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Training community health nurses to measure parent–child interaction: a mixed-methods study

BACKGROUND: This study aims to determine whether the Parental Responsiveness Rating Scale (PaRRiS) completed at child age 24–30 months can be used by community child health nurses (CCHNs) to reliably measure the quality of parent–child interactions in practice. METHODS: A mixed-methods design was us...

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Autores principales: Levickis, Penny, McKean, Cristina, Walls, Elaine, Law, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292347/
https://www.ncbi.nlm.nih.gov/pubmed/31539042
http://dx.doi.org/10.1093/eurpub/ckz155
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author Levickis, Penny
McKean, Cristina
Walls, Elaine
Law, James
author_facet Levickis, Penny
McKean, Cristina
Walls, Elaine
Law, James
author_sort Levickis, Penny
collection PubMed
description BACKGROUND: This study aims to determine whether the Parental Responsiveness Rating Scale (PaRRiS) completed at child age 24–30 months can be used by community child health nurses (CCHNs) to reliably measure the quality of parent–child interactions in practice. METHODS: A mixed-methods design was used involving CCHNs working in public health settings. Five CCHNs recruited from the North-East of England were trained to use PaRRiS. Thirty parent–child dyads attending their routine 24–30-month check were observed. Nurses rated parent–child dyads during 5 min of free-play using PaRRiS. The free-play sessions were video recorded and rated blind by the first author to the nurse observation. Semi-structured phone interviews were conducted with the five CCHNs once observations of parent–child interactions were complete. Interviews were audio-recorded, transcribed, anonymized and thematically analyzed. RESULTS: Two-thirds of participating parents were mothers. Half the families (15/30) were from the 10% most deprived areas based on the English Index of Multiple Deprivation. The average PaRRiS score was 3.03 [standard deviation (SD) = 0.8; all ratings were <5.0]. Reliability between the first author (‘gold standard’) and CCHNs was excellent [Intra-class correlation coefficient (ICC): 0.85; 95% confidence interval (CI): 0.67–0.93]. CCHNs found PaRRiS aligned well with current practice and was acceptable to parents. There was no evidence of a relationship between social disadvantage and PaRRiS scores. CONCLUSIONS: With further development and evaluation work, PaRRiS could potentially be incorporated into existing universal health services to provide child health nurses with an additional tool for identifying families most likely to be in need of parent–child interaction interventions.
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spelling pubmed-72923472020-06-16 Training community health nurses to measure parent–child interaction: a mixed-methods study Levickis, Penny McKean, Cristina Walls, Elaine Law, James Eur J Public Health Child and Adolescent Health BACKGROUND: This study aims to determine whether the Parental Responsiveness Rating Scale (PaRRiS) completed at child age 24–30 months can be used by community child health nurses (CCHNs) to reliably measure the quality of parent–child interactions in practice. METHODS: A mixed-methods design was used involving CCHNs working in public health settings. Five CCHNs recruited from the North-East of England were trained to use PaRRiS. Thirty parent–child dyads attending their routine 24–30-month check were observed. Nurses rated parent–child dyads during 5 min of free-play using PaRRiS. The free-play sessions were video recorded and rated blind by the first author to the nurse observation. Semi-structured phone interviews were conducted with the five CCHNs once observations of parent–child interactions were complete. Interviews were audio-recorded, transcribed, anonymized and thematically analyzed. RESULTS: Two-thirds of participating parents were mothers. Half the families (15/30) were from the 10% most deprived areas based on the English Index of Multiple Deprivation. The average PaRRiS score was 3.03 [standard deviation (SD) = 0.8; all ratings were <5.0]. Reliability between the first author (‘gold standard’) and CCHNs was excellent [Intra-class correlation coefficient (ICC): 0.85; 95% confidence interval (CI): 0.67–0.93]. CCHNs found PaRRiS aligned well with current practice and was acceptable to parents. There was no evidence of a relationship between social disadvantage and PaRRiS scores. CONCLUSIONS: With further development and evaluation work, PaRRiS could potentially be incorporated into existing universal health services to provide child health nurses with an additional tool for identifying families most likely to be in need of parent–child interaction interventions. Oxford University Press 2020-06 2019-09-20 /pmc/articles/PMC7292347/ /pubmed/31539042 http://dx.doi.org/10.1093/eurpub/ckz155 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Child and Adolescent Health
Levickis, Penny
McKean, Cristina
Walls, Elaine
Law, James
Training community health nurses to measure parent–child interaction: a mixed-methods study
title Training community health nurses to measure parent–child interaction: a mixed-methods study
title_full Training community health nurses to measure parent–child interaction: a mixed-methods study
title_fullStr Training community health nurses to measure parent–child interaction: a mixed-methods study
title_full_unstemmed Training community health nurses to measure parent–child interaction: a mixed-methods study
title_short Training community health nurses to measure parent–child interaction: a mixed-methods study
title_sort training community health nurses to measure parent–child interaction: a mixed-methods study
topic Child and Adolescent Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292347/
https://www.ncbi.nlm.nih.gov/pubmed/31539042
http://dx.doi.org/10.1093/eurpub/ckz155
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