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Development of the FLO Video-Coding Tool to Evaluate Responsive Caregiver-Child Interactions, Oregon, 2022-2024

Principal Investigator(s):  View help for Principal Investigator(s) Andrea Imhof, University of Oregon, Prevention Science Institute

Version:  View help for Version V1

Name File Type Size Last Modified
FLO - Gold Standard Practice - Gold_Standard_1_HR.odx application/xml 50.9 KB 06/03/2025 01:32:PM
FLO - Gold Standard Practice - Gold_Standard_2_AB.odx application/xml 80 KB 05/16/2025 08:26:AM
FLO - Gold Standard Practice - Gold_Standard_3_AB.odx application/xml 74.5 KB 05/16/2025 08:27:AM
FLO - Gold Standard Practice - Gold_Standard_4_EA.odx application/xml 61.3 KB 05/16/2025 08:27:AM
FLO - Gold Standard Practice - Gold_Standard_5_HR.odx application/xml 80.3 KB 05/16/2025 08:27:AM
FLO Chart Final.pdf application/pdf 27 KB 05/16/2025 08:27:AM
FLO Coding Glossary FINAL.pdf application/pdf 70.7 KB 05/16/2025 08:26:AM
Gold_Standard_1.mov video/quicktime 543.3 MB 07/07/2025 11:01:AM
Gold_Standard_2.mov video/quicktime 545.1 MB 05/16/2025 08:55:AM
Gold_Standard_3.mov video/quicktime 285.1 MB 05/16/2025 08:55:AM

Project Citation: 

Imhof, Andrea. Development of the FLO Video-Coding Tool to Evaluate Responsive Caregiver-Child Interactions, Oregon, 2022-2024. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2025-09-03. https://doi.org/10.3886/E231862V1

Project Description

Summary:  View help for Summary In 2022, researchers at the University of Oregon recognized a significant gap in the field of dyadic video coding for parent-child interactions. Specifically, it became evident that there were few existing observational coding measures that can accurately, efficiently, and feasibly quantify parent-child interactions in the context of OUD-specific populations. Pilot funds were awarded to accomplish three aims: a) Develop a viable video-coding system with the potential to efficiently and accurately evaluate responsive parenting behaviors within OUD populations (The FLO Coding Tool); b) evaluate the psychometric properties of the FLO Coding Tool to establish the measure’s reliability and validity; and c) evaluate the FLO Coding Tool’s sensitivity to change. Over the course of two years, the project team successfully developed a viable coding system that quantifies the extent to which caregivers follow their children's lead during dyadic interactions. FLO proved to have strong psychometric properties and has been used to detect intervention effects in an intervention study with low-SES, high risk families. Next steps for this project will include its direct application to OUD populations as a key measure for several of the ongoing parenting interventions within the P-50.
Funding Sources:  View help for Funding Sources NIH/NIDA

Scope of Project

Geographic Coverage:  View help for Geographic Coverage Oregon, United States
Time Period(s):  View help for Time Period(s) 2022 – 2024
Data Type(s):  View help for Data Type(s) other
Collection Notes:  View help for Collection Notes Study Design:
The development of the FLO Coding Tool involved the creation of a flowchart and an accompanying detailed glossary of terms that outlines the specific FLO coding rules. The initial measure was developed by a team of trained video-coders who worked closely together to make collaborative decisions about the final coding materials. This team also created five consensus-coded Gold Standard Videos to be used as training materials for new coders. Inter-rater reliability was established after the FLO development team successfully trained several teams of naive coders using these Gold Standard Videos; they were able to achieve consistently high levels of inter-rater reliability following coder training. These trained coding teams then coded three archival datasets designed to test the feasibility and validity of the tool across contexts. Data from these three archival datasets were used to establish the validity of the tool, describe its relationship to other relevant caregiver and child outcomes, and evaluate the tool's sensitivity to change over time.

Inclusion Criteria:
  • This study did not collect new data but used existing archival videos from three different (existing) intervention projects.


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Published Versions

V3 [2026-06-04]

V2 [2026-01-09]

V1 [2025-09-03]

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