THE CHILD-ADULT MEDICAL PROCEDURE INTERACTION SCALE-REVISED - AN ASSESSMENT OF VALIDITY

Investigated the validity of the Child-Adult Medical Procedure Interac tion Scale-Revised (CAMPIS-R) using multiple concurrent objective and subjective measures of child distress, approach-avoidance behavior,fea r, pain, child cooperation, and parents' perceived ability to help the ir preschool children during routine immunizations. Parents', staffs', and children's behaviors in the treatment room were videotaped and co ded. Results indicate that the validity of the CAMPIS-R codes of Child Coping and Distress, Parent Distress Promoting and Coping Promoting, and Staff Distress Promoting and Coping Promoting behavior were suppor ted, with all significant correlations being in the predicted directio n. An unanticipated finding was that the child, parent, and staff Neut ral behaviors were inversely related to some measures of distress and positively related to some measures of coping. Interobserver reliabili ty was high for each CAMPIS-R code.