The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems
Background and Objectives: Early identification of child mental health problems (MHPs) is important to provide adequate, timely treatment. Dutch preventive youth healthcare monitors all aspects of a child's healthy development. We explored the usefulness of their electronic health records (EHRs...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-05-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.658240/full |
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| author | Nynke R. Koning Frederike L. Büchner Anouk W. van den Berg S. Y. Angelique Choi Nathalie A. Leeuwenburgh Irma J. M. Paijmans D. J. Annemarie van Dijk-van Dijk Mattijs E. Numans Mathilde R. Crone |
| author_facet | Nynke R. Koning Frederike L. Büchner Anouk W. van den Berg S. Y. Angelique Choi Nathalie A. Leeuwenburgh Irma J. M. Paijmans D. J. Annemarie van Dijk-van Dijk Mattijs E. Numans Mathilde R. Crone |
| author_sort | Nynke R. Koning |
| collection | DOAJ |
| description | Background and Objectives: Early identification of child mental health problems (MHPs) is important to provide adequate, timely treatment. Dutch preventive youth healthcare monitors all aspects of a child's healthy development. We explored the usefulness of their electronic health records (EHRs) in scientific research and aimed to develop prediction models for child MHPs.Methods: Population-based cohort study with anonymously extracted electronic healthcare data from preventive youth healthcare centers in the Leiden area, the Netherlands, from the period 2005–2015. Data was analyzed with respect to its continuity, percentage of cases and completeness. Logistic regression analyses were conducted to develop prediction models for the risk of a first recorded concern for MHPs in the next scheduled visit at age 3/4, 5/6, 10/11, and 13/14 years.Results: We included 26,492 children. The continuity of the data was low and the number of concerns for MHPs varied greatly. A large number of determinants had missing data for over 80% of the children. The discriminatory performance of the prediction models were poor.Conclusions: This is the first study exploring the usefulness of EHRs from Dutch preventive youth healthcare in research, especially in predicting child MHPs. We found the usefulness of the data to be limited and the performance of the developed prediction models was poor. When data quality can be improved, e.g., by facilitating accurate recording, or by data enrichment from other available sources, the analysis of EHRs might be helpful for better identification of child MHPs. |
| first_indexed | 2024-12-17T06:42:36Z |
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| id | doaj.art-5faf763640d14d3ca7844e6a6dd1826f |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-17T06:42:36Z |
| publishDate | 2021-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-5faf763640d14d3ca7844e6a6dd1826f2022-12-21T21:59:49ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-05-01910.3389/fpubh.2021.658240658240The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health ProblemsNynke R. Koning0Frederike L. Büchner1Anouk W. van den Berg2S. Y. Angelique Choi3Nathalie A. Leeuwenburgh4Irma J. M. Paijmans5D. J. Annemarie van Dijk-van Dijk6Mattijs E. Numans7Mathilde R. Crone8Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, NetherlandsGGD Hollands Midden, Leiden, NetherlandsGGD Hollands Midden, Leiden, NetherlandsGGD Hollands Midden, Leiden, NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, NetherlandsBackground and Objectives: Early identification of child mental health problems (MHPs) is important to provide adequate, timely treatment. Dutch preventive youth healthcare monitors all aspects of a child's healthy development. We explored the usefulness of their electronic health records (EHRs) in scientific research and aimed to develop prediction models for child MHPs.Methods: Population-based cohort study with anonymously extracted electronic healthcare data from preventive youth healthcare centers in the Leiden area, the Netherlands, from the period 2005–2015. Data was analyzed with respect to its continuity, percentage of cases and completeness. Logistic regression analyses were conducted to develop prediction models for the risk of a first recorded concern for MHPs in the next scheduled visit at age 3/4, 5/6, 10/11, and 13/14 years.Results: We included 26,492 children. The continuity of the data was low and the number of concerns for MHPs varied greatly. A large number of determinants had missing data for over 80% of the children. The discriminatory performance of the prediction models were poor.Conclusions: This is the first study exploring the usefulness of EHRs from Dutch preventive youth healthcare in research, especially in predicting child MHPs. We found the usefulness of the data to be limited and the performance of the developed prediction models was poor. When data quality can be improved, e.g., by facilitating accurate recording, or by data enrichment from other available sources, the analysis of EHRs might be helpful for better identification of child MHPs.https://www.frontiersin.org/articles/10.3389/fpubh.2021.658240/fullmental healthpediatricspublic healthprimary careearly identification |
| spellingShingle | Nynke R. Koning Frederike L. Büchner Anouk W. van den Berg S. Y. Angelique Choi Nathalie A. Leeuwenburgh Irma J. M. Paijmans D. J. Annemarie van Dijk-van Dijk Mattijs E. Numans Mathilde R. Crone The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems Frontiers in Public Health mental health pediatrics public health primary care early identification |
| title | The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems |
| title_full | The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems |
| title_fullStr | The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems |
| title_full_unstemmed | The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems |
| title_short | The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems |
| title_sort | usefulness of electronic health records from preventive youth healthcare in the recognition of child mental health problems |
| topic | mental health pediatrics public health primary care early identification |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.658240/full |
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