Home Screening Questionnaire Research Articles

OUTCOME OF ECMO VS NEAR MISS ECMO PATIENTS AT FIVE YEARS OF AGE:† 1640

A total of one hundred and sixteen ECMO patients have been evaluated in our center at five years of age. Excluding the patients with primary diagnosis of congenital diaphragmatic hernia and sepsis, allowed us to compare 76 of five-year-old ECMO patients with 20, five-year-old Near Miss ECMO patients with similar primary diagnosis. Both groups were similar in gestational age, sex, Apgar scores and their primary diagnosis of pulmonary disease. Mean birth weight of ECMO patients (3.40 ± 0.60 Kg) was significantly higher than Near Miss group (3.02 ± 0.68 Kg) (p 40 was similar in both groups (22 ± 26 vs 26± 42), the Near Miss group spent longer time on PIP over 30 (75± 81 vs 42 ± 31), FiO2>0.70 (121 ± 81 vs 51± 34) and FiO2 of 1.00 (55 ± 71 vs 38 ± 23), and had longer duration of PCO2<30 (93 ± 64 vs 32 ± 35) respectively. Both groups had similar ethnic distribution and socioeconomic status as it was assessed by number of patients living in a single parent family, level of maternal education and home screening questionnaire. All 76 ECMO patients and 10 of the 20 Near Miss patients had neuroimaging studies. Total of 9 ECMO patients and 2 of the Near Miss patients that were studied had major neuroimaging abnormalities. Mean Full Scale IQ in ECMO patients was 96.88 ± 20.09 vs 91.50 ± 22.34 in Near Miss ECMO (p=.32). Academic screening for reading, writing, and arithmetic was similar in both groups with 46% of ECMO and 56% of Near Miss patients being at risk for school failure (p=.47). Parental reporting of psychosocial problems was similar for behavior adjustment and level of maternal stress, although parents of Near Miss patients reported an increased rate of child immaturity compared to ECMO patients (p=.005).

Predicting Developmental Status from the Home Screening Questionnaire at 12 Months

The Home Screening Questionnaire (HSQ) was completed by 53 adolescent mothers when their infants were between 11 and 14 months of age to determine how the home environment, as reflected in this questionnaire, related to the child's developmental status before 15 months and after 15 months of age. The HSQ did not correlate with developmental status before 15 months as assessed by either the Bayley Scales of Infant Development or the Denver Developmental Screening Test. The HSQ at 12 months was, however, significantly correlated [r(31) = .48, p < .006] with developmental quotients derived from the Denver Developmental Screening Test after 15 months of age. It is concluded that the HSQ at 12 months may be helpful in identifying homes unable to support continued (ongoing) development of their children. J Dev Behav Pediatr 15:204–206, 1994. Index terms: Home Screening Questionnaire, Home Observation for Measurement of the Environment, adolescent mothers, Denver Developmental Screening Test, Bayley Scales of Infant Development.

A Factor Analytic Study of the Home Screening Questionnaire for Infants

In this study some of the dimensions of the home environments of infants as measured by the Home Screening Questionnaire (HSQ) were examined. The sample consisted of 305 urban African infants between 2 and 30 months. Because the influence of the environment has been found to increase dramatically during the child's second year, two age groups were defined: 183 infants between 2 and 17 months and 122 between 18 and 30 months. Three factors were extracted for both age groups: The first factor for both groups was labelled Opportunities for Stimulation, the second factor for the older group and the third for the younger group was labelled Family (particularly father) Support for Child Development, the second factor for the younger group was labelled Mother's Social Extension and the third factor for the older group was called Encourage Independence. The factor structure found is in many respects similar to that reported for the HOME Scales. The significant correlation found between the HSQ and the mental development of infants was primarily accounted for by the factor labelled Opportunities for Stimulation, that is, the mother's ability to structure the environment for learning by providing stimulating play materials and by her involvement with the child in activities which promote development.

Home screening questionnaire: Its validity in assessing home environment

To develop a quick, practical tool to identify home environments likely to be suboptimal for the development of children, we adapted segments of the Home Observation for Measurement of the Environment (HOME) Inventory, which assesses the environments of children from birth to 6 years, and devised the Home Screening Questionnaire (HSQ). Whereas the HOME Inventory requires a home visit, the HSQ consists of two forms, one for children from birth to 3 years, another for 3 to 6 years, that are completed by parents without a home visit. The questions are formulated at the third to sixth grade reading level and can be completed in 15 to 20 minutes. Scoring and interpretation by a professional takes 5 minutes. HSQ questions were answered by more than 1500 parents of low-income families. Between 81% and 86% of the environments determined to be of concern by the HOME Inventory were identified by the briefer and less expensive HSQ. Thus the HSQ readily lends itself to use by health care providers who serve low-income families.

Ｔｈｅ Ｈｏｍｅ Ｓｃｒｅｅｎｉｎｇ Ｑｕｅｓｔｉｏｎｎａｉｒｅ（ＨＳＱ）による家庭刺激の評価 東京都とデンバー市の比較

Home Screening Questionnaire (HSQ) is a parent-answered questionnaire based on the Home Observation for Measurement of the Environment (HOME Inventory and was developed by the JFK Child Development Center, Univ, of Colorado in 1977 to evaluate a child's home environment. The HSQ consists of multiple-choice, fill-in-the blank, and Yes/No questions and each HSQ item which positively contributes to the child's development is counted into a total score. The purpose of the present study was to evaluate whether the HSQ could be used for Tokyo children and to make comparison between child's environment in Tokyo and Denver. The Subjects and Method; The subjects were selected from the visitors to public health centers and well baby clinics in 1982-1983 either in a compulsory health check-up or in voluntary health onsultation. Results; (1) As the first step, answers to the Questionnaire were collected in 1982 from 200 mothers of toddlers and 130 mothers of three years old . All the items and the scores of the HSQ were analized according to the original HSQ manual . Some differences in the norms of the HSQ items were found between Tokyo and Denver. It was found necessary to modify the scoring of 6 of 31 items of HSQ for 0-3 years, and 8 of 34 items for 3-6 years. One item is both ages had to be omitted. (2) As the second step the field trial was conducted in 1983 for 144 mothers of toddlers and 106 mothers of three years old. The HSQ was modified based on the 1982 study. The results demonstrated that this modified form was useful as a screening tool to identify the high risk home environment. Similarities of the norms of the HSQ were found between Tokyo and Denver in 19 of 31 items for 0-3 year HSQ and 14 of 34 items for 3-6 HSQ, but there were also differences in the rest of the items in both age groups . In conclusion, the scoring method of the original HSQ should be modified due to the cultural differences in child rearing behavior and environment between two countries . The meaning of the similarities and differences of the norms of the HSQ scoring between two countries were also discussed. This paper was presented at 10th World Congress of Social Psychiatry, Sept. 4 - 8, 1983, Osaka, Japan

Applied biomedical research in mental retardation--prevention.

Prevention of mental retardation is discussed in terms of etiology and level of prevention (primary, secondary or tertiary). The aim of primary preventive medicine is to avert the disease before its onset. Secondary preventive medicine involves early identification and treatment of a disease to reduce its duration and/or severity. Tertiary prevention limits the degree of disability and fosters rehabilitation in chronic diseases. Prevention of mental retardation relies heavily on primary and secondary preventive techniques. Generally, preventive techniques related to organically caused mental retardation are secondary. Attempts are made to identify and treat impairments which cause deficient mental functioning. Since such impairments can occur at any time and are not always observable, routine developmental screening is recommended. A two-stage developmental screening procedure developed by the authors consists of an abbreviated version of the Denver Developmental Screening Test (DDST) followed by the full DDST when indicated. Primary preventive techniques are appropriate for the prevention of environmentally-caused mental retardation. If negative environmental influences can be identified and eliminated early, socio-cultural mental retardation might be averted or if identified early may be decreased to prevent the retardation process. To meet the need for an environmental screening instrument, the authors developed the Home Screening Questionnaire (HSQ). A combined developmental/environmental screening process is recommended.

EVALUATION OF THE HOME ENVIRONMENT USING A SELF-ADMINISTERED QUESTIONNAIRE

A study was conducted to develop a brief self-administered questionnaire based on Caldwell's Home Observation for Measures of the Environment (HOME). Previous studies have demonstrated prediction of children's school performance based on home environment (SES) as well as developmental status. The Home Screening Questionnaire (HSQ) could be useful as a screening device for identifying home environments that may be detrimental to early development. Drawing items from two forms of the HOME, two corresponding forms of the HSQ were developed. 180 subjects drawn from private physicians offices (high SES) and public health clinics (low SES) completed the HSQ. Subsequently two examiners conducted Caldwell's interview in each of the subject's homes. Correlations between HOME and HSQ were significant for both Form 0-3 and 3-6, ranging from .42 to .77 (p < .01). Mean scores on the HSQ and HOME were higher in the private sample than in the clinic sample for all age groups. The distribution for the clinic samples, ages 0-3 years, was bi-modal, the lower tail identifying a high risk group for the low SES families. The distribution of scores for the clinic sample was lower than the private sample for both age groups (0-3 and 3-6). Previous studies have shown the Denver Developmental Screening Test (DDST) to have predictive validity for later school performance. The predictive power of the DDST could be increased if used in conjunction with the HSQ, for children under 6, to predict school performance and to identify cases where intervention might improve school performance.