儿科初级保健患者的家庭功能

Family Functioning in Pediatric Primary Care Patients.

作者信息

Van Fossen Catherine A, Pratt Keeley J, Murray Robert, Skelton Joseph A

机构信息

1 The Ohio State University, Columbus, OH, USA.

2 The Ohio State University Wexner Medical Center, Columbus, OH, USA.

出版信息

Clin Pediatr (Phila). 2018 Nov;57(13):1549-1557. doi: 10.1177/0009922818793347. Epub 2018 Aug 10.

DOI:10.1177/0009922818793347

PMID:30095008

Abstract

INTRODUCTION

The purpose of this study was to pilot a brief measure of family functioning (Family Assessment Device-General Functioning [FAD_GF]) with caregivers of children aged 2 to 18 years, seen for routine pediatric primary care visits.

METHODS

This study evaluated the psychometric properties of the FAD_GF in a pediatric primary care sample of 400 families. Confirmatory factor analysis was used to validate the FAD_GF using R, and WLSMV was used to estimate missing variables.

RESULTS

The FAD_GF was found to be reliable with this sample, α = .90. The model fit was χ(54) = 56.44, P = .38, with root mean square error of approximation = .01 and comparative fit index = .99. The 12 items were significantly predicted by family functioning, and family functioning explained more than 20% of the variance in the items, R > .25. Overall, 12.6% (n = 46) of families were identified as having clinically impaired family functioning.

DISCUSSION

The FAD_GF provides clinicians the ability to make evidence-informed decisions regarding referrals to family therapists.

摘要

引言

本研究旨在对一种简短的家庭功能测量工具（家庭评估量表 - 总体功能[FAD_GF]）进行试点，该工具用于2至18岁儿童的照料者，这些儿童因常规儿科初级保健就诊前来。

方法

本研究在400个家庭的儿科初级保健样本中评估了FAD_GF的心理测量特性。使用R语言进行验证性因素分析以验证FAD_GF，并使用WLSMV估计缺失变量。

结果

发现FAD_GF在此样本中具有可靠性，α = 0.90。模型拟合度为χ(54) = 56.44，P = 0.38，近似均方根误差 = 0.01，比较拟合指数 = 0.99。家庭功能显著预测了这12个项目，并且家庭功能解释了项目中超过20%的方差，R > 0.25。总体而言，12.6%（n = 46）的家庭被确定为具有临床受损的家庭功能。