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I have been asked to circulate this which could fill an important niche for health visitors.Cheryll TRAINING OPPORTUNITY The Parent-Infant InteractionObservation Scale It has become increasingly clear that the Healthy Child Programme demands a simple way of assessing the interaction between parents and infants in the early months, so that the more vulnerable families can be offered HCP Plus and Partnership Plus support. The CARE Index has become popular in the UK but has increasingly become more and more complex and more and more difficult for a person to become reliable. Thus I saw the need for a simple and accessible assessment tool. I am now in a position to be able to offer a three day training course in such an assessment tool, the newly developed screening tool i.e. The Parent-Infant Interaction Observation Scale, which can be used with dyads where the infant is 2 – 7 months old. Initially the new tool was validated by having a group of professionals trained in the CARE Index, score a number of video clips with the new assessment tool. (And a thousand thanks for volunteering). This proved to be highly successful and the correlation between the sensitivity score of the CARE Index and the new tool was 0.77. This is of course highly significant. The qualitative feedback from the participants pointed out a number of possible improvements to the scale, which resulted in a somewhat slimmer tool, now consisting of 13 items. A second group of colleagues again undertook a validation and the correlation with the CARE Index sensitivity scale was as high as before. Additionally internal reliability was high. It is clear we now have a valid and reliable screening tool. Recently I undertook a two day training course with a group of health visitors in Warwickshire to assess whether they at the end of the training would be able to correctly assess parent-infant interaction to a screening level. Although I haven’t entirely completed the analysis the initial reactions were very positive. Thus I would now like to offer you and a group of your colleagues the opportunity to train using the tool during a three day training. The first two days of the training consists of a quick orientation to the precursors of attachment, the development of the tool itself, whilst most of the time is used to view, analyse and discuss parent-infant interactions scoring them with the tool. The third day (some 3 months later) is used to discuss and review video clips done and supplied by the participants. I can teach groups of up to 15 participants. Each participant must agree to supply five 3 minute “play and talk” interactions between parents and their 3-7 month old infants, to which the parent has consented that the clip can be used for training and teaching purposes. Having undertaken and supplied the clips the participants will then undertake a short reliability test and if successfully passed, will be able to use the scale. The parents must provide written consent that the clip can be used for teaching and training purposes and that they are happy to grant me and the Centre of Parent-Infant Psychology the copyright for the use for teaching and training professional audiences only. This means the clips will never be used in broadcasts, films or TV and that access to the clips will be secure. If you are interested and want to find out more, please, can contact me at per@... Dr P.O. Svanberg, OBEThe Centre of Parent-Infant Psychology Ltd (08066837)Newcastle, UK07908159988

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Hi CherylCan we send more Warwickshire Health Visitors? Our HVs loved itBest wishesTheresa Sent from my iPhoneOn 25 May 2012, at 17:53, Cheryll <cheryllma@...> wrote:

I have been asked to circulate this which could fill an important niche for health visitors.Cheryll TRAINING OPPORTUNITY The Parent-Infant InteractionObservation Scale It has become increasingly clear that the Healthy Child Programme demands a simple way of assessing the interaction between parents and infants in the early months, so that the more vulnerable families can be offered HCP Plus and Partnership Plus support. The CARE Index has become popular in the UK but has increasingly become more and more complex and more and more difficult for a person to become reliable. Thus I saw the need for a simple and accessible assessment tool. I am now in a position to be able to offer a three day training course in such an assessment tool, the newly developed screening tool i.e. The Parent-Infant Interaction Observation Scale, which can be used with dyads where the infant is 2 – 7 months old. Initially the new tool was validated by having a group of professionals trained in the CARE Index, score a number of video clips with the new assessment tool. (And a thousand thanks for volunteering). This proved to be highly successful and the correlation between the sensitivity score of the CARE Index and the new tool was 0.77. This is of course highly significant. The qualitative feedback from the participants pointed out a number of possible improvements to the scale, which resulted in a somewhat slimmer tool, now consisting of 13 items. A second group of colleagues again undertook a validation and the correlation with the CARE Index sensitivity scale was as high as before. Additionally internal reliability was high. It is clear we now have a valid and reliable screening tool. Recently I undertook a two day training course with a group of health visitors in Warwickshire to assess whether they at the end of the training would be able to correctly assess parent-infant interaction to a screening level. Although I haven’t entirely completed the analysis the initial reactions were very positive. Thus I would now like to offer you and a group of your colleagues the opportunity to train using the tool during a three day training. The first two days of the training consists of a quick orientation to the precursors of attachment, the development of the tool itself, whilst most of the time is used to view, analyse and discuss parent-infant interactions scoring them with the tool. The third day (some 3 months later) is used to discuss and review video clips done and supplied by the participants. I can teach groups of up to 15 participants. Each participant must agree to supply five 3 minute “play and talk†interactions between parents and their 3-7 month old infants, to which the parent has consented that the clip can be used for training and teaching purposes. Having undertaken and supplied the clips the participants will then undertake a short reliability test and if successfully passed, will be able to use the scale. The parents must provide written consent that the clip can be used for teaching and training purposes and that they are happy to grant me and the Centre of Parent-Infant Psychology the copyright for the use for teaching and training professional audiences only. This means the clips will never be used in broadcasts, films or TV and that access to the clips will be secure. If you are interested and want to find out more, please, can contact me at per@... Dr P.O. Svanberg, OBEThe Centre of Parent-Infant Psychology Ltd (08066837)Newcastle, UK07908159988

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Dear Theresa and CheryllIt certainly sounds interesting, very useful training and careful validation of the instrument. Getting specialised training free has to be a good offer - I hope the consent forms etc. for parents are all supplied as it might be a bit tricky otherwise. I noticed the instrument is for use when the infant is between 2 and 7 months old, which seems appropriate - I have heard about health visitors being asked to 'screen' for attachment using home-made (ie, invalid) instruments at the new birth visit, which seems wrong on several fronts. I wonder if you could tell us a bit about the 'uses and abuses' (to borrow 's catch-phrase that he applied to EPDS) of this instrument? Is it something you would consider appropriate for universal use (in which case, when and where - home or clinic?) or is it more suitable for use when there are already identified concerns? Two more questions - is it the instrument that is valid, or the person? Perhaps it is a tool that requires a particular level of expertise and skill - that is common and explains the need for three days training and offering free courses is a very good way of developing and ensuring the curriculum is right.Second - what if a problem is discovered? Are there suitable treatment facilities/specialists to whom the mother/infant can be referred if they wish? kind regardsOn 25 May 2012, at 18:20, Theresa Bishop wrote: Hi CherylCan we send more Warwickshire Health Visitors? Our HVs loved itBest wishesTheresa Sent from my iPhoneOn 25 May 2012, at 17:53, Cheryll <cheryllma@...> wrote: I have been asked to circulate this which could fill an important niche for health visitors.Cheryll TRAINING OPPORTUNITY The Parent-Infant InteractionObservation Scale It has become increasingly clear that the Healthy Child Programme demands a simple way of assessing the interaction between parents and infants in the early months, so that the more vulnerable families can be offered HCP Plus and Partnership Plus support. The CARE Index has become popular in the UK but has increasingly become more and more complex and more and more difficult for a person to become reliable. Thus I saw the need for a simple and accessible assessment tool. I am now in a position to be able to offer a three day training course in such an assessment tool, the newly developed screening tool i.e. The Parent-Infant Interaction Observation Scale, which can be used with dyads where the infant is 2 – 7 months old. Initially the new tool was validated by having a group of professionals trained in the CARE Index, score a number of video clips with the new assessment tool. (And a thousand thanks for volunteering). This proved to be highly successful and the correlation between the sensitivity score of the CARE Index and the new tool was 0.77. This is of course highly significant. The qualitative feedback from the participants pointed out a number of possible improvements to the scale, which resulted in a somewhat slimmer tool, now consisting of 13 items. A second group of colleagues again undertook a validation and the correlation with the CARE Index sensitivity scale was as high as before. Additionally internal reliability was high. It is clear we now have a valid and reliable screening tool. Recently I undertook a two day training course with a group of health visitors in Warwickshire to assess whether they at the end of the training would be able to correctly assess parent-infant interaction to a screening level. Although I haven’t entirely completed the analysis the initial reactions were very positive. Thus I would now like to offer you and a group of your colleagues the opportunity to train using the tool during a three day training. The first two days of the training consists of a quick orientation to the precursors of attachment, the development of the tool itself, whilst most of the time is used to view, analyse and discuss parent-infant interactions scoring them with the tool. The third day (some 3 months later) is used to discuss and review video clips done and supplied by the participants. I can teach groups of up to 15 participants. Each participant must agree to supply five 3 minute “play and talk” interactions between parents and their 3-7 month old infants, to which the parent has consented that the clip can be used for training and teaching purposes. Having undertaken and supplied the clips the participants will then undertake a short reliability test and if successfully passed, will be able to use the scale. The parents must provide written consent that the clip can be used for teaching and training purposes and that they are happy to grant me and the Centre of Parent-Infant Psychology the copyright for the use for teaching and training professional audiences only. This means the clips will never be used in broadcasts, films or TV and that access to the clips will be secure. If you are interested and want to find out more, please, can contact me at per@... Dr P.O. Svanberg, OBEThe Centre of Parent-Infant Psychology Ltd (08066837)Newcastle, UK07908159988 = Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

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