Dental Health Services Research Unit, School of Dentistry, University of Dundee, Park Place, Dundee, DD1 4HN, UK.
Health Psychology, University of St Andrews, St Andrews, UK.
BMC Oral Health. 2019 Jul 24;19(1):162. doi: 10.1186/s12903-019-0836-z.
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.
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.
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).
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.
在初级保健中，有关儿科牙科咨询的研究很少。这可能是由于在复杂的三方咨询中测量沟通行为的难度所致。本研究旨在描述一种编码方案的开发和完善，以记录牙科专业人员，儿童患者和父母之间的三方沟通。
PaeD-TrICS 是从三方沟通的视频观察中发展而来的，并通过迭代过程进行了完善。通过在专门的行为编码软件上实施该方案来评估其实际适用性。使用 Cohen's Kappa 计算可靠性。
PaeD-TrICS 包含 45 个代码。通过在 The Observer XT 10.5 系统上实施该方案，成功对 44 个牙科专业人员-儿童-父母沟通进行了编码。Cohen's Kappa 为 0.83（编码者之间）和 0.90（编码者内部）。“父母的口头促进”（平均每分钟 1.68 次）是最常见的行为。牙科专业人员的“与牙齿有关的谈话”（平均每分钟 1.24 次），“称赞”（平均每分钟 1.10 次）和“指导”（平均每分钟 0.62 次）经常出现。儿童的常见行为包括“其他言语”（平均每分钟 0.66 次）和非言语行为，例如“非言语同意”和言语行为“言语是”（平均每分钟 0.26 次）。
PaeD-TrICS 的开发旨在捕捉预防牙科环境中三方咨询的沟通行为。它显示出令人满意的编码者内部和编码者之间的可靠性，并且已成功用于儿科牙科咨询。
