Is the T CI a va lid me thod of a sse ssing a tta c hme nt? Compar ing the T CI to the PAA. Re be c c a Car r - Hopkins (UK) re be c c a @iswma tte rs.c o.uk
Study Aim • T o te st the va lidity o f a ne w a sse ssme nt o f a tta c hme nt (T CI ) b y c o mpa ring it a g a inst the we ll va lida te d Pre -sc ho o l a sse ssme nt o f a tta c hme nt (PAA) the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Intr oduc tion • I n c linic a l pra c tic e , a sse ssme nts o f pre sc ho o le r's a tta c hme nt to the ir pa re nts/ c a re g ive rs a re mo re o fte n tha n no t b a se d o n sc ie ntific a lly unre lia b le info rma tio n suc h a s the a sse sso r’ s intuitio n. the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Why was a ne w pr oc e dur e ne e de d? • Pre sc ho o l a sse ssme nt o f Atta c hme nt (PAA) is e xpe nsive to a dministe r (time , pe rso nne l a nd ve nue ) & the re fo re ra re ly use d. • T CI c a n b e unde rta ke n a nywhe re & o nly ta ke s five minute s to a dministe r, so if va lida te d, ha s the po te ntia l to b e a n impo rta nt c o ntrib utio n to the to o l b o x o f pra c titio ne rs. the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Why was a ne w T oddle r CARE - Inde x ne e de d? • Adding a frustra tio n ta sk to the o ld T o ddle r CARE -I nde x (3 minute pla y inte ra c tio n) to ma ke the ne w T CI (5 minute pro c e dure - ma de up o f 3 minute s pla y, 1 minute frustra tio n & 1 minute re pa ir) ha s intro duc e d stre ss to a pro c e dure tha t wa s pre vio usly lo w stre ss a nd the re fo re o f limite d utility. the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Instr uc tions for the par e nt Yo u sho uld b e g in b y pla ying with yo ur c hild a s yo u usua lly • wo uld. T he n whe n yo u he a r the c a me ra pe rso n c o ug h, try to frustra te yo ur c hild. I f he is inte re ste d in a to y, yo u mig ht ta ke it a wa y. Yo u mig ht sa y tha t the pla y is o ve r, b ut no t o ffe r a nything e lse to do . I f yo u a re pla ying a g a me , yo u mig ht b re a k the rule s. I f he ne e ds he lp, yo u mig ht re fuse to g ive it. Yo u sho uld do so me thing tha t is unc o o pe ra tive a nd frustra te s him. Afte r a minute , the c a me ra pe rso n will c o ug h a g a in a nd • yo u c a n re turn to pla y in a wa y tha t ma ke s yo ur c hild c o mfo rta b le a g a in. Yo u c a n re turn to pla y so o ne r if yo u wa nt to . • So to summa rize , it is pla y, frustra te , re pa ir a nd pla y. • the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Bonus advantage ? • T he a dditio n o f the frustra tio n ta sk ma y ha ve g re a te r re le va nc e to the a g e g ro up b e c a use the fo c us is o n pa re nt-c hild hie ra rc hy & a utho rity ra the r tha n se pa ra tio n the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Me thod • Ove r c o urse o f 3 • T CI a dministe re d ye a rs, 31 in ho me visit ; pa rtic ipa nts we re • PAA unde rta ke n re c ruite d fro m a in ’ la b o ra to ry’ sta te run nurse ry (Childre n’ s in a re a o f hig h Ce ntre ) de pra va tio n a nd ne e d. the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Coding and Classific ation Data c olle c tion Coding • Almo st c o mple te • Pa rtia lly c o mple te • SSP c o urse pa rtic ipa nts • Se pa ra te g ro ups a c tive ly se e king o f re lia b le c o de rs risk sta tus a re c o ding b o th pa rtic ipa nts to pro c e dure s a dd into sa mple re a dy fo r a na lysis the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Pr oje c t plan Coding and c lassific ation Analysis & Wr iting • T o b e • Ana lysis will c o mple te d sta rt a s so o n a s e a rly Summe r da ta a va ila b le 2018 • Pa pe r to b e writte n up b y la te Summe r 2018 the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
DMM gain fr om the pr oje c t • I f va lida te d, the T CI (a nd its unde rlying DMM the o ry) is like ly to b e c o me wide ly use d within c hild pro te c tio n a nd re se a rc h. • T his will e nha nc e the visib ility o f the DMM a s a the o ry o f re le va nc e fo r c linic a l pra c tic e . the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Additional DMM gain fr om the pr oje c t • T he L o c a l Autho rity who c o lla b o ra te d o n the pro je c t is a do pting the DMM a s its the o ry fo r pra c tic e . • F urthe r pro je c ts a re pla nne d a s a dire c t re sult o f the c o lla b o ra tio n whic h will ho pe fully c o ntrib ute to the g ro wing b o dy o f DMM re se a rc h the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
F e e dbac k fr om the r e se ar c h te am • All o f the re se a rc h te a m spo ke o f b e ne fitting thro ug h the ir pa rtic ipa tio n in the pro je c t. • Vie wing the pro c e dure s in pro je c t me e ting s a llo we d nurse ry sta ff to g a in a ‘ diffe re nt b e tte r info rme d unde rsta nding ’ o f ke y c hildre n. • Childre n the y ha d pre vio usly wo rrie d a b o ut b e c a me le ss wo rriso me a nd c hildre n the y ha dn’ t b e e n wo rrie d a b o ut b e c a me wo rriso me … the inte rna tio na l a sso c ia tio n fo r the stud y o f a tta c hme nt
Be rtino ro , 2008 Camb ridg e , 2010 T o download pr ogr am mate r ials, c lic k he r e https:/ / www.ia sa - dmm.org / ia sa - c onfe re nc e / F rankfurt, 2012 Miami, 2015
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