title: Developmentally and culturally appropriate screening in primary care: development of the behavioral health checklist.
abstract: OBJECTIVE
  To evaluate the construct validity of the Behavioral Health Checklist (BHCL) for children aged from 4 to 12 years from diverse backgrounds.
  
  
  METHODS
  The parents of 4-12-year-old children completed the BHCL in urban and suburban primary care practices affiliated with a tertiary-care children's hospital. Across practices, 1,702 were eligible and 1,406 (82.6%) provided consent. Children of participating parents were primarily non-Hispanic black/African American and white/Caucasian from low- to middle-income groups. Confirmatory factor analyses examined model fit for the total sample and subsamples defined by demographic characteristics.
  
  
  RESULTS
  The findings supported the hypothesized 3-factor structure: Internalizing Problems, Externalizing Problems, and Inattention/Hyperactivity. The model demonstrated adequate to good fit across age-groups, gender, races, income groups, and suburban versus urban practices.
  
  
  CONCLUSIONS
  The findings provide strong evidence of the construct validity, developmental appropriateness, and cultural sensitivity of the BHCL when used for screening in primary care.
authors: CHOP North (3535 Market) - Room 1471, The Children's Hospital of Philadelphia, 34th St. and Civic Center Blvd., Philadelphia, PA 19104, USA. power@email.chop.edu.
authors: Thomas J
authors: TJ
authors: Power
authors: Anson J
authors: AJ
authors: Koshy
authors: Marley W
authors: MW
authors: Watkins
authors: Michael C
authors: MC
authors: Cassano
authors: Andrea C
authors: AC
authors: Wahlberg
authors: Jennifer A
authors: JA
authors: Mautone
authors: Nathan J
authors: NJ
authors: Blum
mesh_terms: D001741:Black or African American / Q000208:ethnology; D057189:Checklist / Q000592:standards*; D002648:Child; D002653:Child Behavior Disorders / Q000145:classification / Q000175:diagnosis* / Q000208:ethnology; D002675:Child, Preschool; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000295:instrumentation* / Q000592:standards; D009511:New England / Q000208:ethnology; D011320:Primary Health Care / Q000592:standards; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D015203:Reproducibility of Results
keywords: behavior problems; mental health; primary care
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