Abstract：
OBJECTIVE: Evaluation of the implementation of a standardized screening using the Strengths and Difficulties Questionnaire (SDQ) as part of the routine pediatric health check-ups in the Dresden area (Germany) in order to detect emotional and behavioral problems (EBPs) in children early and allocate them to indicated preventive programs and/or to further counselling and treatment services.
METHODS: 1.) Semi-structured interviews were performed with participating pediatricians (n=4), practice staff (n=4) and custodians of screened children (n=17) and subjected to content analysis regarding feasibility, advantages and disadvantages of the screening and the targeted allocation, as well as barriers and facilitators of using the screening and the preventive programs and further services. 2.) A self-developed questionnaire survey (descriptive analysis: means and frequencies) was conducted among pediatricians (n=34/99) to inquire about the implementation of the SDQ screening regarding feasibility, advantages, disadvantages and necessary conditions for a potential adoption of the screening to standard health services.
RESULTS: In the interviews, the pediatricians and practice staff reported that the SDQ screening embedded in routine pediatric health check-ups was simple and could be carried out in a few minutes. The screening helped to identify and address possible EBPs in children and to recommend a targeted service. Apart from the expenditure of time, no disadvantages were mentioned. As expected, parent-related (e.g. fears, attitudes and trust in the pediatrician), child-related (does not want to reveal any information about him- or herself , attitude and motivation), service provider-related (presentation of services), organizational (necessary signatures, financing, waiting time) and service-related (duration, costs, venue, designation) factors influenced the families\' use of the screening and further services. Interviewed custodians whose child participated in an indicated preventive program within the project (n=11) would recommend the SDQ screening and preventive program to other families. In the questionnaire survey 28/31 pediatricians \"completely\" or \"rather\" agreed on a 5-point Likert scale that the SDQ screening and targeted allocation should be included in standard pediatric care.
CONCLUSIONS: The use of the SDQ, which is one of the most widely used and, despite its brevity, most valid screening instruments for the early detection of EBPs, in routine pediatric health check-ups and the targeted allocation of further health services represent a feasible approach to the early identification and clarification of EBPs in children as well as their allocation to indicated preventive services.
CONCLUSIONS: An adoption of the novel form of care (SDQ screening and targeted allocation to indicated preventive programs and further services) to standard pediatric care unfolds its benefits if preventive and care services for EBPs in children are made available nationwide.
METHODS: 1.) Semi-structured interviews were performed with participating pediatricians (n=4), practice staff (n=4) and custodians of screened children (n=17) and subjected to content analysis regarding feasibility, advantages and disadvantages of the screening and the targeted allocation, as well as barriers and facilitators of using the screening and the preventive programs and further services. 2.) A self-developed questionnaire survey (descriptive analysis: means and frequencies) was conducted among pediatricians (n=34/99) to inquire about the implementation of the SDQ screening regarding feasibility, advantages, disadvantages and necessary conditions for a potential adoption of the screening to standard health services.
RESULTS: In the interviews, the pediatricians and practice staff reported that the SDQ screening embedded in routine pediatric health check-ups was simple and could be carried out in a few minutes. The screening helped to identify and address possible EBPs in children and to recommend a targeted service. Apart from the expenditure of time, no disadvantages were mentioned. As expected, parent-related (e.g. fears, attitudes and trust in the pediatrician), child-related (does not want to reveal any information about him- or herself , attitude and motivation), service provider-related (presentation of services), organizational (necessary signatures, financing, waiting time) and service-related (duration, costs, venue, designation) factors influenced the families\' use of the screening and further services. Interviewed custodians whose child participated in an indicated preventive program within the project (n=11) would recommend the SDQ screening and preventive program to other families. In the questionnaire survey 28/31 pediatricians \"completely\" or \"rather\" agreed on a 5-point Likert scale that the SDQ screening and targeted allocation should be included in standard pediatric care.
CONCLUSIONS: The use of the SDQ, which is one of the most widely used and, despite its brevity, most valid screening instruments for the early detection of EBPs, in routine pediatric health check-ups and the targeted allocation of further health services represent a feasible approach to the early identification and clarification of EBPs in children as well as their allocation to indicated preventive services.
CONCLUSIONS: An adoption of the novel form of care (SDQ screening and targeted allocation to indicated preventive programs and further services) to standard pediatric care unfolds its benefits if preventive and care services for EBPs in children are made available nationwide.
摘要：
目标：使用优势和困难问卷（SDQ）评估标准化筛查的实施情况，作为德累斯顿地区（德国）常规儿科健康检查的一部分，以便及早发现儿童的情绪和行为问题（EBP），并将其分配给指定的预防计划和/或进一步的咨询和治疗服务。
方法：1.)对参与的儿科医生进行了半结构化访谈(n=4)，实习人员(n=4)和筛查儿童的监护人(n=17)，并进行可行性内容分析，筛选和有针对性的分配的优缺点，以及使用筛查和预防计划和进一步服务的障碍和促进者。2.）在儿科医生（n=34/99）中进行了自行开发的问卷调查（描述性分析：均值和频率），以询问有关可行性的SDQ筛查的实施情况，优势,潜在采用标准卫生服务筛查的缺点和必要条件。
结果：在访谈中，儿科医生和执业人员报告说,纳入常规儿科健康检查的SDQ筛查很简单,可在几分钟内完成.筛查有助于识别和解决儿童中可能的EBP，并建议有针对性的服务。除了花费时间，没有提到缺点。不出所料,与父母相关的(例如，恐惧，对儿科医生的态度和信任)，与儿童有关(不想透露任何关于他或她自己的信息，态度和动机)，与服务提供商相关的(服务展示)，组织(必要的签名，融资，等待时间)和服务相关(持续时间，成本,地点,指定)影响家庭使用筛查和进一步服务的因素。接受采访的监护人，其子女参加了项目中指定的预防计划（n=11），将向其他家庭推荐SDQ筛查和预防计划。在28/31的问卷调查中，儿科医生“完全”或“相反”同意5点Likert量表，SDQ筛查和有针对性的分配应包括在标准的儿科护理中。
结论：使用SDQ，这是最广泛使用的，尽管它简短，用于早期检测EBPs的最有效的筛查工具，在常规儿科健康检查中以及有针对性地分配进一步的卫生服务是早期识别和澄清儿童EBPs以及将其分配给指定的预防服务的可行方法.
结论：如果在全国范围内提供针对儿童EBP的预防和护理服务，采用新的护理形式（SDQ筛查和有针对性地分配给指定的预防计划和进一步服务）来进行标准儿科护理，则可以发挥其益处。
方法：1.)对参与的儿科医生进行了半结构化访谈(n=4)，实习人员(n=4)和筛查儿童的监护人(n=17)，并进行可行性内容分析，筛选和有针对性的分配的优缺点，以及使用筛查和预防计划和进一步服务的障碍和促进者。2.）在儿科医生（n=34/99）中进行了自行开发的问卷调查（描述性分析：均值和频率），以询问有关可行性的SDQ筛查的实施情况，优势,潜在采用标准卫生服务筛查的缺点和必要条件。
结果：在访谈中，儿科医生和执业人员报告说,纳入常规儿科健康检查的SDQ筛查很简单,可在几分钟内完成.筛查有助于识别和解决儿童中可能的EBP，并建议有针对性的服务。除了花费时间，没有提到缺点。不出所料,与父母相关的(例如，恐惧，对儿科医生的态度和信任)，与儿童有关(不想透露任何关于他或她自己的信息，态度和动机)，与服务提供商相关的(服务展示)，组织(必要的签名，融资，等待时间)和服务相关(持续时间，成本,地点,指定)影响家庭使用筛查和进一步服务的因素。接受采访的监护人，其子女参加了项目中指定的预防计划（n=11），将向其他家庭推荐SDQ筛查和预防计划。在28/31的问卷调查中，儿科医生“完全”或“相反”同意5点Likert量表，SDQ筛查和有针对性的分配应包括在标准的儿科护理中。
结论：使用SDQ，这是最广泛使用的，尽管它简短，用于早期检测EBPs的最有效的筛查工具，在常规儿科健康检查中以及有针对性地分配进一步的卫生服务是早期识别和澄清儿童EBPs以及将其分配给指定的预防服务的可行方法.
结论：如果在全国范围内提供针对儿童EBP的预防和护理服务，采用新的护理形式（SDQ筛查和有针对性地分配给指定的预防计划和进一步服务）来进行标准儿科护理，则可以发挥其益处。
