Video feedback compared to treatment as usual in families with parent–child interactions problems: a randomized controlled trial

Chinese Medicine

Turid Suzanne Berg- Nielsen³  Marit Bergum Hansen¹  Ragnhild Onsøien¹  May Britt Drugli⁴  Stian Lydersen⁴  Magnhild Singstad Høivik² 

[1] National Network for Infant Mental Health, Oslo, Norway;St Olavs Hospital, Trondheim University Hospital, Division of Psychiatry, Trondheim, Norway;The Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway;Regional Centre for Child and Youth Mental Health and Child Welfare - Central Norway, Faculty of Medicine, The Norwegian University of Science and Technology, Trondheim, N-7491, Norway

关键词: Child;    Parent;    Video feedback;    Intervention;    RCT;   

Others  :  1142316
DOI  :  10.1186/s13034-015-0036-9

 received in 2014-09-08, accepted in 2015-01-30,  发布年份 2015

【 摘 要 】

Background

For the first time to our knowledge, short- and long-term effects of a multi-site randomized-controlled trial (RCT) of video feedback of infant–parent interaction (VIPI) intervention in naturalistic settings are published. The intervention targets families with children younger than 2 years old and parent–child interactions problems. Outcome variables were 1) observed parent–child interactions and 2) parent-reported child social and emotional development. Between-group differences of the moderating effects of parental symptoms of depression, personality disorders traits, and demographic variables were investigated.

Method

The study had a parallel-group, consecutively randomized, single-blinded design; participants were recruited by health- and social workers. Seventy-five families received VIPI, and 57 families received treatment as usual (TAU). Videotapes of each parent–child interactions were obtained before treatment, right after treatment, and at a 6-month follow-up and coded according to Biringen’s Emotional Availability Scales. Parental symptoms of depression and personality disorder traits were included as possible moderators.

Results

Evidence of a short-term effect of VIPI treatment on parent–child interactions was established, especially among depressed parents and parents with problematic interactions–and, to some extent, among parents with dependent and paranoid personality disorder traits. A long-term positive effect of VIPI compared with TAU on child social/emotional development was also evident. In a secondary analysis, VIPI had a direct positive effect on the depressive symptoms of parents compared with TAU.

Conclusion

The findings of the study support the use of VIPI as an intervention in families with interaction difficulties.

Trial registration

Current Controlled Trials ISRCTN99793905 webcite.

【 授权许可】

   
2015 Høivik et al.; licensee BioMed Central.

【 图 表 】

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