Virk Punit, Laskin Samara, Gokiert Rebecca, Richardson Chris, Newton Mandi, Stenstrom Rob, Wright Bruce, Black Tyler, Doan Quynh
School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Pediatrics, University of British Columbia, Vancouver, British of Columbia, Canada.
BMJ Paediatr Open. 2019 Jul 24;3(1):e000493. doi: 10.1136/bmjpo-2019-000493. eCollection 2019.
Paediatric mental health-related visits to the emergency department are rising. However, few tools exist to identify concerns early and connect youth with appropriate mental healthcare. Our objective was to develop a digital youth psychosocial assessment and management tool (MyHEARTSMAP) and evaluate its inter-rater reliability when self-administered by a community-based sample of youth and parents.
We conducted a multiphasic, multimethod study. In phase 1, focus group sessions were used to inform tool development, through an iterative modification process. In phase 2, a cross-sectional study was conducted in two rounds of evaluation, where participants used MyHEARTSMAP to assess 25 fictional cases.
MyHEARTSMAP displays good face and content validity, as supported by feedback from phase 1 focus groups with youth and parents (n=38). Among phase 2 participants (n=30), the tool showed moderate to excellent agreement across all psychosocial sections (κ=0.76-0.98).
Our findings show that MyHEARTSMAP is an approachable and interpretable psychosocial assessment and management tool that can be reliably applied by a diverse community sample of youth and parents.
儿科与心理健康相关的急诊就诊人数正在上升。然而，几乎没有工具能够早期识别问题并为青少年提供适当的心理保健服务。我们的目标是开发一种数字化的青少年心理社会评估与管理工具（MyHEARTSMAP），并评估其在由社区青少年和家长样本自行管理时的评分者间信度。
我们开展了一项多阶段、多方法的研究。在第一阶段，通过焦点小组会议，经过反复修改过程为工具开发提供信息。在第二阶段，进行了两轮评估的横断面研究，参与者使用MyHEARTSMAP评估25个虚构案例。
如第一阶段青少年和家长焦点小组（n = 38）的反馈所示，MyHEARTSMAP具有良好的表面效度和内容效度。在第二阶段参与者（n = 30）中，该工具在所有心理社会部分显示出中等至优秀的一致性（κ = 0.76 - 0.98）。
我们的研究结果表明，MyHEARTSMAP是一种易于使用且可解释的心理社会评估与管理工具，可由不同的社区青少年和家长样本可靠地应用。
