Video feedback compared to treatment as usual in families with parent-infant interaction problems: a randomized controlled trial.
Høivik, Magnhild Singstad; Lydersen, Stian; Drugli, May Britt; Onsøien, Ragnhild; Bergum Hansen, Marit; Berg-Nielsen, Turid Suzanne
Journal article, Peer reviewed
Permanent lenke
http://hdl.handle.net/11250/282436Utgivelsesdato
2015Metadata
Vis full innførselOriginalversjon
Child and Adolescent Psychiatry and Mental Health 2015, 9(3) 10.1186/s13034-015-0036-9Sammendrag
Background: For the first time to our knowledge, short- and long-term effects of a multi-site randomizedcontrolled 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.