Is it possible to improve early childhood development with a video-feedback intervention directed at the mother-father-child triad?

Olhaberry, Marcia; León, María José; Sieverson, Catalina; Escobar, Marta; Iribarren, Daniela; Morales-Reyes, Irma; Mena, Constanza; Leyton, Fanny

doi:10.4081/ripppo.2019.324

Cited by 8 publications

(6 citation statements)

References 41 publications

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“…For instance, an intervention study aimed at strengthening the triadic interactions in families with premature children showed that improved interactions result in a significant reduction in parental stress and greater motor, language, and socio-emotional developmental outcomes in the intervention group [ 3 ]. Another intervention, intended to strengthen the triadic interaction with the help of video feedback, had positive results on full-term children’s communicative ability and motor development [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Family Function and Triadic Interaction on Preterm Child Development—A Systematic Review

2022

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Preterm infants are at high risk of developmental disability/delay and are more dependent on their caregiving environment for regulation due to their neurological immaturity. A premature birth is also a major stressor to the family system that constitutes the infant’s caregiving environment. The following systematic review investigates whether families with preterm children differ from families with full-term children in their interactions, and what impact the quality of family interaction has on child development. Using the Cochrane model, we conducted a systematic review of quantitative studies published in psycINFO, socINDEX, and PubMed, concerning family quality in triadic interactions in families with premature infants and children, and at least one child development outcome variable. The quality of these studies was assessed using the Newcastle–Ottawa scale assessment form for cohort studies (NOS). Eleven studies were included in the review. Quality of family interactions is either equal to or poorer in families with preterm children, compared with families with full-term children. Importantly, the link between quality of family interactions and child development outcome is stronger in preterm children compared with full-term children, regarding both positive and negative influence. Our results highlight the importance of strengthening family interactions in order to promote development in preterm children. Notably, this review provides the first systematic overview of family function and the quality of triadic interactions in preterm families. The limited number of studies with a family-system focus makes it difficult for us to draw any definitive conclusions, while underscoring the need for more observational studies, particularly post-infancy, to be able to identify specific aspects of family interactions that may be critical for preterm child development.

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Section: Discussionmentioning

confidence: 99%

The Role of Family Function and Triadic Interaction on Preterm Child Development—A Systematic Review

2022

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“…This intervention was developed considering previous experiences from the research team using video-feedback in a short and home-visit intervention with mother-baby dyads with depressive symptoms and relationship difficulties (Olhaberry, Leon, Seguel, & Mena, 2015 ) and with mother-father-child triads (Olhaberry et al ., 2019 ). In turn, this cited intervention is based on previous evidence of attachment-based intervention using video-feedback as their main intervention strategy, namely attachment and biobehavioural catch-up (ABC), Video-feedback Intervention to promote positive parenting (VIPP-SD), video intervention therapy (VIT), and opportunities for the development of sensitive, effective and affective interactions model (ODISEA).…”

Section: Methodsmentioning

confidence: 99%

“…This intervention was developed considering previous experiences from the research team using video-feedback in a short and home-visit intervention with motherbaby dyads with depressive symptoms and relationship difficulties (Olhaberry, Leon, Seguel, & Mena, 2015) and with mother-father-child triads (Olhaberry et al, 2019). In The implementation model considers 30 hours of training for therapists, including a 2-hours weekly reflective supervision group in which videos are analyzed and each case is discussed, along with the therapist independent work on the case between sessions.…”

Section: Interventionmentioning

confidence: 99%

Beyond the Outcomes: Generic Change Indicators in a video-feedback intervention with a depressed mother and her baby: a single case study

Sieverson

Olhaberry

Duarte

et al. 2022

RES PSYCHOTHER-PSYCH

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The present single case study explored and described the intervention process and therapeutic change expression through the Generic Change Indicators model (GCI) aiming to answer the question of “What changes when you change?”. We reasoned that psychotherapy process research in child and dyadic psychotherapy is scarce, as well as needed because it accounts for the content and mechanisms related to the therapeutic change and its association with interventions’ effectiveness. To explore this possibility, we conducted a single case qualitative study to explore and describe the intervention process through the GCI within a brief intervention mentalization-informed with video-feedback, with a depressive mother and her baby. Specifically, Patient’s ongoing change was determined through the identification of Episodes of Change (EC) and the Moment of Change (MC) that occurs within it. Each MC was then labeled with one of the 19 GCIs. Results of the single case study showed that the GCI model is a feasible model to observe and comprehend dyadic interventions. GCI were observed from the beginning of the intervention, increasing the hierarchical level of the GCI throughout the intervention, and associated with the video-feedback situation. To investigate processes of intervention using the methodology here proposed, allows us to understand the intervention not only from a perspective of effectivity and outcomes but considering the ongoing therapeutic change. In this sense, research like this contributes to the growing body of evidence supporting the training and supervision of psychotherapists.

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“…The proposed intervention has been developed considering other evidence-based interventions using VF with mother-baby dyads like: Attachment and Biobehavioral Catch-up (ABC), (Dozier, & Bernard, 2017), Video-feedback Intervention to promote Positive Parenting VIPP-SD 34 , Group Attachment-Based Intervention (GABI) 35,36 , Minding The Baby 37,38 , Video Intervention Therapy (VIT) 8 , ODISEA model 39,40 And two Chilean interventions conducted by clinical researchers from this study, aimed at fostering parental sensitivity, improving quality in family relationships, and improving socio-emotional childhood development [41][42][43] . This Mentalization Informed VF (MI-VF) intervention is explicitly tailored to suit the needs of mothers with depression and their 4-12 months old babies.…”

Section: Intervention Arm: Tau + Video Feedback + Psychoeducational Cardsmentioning

confidence: 99%

Internet Mentalization Informed Video Feedback (MI-VF) Intervention to Improve Parental Sensitivity in Mother-Infant Dyads with Maternal Depressive Symptoms: Study Protocol for a Randomized Controlled Feasibility Trial

Olhaberry

Leyton

Morán

et al. 2021

Preprint

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Background: Depressive symptoms in the postpartum period are a highly prevalent mental health problem. COVID-19 restrictions have increased maternal clinical symptoms during the postpartum period, leading to a high demand for mental health assistance and the need for cost-effective care adjusted to this new context. Video feedback (VF) has been a particularly cost-effective strategy in early interventions focused on maternal sensitivity. However, these interventions usually do not include mentalization as one of the critical elements involved in sensitive and attachment relationships. Also, these interventions are generally carried out in face-to-face settings. This study's main goal is to evaluate the feasibility and acceptability of a brief internet mentalization informed with VF to improve the sensitive response in mother-baby dyads with postpartum depressive symptoms attended in primary health centers.Methods/design: This randomized feasibility trial will include 60 mother-baby dyads. Participants will be randomized and allocated in a 1:1 ratio. A random number sequence will be computer-generated in varying block sizes (2&4) and stratified by center. The intervention aims to improve maternal sensitivity and mentalizing by using a model based on video-feedback methodology in a virtual modality. The intervention consists of four sessions plus one pre-intervention assessment session and psychoeducational cards. Control dyads will receive only psychoeducational cards once a week. Additionally, dyads from both groups will receive the health center’s treatment as usual. A MI-VF manual guides each intervention session, but its application is tailored to each dyad, VF therapists will receive one weekly group supervision session. Data will be collected at baseline, 4 weeks and 3 months follow-up. The main goal of this trial is to assess feasibility outcomes (recruitment rate and data completion) and change in maternal sensibility.Discussion: This study will inform parameters for the future implementation of a large randomized controlled clinical trial, contributing to the current scarce evidence on mentalization informed interventions that use VF as their primary intervention strategy. Also, this study will provide a cost-effective internet-based intervention model, feasible to be implemented in public health settings.Trial registration: NCT04748731

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Is it possible to improve early childhood development with a video-feedback intervention directed at the mother-father-child triad?

Cited by 8 publications

References 41 publications

The Role of Family Function and Triadic Interaction on Preterm Child Development—A Systematic Review

The Role of Family Function and Triadic Interaction on Preterm Child Development—A Systematic Review

Beyond the Outcomes: Generic Change Indicators in a video-feedback intervention with a depressed mother and her baby: a single case study

Internet Mentalization Informed Video Feedback (MI-VF) Intervention to Improve Parental Sensitivity in Mother-Infant Dyads with Maternal Depressive Symptoms: Study Protocol for a Randomized Controlled Feasibility Trial

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