The Modified ADBB. Assessing for Infant Withdrawal During Routine Examinations
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Dr. Stephen Matthey 1 , Dr. Rudi Črnčec 2,3 , Prof. Antoine Guedeney 4 1. Sydney South West Area Health Service; 2/3. The University of Western Sydney / Karitane, Caring for families; 4. Hôpital Bichat Claude Bernard, Paris. The modified ADBB (m-ADBB): Assessing for infant withdrawal during routine examinations Introduction • Infant social withdrawal can be an indicator of both physical and emotional difficulties in the infant. The Full ADBB (Guedeney & Fermanian, 2001) enables clinicians to assess for such withdrawal during routine clinical examinations. Infants scoring as withdrawn on this Full ADBB have been found to have mothers reporting they were depressed or sad since the birth (Matthey et al., 2005). m-ADBB The m-ADBB consists of 5 items, easily remembered by the acronym ‘FEVAR’ (i.e., like ‘Fever’, but slightly mispelt !): Items 1. Facial Expression 2. Eye contact 3. Vocalisation 4. Activity 5. Relationship (with the clinician or observer). Each item is rated as either: - Satisfactory - Possible Problem - Definite Problem Training Training in the use of the m-ADBB may be conducted face-to-face (1 day), or via distance education. The training package contains: Relevant literature. Discussion on the differences between the Full ADBB and the m- ADBB. 4 ‘to-view’ video clips, with scores. 3 practice video clips, to be rated. 6 reliability clips, to be rated. Accreditation Detailed feedback is given initially for the practice clips. Once the user is confident on these clips, he/she then rates the reliability clips. Rating the 6 reliability clips to a required level of accuracy provides accreditation for the user for 12 months. A further set of video clips will need to be rated at 12 months, to ensure maintenance of the required reliability level. Modification to the Full ADBB In Australia many nurses routinely assess infant development using ratings of ‘Satisfactory’, ‘Possible Problem’, or ‘Definite Problem’ for each item. We thus undertook to modify the Full ADBB to utilise this same rating system. Within our Australian context, it appears that reducing the scoring format from 8 to 5 items will also increase inter-rater reliability, without sacrificing validity. This resulted in our reducing the m- ADBB to 5 items. Aims It is anticipated that the m-ADDB will facilitate: - screening for infant withdrawal in Australia - high inter-rater reliability. Contact details For more information on the m-ADBB Dr. Stephen Matthey (Australia) e: [email protected] tel: +61 2 9616 4262 Or for more information on training on the Full ADBB Prof. Antoine Guedeney (France) e: [email protected] Acknowledgements University of Western Sydney GWS Postdoctoral Research Fellowship Scheme References Guedeney, A., & Fermanian, J. (2001). A validity and reliability study of assessment and screening for sustained withdrawal reaction in infancy: the Alarm Distress Baby Scale. Infant Mental Health Journal, 22, 559-575. Matthey, S., Guedeney, A., Starakis, N., & Barnett, B. (2005). Assessing the social behaviour of infants: Use of the ADBB scale and relationship to mother's mood. Infant Mental Health Journal, 26(5), 442-458. Upcoming research We will shortly be conducting a project where we explore the psychometric properties of the m- ADBB, including the stability (test- retest reliability) of infant withdrawal behaviour.
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The Modified ADBB. Assessing for Infant Withdrawal During Routine Examinations
Transcript of The Modified ADBB. Assessing for Infant Withdrawal During Routine Examinations
Dr. Stephen Matthey1, Dr. Rudi Črnčec2,3, Prof. Antoine Guedeney4
1. Sydney South West Area Health Service; 2/3. The University of Western Sydney / Karitane, Caring for families; 4. Hôpital Bichat Claude Bernard, Paris.
The modified ADBB (m-ADBB): Assessing for infant withdrawal during
routine examinations
Introduction• Infant social withdrawal can be an
indicator of both physical and emotional difficulties in the infant.
The Full ADBB (Guedeney &Fermanian, 2001) enables clinicians to assess for such withdrawal during routine clinical examinations.
Infants scoring as withdrawn on this Full ADBB have been found to have mothers reporting they were depressed or sad since the birth (Matthey et al., 2005).
m-ADBBThe m-ADBB consists of 5 items,easily remembered by the acronym‘FEVAR’ (i.e., like ‘Fever’, but slightlymispelt !):
Items1. Facial Expression
2. Eye contact
3. Vocalisation
4. Activity
5. Relationship (with the clinician orobserver).
Each item is rated as either:
- Satisfactory- Possible Problem- Definite Problem
TrainingTraining in the use of the m-ADBB may be conducted face-to-face (1 day), or via distance education.
The training package contains:Relevant literature.
Discussion on the differences between the Full ADBB and the m-ADBB.
4 ‘to-view’ video clips, with scores.
3 practice video clips, to be rated.
6 reliability clips, to be rated.
Accreditation Detailed feedback is given initially for the practice clips. Once the user is confident on these clips, he/she then rates the reliability clips.
Rating the 6 reliability clips to a required level of accuracy provides accreditation for the user for 12 months.
A further set of video clips will need to be rated at 12 months, to ensure maintenance of the required reliability level.
Modification to the Full ADBBIn Australia many nurses routinely assess infant development using ratings of ‘Satisfactory’, ‘Possible Problem’, or ‘Definite Problem’ for each item.
We thus undertook to modify the Full ADBB to utilise this same rating system.
Within our Australian context, it appears that reducing the scoring format from 8 to 5 items will also increase inter-rater reliability, without sacrificing validity.
This resulted in our reducing the m-ADBB to 5 items.
AimsIt is anticipated that the m-ADDB will facilitate:
- screening for infant withdrawal in Australia
- high inter-rater reliability.
Contact details
For more information on the m-ADBB
Dr. Stephen Matthey (Australia)
tel: +61 2 9616 4262
Or for more information on training on the Full ADBB
Prof. Antoine Guedeney (France)
AcknowledgementsUniversity of Western Sydney GWS Postdoctoral Research Fellowship Scheme
ReferencesGuedeney, A., & Fermanian, J. (2001). A validity and reliability study of assessment and screening for sustained withdrawal reaction in infancy: the Alarm Distress Baby Scale. Infant Mental Health Journal, 22, 559-575.
Matthey, S., Guedeney, A., Starakis, N., & Barnett, B. (2005). Assessing the social behaviour of infants: Use of the ADBB scale and relationship to mother's mood. Infant Mental Health Journal, 26(5), 442-458.
Upcoming researchWe will shortly be conducting a project where we explore the psychometric properties of the m-ADBB, including the stability (test-retest reliability) of infant withdrawal behaviour.
