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challengingbehavior

IPCI! Indicator of Parent-Child Interaction A Practitioner-Friendly Tool for Monitoring Progress in Parent-Child Interaction. www.challengingbehavior.org. Judith Carta & Kathleen Baggett Juniper Gardens Children’s Project www. igdi .ku.edu. Goals today. Tell you what IPCIs are.

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challengingbehavior

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  1. IPCI! Indicator of Parent-Child InteractionA Practitioner-Friendly Tool for Monitoring Progress in Parent-Child Interaction www.challengingbehavior.org Judith Carta & Kathleen Baggett Juniper Gardens Children’s Project www.igdi.ku.edu

  2. Goals today • Tell you what IPCIs are. • Describe how they are used. • Discuss practice void that IPCIs fill. • Describe preliminary efforts at scaling up their use.

  3. How can we identify the youngest children with challenging behaviors? • Ask parents and caregivers • Observe in naturalistic situations • Set up natural opportunities for interaction and observe

  4. We need to know about caregivers’ behavior too. • Caregivers’ behavior often sets the occasion for children’s behavior • Caregivers provide a critical context for their children’s development. • High-risk interactions • Supportive/facilitative behavior • Enhancing caregivers’ responsiveness is often an important target for intervention

  5. What Features Are Needed in an Indicator of Earliest Interactions? • Easy-to-use: to screen and identify at-risk interactions with very young children • Quick and repeatable: to allow for progress monitoring in the context of interventions • Easily trained: So interventionists from varying disciplines can use them efficiently and communicate with each other • Traditional psychometric properties

  6. What is the IPCI? • An experimental measure of parent-child interaction • Being field-tested and refined to screen & monitor parent-child interaction • For use by early interventionists such as: >Part-C EI Teachers >Early Head Start Advocates >Social Workers >Home Visiting Nurses

  7. What does the IPCI Measure? • Parent Behavior • Child Behavior • Dyadic Behavior

  8. How is IPCI administered? • In family homes or other caregiving settings (centers, foster homes) • 4 semi-structured authentic activities are observed for a total of 10 minutes • 14 items are rated on a 4-point scale for relative frequency (following observation) • Videotaping is not required (except for intervention purposes)

  9. What Activities are Observed? • Free Play (4 minutes) • Book Reading (2 minutes) • Distraction Task (2 minutes) • Dressing (2 minutes)

  10. Free Play • - ‘Whatever you & your child love to do together’ • Mail Free Play Getting Mail.mpg

  11. Dressing: ‘What it’s like to get your child dressed’ Video Clip

  12. Looking at Books: However you and child would like to use these books’ ‘ Looking at Books.wmvVideo Clip

  13. Distraction Task ‘Please stay on the blanket with your child and keep child away from recorder’

  14. IPCI Parent & Child Domains • Parental Caregiver Domains • Facilitators • Interrupters • Child Domains • Engagement • Distress

  15. IPCI Child Domains Child Engagement • Positive Feedback • Sustained Engagement • Follow-Through Child Distress • Overwhelmed by negative affect (fussing, whining, crying, difficult-to-read signals) • Externalizing behavior (tantrum) • Frozen, Watchful, Withdrawn

  16. Initial Scaling Up Efforts • Website • Funding from Early Head Start in KS and Mo to scale up use statewide • Funding from ACF to explore use of IPCI by programs and practitioners • Funding from OSEP to compare web-based versus in-person training

  17. The IGDI Website: ww.igdi.ku.edu

  18. Use of Indicators Can Lead to Improvements in Intervention • Can help practitioners know more quickly when a change is necessary • Can help administrative staff understand when programs need improvements

  19. Types of IPCI Reports • Interventionists and Supervisors • Assessor certification and use • Child and Family Background • Domain Reports • Essential Element Reports • Program Administrator • Agency Administrator

  20. Uses for Interventionist Reports • Progress monitoring • Guiding intervention with families • Sharing data with parents • Reflective supervision • Mental health consultation

  21. Uses for Program and Agency Administrator Reports • Reporting program staff involvement in progress monitoring • Reporting frequency of program monitoring and number of families involved • Reporting the difference in the number of children and parents whose interactions are at above benchmark following particular program-wide interventions • Reporting the difference in number of children and parents whose interactions are at or above benchmark at the end of a program as compared to at entry

  22. Conclusion • We expect IPCIs will be useful to: • screen for high-risk dyads • monitor progress in dyadic interventions • We expect that stronger “interventionist-friendly” measures will lead to more effective interventions.

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