The Atypical Maternal Behavior Instrument for Assessment and Classification—Brief (AMBIANCE-Brief) was developed to provide a clinically useful and psychometrically sound assessment of disrupted parenting behavior for community practitioners. With prior evidence of this tool's reliability and validity in laboratory settings, this study aimed to determine whether providers from family service agencies could become reliable in the use of the level of disrupted communication following a brief training. Providers (N = 46) from three agency sites participated in a 2-day AMBIANCE-Brief training and, at the end of the training, coded eight videotaped mother–child interactions. Novice participant coding was compared to expert consensus ratings using intraclass correlations. On average, participants’ interrater agreement was good (ICC_mean = .84, SD = 0.10), with 89% meeting the reliability standards of ICC ≥ .70. In response to queries, 100% of participants indicated that they would recommend the AMBIANCE-Brief training to their colleagues, 85% reported that the AMBIANCE-Brief measure would be useful or very useful for their clinical practice, and 56% of participant clinicians believed that parents would find the measure acceptable or very acceptable for integration into intervention or support planning. Altogether, these findings speak to the feasibility of using the AMBIANCE-Brief in community settings. Future studies are needed in diverse clinical and community contexts to evaluate whether use of this assessment tool can inform more targeted interventions tailored to the specific needs of families.

中文翻译：

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培训服务提供者关于在社区环境中使用的 AMBIANCE-Brief 措施的可行性

用于评估和分类的非典型孕产妇行为工具 - 简要 (AMBIANCE-Brief) 旨在为社区从业者提供临床上有用和心理测量学上正确的育儿行为中断评估。凭借此工具在实验室环境中的可靠性和有效性的先前证据，本研究旨在确定家庭服务机构的提供者是否可以在经过简短培训后在使用中断通信水平方面变得可靠。提供者 ( N = 46) 来自三个机构站点参加了为期 2 天的 AMBIANCE-Brief 培训，并在培训结束时编码了八段母子互动录像。使用组内相关性将新手参与者编码与专家共识评级进行比较。平均而言，参与者的内部一致性很好（ICC_平均值 = .84，SD = 0.10)，89% 达到 ICC ≥ .70 的可靠性标准。在回答询问时，100% 的参与者表示他们会向他们的同事推荐 AMBIANCE-Brief 培训，85% 的人报告说 AMBIANCE-Brief 测量对他们的临床实践有用或非常有用，并且 56% 的参与者临床医生认为父母会认为该措施可以接受或非常可接受，以纳入干预或支持计划。总之，这些发现说明了在社区环境中使用 AMBIANCE-Brief 的可行性。未来需要在不同的临床和社区环境中进行研究，以评估使用该评估工具是否可以为针对家庭特定需求量身定制的更有针对性的干预措施提供信息。