study descriptionSingle group, preclinical pilot study.
core topic(s)Early Relational Health , Pediatric Primary Care
Population CharacteristicsMedical Trainees , Urban
Exposures, Outcomes, OtherMedical Training/Education , Parent-Child Relationships/Interactions , Provider Behaviors and Skills , Provider Knowledge, Attitudes, and Beliefs , Screening and Tools , Validity, Reliability, Feasibility, and Acceptability
metric(s)Welch Emotional Connection Screen (WECS)
objectivesThe aims of this study were to evaluate the efficacy of WECS pediatric resident training: 1) to improve residents’ accuracy in recognizing the dyadic behaviors of emotional connection (EC) via WECS training and 2) to improve residents’ attitudes, self-efficacy, and perceived professional norms (ASPPN) pertaining to Early Relational Health in Pediatrics.
exposureWelch Emotional Connection Screen (WECS).
outcomes evaluatedWECS accuracy and attitudes, self-efficacy, and ERH related ASPPN.
settingPediatric residents in their first year of post graduate training were recruited from the two schools of medicine in a major metropolitan area. The two residency programs complete their primary care experiences in the same clinic: the children’s hospital associated with the safety-net adult hospital in an urban, underserved area.
methodsThe Welch Emotional Connection Screen (WECS) is a novel instrument that is a brief, practicable, evidenced-based observational screening tool for assessing relationship health between parent and child. The WECS requires observing 2-3 min of face-to-face interactions between parent and child, without toys, prompts, paradigms or technology. Here, we describe a translational project from the coding lab to the primary care provider via a residency training program conducted with 50 residents during a 30-day developmental and behavioral pediatrics medical resident education rotation.
sample sizen=50 (residents)
Measure of WECS Accuracy: we developed 14 Likert items to cover the nuances embedded within the 4 domains of the original WECS (i.e., mutual attraction, vocal communication, facial communication, and sensitivity/ reciprocity, See Supplemental Table A). The expanded rating scales were designed to train residents to specifically hone in on the key elements of EC that are embedded within the more global screening decisions involved in the WECS’ 4 dimensions.
Measure of Attitudes, Efficacy, ASPPN: Likert-style survey adapted from a resident education project and underwent expert review with resident educators. The Attitudes section comprised 9 items on resident attitudes towards relational health and training, Self-Efficacy contained 5 items on self-rated abilities in relational health, and PPN’s 8 items queried resident beliefs about relational health’s importance to peers, supervisors, and institutions.