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Validating a child acute stress measure in English and Spanish. Mentor: Nancy Kassam-Adams, PhD Presenter: Kathy Lugo. ASC-Kids study objectives.
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Validating a child acute stress measure in English and Spanish Mentor: Nancy Kassam-Adams, PhD Presenter: Kathy Lugo
ASC-Kids study objectives • Assess the validity of an acute stress checklist in English and Spanish in order to better assess, identify and treat stress reactions in children and adolescents who have recently had a potentially traumatic experience
Study Background • Step 1: The development of the initial practical child self-report measure of acute stress responses including (ASD), provided evidence about its reliability and validity (2001-2003) • Step 2: develop a Spanish language version of the child acute stress measure (2003-2005) • Step 3: Assess the reliability and validity of the ASC-Kids and RAP-M measure (2007-Present)
Why Validate it in both English and Spanish • Past studies of children and adolescents who encounter traumatic events have not adequately included ethnically diverse populations • There are no validated Spanish language measures of acute traumatic stress • Often English measures are translated into Spanish but there is no validation of its effectiveness after its been translated
StudyProcedures • Visit clinic or patient's room • Child completes ASC-Kids/RAP-M & other checklists • Parent completes CBCL measure • Family receives re-test packet (in stamped envelope) • 1 to 7 days later • Re-test reminder call • Administer ASC-Kids/ RAP-M by phone if not yet mailed back • 3 Months later • Follow up call-Brief PTSD Measure by phone for both child and parent • Invite to return for PTSD interview
Screening for eligible patients • Subjects must be between 8 and 17 • Child has experienced a potentially acute traumatic event within the past month, and symptoms appear for a minimum of two days • Child and parent speaks English or Spanish well enough to complete the measures and participate in an interview • Must not fall under one of the exclusion criteria
My work at CIRP • Screen for potential enrollees using SCM system • Shadow social worker, Patricia Isakowitz • Visit enrollment sites to meet with staff to establish a partnership to facilitate enrollment • Conduct 3 month follow up calls in both English and Spanish
Other related projects at CIRP • Website Evaluation Study • Assist with screening for eligible patients and SPSS data input
Current Status of CIRP projects • Currently there is much progress with English enrollment, but lacking enrollees for Spanish/bilingual • The goal is to continue to find sites with larger Hispanic/Latino population to increase RAP-M enrollment • For the Website Eval project, the goal is to have 110 subjects by October, so the team is looking for better enrollment strategies to achieve this goal.
Nancy Kassam-Adams, PhD • Joanne Levy • The SUMR Program sponsors: • Wharton Health Care Management Department • Leonard Davis Institute of Health Economics • Center for Health Equity Research and Promotion (CHERP)