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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Bibliographic Details
Published in:BMC oral health Vol. 19; no. 1; pp. 162 - 10
Main Authors: Yuan, Siyang, Humphris, Gerry, MacPherson, Lorna, Ross, Al, Freeman, Ruth
Format: Journal Article
Language:English
Published: London BioMed Central 24.07.2019
BioMed Central Ltd
BMC
Subjects:
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
Online Access:Get full text
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Summary: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.
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ISSN:1472-6831
1472-6831
DOI:10.1186/s12903-019-0836-z