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Validation transculturelle d'une échelle en contexte humanitaire : dépistage des difficultés psychologiques du jeune enfant haoussa au Niger (Maradi)

Abstract : Psychological difficulties are sometimes difficult to assess during a medical consultation by a non-specialist (psychologist, psychiatrist). This is especially the case when it comes to young children, in humanitarian intervention contexts, entailing an insufficient answer to the needs of mental health care. The lack of cross culturally validated tools that meet the requirement of such intervention, fast and simple to identify the needs combined with a lack of professional involve difficulties even impossibility of implementing appropriate care. In this study, we implemented a cross cultural validation of a screening tool for psychological difficulties in humanitarian context for children aged 3 to 6 years old, the PSYCa 3-6 (Psychological Screening tool for Young Children aged 3 to 6 years old). This tool was originally created and developed during a humanitarian intervention; its content has been refined and modified along its use. The main validation took place in Niger, and two additional validations have been implemented in Colombia and Kenya. In total, 888 children aged 3 to 6 years were recruited between October 2009 and February 2012. Qualitative research has been also implemented to collect information regarding the local perception of psychological difficulties, prior to the validation. Quantitative research has focused on the psychometric and clinical properties of the tool. The three versions, Hausa, Spanish and Swahili showed adequate psychometric and clinical qualities including a good concurrent validity, scores being correlated with the gold standard. Qualitative research was used to refine and to strengthen the results. To our knowledge, this is the first validation of a screening tool for preschool children including a cross cultural component for use in several humanitarian contexts. Such tools, cross culturally validated in several contexts, are a key component to promote access to mental health care for children, often not on the list of priorities during the interventions.
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  • HAL Id : tel-01195996, version 1


Caroline Marquer. Validation transculturelle d'une échelle en contexte humanitaire : dépistage des difficultés psychologiques du jeune enfant haoussa au Niger (Maradi). Psychologie. Université René Descartes - Paris V, 2014. Français. ⟨NNT : 2014PA05H117⟩. ⟨tel-01195996⟩



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