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Section of Supportive Hospice and Palliative MedicineDepartment of Family and Community Medicine

University of the Philippines Philippine General HospitalManila

SHPM PROGRAM DOCUMENT (CFAT 012011-4)

COMPENDIUM OF FILIPINO ASSESSMENT TOOLS FOR CLINICAL PRACTICE & RESEARCH

BRIEF SCREEM FAMILY RESOURCES SURVEY (BRIEF SCREEM-RES)

AUTHOR/S: Manuel Medina Jr. and the Section of Supportive Hospice and Palliative Medicine (SHPM)

FILIPINO VERSION: The Filipino and English Versions were developed simultaneously.

PURPOSE: To assess general family resources.

DESCRIPTION: The BRIEF SCREEM-RES was developed by M. Medina, Jr. M.D. and the Section of Supportive Hospice and PalliativeMedicine, University of the Philippines Philippine General Hospital (SHPM, UP-PGH). The goal was to use the 12 item SCREEM RES todevelop an even simpler valid and reliable Filipino measure of family resources. It is primarily intended for family medicine and palliativemedicine physicians who would want a tool that approaches the brevity and simplicity of the very familiar Family APGAR. The items used

in the construction of the original SCREEM-RES were directly based on a review of relevant international tools and research, and the opinionand experience of the Section of SHPM in the assessment of family function. In particular, the review and evaluation of available materialsfocused on materials related to the SCREEM Method of Analysis of the familys resources originally developed by Smilkstein (1978) andadapted by the Philippine Academy of Family Physicians, and materials related to family resources in times of crisis. The brief 6 item BRIEF

SCREEM-RES which was derived from the SCREEM-RES provides a measure of general family resources. Each item represents the 6domains of the original SCREEM Method of Analysis: Social, Cultural, Religious, Economic, Educational and Medical.

SCORING: Each item is scored on a 0 to 3 basis using the following key: strongly agree = 3, agree = 2, disagree = 1, strongly disagree = 0.The scores for the all the items in the BRIEF SCREEM-RES and its subscales are summed resulting in a total score for the entire BRIEF

SCREEM-RES. Higher scores reflect more adequate family resources and better family resource adequacy to adapt in times of crisis; whilelower scores reflect more inadequate family resources and poorer family resource adequacy to adapt in times of crisis. The scores range from

0 to 18 for the entire BRIEF SCREEM-RES (general family resources).

Simplified Classification System: The original Family APGAR and its original classification system is one of the most familiar familyassessment tools used by many family medicine and palliative medicine clinicians. To address the requests for a simplified classificationsystem by many clinicians, the following system is proposed. This proposed scoring system is developed in the same manner as the scoring

system of original Family APGAR as proposed by Smilkstein- the scale is divided evenly into classes and the classification system is basedsolely on what appears to be most appropriate and conceptually correct; as opposed to an empirically based division of the scale. The author/srecommends that for intensive clinical assessment and/or research, the actual scale should be used instead of the classification system.

The total BRIEF SCREEM-RES scores are grouped using the following key: Severely Inadequate Family Resources = 0 to 6, ModeratelyInadequate Family Resources = 7 to 12, Adequate Family Resources = 13 to 18. the author/s believe that further simplification of theSCREEM-RES using very limited number of items and limited classification systems will adversely affect its discriminatory power and

sensitivity.

RELIABILITY: The BRIEF SCREEM-RES (Filipino Version) has excellent internal consistency. Initial estimate of the Cronbach alpha forthe scale using the data from the original SCREEM-RES was 0.71. Further reliability studies are ongoing and/or planned by the author/s.

VALIDITY: Preliminary evaluation of the BRIEF SCREEM-RES (Filipino Version) using data from the original SCREEM-RES study, infamilies of children with cancer shows that it has good correlation with general family function and satisfaction with family function asmeasured by the Filipino version of the original 5 item Family APGAR. Using data from another study involving the same sample population

of families of children with cancer, the SCREEM-RES and the BRIEF SCREEM-RES also correlated with the quality of life of the patient,the well-being of the caregiver as measured by the WHO Index of Well Being, and the psychological reaction to illness of both the patientand the family caregiver. These associations were retained in the BRIEF SCREEM-RES. Construct validity was also achieved through the

process of tool development and item selection based on expert opinion and the review of relevant international recognized tools and

research. Further validation studies are ongoing and planned by the author/s.


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ADMINISTRATION: The tool can be answered by adults and older children (preadolescents and adolescents); patients and/or familycaregivers. Just like the original Family APGAR, it can be used on one or more members of the same family. It can be administered in a

number of formats, including traditional paper and pencil format (either self-administration or research-staff interview face to face,telephone, or internet based interview) and electronic formats and Web-based applications.

ADDITIONAL NOTES

January 2011: Initial studies using a sample of families of children with cancer using the introductory phrase Simula ng nagkasakit ang isasa amin sa pamilya (Ever since a member of our family became sick). The author/s of the tool have suggested that this phrase, or the

phrase Simula ng nagkasakit si ___ (Ever since ___ became sick) for similar populations of patients and families. However, the author/salso recommend a more generic phrase Kapag may nagkakasakit sa aming pamilya (When someone in our family gets sick), for a moregeneral population of families.

PRIMARY REFERENCES: 1) M Medina and the Section of Supportive Hospice and Palliative Medicine (SHPM). SCREEM Family

Resources Survey (SCREEM-RES). SHPM, DFCM, UP-PGH. 2010. 2) M. Medina, A Panganiban-Corales, L Nicodemus, and A Ang.Family Resources Study: Part 2: Development and Evaluation of the SCREEM Family Resources Survey (SCREEM-RES). SHPM ResearchDocument (FAM 012010-2). Section of Supportive Hospice and Palliative Medicine (SHPM), DFCM, UP-PGH. 2010.

In addition to the primary reference, this document can be cited as follows: M. Medina and the Section of Supportive Hospice and PalliativeMedicine (SHPM). The Brief SCREEM Family Resources Survey. SHPM Program Document. Compendium of Filipino Assessment Toolsfor Clinical Practice & Research (CFAT 012011-4). SHPM, DFCM, UP-PGH. 2011.

AVAILABILITY: Permission to use the BRIEF SCREEM-RES should be obtained from the author/s. The BRIEF SCREEM-RES is in anearly stage of development. In order to maintain an organized program for further development and ensure appropriate use, use of the BRIEF

SCREEM-RES is mainly restricted to programmed studies within the SHPM. However, the authors also recognize the severe lack of easilyavailable Filipino measures to assess family resources. Therefore, the author/s are amenable to the use of the BRIEF SCREEM-RES instudies outside of SHPM as long as permission is obtained. Requirements include: submission of program / project / research plan or

proposal to the author/s, changes or modifications to the plan or proposal as required by the author/s; regular updates; citation of the role of

the author/s in the program / project / research, and as co-author; and submission of the final draft of report or paper for suggestions prior tofinal approval. No fees apply to non-funded clinical and research programs. No changes or modifications to the content, format, scoring andinterpretation of scores of this assessment tool are allowed by the author/s.


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BRIEF SCREEM FAMILY RESOURCES SURVEY (BRIEF SCREEM-RES) FILIPINO

Kapag may nagkakasakit sa aming pamilya

MatindingSumasang-

ayon

Sumasang-ayon

HindiSumasang-

ayon

MatindingHindi

Sumasang-ayon

S

Kami ay nagtutulungan sa isat isa saaming pamilya.

C

Ang kultura ng pagtutulungan atpagmamalasakit sa aming komunidad aynakatutulong sa aming pamilya

R

Natutulungan kami ng aming mgakasamahan sa simbahan o mga grupongrelihiyoso

E

Sapat ang naipong pera ng amingpamilya para sa aming mgapangangailangan

ESapat ang aming kaalaman upangmaalagaan ang may sakit.

M

Madaling makakuha ng tulong medikal

sa aming komunidad.

Manuel Medina Jr. MD and the Section of Supportive Hospice & Palliative Medicine, University of the Philippines-Philippine General Hospital, Manila. 2010.

BRIEF SCREEM FAMILY RESOURCES SURVEY (BRIEF SCREEM-RES) ENGLISH

When someone in our family gets sick StronglyAgree

Agree DisagreeStronglyDisagree

S We help each other in our family

C

Our culture of helpfulness, caring andconcern in our community is helpful toour family.

RMembers of our church and/or religiousgroups are helpful to our family

EOur familys savings are sufficient for ourneeds

E Our knowledge and education issufficient for us to take care of our sickfamily member

MMedical help is readily available in ourcommunity.

Manuel Medina Jr. MD and the Section of Supportive Hospice & Palliative Medicine, University of the Philippines-Philippine General Hospital, Manila. 2010.

brief screem-res description 1

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