Effectiveness of the Online Video-feedback Intervention to Promote Positive Parenting and Sensitive Discipline (Online VIPP-SD). A Randomized Control Trial in Chile
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 140
- 主要终点
- Maternal sensitivity
研究概览
简要总结
The goal of this randomized controlled trial is to test whether the online Video-feedback Intervention to Promote Positive Parenting and Sensitive Discipline (VIPP-SD) can reduce parental burnout and improve parenting practices, in mothers of young children in Chile.
The main questions it aims to answer are:
- Does the online VIPP-SD increase maternal sensitivity and the use of consistent but gentle limit setting?
- Does it reduce parental burnout?
- Does it improve parental stress and child attachment security and reduce child conduct problems? Researchers will compare families who receive the online VIPP-SD to families in a waitlist control group with dummy treatment to see if VIPP-SD has benefits for parents and children.
Participants will be mothers of children aged 11-16 months at the start of the study who report elevated levels of parental burnout. Mothers in the intervention group will:
- Take part in 12 weekly online sessions with a trained intervener
- Receive video-feedback on their own interactions with their child
- Learn strategies to respond sensitively to their child's needs and to use positive discipline The study will also measure potential moderators such as maternal mental health, child temperament, and family sociodemographic factors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Mothers >18 years
- •Child age between 11 - 16 months old at first contact
- •Mothers scoring in the top 30% of our sample on the Parental Burnout Scale (BPPS)
- •Written informed consent of mothers as participants and guardians
- •Internet connection at mother's home.
排除标准
- •Child or parent with severe sensory impairment, learning disability, or language limitation
- •Sibling already participating in the trial
- •Family participating in active family court proceedings
- •Parent participating in another closely related research trial and/or receiving an individual video-feedback intervention.
研究组 & 干预措施
Control Group
Families in the control group will be contacted online individually by a psychologist (different from interveners) six times to discuss parenting strategies and child development, serving as an active control group. Later, they will receive the online VIPP-SD intervention in the experimental group by the same group of interveners.
Experimental Group
The intervention is delivered through a videoconference platform that allows 1) to record the parent-child tasks and 2) to simultaneously share the previously recorded parent- child interaction and provide feedback. The intervener provides directions in the recording sessions that ensure clearly capturing parent and child facial expressions during the task. Moreover, considering the delivery format, it is essential that both parents and interveners have access to good-quality internet and an electronic device (mobile phone, computer, tablet) with camera. To prevent fatigue arising from the delivery format, it was decided to shorten the sessions, with 30-minute sessions for recording the parent-child task and 40-60-minute sessions for video reviewing and feedback. Thus, Online-VIPP has 12 sessions with alternating recording sessions and video feedback sessions.
干预措施: Video Intervention to Promote Positive Parenting and sensitive discipline (VIPP-SD) (Behavioral)
结局指标
主要结局
Maternal sensitivity
时间窗: Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention).
The Ainsworth et al. sensitivity scale will be used to measure maternal sensitivity in a 10-minute free play session. Trained observers code the caregiver's behavior using two rating scales: Sensitivity vs. Insensitivity and Cooperation vs. Intrusiveness, on a scale ranging from 1 to 9, with high values indicating greater sensitivity and cooperation. The procedure will be applied twice, first in the pre-test at home and again in the post-test in the laboratory.
Parental Burnout
时间窗: Pre-test (pre-intervention for the experimental group and at the same time for the control group), and posttest (1 month after the end of the intervention).
The Parental Burnout Assessment (PBA) is a 23-item questionnaire measuring the four dimensions of parental burnout: exhaustion - physical and emotional tiredness, contrast - the perceived discrepancy between the ideal caregiver they would like to be and the one they are currently, a comparison that produces guilt, feelings of being fed up - feeling tired of the parental role, and emotional distancing - putting an affective distance between themselves and their children). The Likert scale response options are: "never" (0), "a few times a year or less" (1), "once a month or less" (2), "a few times a month" (3), "once a week" (4), "a few times a week" (5), "every day" (6). High scores imply high levels of parental burnout.
Maternal Limit Setting
时间窗: Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention).
Parental limit-setting will be observed in a don't touch task. The task is video-taped and parental limit- setting is coded for positive discipline, using an adapted version of the revised Erickson 7-point rating scale for supportive presence, physical interference, rated on a 5-point scale, and Laxness, rated on a 5-point scale.
Fidelity of the Online VIPP-SD
时间窗: Immediately after the intervention
Based on written and audio-recorded feedback of sessions, fidelity will be coded in terms of the delivery of key components of the treatment, as well as global adherence to the manual. Note that fidelity is promoted by regular intervision and supervision sessions. We will randomly select 10% of audio recordings for two assessors trained in the intervention to rate the adherence to the VIPP-SD manual using a 5-point scale (1 = Did not follow the manual at all, 2 = Adapted most of the material, did not follow the manual closely, 3 = Sometimes adapted the material, followed manual somewhat, 4 = Adapted only minor elements, followed the manual quite closely, and 5 = Followed the manual very closely and delivered the session as specified). A score of 3 will be set as the acceptable fidelity threshold, as to receive this score most core components of the intervention are present in the feedback.
次要结局
- Hair Cortisol Concentrations(Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention).)
- Child Conduct Problems(Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention))
- Infant attachment security(Post-test (1 month after the end of the intervention).)
- Health and social care service use(Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention))
- Parent's quality of life(Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention))
研究者
RODRIGO ALEJANDRO CARCAMO LEIVA
Full Professor
Universidad San Sebastián