Training feedback indicated that
the ACE survey items represented information normally collected in the course of assessment and treatment, and the survey presented a way to formalize data collection to inform clinical treatment via the ten nominal categories of early childhood adversity as embedded in the ACE survey.
We validated the sample construction and examined the relationship between ACE items and total ACE scores (dependent variables) and important independent variables using polychoric factor analyses (designed for binary data) of
the ACE survey items» factor structure.
Subsequently in April 2016, all 10
ACE survey items were embedded in the information system, which also contained the clinical profile, outcomes, and demographic and system - level data from which the data for this study were extracted and analyzed.
There were insufficient data to include the cross-sectional data for the Other category, but there were sufficient linked data to examine
the ACE survey item factor structure in the registration - linked data.
Not exact matches
The
items sum to a total score of 100; however, each
item is a relatively independent domain of measurement highly relevant to providing a detailed clinical picture when employed to compare clinically distinct groups or, in this study, the relationship to
ACE survey scores.
The
ACE survey total score, the dependent variable in analyses, was the sum of 10
items describing distinct categories of early adversity (http://ACEstudy.org/the-
ace-score.html).
The proportional distributions of the
ACE items (Table 1) and the factor structure of the
ACE items (Table 2) were consistent comparing by sex the unique patient
ACE scores linked in cross-section with first admissions and last discharges to all patient registration - linked
ACE item survey data.
Objective: To examine Adverse Childhood Experiences (
ACE)
survey items by sex and by total scores by sex vs clinical measures of impairment to examine the clinical utility of the
ACE survey as an index of trauma in a child and adolescent mental health care setting.