Developing an Anxiety Screening Tool for Children in South Africa: Protocol for a Mixed Methods Study.

Journal: JMIR research protocols

Volume: 11

Issue: 9

Year of Publication: 

Affiliated Institutions:  Centre for Interdisciplinary Studies of Children, Families and Society, University of the Western Cape, Bellville, South Africa.

Abstract summary 

Early childhood experiences such as trauma, exposure to violence, and poverty can significantly contribute to childhood anxiety, which is viewed as the most common mental health issue among children. In South Africa, there is no uniform tool to screen for anxiety during early childhood. This study aims to develop a tool to screen for anxiety in children aged 4 to 8 years, which could be utilized by preschool and foundation phase teachers to aid in the early identification of childhood anxiety.The overall objective of this study is to explore understanding and perceptions of childhood anxiety among teachers, parents, and experts and to develop a tool to screen for anxiety in children aged 4 to 8 years.This project will use a mixed method design that will consist of 4 stages. Stage 1 will consist of a scoping review. In Stage 2, data will be collected via semistructured interviews with 60 participants, including parents, teachers, and experts, and will be thematically analyzed. Stage 3 will consist of 20 experts and the researcher collaboratively formulating the proposed screening tool in the form of an e-Delphi component. Once the tool is refined, it will be piloted in Stage 4 with 20 teachers, and data will be analyzed with the Shapiro-Wilk test to test for normality. Additionally, factor analysis will be done to refine and restructure the tool as necessary.This project was funded from April 2020 to December 2021. Data collection began in September 2022 and is projected to conclude in December 2022 for the qualitative component. The e-Delphi component is expected to be carried out from March to November 2023. Ethical approval was obtained from the Biomedical Research Ethics Committee in November 2021.Anxiety in early childhood has been linked to various repercussions in adolescence and adulthood, such as school dropout, substance abuse, anxiety disorders, depression, and suicide ideation. Therefore, identifying the presence of anxiety earlier on and providing the necessary referral services could aid in reducing the negative consequences of unidentified and untreated anxiety in early childhood.PRR1-10.2196/37364.

Authors & Co-authors:  Benjamin Fatiema F Adebiyi Babatope O BO Rich Edna E Roman Nicolette Vanessa NV

Study Outcome 

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Statistics
Citations :  Britto PR, Lye SJ, Proulx K, Yousafzai AK, Matthews SG, Vaivada T, Perez-Escamilla R, Rao N, Ip P, Fernald LCH, MacMillan H, Hanson M, Wachs TD, Yao H, Yoshikawa H, Cerezo A, Leckman JF, Bhutta ZA. Nurturing care: promoting early childhood development. Lancet. 2017 Jan;389(10064):91–102. doi: 10.1016/s0140-6736(16)31390-3.
Authors :  4
Identifiers
Doi : e37364
SSN : 1929-0748
Study Population
Male,Female
Mesh Terms
Other Terms
South Africa;anxiety;anxiety screening tool;assessment;child;children;development;early childhood development;foundation phase;mental health;parent;perception;preschool;primary caregiver;school;screening;teacher;youth
Study Design
Cross Sectional Study
Study Approach
Qualitative,Mixed Methods
Country of Study
Mali
Publication Country
Canada