Background Paediatric mental health-related visits to the emergency department are rising. However, few tools exist to identify concerns early and connect youth with appropriate mental healthcare. Our objective was to develop a digital youth psychosocial assessment and management tool (MyHEARTSMAP) and evaluate its inter-rater reliability when self-administered by a community-based sample of youth and parents.
Methods We conducted a multiphasic, multimethod study. In phase 1, focus group sessions were used to inform tool development, through an iterative modification process. In phase 2, a cross-sectional study was conducted in two rounds of evaluation, where participants used MyHEARTSMAP to assess 25 fictional cases.
Results MyHEARTSMAP displays good face and content validity, as supported by feedback from phase 1 focus groups with youth and parents (n=38). Among phase 2 participants (n=30), the tool showed moderate to excellent agreement across all psychosocial sections (κ=0.76–0.98).
Conclusions Our findings show that MyHEARTSMAP is an approachable and interpretable psychosocial assessment and management tool that can be reliably applied by a diverse community sample of youth and parents.
- child psychology
- accident and emergency
- qualitative research
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Funding This work was supported by the Canadian Institutes of Health Research (grant number F16-04309), in addition to seed funding through the BC Children’s Hospital Foundation.
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval This study was approved by our local institutional ethics review board.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement Data will not be made available to protect participant identity, as confidentiality cannot be fully guaranteed, given the small sample size which was collected in a fixed time period through specific institutions.
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