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A Measure of Caregivers' Distress-Promoting Behaviors During Toddler Vaccination: Validation of the OUCHIE-RV.
Badovinac, Shaylea D; Flora, David B; Edgell, Heather; Flanders, Dan; Garfield, Hartley; Weinberg, Eitan; Savlov, Deena; Pillai Riddell, Rebecca R.
Afiliación
  • Badovinac SD; Department of Psychology, York University, Toronto, ON, Canada.
  • Flora DB; Department of Psychology, York University, Toronto, ON, Canada.
  • Edgell H; School of Kinesiology & Health Science, York University, Toronto, ON, Canada.
  • Flanders D; University of Toronto, Toronto, ON, Canada.
  • Garfield H; University of Toronto, Toronto, ON, Canada.
  • Weinberg E; The Hospital for Sick Children, Toronto, ON, Canada.
  • Savlov D; University of Toronto, Toronto, ON, Canada.
  • Pillai Riddell RR; University of Toronto, Toronto, ON, Canada.
J Pediatr Psychol ; 48(9): 787-797, 2023 09 20.
Article en En | MEDLINE | ID: mdl-37568248
OBJECTIVE: The current study discusses the development and preliminary validation of an observational measure of caregivers' distress-promoting behavior (OUCHIE-RV) in the context of toddler routine vaccination. METHODS: Measure validation was based on a sample of caregiver-toddler dyads (N = 223) from a longitudinal cohort-sequential study who were observed during toddlers' 12-, 18-, or 24-month routine vaccinations. Validity was assessed using correlations and cross-lagged path analysis and associations were tested between OUCHIE-RV composite scores and toddlers' pain-related distress as well as caregivers' state anxiety, soothing behaviors, heart rate, and heart rate variability. Interrater reliability was examined using intraclass correlations (ICC) and kappa coefficients. RESULTS: Results of a cross-lagged path analysis indicated positive concurrent (ß = .27 to ß = .37) and cross-lagged predictive associations (ß = .01 to ß = .34) between OUCHIE-RV composite scores (reflecting the frequency and intensity of caregivers' distress-promoting behavior) and toddlers' pain-related distress. OUCHIE-RV composite scores were negatively associated with caregivers' concurrent use of physical comfort (r = -.34 to -.24) and rocking (r = -.36 to -.19) and showed minimal associations with caregivers' use of verbal reassurance (r = .06 to .12), state anxiety (r = -.02 to r = .09), heart rate (r = -.15 to r = .05), and heart rate variability (r = -.04 to r = .13). Interrater reliability was strong (Cohen's k = .86 to .97, ICC = .77 to .85). CONCLUSIONS: Findings provide support for the validity and reliability of the OUCHIE-RV as a research tool for measuring caregiver behaviors that promote toddlers' pain-related distress during routine vaccinations and contribute to a better understanding of the dynamics of caregiver-toddler interaction in acute pain contexts.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidadores / Emociones Tipo de estudio: Prognostic_studies Límite: Child, preschool / Humans Idioma: En Revista: J Pediatr Psychol Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidadores / Emociones Tipo de estudio: Prognostic_studies Límite: Child, preschool / Humans Idioma: En Revista: J Pediatr Psychol Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos