Detailed contribution information
| Contribution title | 3205 - Evaluation of the feasibility of using ADBB scale for assessment of early social withdrawal behavior in infants and caregiver`s satisfaction of the service in a primary health care center in Ismailia city, Egypt. |
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| Contribution code | PS01-24 (P) |
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| Form of presentation | Poster |
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| Abstract |
Background Infant and early childhood mental health reflects both the social-emotional capacities of children, and infants growing up in low-income countries are at an increased risk for exposure to adverse socioemotional factors that may affect their social development early in life. In a step to integrate Infant Mental Health Care into the primary health care system provision in low income settings that suffer scarcity in medical resources, we conducted this study to evaluate the feasibility of using ADBB scale (brief, simple and non-invasive tool) for assessment of early social withdrawal behavior in infants, as part of the infant mental health care program that focuses on the child’s social emotional development, as through early detection and diagnosis we can prevent further deterioration and unnecessary consumption and expenditure of tertiary medical care. we also assessed the caregiver`s (mainly mother) satisfaction of the service in a primary health care center in Ismailia city, Egypt. Methods To evaluate the feasibility of using the ADBB scale in PHCs in Egypt, we administered the ADBB scale, by the main investigator of the study, for 1 months during the regular visits for the vaccination schedule for infants till 18 months of age, and then measured the acceptability and satisfaction of the method (the participants’ mothers’ appreciation of the method), in a cross-sectional survey using a questionnaire that drew upon concepts of patient satisfaction. All participants were interviewed once by experienced interviewers to ascertain their levels of satisfaction with this particular health care service. Results The majority of infants (92%) presented to the PHC center where the study was conducted, were able to complete the whole assessment, and 95% or more of the participating mothers reported acceptability of the method of assessment, and have stated that it is simple (98 %), appropriate in terms of time (93%), was already needed by them (89%). Conclusions Results suggest that the ADBB is a simple useful screening instrument that can be used effectively in the clinical setting of infant routine examination in primary health care centers, in the setting of Primary Health Care units in Egypt, in order to detect signs of early withdrawal behavior, and that provision of such assessment to infants scored high on the satisfaction scale administered to their care givers, as they received a rapid brief feedback on the assessment results. |