study descriptionFindings reported from two pilot studies.
core topic(s)Early Relational Health
Exposures, Outcomes, OtherHome Visitation , Implementation and Evaluation , Screening and Tools , Validity, Reliability, Feasibility, and Acceptability
metric(s)Early Relational Health Screen (ERHS)
objectivesWe report findings from two pilot studies conducted in the United States that describe the reliability and validity of a relational health screening tool, the Early Relational Health Screen (ERHS).
exposureEarly Relational Health Screen (ERHS).
outcomes evaluatedERHS reliability and feasibility.
settingStudy 1: relational health promotion in pediatric primary care. Study 2: Infant Mental Health Home Visiting (IMH-HV) model.
methodsWe report findings from two pilot studies conducted in the United States that describe the reliability and validity of a relational health screening tool, the Early Relational Health Screen (ERHS). Across both studies, a trained clinician rated the ERHS following real-time observation of interaction (i.e., “in-the-moment” ratings). Reliability was assessed by comparing “in-the-moment” ERHS ratings to subsequent coding of the same interaction from video by an independent evaluator. In addition, Study 2 data permitted evaluation of the validity of “in-the-moment” ERHS ratings.
sample sizen=2 (studies)
Measure of Reliability: we capitalized on data previously collected and had independent, reliable coders, blind to information about the dyads, rate the videos to determine the reliability of the initial clinician ratings.
Measure of Validity: available home visiting study data also permitted a preliminary examination of the validity of clinician “in-the-moment” ERHS ratings compared to another well-validated measure of dyadic interaction developed by the NICHD Early Child Care Research Network.