SWYC Family Questions References

 Question 1: Tobacco Use

Winickoff JP, Park ER, Hipple BJ, et al. Clinical effort against secondhand smoke
exposure: Development of framework and intervention. Pediatrics. 2008; 122:e363-
e375.
 Questions 2, 3 and 4: Two-item Conjoint Screener (TICS)

Brown RL, Leonard T, Saunders LA, Papasouliotis O. A two-item screening test for
alcohol and other drug problems. Journal of Family Practice. 1997; 151:44

Brown RL, Leonard T, Saunders LA, Papasouliotis O. A two-item conjoint screen for
alcohol and other drug problems. Journal of the American Board of Family Practice.
2001; 14:95-106.

 Question 5: Screen for Food Security

Gitterman BA, Chilton LA, Cotton WH, et. al. Promoting food security for all
children. Pediatrics. 2015;136(5), e1431-e1438.

 Questions 6 and 7 on 9-60 month forms: Patient Health Quesionnaire-2 (PHQ-2)

McManus D. Pipkin SS. Whooley MA. Screening for depression in patients with
coronary heart disease (data from the Heart and Soul Study). American Journal
of Cardiology. 2005; 96(8):1076-81.

The PHQ-2 does not appear on the 2, 4, and 6 month SWYC forms, as of v1.07.

 Questions 8 and 9 on 9-60 month forms, 6 and 7 on 2-6 month forms: Woman
Abuse Screening Tool (WAST):

Brown JB, Lent B, Schmidt G, Sas G. Application of the woman abuse screening tool
(WAST) and WAST-short in the family practice setting. Journal of Family Practice.
2000; 49: 896-903.

Brown JB, Lent B, Brett PJ, Sas G, Pederson LL. Development of the woman abuse
screening tool for use in family practice. Family Medicine. 1996; 28:422-8.

 Question 10 on 9-60 month forms, 8 on 2-6 month forms: Reading frequency

The reading frequency item was derived from the CAHMI Promoting Healthy
Development Survey1 and modified for use in the National Survey of Children’s
Health (NSCH)2.

1. Bethell, C., Peck, C., & Schor, E. (2001). Assessing Health System Provision of
Well-Child Care: The Promoting Healthy Development Survey. Pediatrics,
107(5), 1084-94

2. Child and Adolescent Health Measurement Initiative. (2012). National Survey of

Children’s Health (NSCH), 2011/12: Guide to Topics & Questions Asked. Data
Resource Center for Child and Adolescent Health, Johns Hopkins School of
Public Health, Department of Population, Family, and Reproductive Health.
Retrieved from http://childhealthdata.org/docs/drc/2011-12-guide-to-topics-
questions-draft.pdf?sfvrsn=4.”

v1.07