Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 29;13(11):e078579.
doi: 10.1136/bmjopen-2023-078579.

Feasibility and acceptability of using the Alarm Distress BaBy (ADBB) scale within universal health visiting practice in England: a mixed-methods study protocol

Affiliations

Feasibility and acceptability of using the Alarm Distress BaBy (ADBB) scale within universal health visiting practice in England: a mixed-methods study protocol

Sharin Baldwin et al. BMJ Open. .

Abstract

Introduction: The Alarm Distress BaBy (ADBB) scale developed by Guedeney and Fermanian in 2001, is a validated screening tool designed for use by healthcare practitioners to identify infant social withdrawal. This study will explore the acceptability and feasibility of the use of the full ADBB scale and a modified ADBB (m-ADBB) scale as part of routine health visiting visits in England.

Methods and analysis: A mixed methods sequential exploratory design will be used. Five health visitors will be trained in using the ADBB scale and 20 in the m-ADBB scale, from two National Health Service sites in England. Qualitative semi-structured interviews will be carried out with health visitors after they receive the training and again 2 months after using the scales in routine family health visits. Quantitative data will also be collected from the same participants for a range of items during the study period. The theoretical framework of Normalisation Process Theory will underpin the study, to provide in-depth explanations of the implementation process. Qualitative data will be analysed using thematic analysis. Quantitative data will be analysed using descriptive analysis.

Ethics and dissemination: Ethical approval was granted by the University of Oxford Departmental Research Ethics Committee. Dissemination of results will be via organisational websites, social media platforms, newsletters, professional networks, conferences and journal articles.

Keywords: Community child health; Nurses; PUBLIC HEALTH; Primary Health Care; Protocols & guidelines.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

References

    1. Guedeney A, Pingault J-B, Thorr A, et al. Social withdrawal at 1 year is associated with emotional and behavioural problems at 3 and 5 years: the Eden mother-child cohort study. Eur Child Adolesc Psychiatry 2014;23:1181–8. 10.1007/s00787-013-0513-8 - DOI - PubMed
    1. Buss KA, Schumacher JRM, Dolski I, et al. Right frontal brain activity, Cortisol, and withdrawal behavior in 6-month-old infants. Behav Neurosci 2003;117:11–20. 10.1037//0735-7044.117.1.11 - DOI - PubMed
    1. Feldman R. Parent–infant synchrony and the construction of shared timing: physiological precursors, developmental outcomes, and risk conditions. J Child Psychol Psychiatry 2007;48:329–54. 10.1111/j.1469-7610.2006.01701.x - DOI - PubMed
    1. Brazelton TB, Koslowski B. Main M origins of reciprocity. In: Lewis M, Rosenblum L, eds. Mother–infant interaction. New York: Wiley, 1974: 57–70.
    1. Greenspan S, Wieder S. Regulatory disorders. In: Zeanah CH, ed. Handbook of infant mental health. New York: Guilford Press, 1993: 280–90.

Publication types