Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study

BMC Psychiatry

Table 4 Predictors of youth-ACT

Level of predictors	Child¹		Child and parent²		Child, parent and family/social context³
	Multivariable model⁴		Multivariable model		Multivariable model
	OR⁵(95% CI⁶)	P ⁷	OR (95% CI)	P	OR (95% CI)	P
Child
HoNOSCA⁸	1.31 (1.22–1.41)	<.001	1.21 (1.12–1.30)	<.001	1.19 (1.11–1.29)	<.001
CANSAS ⁸	0.96 (0.90–1.02)	0.186
Parent⁹
HoNOS⁸			1.13 (1.05–1.21)	<.001	1.07 (0.99–1.15)	0.085
Parental stress			1.36 (1.15–1.60)	<.001	1.35 (1.13–1.62)	0.001
Lack of knowledge pertaining to difficulties			1.39 (1.00–1.92)	0.049	1.34 (0.96–1.87)	0.081
Family/social context
Domestic violence					5.19 (2.20–12.26)	<.001
Ethnic background primary caregiver
Dutch
Other					0.40 (0.13–1.21)	0.104

¹Child-level: Omnibus test, Step P = 0.00, Model P = < 0.00, Hosmer-Lemeshow, P = 0.26, Nagelkerke R²=0.43, AUC = 0.84, 95% CI 0.78–0.89, P < 0.001
²Child-parent-level: Omnibus test, Step P = 0.00, Model P = < 0.00, Hosmer-Lemeshow, P = 0.17, Nagelkerke R²=0.56, AUC = 0.89, 95% CI 0.85–0.93, P < 0.001
³Child-parent-family/social context-level: Omnibus test, Step P = 0.00, Model P = < 0.00, Hosmer-Lemeshow, P = 0.51, Nagelkerke R²=0.61, AUC = 0.91, 95% CI 0.87–0.95, P < 0.001
⁴Multivariable: binary logistic regression analysis of all predictors entered simultaneously
⁵OR Odds Ratio
⁶CI Confidence interval
⁷P-value< 0.10 is considered statistically significant
⁸Sum-score
⁹Parent: primary caregiver

ISSN: 1471-244X