Family Functioning in Pediatric Primary Care Patients

Introduction. The purpose of this study was to pilot a brief measure of family functioning (Family Assessment Device–General Functioning [FAD_GF]) with caregivers of children aged 2 to 18 years, seen for routine pediatric primary care visits. Methods. This study evaluated the psychometric properties...

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Bibliographic Details
Published in:Clinical pediatrics 2018-11, Vol.57 (13), p.1549-1557
Main Authors: Van Fossen, Catherine A., Pratt, Keeley J., Murray, Robert, Skelton, Joseph A.
Format: Article
Language:English
Subjects:
Children
Factor analysis
Flavin-adenine dinucleotide
Pediatrics
Primary care
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Summary:Introduction. The purpose of this study was to pilot a brief measure of family functioning (Family Assessment Device–General Functioning [FAD_GF]) with caregivers of children aged 2 to 18 years, seen for routine pediatric primary care visits. Methods. This study evaluated the psychometric properties of the FAD_GF in a pediatric primary care sample of 400 families. Confirmatory factor analysis was used to validate the FAD_GF using R, and WLSMV was used to estimate missing variables. Results. The FAD_GF was found to be reliable with this sample, α = .90. The model fit was χ2(54) = 56.44, P = .38, with root mean square error of approximation = .01 and comparative fit index = .99. The 12 items were significantly predicted by family functioning, and family functioning explained more than 20% of the variance in the items, R2 > .25. Overall, 12.6% (n = 46) of families were identified as having clinically impaired family functioning. Discussion. The FAD_GF provides clinicians the ability to make evidence-informed decisions regarding referrals to family therapists.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922818793347