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Video feedback compared to treatment as usual in families with parent-child interactions problems: a randomized
Magnhild Singstad Høivik1, Stian Lydersen2, May Britt Drugli2
1Regional Centre for Child and Youth Mental Health and Child Welfare - Central Norway, Faculty of Medicine, The Norwegian University of Science and Technology, N-7491 Trondheim, Norway ; St Olavs Hospital, Trondheim University Hospital, Division of Psychiatry, Trondheim, Norway.
Insights
Video feedback of infant-parent interaction (VIPI) shows short-term benefits for parent-child interactions and long-term improvements in child social-emotional development. This intervention is particularly effective for parents experiencing depression or interaction challenges.
Area of Science:
- Child Development
- Clinical Psychology
- Family Therapy
Background:
- Parent-child interaction problems affect children under two.
- Video Feedback of Infant-Parent Interaction (VIPI) is a novel intervention.
- Parental mental health and personality traits may moderate intervention effects.
Purpose of the Study:
- To evaluate the short- and long-term effects of VIPI.
- To examine the impact of VIPI on observed parent-child interactions.
- To assess VIPI's influence on parent-reported child social and emotional development.
Main Methods:
- Multi-site randomized-controlled trial (RCT) with parallel groups.
- 75 families received VIPI, 57 received treatment as usual (TAU).
- Parent-child interactions videotaped pre-treatment, post-treatment, and at 6-month follow-up.
Main Results:
- VIPI demonstrated short-term positive effects on parent-child interactions, especially for depressed parents.
- Long-term positive effects of VIPI on child social/emotional development were observed.
- VIPI also showed a direct positive effect on parental depressive symptoms.
Conclusions:
- VIPI is a supported intervention for families facing parent-child interaction difficulties.
- The intervention shows promise for improving child social-emotional development.
- VIPI may also alleviate parental depressive symptoms.
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.
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