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Validation of a Clinically Sensitive, Observational Coding System for Parenting Behaviors: The Parenting Clinical
Carri Hill1, Katie Maskowitz1, Barbara Danis1
1Institute for Juvenile Research, Department of Psychiatry MC 747, University of Illinois at Chicago, 1747 W. Roosevelt Rd., Chicago, IL 60608.
Objective:
The psychometric properties of a newly developed, clinically-sensitive, observational measure of parenting behavior, the Parenting Clinical Observational System (P-COS), are presented. The P-COS expands on existing observational coding systems by integrating qualitative and quantitative aspects of parenting behavior to directly inform clinical decision-making with parents of young children with disruptive behaviors.
Design:
Reliability and validity data were examined in a sample of mother-preschooler dyads (N = 335), and test-re-test reliability was assessed on an independent sample (N = 29).
Results:
Evidence was found for the reliability and validity of the P-COS, including evidence of inter-rater reliability, internal consistency, and distinctness of the three theorized P-COS domains: Responsive Involvement, Constructive Discipline, and Problematic Discipline. Convergent and divergent validity data are presented as well. The P-COS demonstrated incremental validity in predicting child disruptive behavior over and above self-reported parenting and was associated with change in child clinical status over time.
Conclusions:
Clinically informative observation methods that assess multiple dimensions of parenting within the context of a child disruptive behavior assessment provide useful information for directing treatment efforts.
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