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dc.contributor.authorKeller, David
dc.contributor.authorJones, Nathan
dc.contributor.authorSavageau, Judith A.
dc.contributor.authorCashman, Suzanne B
dc.date2022-08-11T08:08:34.000
dc.date.accessioned2022-08-23T16:00:01Z
dc.date.available2022-08-23T16:00:01Z
dc.date.issued2008-07-23
dc.date.submitted2009-06-23
dc.identifier.citationAmbul Pediatr. 2008 Jul-Aug;8(4):266-9. Epub 2008 May 27. <a href="http://dx.doi.org/10.1016/j.ambp.2008.04.004">Link to article on publisher's site</a>
dc.identifier.issn1539-4409 (Electronic)
dc.identifier.doi10.1016/j.ambp.2008.04.004
dc.identifier.pmid18644550
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30803
dc.description.abstractOBJECTIVE: To determine whether the medical-legal advocacy screening questionnaire (MASQ), a simple 10-item questionnaire, is able to screen families in a primary care setting for possible referral to legal services more effectively than the clinical interview alone. METHODS: Family Advocates of Central Massachusetts (FACM) is a medical-legal collaboration that assists low-income families with legal issues that affect child health. A convenience sample of parents seen at each of 5 medical practices associated with FACM was recruited to complete the MASQ prior to a routine child health care visit. Physicians blinded to the result assessed family need for referral to FACM after their usual clinical encounter. The sensitivity and specificity of both the MASQ and provider assessment were calculated. RESULTS: Two hundred fifty-five parents from 5 practices participated in the study. The MASQ identified 85 patients in need of legal services. Prior to reviewing the MASQ, the primary care providers identified 35 families in need of referral to the FACM. After completion of both the MASQ and the medical encounter, 37 families agreed to referral. The MASQ had sensitivity of 0.81 and specificity of 0.75 in predicting program referral. Provider assessment had sensitivity of 0.65 and specificity of 0.95 of predicting program referral. CONCLUSIONS: Routine use of the MASQ would likely identify more patients in pediatric practices who would accept referral to legal assistance than reliance on provider impression alone after a routine clinical encounter.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=18644550&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/j.ambp.2008.04.004
dc.subjectAdult
dc.subjectChild Advocacy
dc.subjectChild Welfare
dc.subjectChild, Preschool
dc.subjectHumans
dc.subjectMassachusetts
dc.subject*Needs Assessment
dc.subjectPatient Acceptance of Health Care
dc.subjectPredictive Value of Tests
dc.subjectPrimary Health Care
dc.subject*Questionnaires
dc.subjectReferral and Consultation
dc.subjectCommunity Health
dc.subjectOther Medical Specialties
dc.subjectPreventive Medicine
dc.titleDevelopment of a brief questionnaire to identify families in need of legal advocacy to improve child health
dc.typeJournal Article
dc.source.journaltitleAmbulatory pediatrics : the official journal of the Ambulatory Pediatric Association
dc.source.volume8
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/fmch_articles/131
dc.identifier.contextkey879311
html.description.abstract<p>OBJECTIVE: To determine whether the medical-legal advocacy screening questionnaire (MASQ), a simple 10-item questionnaire, is able to screen families in a primary care setting for possible referral to legal services more effectively than the clinical interview alone.</p> <p>METHODS: Family Advocates of Central Massachusetts (FACM) is a medical-legal collaboration that assists low-income families with legal issues that affect child health. A convenience sample of parents seen at each of 5 medical practices associated with FACM was recruited to complete the MASQ prior to a routine child health care visit. Physicians blinded to the result assessed family need for referral to FACM after their usual clinical encounter. The sensitivity and specificity of both the MASQ and provider assessment were calculated.</p> <p>RESULTS: Two hundred fifty-five parents from 5 practices participated in the study. The MASQ identified 85 patients in need of legal services. Prior to reviewing the MASQ, the primary care providers identified 35 families in need of referral to the FACM. After completion of both the MASQ and the medical encounter, 37 families agreed to referral. The MASQ had sensitivity of 0.81 and specificity of 0.75 in predicting program referral. Provider assessment had sensitivity of 0.65 and specificity of 0.95 of predicting program referral.</p> <p>CONCLUSIONS: Routine use of the MASQ would likely identify more patients in pediatric practices who would accept referral to legal assistance than reliance on provider impression alone after a routine clinical encounter.</p>
dc.identifier.submissionpathfmch_articles/131
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages266-9


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