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The Child-Adult Medical Procedure Interaction Scale-Revised: an assessment of validity
R L Blount1, L L Cohen, N C Frank
1Department of Psychology, University of Georgia, Athens 30602, USA.
Insights
The Child-Adult Medical Procedure Interaction Scale-Revised (CAMPIS-R) effectively measures child distress and coping during medical procedures. Neutral behaviors also play a role in managing distress and promoting coping in children, parents, and staff.
Area of Science:
- Pediatric Psychology
- Medical Sociology
- Child Development
Background:
- Assessing child distress during medical procedures is crucial for effective healthcare.
- The Child-Adult Medical Procedure Interaction Scale-Revised (CAMPIS-R) is a tool used for this assessment.
- Validating assessment tools ensures reliable data collection on child experiences.
Purpose of the Study:
- To investigate the validity of the CAMPIS-R.
- To examine its correlation with objective and subjective measures of child distress, behavior, fear, pain, and cooperation.
- To assess parents' perceived ability to help their children during immunizations.
Main Methods:
- Utilized multiple objective and subjective measures concurrently with the CAMPIS-R.
- Videotaped and coded behaviors of children, parents, and staff in the treatment room.
- Analyzed correlations between CAMPIS-R codes and other distress/coping measures.
Main Results:
- The validity of CAMPIS-R codes for Child Coping and Distress, Parent Distress Promoting and Coping Promoting, and Staff Distress Promoting and Coping Promoting behaviors was supported.
- All significant correlations aligned with predicted directions.
- Neutral behaviors in children, parents, and staff were unexpectedly inversely related to distress and positively related to coping.
Conclusions:
- The CAMPIS-R is a valid measure for assessing child and adult interactions during medical procedures.
- Neutral behaviors may play a significant, previously unrecognized role in mitigating distress and enhancing coping.
- High interobserver reliability indicates consistent application of the CAMPIS-R coding system.
Abstract:
Investigated the validity of the Child-Adult Medical Procedure Interaction Scale-Revised (CAMPIS-R) using multiple concurrent objective and subjective measures of child distress, approach-avoidance behavior, fear, pain, child cooperation, and parents' perceived ability to help their preschool children during routine immunizations. Parents', staffs', and children's behaviors in the treatment room were videotaped and coded. Results indicate that the validity of the CAMPIS-R codes of Child Coping and Distress, Parent Distress Promoting and Coping Promoting, and Staff Distress Promoting and Coping Promoting behavior were supported, with all significant correlations being in the predicted direction. An unanticipated finding was that the child, parent, and staff Neutral behaviors were inversely related to some measures of distress and positively related to some measures of coping. Interobserver reliability was high for each CAMPIS-R code.