Page Last Updated: October 17, 2025

ecPROMIS Child/Caregiver Relationship Scale🔗

Table Name:

mh_cg_pms__cc__inf

Full Name:

Early Childhood Patient-Reported Outcome Measurement Information System Child/Caregiver Relationship Scale

Construct:

Relationships

The ecPROMIS assesses normative variations in child behavior and should be interpreted within the context of the child's age and developmental stage. This is not clinical or diagnostic instrument.

The HBCD dataset includes many variables that may be important for sound and comprehensive analysis. The inclusion of additional variables will depend on the research question(s) and methodological approach. Users are encouraged to take time to explore the full range of available variables — especially those that may serve as controls, contextual indicators, confounders, mechanisms, or modifiers — to ensure thoughtful and well-supported analytic decisions. Other important considerations may include developmental functioning, broader family supports, and early adverse and protective exposures.

Administration & Quality Control🔗

Child Specific	Yes
Respondent	Primary caregiver
Administration	Self-administered remotely.
Visits	V03, V04, V06
Completion Time	1-2 min
Quality Control	QC procedures involved examination of missingness (by counting the number of items answered for each participant) and age to ensure that it falls within an expected range of 3-9 months. Summary statistics and visualizations were generated to review item-level frequencies, age, and scores (calculated with application of prorated scoring to account for missing data). Finally, Cronbach's Alpha was calculated to assess reliability.

Instrument Details🔗

The ecPROMIS (Early Childhood Patient-Reported Outcome Measurement Information System) offers clinicians and researchers a brief, efficient, and precise way to evaluate young children’s well-being. One component is the Child-Caregiver Relationship Scale, which assesses the degree to which young children develop close, satisfying relationships with caregivers. The ecPROMIS Child-Caregiver Relationship Form (Infancy: < 1 year) was developed for HBCD based on this scale (specifically the ecPROMIS Parent-Report Short Form v1.0 - Social Relationships – Child-Caregiver Interactions 5a Form) with updated language to make the items suitable for the pre-V03 age range (3 to 9 months) (i.e. the term ‘my child’ was replaced with 'my baby,' per the guidance of ecPROMIS developers, as the original measure was designed for 1-5 year old children).

Alterations were made to replace “parent” with “parent/caregiver” where appropriate. Because the psychometric validation for these measures was done using items from the original measures, future publications should account for and note edits made to individual items.

Each of the 5 items for ecPROMIS Child-Caregiver Interaction is answered on a scale of 1-5: 1 (Never), 2 (Rarely), 3 (Sometimes), 4 (Often), and 5 (Always). A sum score is generated when the caregiver answers at least 3 out of the 5 items (ecpromis1, ecpromis2, ecpromis3, ecpromis4, ecpromis5). If caregivers answer 3 or 4 items, a prorated sum score is calculated using the formula:

\[ \text{Prorated Score} = \left( \frac{\text{Sum of answered items}}{\text{Number of items answered}} \right) \times \text{5} \]

If fewer than 3 items are completed, the sum score is marked as missing.

References🔗

Blackwell, C. K., Lai, J.-S., Kallen, M., Bevans, K. B., Davis, M. M., Wakschlag, L. S., & Cella, D. (2022). Measuring PROMIS® Social Relationships in early childhood. Journal of Pediatric Psychology, 47(5), 573–584. https://doi.org/10.1093/jpepsy/jsac031

Cella, D., Blackwell, C. K., & Wakschlag, L. S. (2022). Bringing PROMIS to Early Childhood: Introduction and quaptative methods for the development of Early Childhood Parent Report instruments. Journal of Pediatric Psychology, 47(5), 500–509. https://doi.org/10.1093/jpepsy/jsac027

Lai, J.-S., Kallen, M. A., Blackwell, C. K., Wakschlag, L. S., & Cella, D. (2022). Psychometric considerations in developing PROMIS® measures for early childhood. Journal of Pediatric Psychology, 47(5), 510–522. https://doi.org/10.1093/jpepsy/jsac025

Park, C. H., Blaisdell, C. J., & Gillman, M. W. (2022). The NIH ECHO program: An impetus for the development of early childhood PROMIS tools. Journal of Pediatric Psychology, 47(5), 497–499. https://doi.org/10.1093/jpepsy/jsac010