Developing a Measure of Distress-Promoting Parent Behaviours During Infant Vaccination: Assessing Reliability and Validity
| dc.contributor.author | Pillai Riddell, Rebecca | |
| dc.contributor.author | Gennis, Hannah | |
| dc.contributor.author | Tablon Modica, Paula | |
| dc.contributor.author | Greenberg, Saul | |
| dc.contributor.author | Garfield, Hartley | |
| dc.date.accessioned | 2018-06-19T15:51:32Z | |
| dc.date.available | 2018-06-19T15:51:32Z | |
| dc.date.issued | 2018 | |
| dc.description.abstract | Background: Infants rely on their parents’ sensitive and contingent soothing to support their regulation from pain-related distress. However, despite being of potentially equal or greater import, there has been little focus on how to measure distress-promoting parent behaviors. Aims: The goal of this article was to develop and validate a measure of distress-promoting parent behaviors for acute painful procedures (e.g., vaccinations) that could be used by researchers and clinicians. Methods: Following initial generation of measure items, focused group discussions were held with vaccinating clinicians to understand the measure’s face, content, and ecological validity. Archival video footage (n = 537 videos of infant-caregiver dyads during vaccination) was then coded using the measure of distress-promoting behaviors for 3 minutes post vaccine injection. Validity and reliability were examined using correlational analyses. Construct validity was assessed by convergent relationships with infant pain-related distress and divergent relationships were assessed with parent sensitivity and soothing-promoting behaviors. Results: The measure demonstrated both moderate to excellent interrater and test-retest reliability and convergent and divergent validity (absolute magnitude of r’s = 0.30 to 0.46). Conclusions: By demonstrating strong reliability and validity, this measure represents a promising new way to understand how caregivers interact with infants during painful procedures. Through focusing on distress promotion and using a format that may be coded both from video or in vivo, it is a feasible way to operationalize the impact of the caregiver on the infant’s pain experience in both research and clinical settings. | en_US |
| dc.identifier.uri | https://doi.org/10.1080/24740527.2018.1471325 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/34641 | |
| dc.language.iso | en | en_US |
| dc.publisher | Canadian Journal of Pain | en_US |
| dc.rights | This article was accepted for publishing in the Canadian Journal of Pain, DOI: https://doi.org/10.1080/24740527.2018.1471325 | en_US |
| dc.title | Developing a Measure of Distress-Promoting Parent Behaviours During Infant Vaccination: Assessing Reliability and Validity | |
| dc.type | Article | en_US |