Child Care Quality
Child Well-Being Measures
Parent Well-Being Measures
The Cohen Perceived Stress Scale (PSS-4)
The PSS-4 is a brief assessment for identifying and monitoring stress (Lee, 2012). Scores encompass a rating of the frequency with which participants report feeling stressed over the last month on a Likert-type scale ranging from 0 (never) to 4 (fairly often). Total scores range from 0 to 16, with scores of 3 or higher indicating the presence of stress (Lee, 2012).
The PSS-4 has high internal consistency (Cronbach’s α = 0.7) and is useful in situations in which a short stress questionnaire is required (Cohen, Kamarck & Mermelstein, 1983; Lee, 2012).
References
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
Lee, E. (2012). Review of the psychometric evidence of the Perceived Stress Scale. Asian Nursing Research, 6(4), 121–127. https://doi.org/10.1016/j.anr.2012.08.004
The Conflicts and Problems Scale (CPS)
The CPS is a brief assessment of intraparental conflict (Kerig, 1996). The CPS has 44-items that uses a 4-piont Likert-type scale ranging from 0 (never) to 3 (almost always). Participants are asked about minor and major conflicts on four subscales: frequency, severity, resolution, and efficacy of marital conflict (Kerig, 1996). For major conflicts, scores are doubled. Total scores range from 3 to 18.
The CPS has high internal consistency (α = .70-.98), convergent (r = .67) and discriminant validity, and good test-retest reliability (r = .63). Thus, the CPS is a well-validated tool for assessing parental conflict (Kerig, 1996).
In the present study, we used the frequency subscale of the CPS that includes 2 items.
References
Kerig, P. K. (1996). Assessing the links between interparental conflict and child adjustment: The conflicts and problem-solving scales. Journal of Family Psychology, 10(4), 454– 473. https://doi.org/10.1037/0893-3200.10.4.454
The Generalized Anxiety Disorder Scale (GAD-2)
The GAD-2 is a two-item assessment for identifying and monitoring anxiety (Donker, van Straten, Marks & Cuijpers, 2011). Scores encompass a rating of the frequency with which participants report feeling anxious over the last two weeks on a Likert-type scale ranging from 0 (not at all) to 3 (nearly every day). Total scores range from 0 to 6, with scores of 3 or higher indicating the presence of anxiety (Donker et al., 2011).
The GAD-2 has a sensitivity of 0.86 and a specificity of 0.83 for identifying major anxiety. The GAD-2 also has excellent reliability (Cronbach’s α = 0.92) and validity (AUC = 0.91), as indicated by high correlations with other depression measures (r ranging from .67 to .87). Thus, the GAD-2 is a well validated tool for assessing anxiety (Donker et al., 2011).
References
Donker, T., van Straten, A., Marks, I., & Cuijpers, P. (2011). Quick and easy self-rating of generalized anxiety disorder: Validity of the Dutch web-based GAD-7, GAD-2, and GAD-SI. Psychiatry Research, 188(1), 58–64. https://doi.org/10.1016/j.psychres.2011.01.016
The Patient Health Questionnaire (PHQ-2)
The PHQ-2 is a two-item assessment for identifying and monitoring depression (Löwe, Kroenke & Gräfe, 2005). Scores encompass a rating of the frequency with which participants report feeling depressed over the last two weeks on a Likert-type scale ranging from 0 (not at all) to 3 (nearly every day). Total scores range from 0 to 6, with scores of 3 or higher indicating the presence of depression (Löwe et al., 2005).
The PHQ-2 has high sensitivity and specificity for identifying major depressive disorder as well as any depressive disorder. The PHQ-2 also has high internal consistency (α = .83) and has demonstrated convergent validity, as indicated by high correlations with other depression measures (r ranging from .67 to .87). Thus, the PHQ-2 is a well validated tool for assessing depression (Löwe et al., 2005).
References
Löwe, B., Kroenke, K., & Gräfe, K. (2005). Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research, 58(2), 163–171. https://doi.org/10.1016/j.jpsychores.2004.09.006
Parenting Measures
Responsive Interactions for Learning - Parent
The Responsive Interactions for Learning – Parent (Prime et al., 2015) measures the capability of mothers to consider and respond to the knowledge and abilities of their children when working towards a joint goal (Prime et al., 2015, Prime et al., 2014). Mother-child dyads were filmed for 5 minutes as they interacted in a cooperative building task using Duplo blocks to replicate a design presented in a picture. Each individual was only allowed to touch two colours of the four colours of blocks.
Raters watched the clip once per dyad and were asked to quickly code the interaction based on general impressions. 11 items were coded using a 5-point Likert scale, ranging from ‘Not at all true’ (1) to ‘Very true’ (5). The items index constructs of communicative clarity (6 items), mind-reading (3 items) and mutuality building (2 items). Examples of items for each construct, respectively, include: ‘This mother is clear in her requests for help’; ‘This mother is sensitive to what her child knows and/or understands’; and ‘This mother promotes turn taking between her and her child.’ Higher scores indicate higher levels of Responsive Interactions for Learning – Parent
Responsive Interactions for Learning – Parent has excellent internal consistency (α = .92) and high inter-rater reliability (α = .84). Responsive Interactions for Learning – Parent operates similarly to a golden standard measure for maternal responsivity and demonstrates divergent validity (Prime et al., 2015)
References
Prime, H., Perlman, M., Tackett, J. L., & Jenkins, J. M. (2014). Cognitive sensitivity in sibling interactions: Development of the construct and comparison of two coding methodologies. Early Education and Development, 25(3), 240–258. https://doi.org/10.1080/10409289.2013.788428
Prime, H., Browne, D., Akbari, E., Wade, M., Madigan, S., & Jenkins, J. M. (2015). The development of a measure of caregiver cognitive sensitivity appropriate for use in primary care health settings. Journal of Child Psychology and Psychiatry, 56(4), 488– 495. https://doi.org/10.1111/jcpp.12320
The Parental Cognitions and Conduct Toward the Infant Scale (PACOTIS)
The PACOTIS is a 28-item parental self-report that measures parental perceptions and behaviours towards their infant (Boivin et al., 2005). Scores encompass a rating on a Likert-type scale ranging from 0 (not at all what I think) to 10 (exactly what I think), with higher scores indicating stronger perceptions and behaviors. The PACOTIS has 4 dimensions, which are as follows: 1) parental self-efficacy; 2) perceived parental impact; 3) parental hostile-reactive behaviours; and 4) parental overprotection. For our study, we only included 4 of the 28 items. Specifically, we included 2 items assessing the dimension of perceived parental impact, for example, “My behaviour has an effect on the intellectual development of my baby (for example, the way he/she thinks)” and 2 items assessing the dimension of perceived parental hostile-reactive behaviours, for example, “I have raised my voice with or shouted at my baby when he/she was particularly fussy.”
The PACOTIS has high internal consistency (Cronbach’s α = 0.75) and its subscales correlate well with other measures of parental perceptions towards infants (Črnčec, Barnett, & Matthey, 2010).
References
Boivin, M., Pérusse, D., Dionne, G., Saysset, V., Zoccolillo, M., Tarabulsy, G. M., Tremblay, N., & Tremblay, R. E. (2005). The genetic-environmental etiology of parents’ perceptions and self-assessed behaviours toward their 5-month-old infants in a large twin and singleton sample. Journal of Child Psychology and Psychiatry, 46(6), 612–630. https://doi.org/10.1111/j.1469-7610.2004.00375.x
Črnčec, R., Barnett, B., & Matthey, S. (2010). Review of scales of parenting confidence. Journal of Nursing Measurement, 18(3), 210–240. https://doi.org/10.1891/1061- 3749.18.3.210

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Michal Perlman
Professor, University of Toronto and Director
Dr. R.G.N. Laidlaw Research Centre,
University of Toronto
Email: michal.perlman@utoronto.ca
Telephone: 416-978-0596