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The ‘DAWBA bands’ as an ordered-categorical measure of child mental health: description and validation in British and Norwegian samples

  • Anna Goodman
  • Einar Heiervang
  • Stephan Collishaw
  • Robert Goodman
Original Paper

Abstract

Purpose

To describe and validate the ‘DAWBA bands’. These are novel ordered-categorical measures of child mental health, based on the structured sections of the Development and Well-Being Assessment (DAWBA).

Methods

We developed computer algorithms to generate parent, teacher, child and multi-informant DAWBA bands for individual disorders and for groups of disorder (e.g. ‘any emotional disorder’). The top two (out of 6) levels of the DAWBA bands were used as computer-generated DAWBA diagnoses. We validated these DAWBA bands in 7,912 British children (7–19 years) and 1,364 Norwegian children (11–13 years), using clinician-rated DAWBA diagnoses as a gold standard.

Results

In general, the prevalence of clinician-rated diagnosis increased monotonically across all levels of the DAWBA bands, and also showed a dose–response association with service use and risk factors. The prevalence estimates of the computer-generated DAWBA diagnoses were of roughly comparable magnitude to the prevalence estimates from the clinician-generated diagnoses, but the estimates were not always very close. In contrast, the estimated effect sizes, significance levels and substantive conclusions regarding risk factor associations were very similar or identical. The multi-informant and parent DAWBA bands performed especially well in these regards.

Conclusion

Computer-generated DAWBA bands avoid the cost and delay occasioned by clinical rating. They may, therefore, sometimes provide a useful alternative to clinician-rated diagnoses, when studying associations with risk factors, generating rough prevalence estimates or implementing routine mental health screening.

Keywords

Computer-generated diagnoses Diagnostic interview Child mental health Prevalence Associations 

Notes

Conflict of interest statement

AG and RG are directors and RG is the owner of Youthinmind, which provides no-cost and low-cost software and web sites related to the DAWBA. SC consulted to Youthinmind in the development of the DAWBA bands. EH is the director and owner of Careahead, which provides teaching and supervision to clinics on the use of the DAWBA. EH and RG’s opportunities to charge for clinical rating of the DAWBA may be reduced by the findings of this paper.

Supplementary material

127_2010_219_MOESM1_ESM.doc (525 kb)
Supplementary material 1 (DOC 525 kb)

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Anna Goodman
    • 1
  • Einar Heiervang
    • 2
  • Stephan Collishaw
    • 3
  • Robert Goodman
    • 4
  1. 1.Department of Epidemiology and Population HealthLondon School of Hygiene and Tropical MedicineLondonUK
  2. 2.Førde Health AuthorityFørdeNorway
  3. 3.Cardiff University School of MedicineCardiffUK
  4. 4.King’s College London Institute of PsychiatryLondonUK

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