制定一种新的编码方案（SABICS），以记录社区牙科预防干预中护士与儿童的互动行为。

Development of a novel coding scheme (SABICS) to record nurse-child interactive behaviours in a community dental preventive intervention.

机构信息

School of Medicine, University of St Andrews, Fife, KY16 9TS Scotland, UK.

出版信息

Patient Educ Couns. 2012 Aug;88(2):268-76. doi: 10.1016/j.pec.2012.01.001. Epub 2012 Feb 1.

DOI:10.1016/j.pec.2012.01.001

PMID:22301062

Abstract

OBJECTIVE

To develop and validate the St Andrews Behavioural Interaction Coding Scheme (SABICS): a tool to record nurse-child interactive behaviours.

METHODS

The SABICS was developed primarily from observation of video recorded interactions; and refined through an iterative process of applying the scheme to new data sets. Its practical applicability was assessed via implementation of the scheme on specialised behavioural coding software. Reliability was calculated using Cohen's Kappa. Discriminant validity was assessed using logistic regression.

RESULTS

The SABICS contains 48 codes. Fifty-five nurse-child interactions were successfully coded through administering the scheme on The Observer XT8.0 system. Two visualization results of interaction patterns demonstrated the scheme's capability of capturing complex interaction processes. Cohen's Kappa was 0.66 (inter-coder) and 0.88 and 0.78 (two intra-coders). The frequency of nurse behaviours, such as "instruction" (OR = 1.32, p = 0.027) and "praise" (OR = 2.04, p = 0.027), predicted a child receiving the intervention.

CONCLUSIONS

The SABICS is a unique system to record interactions between dental nurses and 3-5 years old children. It records and displays complex nurse-child interactive behaviours. It is easily administered and demonstrates reasonable psychometric properties.

PRACTICE IMPLICATIONS

The SABICS has potential for other paediatric settings. Its development procedure may be helpful for other similar coding scheme development.

摘要

目的

开发和验证圣安德鲁斯行为互动编码方案（SABICS）：一种记录护士与儿童互动行为的工具。

方法

SABICS 主要是从观察视频记录的互动中开发出来的；并通过将方案应用于新的数据集的迭代过程进行了改进。通过在专门的行为编码软件上实施该方案，评估了其实际适用性。使用 Cohen 的 Kappa 计算可靠性。使用逻辑回归评估判别有效性。

结果

SABICS 包含 48 个代码。通过在 The Observer XT8.0 系统上实施该方案，成功对 55 次护士与儿童的互动进行了编码。两种互动模式的可视化结果表明了该方案捕捉复杂互动过程的能力。Cohen 的 Kappa 值为 0.66（编码者间）和 0.88 和 0.78（两位编码者内）。护士行为的频率，如“指导”（OR=1.32，p=0.027）和“表扬”（OR=2.04，p=0.027），预测了儿童接受干预的情况。