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

Yuan, S., Humphris, G., Macpherson, L. , Ross, A. and Freeman, R. (2019) 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. BMC Oral Health, 19, 162. (doi: 10.1186/s12903-019-0836-z)

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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.

Item Type:Articles
Additional Information:We would like to acknowledge the funding from the Scottish Government for Childsmile Programme.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Macpherson, Professor Lorna and Ross, Dr Alastair
Authors: Yuan, S., Humphris, G., Macpherson, L., Ross, A., and Freeman, R.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Journal Name:BMC Oral Health
Publisher:BioMed Central
ISSN:1472-6831
ISSN (Online):1472-6831
Published Online:24 July 2019
Copyright Holders:Copyright © 2019 The Authors
First Published:First published in BMC Oral Health 19:162
Publisher Policy:Reproduced under a Creative Commons License

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