Development of an interaction coding scheme (PaeD-TrICS) to record the triadic communication behaviours in preventive dental consultations with preschool child patients and families: a video-based observational study

Background There is a paucity of research concerning paediatric dental consultations in primary care. This is potentially due to the difficulty of measuring the communication behaviours in the complex triadic consultations. The present study aims to describe the development and refinement of a codin...

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Vydáno v:	BMC oral health Ročník 19; číslo 1; s. 162 - 10
Hlavní autoři:	Yuan, Siyang, Humphris, Gerry, MacPherson, Lorna, Ross, Al, Freeman, Ruth
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	London BioMed Central 24.07.2019 BioMed Central Ltd BMC
Témata:	Analysis Behaviour coding scheme Child Child Behavior Child, Preschool Clinical Coding - methods Communication Communication behaviour Delivery Dental consultation Dentist-Patient Relations Dentistry Dentists - psychology Early childhood education Family Humans management and promotion of oral health and dental care Medical consultation Medicine Oral and Maxillofacial Surgery Oral hygiene Parent Parenting Parents - psychology Patients Pediatric research Preschool children Preventive Health Services - organization & administration Psychometrics Referral and Consultation Reproducibility of Results Research Article Triadic communication Preschool children Parent Communication behaviour Triadic communication Behaviour coding scheme Dental consultation Video observation
ISSN:	1472-6831, 1472-6831
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Shrnutí:	Background There is a paucity of research concerning paediatric dental consultations in primary care. This is potentially due to the difficulty of measuring the communication behaviours in the complex triadic consultations. The present study aims to describe the development and refinement of a coding scheme to record the triadic communication between dental professionals, child patients and parents. Methods The PaeD-TrICS was developed from video observation of triadic communications and refined through an iterative process. Its practical applicability was assessed via implementation of the scheme on specialised behavioural coding software. Reliability was calculated using Cohen’s Kappa. Results The PaeD-TrICS contains 45 codes. Forty-four dental professional-child-parent communications were successfully coded through administering the scheme on The Observer XT 10.5 system. Cohen’s Kappa was 0.83 (inter-coder) and 0.90 (intra-coder). “Parental verbal facilitation” (mean = 1.68/min) was the most frequent behaviour. Dental professionals’ “dentally engaging talk” (mean = 1.24/min), “praise” (mean = 1.10/min) and “instruction” (mean = 0.62/min) were frequently seen. Children’s common behaviours included “speech other” (mean = 0.66/min) and non-verbal behaviour i.e. “non-verbal agreement” and verbal behaviour “speech yes” (mean = 0.26/min). Conclusions The PaeD-TrICS is developed to capture the communication behaviour of the triadic consultations in a preventive dental setting. It demonstrates satisfactory intra- and inter-coder reliability and has been successfully used in paediatric dental consultations.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	1472-6831 1472-6831
DOI:	10.1186/s12903-019-0836-z