Validation of a measure of parental responsiveness: Comparison of the brief Parental Responsiveness Rating Scale with a detailed measure of responsive parental behaviours.
Validation of a measure of parental responsiveness: Comparison of the brief Parental Responsiveness Rating Scale with a detailed measure of responsive parental behaviours.
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DOI：
10.1177/1367493521996489
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Stringer H
中科院分区：
文献类型：
--
作者：
Barnett SE;Levickis P;McKean C;Letts C;Stringer H
父母的反应对儿童语言发展至关重要。它在临床环境中的准确测量可以确定家庭谁可能受益于预防性干预措施，但是，编码的反应是耗时和昂贵的。本研究调查在临床背景下的有效性的父母的反应性评定量表（PaRRiS）：一个时间和成本效益的全球评级量表的父母的反应。儿童保健护士（CHN）PaRRiS评级进行了比较，父母的反应性的详细编码。30对亲子在27个月的健康检查中完成了8分钟的自由游戏。CHN使用PaRRiS对互动进行实时评分。然后使用更详细的编码系统对这些相互作用的视频进行盲编码。采用相关分析和Bland-Altman方法比较PaRRiS评分和详细编码。PaRRiS和详细编码显示出中强相关性（rs（28）= 0.57，95%CI [0.26，0.77]）和高度一致性（Bland-Altman）。使用PaRRiS的CHN可以像使用详细编码的训练有素的临床医生一样有效地捕获父母的反应。这可能允许（1）提高识别有长期语言困难风险的幼儿的准确性和效率;（2）更准确地分配给言语和语言治疗（CHN）服务;（3）通过授权CHN做出更明智的转诊决定来减轻CHN资源的负担。
Parental responsiveness is vital for child language development. Its accurate measurement in clinical settings could identify families who may benefit from preventative interventions; however, coding of responsiveness is time-consuming and expensive. This study investigates in a clinical context the validity of the Parental Responsiveness Rating Scale (PaRRiS): a time- and cost-effective global rating scale of parental responsiveness. Child health nurse (CHN) PaRRiS ratings are compared to a detailed coding of parental responsiveness. Thirty parent–child dyads completed an 8-min free-play session at their 27-month health review. CHNs rated the interaction live using PaRRiS. Videos of these interactions were then blindly coded using the more detailed coding system. PaRRiS ratings and detailed codings were compared using correlational analysis and the Bland–Altman method. PaRRiS and the detailed coding showed a moderate-strong correlation (rs (28) = 0.57, 95% CI [0.26, 0.77]) and high agreement (Bland–Altman). CHNs using PaRRiS can capture parental responsiveness as effectively as trained clinicians using detailed coding. This may allow (1) increased accuracy and efficiency in identifying toddlers at risk for long-term language difficulties; (2) more accurate allocation to speech and language therapy (SLT) services; (3) decreased burden on SLT resources by empowering CHNs to make more informed referral decisions.
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