A Group Videoconferencing Intervention (C@nnected) to Improve Maternal Sensitivity: Protocol for a Randomized Feasibility Trial

Victoria Binda, Marcia Olhaberry, Carla Castañon, Constanza Abarca, Catalina Caamaño, Victoria Binda, Marcia Olhaberry, Carla Castañon, Constanza Abarca, Catalina Caamaño

Abstract

Background: Early childhood development is highly dependent on the sensitive care provided by caregivers, and interventions focused on supporting parents to improve their sensitivity have shown to be effective. The COVID-19 pandemic has had a significant impact on mental health, with pregnant women and mothers of infants being an especially vulnerable group and maternal sensitivity particularly affected. However, access to face-to-face interventions is restricted; thus, it is important to have remote interventions to support this group of mothers.

Objective: The objective of this study is to evaluate the feasibility and acceptability of C@nnected, a group videoconferencing intervention to improve maternal sensitivity aimed at mother-infant dyads attending primary health care centers in vulnerable areas of Santiago, Chile.

Methods: This is a randomized feasibility single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 3:2 allocation ratio (with more people allocated to the intervention arm). The intervention consists of 4 group videoconferencing sessions adapted from a face-to-face intervention with proven effectiveness. The control group will receive treatment as usual, along with educational brochures. The feasibility and acceptability of this study will be quantitatively and qualitatively assessed. Changes in clinical outcomes relating to maternal sensitivity, depressive symptoms, postpartum maternal attachment, and infant socioemotional development will also be evaluated.

Results: We finished adapting the face-to-face intervention to the videoconferencing format in July 2021. The study began recruitment in August 2021, and enrollment is expected to end in August 2022, with final study results expected in December 2022.

Conclusions: This study will contribute evidence for the use of eHealth interventions to promote maternal sensitivity. It will also inform the design and implementation of a future randomized clinical trial.

Trial registration: ClinicalTrials.gov NCT04904861; https://ichgcp.net/clinical-trials-registry/NCT04904861.

International registered report identifier (irrid): DERR1-10.2196/35881.

Keywords: Early childhood; caregiver; children; eHealth; eHealth intervention; group intervention; health intervention; maternal sensitivity; parenting; peer-support; primary care; responsive caregiving; videoconferencing.

Conflict of interest statement

Conflicts of Interest: None declared.

©Victoria Binda, Marcia Olhaberry, Carla Castañon, Constanza Abarca, Catalina Caamaño. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 15.08.2022.

Figures

Figure 1
Figure 1
Flowchart of participants. T0: preintervention assessment; T1: postintervention assessment.
Figure 2
Figure 2
Screenshot of a videoconference session.
Figure 3
Figure 3
Screenshots illustrating different intervention activities. (A) Common myths in attachment and parenting; (B) working with different emotions and expressions in infants; (C) watching videos showing different parenting situations; (D) inventing a story from an image that shows the challenges of parenting.
Figure 4
Figure 4
Study design schema. ASQ-SE-2: ages and stages questionnaire, social -emoaitonal; CEQ: measurement of credibility/expectancy questionnaire; ESA: adult sensibility scale; EPDS: Edinburgh postnatal depression scale; MPAS: maternal postnatal attachment scale; TAU: treatment as usual.

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