Flemish Scientific Society for Youth Health Care, Leuven, Belgium.
Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, University of Leuven, KU Leuven, Leuven, Belgium.
J Adv Nurs. 2023 Oct;79(10):3997-4007. doi: 10.1111/jan.15711. Epub 2023 May 24.
Early detection of child developmental and parenting problems is important for timely prevention. The SPARK36 (Structured Problem Analysis of Raising Kids aged 36 months) is a novel broad-scope structured interview guide aimed at assessing parenting concerns and needs for support for child developmental and parenting problems, using the parental and professional's (Youth Health Care nurses) perspective. The applicability of the SPARK36 in practice was already demonstrated. Our aim was to evaluate its known groups validity.
DESING/METHODS: SPARK36 data were collected in a cross-sectional study in 2020-2021. The known groups validity was assessed by testing two hypotheses: the SPARK36 risk assessment shows a higher risk of parenting and child developmental problems in children (1) from parents with a lower socioeconomic status and (2) from families with ≥4 risk factors for child maltreatment. To test the hypotheses, Fisher's exact tests were applied.
In total, 29 Youth Health Care nurses from four School Health Services performed SPARK36-led consultations with 599 parent-child pairs to assess the risk for child developmental and parenting problems. Both hypotheses were accepted at a significant p level.
The results of the known groups validity support the hypothesis that the SPARK36 risk assessment for child developmental and parenting problems is carried out in a valid way. Future research is needed to assess other aspects of the validity and reliability of the SPARK36.
This is a first step in validating the instrument for use during a nurse-led consultation with parents of 3-year-olds in Flemish School Health Services. Thereby, SPARK36 supports the nurses in accomplishing their assignment, making a risk assessment, and contributes to quality of care.
This study aimed to evaluate the known groups validity of the SPARK36. Therefore, it was not conducted using input from the public or the patient population.
早期发现儿童发育和养育问题对于及时预防至关重要。SPARK36（36 个月大儿童养育问题的结构化问题分析）是一种新颖的广泛范围结构化访谈指南，旨在从父母和专业人士（青年保健护士）的角度评估育儿关注和支持儿童发育和养育问题的需求。SPARK36 在实践中的适用性已经得到了证明。我们的目的是评估其已知群体的有效性。
设计/方法：2020-2021 年期间，通过横断面研究收集了 SPARK36 数据。通过检验两个假设来评估已知群体的有效性：SPARK36 风险评估显示（1）来自社会经济地位较低的父母和（2）来自存在≥4 个儿童虐待风险因素的家庭的儿童的养育和儿童发育问题的风险更高。为了检验这些假设，采用了 Fisher 精确检验。
共有来自四个学校卫生服务处的 29 名青年保健护士进行了 SPARK36 引导的咨询，对 599 对父母-子女进行了评估，以评估儿童发育和养育问题的风险。两个假设都在显著的 p 值水平上得到了接受。
已知群体有效性的结果支持了这样的假设，即 SPARK36 对儿童发育和养育问题的风险评估是以有效的方式进行的。未来需要研究评估 SPARK36 的其他有效性和可靠性方面。
这是在佛兰德学校卫生服务处对 3 岁儿童的父母进行护士主导的咨询中验证该工具的第一步。因此，SPARK36 支持护士完成其任务、进行风险评估，并有助于提高护理质量。
本研究旨在评估 SPARK36 的已知群体有效性。因此，它不是使用公众或患者群体的意见进行的。
