The Effectiveness of the BITSEA as a Tool to Early Detect Psychosocial Problems in Toddlers, a Cluster Randomized Trial

Effective early detection tools are needed in child health care to detect psychosocial problems among young children. This study aimed to evaluate the effectiveness of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA), in reducing psychosocial problems at one year follow-up, compared...

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Bibliographic Details
Published in:PloS one 2015-09, Vol.10 (9), p.e0136488-e0136488
Main Authors: Kruizinga, Ingrid, Jansen, Wilma, van Sprang, Nicolien C, Carter, Alice S, Raat, Hein
Format: Article
Language:English
Subjects:
Age
Autism
Child & adolescent psychiatry
Child Behavior Disorders - diagnosis
Child Behavior Disorders - psychology
Child, Preschool
Children
Children & youth
Childrens health
Clinical trials
Clusters
Confidence intervals
Early Diagnosis
Female
Health care
Humans
Infant
Informed consent
Intervention
Life assessment
Male
Medical personnel
Mental health
Parents
Parents & parenting
Pediatrics
Preschool children
Primary care
Problems
Public health
Quality of life
Quality of Life - psychology
Quantitative psychology
Questionnaires
Regression analysis
Statistical analysis
Worry
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Summary:Effective early detection tools are needed in child health care to detect psychosocial problems among young children. This study aimed to evaluate the effectiveness of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA), in reducing psychosocial problems at one year follow-up, compared to care as usual. Well-child centers in Rotterdam, the Netherlands, were allocated in a cluster randomized controlled trial to the intervention condition (BITSEA--15 centers), or to the control condition ('care-as-usual'- 16 centers). Parents of 2610 2-year-old children (1,207 intervention; 1,403 control) provided informed consent and completed the baseline and 1-year follow-up questionnaire. Multilevel regression analyses were used to evaluate the effect of condition on psychosocial problems and health related quality of life (i.e. respectively Child Behavior Checklist and Infant-Toddler Quality of Life). The number of (pursuits of) referrals and acceptability of the BITSEA were also evaluated. Children in the intervention condition scored more favourably on the CBCL at follow-up than children in the control condition: B = -2.43 (95% confidence interval [95%CI] = -3.53; -1.33 p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0136488