Abstract
Assessment strategies in behavioral pediatrics are characterized by tremendous diversity. These strategies constitute a hybrid, the result of a necessary, often imperfect, but frequently rich amalgamation of assessment concepts and practices drawn from at least three related areas:
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General psychological assessment techniques that include clinical interviews with children (Greenspan, 1981) and parents (Gross, 1984; Haynes & Jensen, 1979), behavioral checklists and questionnaires (Barkley, 1988), adaptive behavior scales (Nihara, Foster, Shellhaas, & Leland, 1974), neuropsychological evaluations (Fletcher, 1988), tests of personality (Knoff, 1987), academic achievement (Taylor, 1988), and intelligence (Kaufman & Reynolds, 1984), and projective techniques (Krahn, 1985). Several discussions of the use of such general clinical assessments in the context of child health psychology have appeared (e.g., Magrab, 1984).
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Illness and health-oriented assessments aimed at describing and understanding: (a) particular medical conditions, (b) the complex network of interacting systems that influence the child’s and family’s adaptation to illness (Turk & Kerns, 1985), and (c) factors associated with effective illness management (Russo & Tarbell, 1984). Dietary monitoring forms for diabetic children (e.g., Johnson, 1984), ratings of pain associated with procedures such as bone marrow transplant (e.g., Dolgin & Jay, 1989) or dental care (e.g., Lindsay & Roberts, 1980), questionnaires for assessing knowledge of disorders such as AIDS or diabetes (e.g., Johnson, 1988), schedules for monitoring the effects and/or side effects of medication (e.g., Barkley, 1981), and measures for assessing therapeutic adherence (e.g., Jay, Litt, & Durant, 1984; Litt, 1985), illustrate the wide range of illness and health-oriented assessments that have been used in behavioral pediatrics.
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Assessments reflecting the conceptual and methodological tenets of behavioral analysis and behavioral assessment (Mash & Terdal, 1981, 1988a; Ollendick & Hersen, 1984). Conceptually, behavioral approaches have emphasized an empirical orientation to treatment, a focus on the individual case, functional analysis of behavior, the moderating influences of situational determinants on behavioral adaptations, and the importance of conducting assessments that have direct relevance for treatment and prevention. Procedurally, behavioral assessments have been characterized by the use of multiple informants and methods (Mash, 1987; Mash & Terdal, 1988b), direct observations of behavior (Foster & Cone, 1986), and the inclusion of single-subject designs for the evaluation of treatment outcomes (Barlow & Hersen, 1984).
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Mash, E.J., Terdal, L.G. (1990). Assessment Strategies in Clinical Behavioral Pediatrics. In: Gross, A.M., Drabman, R.S. (eds) Handbook of Clinical Behavioral Pediatrics. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0505-7_4
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