Family Psychosocial Risk Screening in Infants and Older Children in the Acute Pediatric Hospital Setting Using the Psychosocial Assessment Tool

Abstract

This study provides promising support for the PAT as a psychosocial screener for families of infants and older children across illness conditions.

Psychosocial assessment of families caring for a child with acute lymphoblastic leukemia, epilepsy or asthma: Psychosocial risk as network of interacting symptoms

“…The latter consisted of the same domains with some questions restated to match the requirements for a more general use without altering the validity and the psychometric structure of the questionnaire. The PAT proved a useful tool in identifying the level of overall psychosocial risk in diverse clinical settings and separated the psychosocial risk of families into three levels reflecting the data from the authors of the scale [75,76]. Overall, domains of psychosocial function are differently affected, and displayed a different weight within the PAT according to the type of pediatric condition.…”

“…Parents also completed a semi-structured anamnesis developed for this study. A protocol was developed for the distribution, collection and scoring of the PAT2.0 (ALL patients) and the generic version of the PAT (epilepsy and asthma patients) [76][77][78][79][80][81]. Based on the PAT risk level and informed by the families and patients special needs, participants were referred for consultation.…”

“…The PAT2.0 and PAT 2.0 generic version (PAT2.0_-GEN) [77,78,80,[82][83][84] are brief (10-15 minutes) parent-reported screening tools of psychosocial risk in families with a child with cancer or with other severe or chronic illnesses based on an ecological approach. The generic version of the PAT is an adapted version of the PAT which was initially developed for the pediatric oncology setting and has been adjusted for other patient populations affected by inflammatory bowel disease, obesity, congenital heart disease, diabetes and kidney transplant [76,78,79,81,83,[85][86][87]. The PAT2.0 and PAT2.0_GEN are composed of 15 item sets and yield a total score (possible range 0-7) and seven subscale scores (possible range of 0-1) that include: Family Structure and Resources (8 items), Family Social Support (4 items), Family Problems (8 items), Parent Stress Reactions (3 items), Family Beliefs (4 items), Child Problems (15 items) and Sibling Problems (15 items).…”

Implementation of family psychosocial risk assessment in pediatric cancer with the Psychosocial Assessment Tool (PAT): study protocol for a cluster-randomized comparative effectiveness trial

“…Empirical evidence supports the readiness of the PAT for broad implementation. It is used in 28.9% of pediatric cancer programs in the USA [11] and widely in other countries [20][21][22][23][24][25][26][27][28]. The PAT is acceptable to families across race, ethnicity, and SES [7,8,10,16,17,29] and has been shown to impact psychosocial outcomes at higher levels of distress when results are shared with staff [30].…”

Implementation of family psychosocial risk assessment in pediatric cancer with the Psychosocial Assessment Tool (PAT): Study protocol for a cluster randomized comparative effectiveness trial

“…The PAT is used in 28.9% of pediatric cancer programs in the U.S. 12 and widely in other countries. 20,21,22,23,24,25,26,27,28 The PAT is also acceptable to families across race, ethnicity and SES. 8,9, 11, 29,17 ,16, 29 We showed that PAT can be completed at diagnosis 17 and it has been shown to impact psychosocial outcomes for mothers at higher levels of distress when results are shared with staff.…”