Qualitative adaptation of child behaviour problem instruments in a developing-country setting

Khan, Bushra Tayyaba; Avan, Bilal Iqbal

doi:10.26719/2014.20.7.450

Cited by 12 publications

(18 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A systematic cultural adaptation process based on Khan & Avan[26] was used. This comprised of six steps and aimed to ensure that each item was assessing the construct it was attempting to understand.…”

Section: Methodsmentioning

confidence: 99%

Impact of adversity on early childhood growth & development in rural India: Findings from the early life stress sub-study of the SPRING cluster randomised controlled trial (SPRING-ELS)

et al. 2019

View full text Add to dashboard Cite

IntroductionEarly childhood development is key to achieving the Sustainable Development Goals and can be negatively influenced by many different adversities including violence in the home, neglect, abuse and parental ill-health. We set out to quantify the extent to which multiple adversities are associated with impaired early childhood growth & development.MethodsThis was a substudy of the SPRING cluster randomised controlled trial covering the whole population of 120 villages of rural India. We assessed all children born from 18 June 2015 for adversities in the first year of life and summed these to make a total cumulative adversity score, and four subscale scores. We assessed the association of each of these with weight-for-age z-score, length-for-age z-score, and the motor, cognitive and language developmental scales of the Bayley Scales of Infant Development III assessed at 18 months.ResultsWe enrolled 1726 children soon after birth and assessed 1273 of these at both 12 and 18 months of age. There were consistent and strongly negative relationships between all measures of childhood adversity and all five child growth & development outcome measures at 18 months of age. For the Bayley motor scale, each additional adversity was associated with a 1.1 point decrease (95%CI -1.3, -0.9); for the cognitive scales this was 0.8 points (95%CI -1.0, -0.6); and for language this was 1.4 points (95%CI -1.9, -1.1). Similarly for growth, each additional adversity was associated with a -0.09 change in weight-for-age z-score (-0.11, -0.06) and -0.12 change in height-for-age z-score (-0.14, -0.09).DiscussionOur results are the first from a large population-based study in a low/middle-income country to show that each increase in adversity in multiple domains increases risk to child growth and development at a very early age. There is an urgent need to act to improve these outcomes for young children in LMICs and these findings suggest that Early Childhood programmes should prioritise early childhood adversity because of its impact on developmental inequities from the very start.

show abstract

Section: Methodsmentioning

confidence: 99%

Impact of adversity on early childhood growth & development in rural India: Findings from the early life stress sub-study of the SPRING cluster randomised controlled trial (SPRING-ELS)

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Study measurements are based on the Urdu version of YSR, which is the child‐ and adolescent‐informant version of the CBCL whose detailed, rigorous, and systematic qualitative adaptation, including sound psychometrics, has already been published (Khan & Avan, ). The current study reports the internal consistency reliability of all Behavioral Problems scales measured through Cronbach's α, which is also consistent with the values of the original English version (Achenbach & Rescorla, ).…”

Section: Discussionmentioning

confidence: 99%

“…A cross-sectional, multi-informant, school-based study was conducted in Karachi, a metropolitan city of Pakistan. Data were collected from 11 of 18 neighborhoods (locally called towns) that had branches of Educators Schools-a nationallevel school network offering equal opportunity of coeducation without segregation or gender discrimination (Khan & Avan, 2014), unlike the majority of private or government schools in the country. Educators Schools follow a standardized national curriculum and have the same school-fee structure, affordable to the middle classes, and have inbuilt systems of student scholarships and fee waivers, ensuring socioeconomic diversity among the students.…”

Section: Study Setting and Participantsmentioning

confidence: 99%

See 1 more Smart Citation

Behavioral problems in preadolescence: Does gender matter?

Khan

Avan

2020

PsyCh Journal

View full text Add to dashboard Cite

Behavioral problems in children are increasingly acknowledged as a global issue in mental health. Preadolescence is the transitory phase of development that links childhood and adolescence, and the presence of behavioral problems in this phase could be detrimental to children's present and future. This study aimed to describe the epidemiology of "behavioral problems" in preadolescents aged 11 to 12 years and to examine their distribution by socioeconomic status and children's characteristics while developing an in-depth understanding of the role of gender as a risk factor for such problems. A school-based, cross-sectional study was conducted in Karachi, Pakistan. Participants were selected from a middle-class, coeducational school chain. Sociodemographic questionnaires and an officially adapted version of Youth Self Report Form, which is child-and adolescent-reported version of Child Behavior Checklist, were used to collect data from children. The prevalence of Overall Behavioral Problems was 28.6%. From Broadband Scales, the relative prevalence of internalizing problems was about 52% higher than that of externalizing problems. Among the Narrowband Scales, somatic complaints were the most prevalent (23.2%). Male children significantly had higher odds for being at risk of Overall Behavioral problems, internalizing problems, and co-occurring behavioral issues, as compared to female children. The study concludes that the prevalence of overall behavioral problems is at the higher end of the global range. Male children are more at risk for overall behavioral problems, and contrary to previous studies, they are significantly more at risk of internalizing problems. Our study is the first to report the risk of co-occurrence of multiple issues with respect to gender, and adds that male children are significantly at risk of multiple co-occurring behavioral problems. Our study highlights the need for an in-depth understanding of cultural, sociopolitical conditions for actionable and gender-sensitive interventions for preadolescents.

show abstract

“…10–12 By contrast, childhood behavior problems, a mainstay of Developmental and Behavioral Pediatrics in high-resource countries, have only recently begun to attract attention in many LMIC. 13…”

mentioning

confidence: 99%

Behavior Problems in Physically Ill Children in Rwanda

Rukabyarwema

McCall

Ngambe

et al. 2019

J Dev Behav Pediatr

View full text Add to dashboard Cite

ABSTRACT:Objectives:Childhood behavior problems are underidentified in low- and middle-income countries. This study sought to systematically screen for behavior problems among children receiving medical care in Rwanda and investigate factors associated with behavior problems in this cohort.Methods:The Pediatric Symptom Checklist (PSC) was translated into Kinyarwanda, following best practices. Children aged 5.9 to 16 years admitted to the inpatient ward of a referral hospital or seen in the outpatient department (OPD) were screened using the PSC. All PSC-positive children and every third PSC-negative child were referred for definitive assessment by a child mental health specialist.Results:Among 300 eligible children, 235 were recruited; none refused. PSC scores were positive in 74 of 234 cases (32%, 95% confidence interval 26%–38%); a total of 28 of 74 (40%) PSC-positive children completed mental health assessments. Of these, 16 (57% of those assessed, and 7% of the 235 who were screened) required treatment or further assessment; none of the PSC-negative children did. Screening sensitivity was 100%, and specificity was 71%, with favorable receiver operating characteristics curve and internal consistency. In a multivariate analysis, higher PSC scores were associated with OPD care, central nervous system trauma or infection, and indices of malnutrition and with the use of traditional, complementary, and alternative medicine (TCAM).Conclusion:Behavior problems are common among Rwanda children seen in a referral hospital, particularly in the OPD, and are associated with use of TCAM. The Kinyarwanda PSC showed favorable screening characteristics and resulted in some 7% of children accessing needed mental health care.

show abstract

Qualitative adaptation of child behaviour problem instruments in a developing-country setting

Cited by 12 publications

References 28 publications

Impact of adversity on early childhood growth & development in rural India: Findings from the early life stress sub-study of the SPRING cluster randomised controlled trial (SPRING-ELS)

Impact of adversity on early childhood growth & development in rural India: Findings from the early life stress sub-study of the SPRING cluster randomised controlled trial (SPRING-ELS)

Behavioral problems in preadolescence: Does gender matter?

Behavior Problems in Physically Ill Children in Rwanda

Contact Info

Product

Resources

About