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

Magnhild Singstad Høivik, Stian Lydersen, May Britt Drugli, Ragnhild Onsøien, Marit Bergum Hansen, Turid Suzanne Berg- Nielsen, Magnhild Singstad Høivik, Stian Lydersen, May Britt Drugli, Ragnhild Onsøien, Marit Bergum Hansen, Turid Suzanne Berg- Nielsen

Abstract

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.

Keywords: Child; Intervention; Parent; RCT; Video feedback.

Figures

Figure 1
Figure 1
Inclusion, randomization, and attrition in the study.
Figure 2
Figure 2
EAS total scores at T1 compared with T2/T3 in VIPI vs TAU groups. EAS 1/EAS 2/EAS 3 total score: the Emotional Availability Scales score at inclusion (T1), after treatment (T2) and at the 6-month follow-up (T3). VIPI = 1(0) for the treatment group (TAU).
Figure 3
Figure 3
Mean EAS scores at baseline, after treatment and at the 6-month follow-up.
Figure 4
Figure 4
Between-group effects of VIPI/TAU on ASQ:SE scores at T2/T3 compared with T1 scores. VIPI = 1(0) for the treatment group (TAU). Centralized ASQ:SE values (using American norms for mean values) were applied for easier interpretation of the different ASQ:SE forms at each time point.
Figure 5
Figure 5
Between-group effects of VIPI/TAU on BDI scores at T2/T3 compared with T1 scores. VIPI = 1(0) for the treatment group (TAU).

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