title: ARE HEALTH VISITORS' OBSERVATIONS OF EARLY PARENT-INFANT INTERACTIONS RELIABLE? A CROSS-SECTIONAL DESIGN.
abstract: Health visitors need competences to promote healthy early parent-infant relationships. The aims of this study were to explore whether there are differences between groups of health visitors with and without additional parenting program education in terms of their knowledge of infant-parent interaction and their observation and assessment skills of such interactions. The cross-sectional study included 36 health visitors' certified Marte Meo therapists and 85 health visitors without additional parenting program education. Health visitors' observation skills were measured assessing five video-recorded mother-infant interactions. A questionnaire was used to measure their intention, self-efficacy, and knowledge. More certified Marte Meo therapists than health visitors without additional parenting program education reported a significantly higher mean level of knowledge of the early relationship, 6.42 (95% CI; 6.18-6.66) versus 5.05 (95% CI; 4.86-6.10), p = .04; and more certified Marte Meo therapists than health visitors without additional parenting program education reported a higher mean level of knowledge of infant self-regulation, 2.44 (95% CI; 2.18-2.71) versus 1.83 (95% CI; 1.62-2.03), p < .001. In the latter group, 54% (95% CI; 0.43-0.64) reported a significantly higher need for further education versus 22% (95% CI; 0.11-0.39), p = .001. Compared to health visitors without any parenting program education, health visitors certified as Marte Meo therapists reported a significantly higher frequency of correct assessment of mothers' sensitivity in two of five video-recordings, with 77.78% (95% CI; 0.61-0.87) compared to 45.88% (95% CI; 0.35-0.57) in Video 3, p = .001, and 69.44% (95% CI; 0.52-0.82) compared to 49.41% (95% CI; 0.39-0.60) in Video 4, p = .04, respectively. The results of the present study support the use of video-based education of health visitors to increase their knowledge of and skills in assessing parent-infant interactions. Randomized controlled trials are needed to determine whether the improved level of health visitors' knowledge and observation skills may be assigned to participation in the Marte Meo education program.
authors.affiliation: Aarhus University.
authors.forename: Ingeborg H
authors.initials: IH
authors.lastname: Kristensen
authors.affiliation: Aarhus University.
authors.forename: Tea
authors.initials: T
authors.lastname: Trillingsgaard
authors.affiliation: Aarhus University.
authors.forename: Marianne
authors.initials: M
authors.lastname: Simonsen
authors.affiliation: Aarhus University.
authors.forename: Hanne
authors.initials: H
authors.lastname: Kronborg
mesh_terms: D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006792:House Calls; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009034:Mother-Child Relations; D009726:Nurses / Q000523:psychology; D016017:Odds Ratio; D015203:Reproducibility of Results; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014741:Video Recording
keywords: Ausbildung; Beobachtungsfähigkeiten; CARE-Index bei Säuglingen; Eltern-Kind-Beziehung; Eltern-Kind-Interaktion; Infant CARE-Index; Intention; Marte Meo method; Marte Meo方法; Marte Meo法; Marte-Meo-Methode; Selbstwirksamkeit; Wissen; auto-efficacité; auto-eficacia; compétences d'observation; connaissances; conocimiento; destrezas de observación; entrenamiento; formation; health visitor; intención; intention; interacción progenitor-infante; interaction parent-nourrisson; knowledge; l'index CARE; méthode MarteMeo; método Marte Meo; observation skills; parent-infant interaction; parent-infant relationship; profesionales de salud que hacen visitas; relación progenitor-infante; relation parent-nourrisson; self-efficacy; training; visiteur de santé; Índice CARE del infante; “Health Visitor”; 乳幼児CARE指数; 健康訪問員; 嬰兒CARE指數; 嬰兒關係; 意図; 意圖; 父母嬰兒相互作用父母; 知識; 自己効力感; 自我效能; 親-乳幼児相互交流; 親-乳幼児関係; 観察技術; 觀察技能; 訓練; 訓練。