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The European Journal of Public Health 1999 9(3):200-204; doi:10.1093/eurpub/9.3.200
© 1999 by European Journal of Public Health
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INTERNATIONAL CHILD HEALTH

Improving prevention in Dutch child health care in schools

Development of a short questionnaire for early detection of psychosocial and related child rearing problems

C. A. M. BOUCHIER, C. M. DE ROVER, I. DE VRIES-LEQUIN, H. T. KROESBERGEN, W. F. VISÉE and D. J. M. ABEN

1 Regional Health Centre ‘GGD Zuldhollandse Eilanden’ Spijkenisse, The Netherlands
2 Regional Health Centre ‘GGD Regio Achterhoek’ Doetinchem, The Netherlands
3 Regional Health Centre ‘GGD Rivierenland’ Tiel, The Netherlands
4 Regional Health Centre ‘GGD Stadsgewest Breda’ Breda, The Netherlands
5 Regional Health Centre ‘GGD Zuid-Oost Brabant’ Valkenswaard, The Netherlands

Correspondence: Mrs Drs C.A.M. Bouchier, Regional Health Centre ‘GGD Zuidhollandse Eilanden’ Spijkenisse, P.O. Box 742, 3200 AR Spijkenisse, The Netherlands, tel. +31 181 652462, fax +31 181 652401

Background: The focus of Dutch child health care among schoolchildren has shifted from preventing somatic diseases to early diagnosis of psychosocial problems. Studying psychosocial problems often requires the use of extensive questionnaires. The LSPPK is a short questionnaire developed for the purpose of school doctors examining five year olds. Methods: A study was carried out comprising data from 2,528 children visiting school doctors. Answers from the children's parents who filled in the LSPPK questionnaire were compared to those of a health care professional (school doctor). Results: One or more problems were mentioned by 50% of the parents, while 5% indicated severe problems. Internal consistency of the questionnaire was good; Cronbach's {alpha}s were 0.66 and 0.71 respectively for parent's and professional's answers. Furthermore, 75% of the school doctors indicated that the LSPPK provides a dialogue-oriented interaction between health care professionals and parents, because it helps parents to express their worries. Conclusion: The LSPPK invites parents to raise their worries about the behavioural and emotional problems of their children. In Dutch child health care the LSPPK is a useful instrument for indicating psychosocial problems among children as experienced by their parents and confirmed by school doctors. This article discusses the usefulness of the LSPPK for child health care in schools in European countries.

Keywords: child health care, child rearing problems, prevention, primary school children, psychosocial problems


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