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

Siyang Yuan (Lead / Corresponding author), Gerry Humphris, Lorna MacPherson, A. H. Ross, Ruth Freeman

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Abstract

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.

Original languageEnglish
Article number162
Pages (from-to)1-10
Number of pages10
JournalBMC Oral Health
Volume19
DOIs
Publication statusPublished - 24 Jul 2019

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Preschool Children
Observational Studies
Tooth
Referral and Consultation
Communication
Verbal Behavior
Pediatrics
Child Behavior
Primary Health Care
Software
Parents
Observation
Research

Keywords

  • Behaviour coding scheme
  • Communication behaviour
  • Dental consultation
  • Parent
  • Preschool children
  • Triadic communication
  • Video observation

Cite this

@article{221cd6228cc841afa75fad4a692408bd,
title = "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",
abstract = "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.",
keywords = "Behaviour coding scheme, Communication behaviour, Dental consultation, Parent, Preschool children, Triadic communication, Video observation",
author = "Siyang Yuan and Gerry Humphris and Lorna MacPherson and Ross, {A. H.} and Ruth Freeman",
note = "The research project is funded by the Scottish Government-Childsmile Programme. The funder of the study had no role in the design of the study, data collection, data analysis, data interpretation, and in writing the manuscript.",
year = "2019",
month = "7",
day = "24",
doi = "10.1186/s12903-019-0836-z",
language = "English",
volume = "19",
pages = "1--10",
journal = "BMC Oral Health",
issn = "1472-6831",
publisher = "Springer Verlag",

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T1 - Development of an interaction coding scheme (PaeD-TrICS) to record the triadic communication behaviours in preventive dental consultations with preschool child patients and families

T2 - a video-based observational study

AU - Yuan, Siyang

AU - Humphris, Gerry

AU - MacPherson, Lorna

AU - Ross, A. H.

AU - Freeman, Ruth

N1 - The research project is funded by the Scottish Government-Childsmile Programme. The funder of the study had no role in the design of the study, data collection, data analysis, data interpretation, and in writing the manuscript.

PY - 2019/7/24

Y1 - 2019/7/24

N2 - 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.

AB - 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.

KW - Behaviour coding scheme

KW - Communication behaviour

KW - Dental consultation

KW - Parent

KW - Preschool children

KW - Triadic communication

KW - Video observation

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DO - 10.1186/s12903-019-0836-z

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JO - BMC Oral Health

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