2 Years to 64 Years
Inclusion criteria
Inclusion criteria: All children, aged 0-19 years, who visit the outpatient clinic of the Amphia hospital from June 2017 to February 2018, and suffer from the following problems are eligible for the study: 1. Somatic diseases which give rise to psychosocial problems 2. Psychosocial problems that are involved in the development and cure of disease 3. Somatic complaints that hide psychic problems 4. Problems in development 5. Threat of safety and health as a result of parental functioning 6. Reference because of psychic and social problems. Prior to the consultation with the pediatrician, the children will be randomized to the intervention or control group. During the consultation, the pediatrician checks whether the child is eligible for inclusion in the study. If a child is eligible, the pediatrician explains the study and hands over an informed consent form. At the moment a parent of the child or the child itself (age 16 and over) has signed the informed consent, the child is included in the study.
Exclusion criteria
Exclusion criteria: Whenever a child suffers from serious psychiatric problems or (complex) medical problems which needs immediate intensive care, the child will not be included. There can be two forms of urgency: 1. Acute care because of an other form of specialized medical care. 2. Acute care which needs extra assistance from the social domain. whenever above mentioned problems present themselves during the studie, the child will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In this study there are two primary outcome measures: parental/children*s* satisfaction and throughput. Parental/children*s* satisfaction One primary outcome measure is parental/children*s satisfaction with the new working method. A questionnaire that is regularly used in youth healthcare as an indicator for client satisfaction is the *Exit questionnaire youth and parenting help*. The *Exit* questionnaire is a short validated questionnaire with a separate version for parents and children aged 12 years and over. It is the only questionnaire with an item concerning *whether a client can go on without help*, which is an important indicator of the effect of the intervention in our study. In the current research proposal, the *Exit* questionnaire will be used to measure parental/children*s satisfaction with the assistance they received during the study. Extra questions will be added to the questionnaire to evaluate the process of care. The *Exit* questionnaire will be completed at two different moments: immediately after completing the intervention (intervention group)/three months after the first consultation with the pediatrician (control group) and three months after completing the intervention (intervention group)/six months after the first consultation with the pediatrician (control group). De measurements in the control group, three and six months after the first consult with the pediatrician are based on the mean expected time that is necessary to accompany the child to the best fitting care. For both groups, the goal of the first measurement is to evaluate whether the parents and children are satisfied with the care they received, directly after finishing the care process. With the second measurement it is evaluated whether this satisfaction continuous over time. Throughput The other primary outcome measure is the throughput (the time between the reference by the pediatrician to the point of fitting *follow-up* care) of the new worki | — |
Secondary
| Measure | Time frame |
|---|---|
| The pilot study showed that many problems the children face are related to the way they are parented. Therefore we also to study (changes in) parental feelings concerning parenting their children. In order to study this we use the parenting stress questionnaire. This questionnaire is developed for parents with children aged of 0 to 19 years, which makes it suitable for the purpose of this study. The questionnaire will be completed at two moments: immediately after inclusion and at the end of the intervention (intervention group)/3 months after the first consultation with the pediatrician. Visual Analogue Scale and Strengths and Difficulties Questionnaire: parental perspective There is no single standard instrument that measures changes in problem severity for children aged 0-19 years. Therefore we to use multiple instruments. For children aged 0-2 years parents complete a *Visual Analogue Scale*(VAS) for the subjects: crying, sleeping, eating and development. A VAS is a psychometric instrument with which the problem severity can be measured. The VAS will be completed immediately after inclusion and end of the intervention (intervention group)/three months after the first consultation with the pediatrician (control group). For children aged 2-19 years the parents complete a *Strengths and Difficulties Questionnaire* (SDQ). The SDQ is a questionnaire with which the social-emotional health of children can be measured. The SDQ total score shows the severity of social-emotional problems the children suffer from. By use of five subscales (behavioral problems, hyperactivity/attention deficit, problems with peers, pro social behavior) it can be studied in which field problems occur. The SDQ will be completed immediately after inclusion and at the end of the intervention (intervention group)/three months after the first consultation with the pediatrician (control group). Both parents and children aged 11 and over will complete this questionnaire. | — |
Countries
The Netherlands
Outcome results
None listed