Exploring health visiting professionals’ evaluations of early parent-infant interactions

Elmer, Jessica, O’Shaughnessy, Ruth, Bramwell, Ross and Dickson, Joanne (2019) Exploring health visiting professionals’ evaluations of early parent-infant interactions. Journal of Reproductive and Infant Psychology, 37 (5). pp. 554-565. ISSN 0264-6838 (Print); 1469-672X (Electronic)

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Objective: To examine the accuracy of Health Visitors (HVs) evaluations of the quality of parent-infant interactions. Background: HVs have been identified as key professionals in the early identification of difficulties in parent-infant interactions. Method: A sample of 56 HVs, 4 Family Health Nurses (FHNs) and 14 Community Nursery Nurses (CNNs) recruited from two National Health Service (NHS) Trusts, viewed video footage of six early parent-infant interactions which had been categorised as ‘sensitive’, ‘mixed’, and ‘problematic’ using the CARE-Index. Participants evaluated the quality of the parent-infant interactions shown in these videos using the Parent-Infant Interaction Rating Questionnaire (PIIRQ). Results: On average, participants correctly rated the problematic videos as lowest in quality, the mixed as higher in quality than the problematic videos, and the sensitive videos as highest in quality. Interestingly, within the problematic category participants rated the ‘unresponsive’ pattern of interaction as significantly lower in quality than the ‘controlling’ interaction. Conclusions: Findings suggest participants were relatively accurate in their evaluations of parent-infant interactions. However, they indicate that participants were more likely to be concerned about unresponsive, as opposed to controlling, interactive behaviours. Recommendations for further research include exploration of potential differences in how health-visiting professionals evaluate particular patterns of parent-infant interactions.

Item Type: Article
Additional Information: Received 11 Apr 2018, Accepted 24 Jun 2019, Published online: 07 Jul 2019
Uncontrolled Keywords: Health Visitors, Parent-Infant Interactions, Assessment, Evaluation, CARE-Index
Subjects: Children, Young People and Developmental Pyschology > Babies
Families > Parent Child Relations/Parenthood
Health and Medical Sciences > National Health Service
Department/People: Special Units
URI: https://repository.tavistockandportman.ac.uk/id/eprint/2079

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