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

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.

journal_name

Child Adolesc Psychiatry Ment Health

journal_title

Child and adolescent psychiatry and mental health

authors

Høivik MS,Lydersen S,Drugli MB,Onsøien R,Hansen MB,Nielsen TS

doi

10.1186/s13034-015-0036-9

subject

Has Abstract

pub_date

2015-02-12 00:00:00

pages

issn

1753-2000

pii

journal_volume

pub_type

杂志文章

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