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Attachment-based intervention for enhancing sensitive discipline in mothers of 1- to 3-year-old children at risk for
Jantien Van Zeijl1, Judi Mesman, Marinus H Van IJzendoorn
1Centre for Child and Family StudiesLeiden University, Leiden, Netherlands.
Insights
The Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) program effectively improved maternal sensitivity and parenting. It also reduced behavioral problems in children from families facing marital discord or daily hassles.
Area of Science:
- Developmental Psychology
- Clinical Psychology
- Family Studies
Background:
- Externalizing behaviors in young children (1-3 years) are a significant concern for families.
- Attachment and coercion theories provide frameworks for understanding parent-child interactions.
- Home-based interventions can be effective in addressing parenting and child behavior issues.
Purpose of the Study:
- To evaluate the effectiveness of the Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) program.
- To assess the impact of VIPP-SD on maternal attitudes, parenting practices, and child externalizing behaviors.
- To explore moderating effects of marital discord and daily hassles on intervention outcomes.
Main Methods:
- A randomized controlled trial involving 237 families with children aged 1-3 years exhibiting high externalizing behavior scores.
- The intervention group received six home-based 1.5-hour sessions of VIPP-SD, focusing on parent-child interaction feedback.
- A control group received no intervention during the study period.
Main Results:
- VIPP-SD significantly enhanced maternal attitudes toward sensitivity and sensitive discipline compared to the control group.
- The intervention led to increased sensitive discipline interactions in the parent-child dyad.
- Children in families with higher marital discord or daily hassles showed a significant decrease in overactive problem behaviors.
Conclusions:
- The VIPP-SD program is an effective intervention for improving parenting sensitivity and reducing child behavioral problems.
- The findings support the integration of VIPP-SD into broader attachment-based intervention frameworks.
- Home-based video feedback shows promise for supporting families facing significant stressors.
Abstract:
The home-based intervention program Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) was tested in a randomized controlled trial with 237 families screened for their 1- to 3-year-old children's relatively high scores on externalizing behavior. VIPP-SD, based on attachment theory and coercion theory, focuses on mirroring and discussing actual parent-child interactions in six 1.5-hr sessions with individual families at home. VIPP-SD proved to be effective in enhancing maternal attitudes toward sensitivity and sensitive discipline and in promoting sensitive discipline interactions in the intervention group as compared with the control group. Moreover, in families with more marital discord and in families with more daily hassles, the intervention resulted in a decrease of overactive problem behaviors in the children. The authors conclude that VIPP-SD should become an important module in attachment-based interventions.
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