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The Welch Emotional Connection Screen: Adapting observational methods to pediatric primary care via resident training
Affiliation:1. Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA;2. Department of Psychology, Williams College, Williams, MA, USA;3. Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA;4. Department of Anatomy and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA;5. Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA;6. Children’s Healthcare of Atlanta, Atlanta, GA, USA;1. Montclair State University, United States;2. The Johns Hopkins University, United States;1. Department of Psychology, The Graduate Center, The City University of New York, 365 Fifth Ave, New York, NY, 10016, United States;2. The College of Staten Island, City University of New York, United States;3. Macaulay Honors College, City University of New York, United States;4. Department of Counseling and Human Development, University of Haifa, Haifa, Israel;1. Department of Psychological & Brain Sciences, United States;2. Neuroscience & Behavior Program, University of Massachusetts, Amherst, United States;3. Department of Psychology, Merrimack College, United States;4. Institute for Applied Life Sciences, University of Massachusetts, Amherst, United States;1. Department of Psychology, Emory University, United States;2. Department of Obstetrics and Gynecology and Psychiatry, Columbia University Irving Medical Center, United States;3. New York State Psychiatric Institute, United States
Abstract:The Welch Emotional Connection Screen (WECS) is a novel instrument that is a brief, practicable, evidenced-based observational screening tool for assessing relationship health between parent and child. The WECS requires observing 2−3 min of face-to-face interactions between parent and child, without toys, prompts, paradigms or technology. Here, we describe a translational project from the coding lab to the primary care provider via a residency training program conducted with 50 residents during a 30-day developmental and behavioral pediatrics medical resident education rotation. The aims of this study were to evaluate the efficacy of WECS pediatric resident training: 1) to improve residents' accuracy in recognizing the dyadic behaviors of emotional connection (EC) via WECS training; and 2) to improve residents' attitudes, self-efficacy, and perceived professional norms (ASPPN) pertaining to Early Relational Health in Pediatrics. Results indicate that using a rapid prototyping approach to training, residents improved in their identification of dyads showing low to midrange levels of emotional connection. As well, resident attitudes about the importance of relationship health in pediatrics and their self-efficacy in identifying emotional connection improved significantly after this brief resident training.
Keywords:Emotional connection  Relationship health  Translational research  Observational methods  Pediatrics
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