Anne E. Kazak|Wei?Ting Hwang|Fang Fang Chen|Martha A. Askins|Olivia Carlson|Francisco Argueta-Ortiz|Lamia P. Barakat
Screening for Family Psychosocial Risk in Pediatric Cancer: Validation of the Psychosocial Assessment Tool (PAT) Version 3
Nemours Children's Health System|Thomas Jefferson University|University of Pennsylvania|Nemours Children's Health System|Thomas Jefferson University|The University of Texas MD Anderson Cancer Center|Nemours Children's Health System|Nemours Children's Health System|University of Pennsylvania|Children's Hospital of Philadelphia
family psychosocial risk screening important initial step delivering evidencebased care psychosocial assessment tool pat brief parent report screener based trilevel pediatric psychosocial preventative health model ppphm universal targeted clinical current article validates revised pat version 30 pediatric oncology includes new items families younger patients clinically relevant risk items applicable broad health literacy levels 4th grade reading level primary caregivers 394 children newly diagnosed cancer participated multisite investigation completing pat validation measures using redcap original structure pat seven subscales family structure social support child problems sibling problems family problems stress reactions family beliefs supported using confirmatory factor analysis internal consistency total score kuderrichardson 20 coefficient kr20 081 subscales kr20 059085 moderate strong moderate strong correlations criteria measures provided validation total subscale scores validation measures varied significantly expected across three levels ppphm receiver operating characteristic roc analyses showed pat total subscale scores discriminate families clinical thresholds results reinforce psychometric properties approach screening family psychosocial risk pat provides evidencebased screener identifies families three levels risk provide basis evaluation treatment children cancer families