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Social work practitioners' experience of the clinical utility of the Home Observation for Measurement of the Environment (HOME) Inventory
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
Socialstyrelsen.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation.
2012 (English)In: Child & Family Social Work, ISSN 1356-7500, E-ISSN 1365-2206, Vol. 17, no 1, 23-33 p.Article in journal (Refereed) Published
Abstract [en]

Clinical utility of an assessment instrument can provide importantinformation about the potential value of that instrument when used inpractice. The aim of this study was to describe social work practitioners’experiences of the clinical utility of a Swedish version of theHome Observation for Measurement of the Environment (HOME)Inventory. Because knowledge of clinical utility in this area is scarce,a qualitative method based on semi-structured interviews was used togain a deeper understanding of the phenomenon. Data were collectedthrough 16 interviews and then analysed by qualitative manifestcontent analysis.The analysis yielded five categories: improves qualityof child protection investigations, supports practitioners, HOME hasdrawbacks and difficulties, certain issues are important for futureapplications and basic conditions are crucial. The findings supportedthe clinical utility of the HOME Inventory though some critical issueshave to be addressed, especially concerning the category basic conditionsare crucial. A thorough education, the possibility to practiceactivities related to the administration of the method and supportfrom management were found to be essential. Replication and furtherstudies are needed in the Swedish context to confirm the applicabilityof the HOME Inventory.

Place, publisher, year, edition, pages
2012. Vol. 17, no 1, 23-33 p.
Keyword [en]
clinical utility, HOME Inventory, interview study, qualitative content analysis, social work assessment, social work practice
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-151937DOI: 10.1111/j.1365-2206.2011.00769.xISI: 000298918400003OAI: oai:DiVA.org:uu-151937DiVA: diva2:411778
Available from: 2011-04-19 Created: 2011-04-19 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Assessment in Evidence-Based Practice: Psychometric Properties, Clinical Utility and Professional Co-operation from Different Perspectives of the Home Observation for Measurement of the Environment in Sweden
Open this publication in new window or tab >>Assessment in Evidence-Based Practice: Psychometric Properties, Clinical Utility and Professional Co-operation from Different Perspectives of the Home Observation for Measurement of the Environment in Sweden
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of the present thesis was to explore and compare professional co-operation in child welfare investigations, explore the psychometric properties, and describe the clinical utility from different perspectives of a translated Swedish version of the standardized assessment instrument the Home Observation for Measurement of the Environment (the HOME Inventory). Social workers in Sweden, Denmark, Britain, Germany, and Texas (USA) co-operated with different professionals around a fictitious child welfare case. Differences were found between and within country-based samples, indicating an unsystematic work procedure in the social work agencies studied. The psychometric properties of the translated Early Childhood version (EC-HOME) and Middle Childhood version (MC-HOME) of the HOME Inventory were explored in terms of inter-observer reliability and by Rasch analysis. The samples were authentic Swedish child welfare cases recruited from a field setting. Inter-observer reliability was satisfactory. Results were ambiguous regarding measurement construction of the two versions studied. Because of the differentiating ability of the EC-HOME and MC-HOME, total scores could provide an indication of inadequate home environments. Experiences of social work practitioners of the clinical utility of the HOME Inventory suggested that they considered the instrument to be comprehensive and have explicit potential benefits, i.e. to be clinically useful. Correspondingly, caregivers’ overall perceptions of the HOME Inventory were positive, determining the content relevant and the format acceptable. However, certain flaws have to be rectified before the HOME Inventory is to be implemented and used successfully. Further, education and the possibility to practice administering the instrument seemed to be essential conditions for future use according to social workers. When social workers and teachers’ apprehensions about support and stimulation provided by caregivers to children in their home environments were compared, preschool teachers’ apprehensions correlated poorly with the social workers’ assessment. These results suggest that the HOME Inventory is promising but cultural adaptation and further studies of psychometric properties are necessary. Different forms of support to practitioners and agencies for successful implementation are required. Awareness of the type of information provided by different sources is important when co-operating in child welfare.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2013. 93 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 907
Keyword
HOME Inventory, Social work assessment, Assessment instruments, Clinical utility, Evidence-based practice, Psychometric properties, Professional co-operation
National Category
Social Work
Research subject
Medical Science
Identifiers
urn:nbn:se:uu:diva-198281 (URN)978-91-554-8682-2 (ISBN)
Public defence
2013-06-14, Sal IX, Universitetshuset, Biskopsgatan 3, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2013-05-24 Created: 2013-04-11 Last updated: 2013-08-30Bibliographically approved

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Glad, JohanGustafsson, CarinaSonnander, Karin

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