Journal article
Development, Validation, and Utility of Internet-Based, Behavioral Health Screen for Adolescents
Pediatrics (Evanston), v 126(1), pp E163-E170
01 Jul 2010
PMID: 20566613
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVES: The goals were to develop and to validate the Internetbased, Behavioral Health Screen (BHS) for adolescents and young adults in primary care.
METHODS: Items assessing risk behaviors and psychiatric symptoms were built into a Internet-based platform with broad functionality. Practicality and acceptability were examined with 24 patients. For psychometric validation, 415 adolescents completed the BHS and well-established rating scales. Participants recruited from primary care waiting rooms were 12 to 21 years of age (mean: 15.8 years); 66.5% were female and 77.5% black.
RESULTS: The BHS screens in 13 domains by using 54 required items and 39 follow-up items. The administration time was 8 to 15 minutes (mean: 12.4 minutes). The scales are unidimensional, are internally consistent (Cronbach's alpha = 0.75-0.87), and discriminate among adolescents with a range of diagnostic syndromes. Sensitivity and specificity were high, with overall accuracy ranging from 78% to 85%. Patients with scores above scale cutoff values for depression, suicide risk, anxiety, and posttraumatic stress disorder symptoms were >= 4 times more likely to endorse other risk behaviors or stressors.
CONCLUSIONS: The BHS addresses practical and clinical barriers to behavioral health screening in primary care. It is a brief but comprehensive, self-report, biopsychosocial assessment. The psychiatric scales are valid and predictive of risk behaviors, which facilitates exclusion of false-positive results, as well as assessment and triage. Pediatrics 2010; 126: e163-e170
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Details
- Title
- Development, Validation, and Utility of Internet-Based, Behavioral Health Screen for Adolescents
- Creators
- Guy Diamond - University of PennsylvaniaSuzanne Levy - Center for Family Intervention Science andKatherine B. Bevans - Departments ofGeneral Pediatrics andJoel A. Fein - University of PennsylvaniaMatthew B. Wintersteen - Thomas Jefferson UniversityAllen Tien - Medical Decision LogicTorrey Creed - Center for Family Intervention Science and
- Publication Details
- Pediatrics (Evanston), v 126(1), pp E163-E170
- Publisher
- Amer Acad Pediatrics
- Number of pages
- 8
- Grant note
- Substance Abuse and Mental Health and Services Administration (Garrett Lee Smith Suicide Prevention Initiative) American Foundation for Suicide Prevention U49CE001093 / NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA R49 CE000428-03 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA SAP 4100027295 / Pennsylvania Department of Health U49 CE001093-01 / Health Resources and Services Administration; United States Department of Health & Human Services; United States Health Resources & Service Administration (HRSA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Family Intervention Science
- Web of Science ID
- WOS:000279431000044
- Scopus ID
- 2-s2.0-77954360771
- Other Identifier
- 991019292128104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics