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Video feedback for parental sensitivity and attachment security in children under five years
Leeanne O'Hara1, Emily R Smith2, Jane Barlow3
1Queen's University Belfast, School of Social Sciences, Education and Social Work, 6 College Park, Belfast, Northern Ireland, UK, BT7 1LP.
The Cochrane Database of Systematic Reviews
|November 30, 2019
Summary
Video feedback interventions show moderate evidence of improving parental sensitivity in at-risk children. However, evidence for improving attachment security, parental stress, or anxiety is limited or inconclusive, necessitating further research.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Intervention Science
Background:
- Secure attachment is crucial for child development, enabling emotional regulation and confident exploration.
- Parental sensitivity to child distress signals is key to fostering secure attachment.
- Video feedback is an intervention aimed at enhancing parental sensitivity and responsiveness.
Purpose of the Study:
- To evaluate the impact of video feedback interventions on parental sensitivity and child attachment security.
- To assess effects in children under five years at risk for poor attachment outcomes.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials (RCTs) and quasi-RCTs.
- Included studies assessed video feedback versus control conditions for parental sensitivity, reflective functioning, and attachment security.
- Searched multiple databases up to November 2018, including 22 studies with 1889 parent-child dyads.
Main Results:
- Moderate-certainty evidence indicates video feedback improves parental sensitivity (SMD 0.34).
- Very low-certainty evidence on attachment security is mixed, with one measure showing increased odds of secure attachment (OR 3.04) and another showing no effect.
- No significant impact was found on parental stress or anxiety; very low-certainty evidence suggests no effect on child behavior long-term.
Conclusions:
- Video feedback is a promising intervention for enhancing parental sensitivity in at-risk populations.
- More research is needed to confirm effects on attachment security and long-term child outcomes.
- Further investigation into paternal sensitivity and parental reflective functioning is warranted.
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