The efficacy of circle of security on attachment and well-being in preschool children

Dehghani, Akram; Malekpour, Mokhtar; Abedi, Ahmad; Amiri, Shahrokh

doi:10.5267/j.msl.2013.12.031

Cited by 13 publications

(8 citation statements)

References 19 publications

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“…However, the core components in COS-VF are similar to the content of the original 20-week, group-based COS protocol that has shown promising results in quasi-experimental studies (see e.g., [16][17][18]), with the more recent addition of a small randomized trial that demonstrated its effectiveness on preschool children's attachment and well-being [19]. The main differences between the intervention protocols are its group-based format and focus on caregivers' core sensitivities, whereas COS-VF therapists work with individual families, focusing on strategies used to navigate close relationships and protect caregivers from emotional distress.…”

Section: Circle Of Security Virginia-family Modelmentioning

confidence: 99%

Identification of Implementation Strategies Used for the Circle of Security-Virginia Family Model Intervention: Concept Mapping Study (Preprint)

Nielsen¹,

Slinning²,

Oddli³

et al. 2018

Preprint

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Section: Circle Of Security Virginia-family Modelmentioning

confidence: 99%

Identification of Implementation Strategies Used for the Circle of Security-Virginia Family Model Intervention: Concept Mapping Study (Preprint)

Nielsen¹,

Slinning²,

Oddli³

et al. 2018

Preprint

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“…COS-I has shown positive results in uncontrolled trials on both improving the attachment of infants [ 29 , 30 ], toddlers and preschoolers [ 31 ] with a significant change in attachment from insecure to secure. A controlled Iranian trial of children age 4–6 years found significant improvements after the COS-I intervention on both the child’s attachment and child well-being after the intervention and in a 3 month follow-up, when compared with a control group [ 32 ]. This despite the small sample size (n = 48).…”

Section: Introductionmentioning

confidence: 99%

Protocol for a randomized controlled trial comparing the Circle of Security-parenting (COS-P) with treatment as usual in child mental health services

et al. 2022

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Background The quality of a child’s attachment to its primary caregiver plays an important role for its long-term socioemotional development. While ‘secure’ attachment is associated with better outcomes, ‘insecure’ attachment is associated with a higher risk of externalizing and internalizing symptoms. Children referred to mental health services show much higher rates of insecure attachment than the general population, yet the parent-child relationship is rarely in treatment focus. Attachment quality is closely associated with parental sensitive responsiveness that is target of attachment-based interventions like Circle of Security (COS). COS has shown to improve attachment quality and the well-being of both children and parents. No randomized controlled trials have investigated the effect of COS on parental sensitivity and child psychiatric symptoms in child mental health services. Objectives To investigate whether COS-Parenting (COS-P) can increase observed maternal sensitivity and decrease children’s psychiatric symptoms as an add on to treatment as usual (TAU). Methods In a randomized controlled parallel superiority trial COS-P is compared with TAU for parents of children referred to child mental health services (n = 186). Families are randomized 2:1 to intervention or control group, if their child is between 3 and 8 years old and scores ≥ 93d percentile on both the CBCL total score and the oppositional defiant disorder or conduct disorder subscale. Primary outcome is maternal sensitivity, secondary and exploratory outcomes include, among others, child psychiatric symptoms, parental stress and coping with children’s negative emotions. Outcomes and adverse events are assessed before (T0) and after 10 weeks of treatment (T1) and 6 months later (T2). Regression analysis and /or ANOVA will be used for all outcomes. Perspectives Targeting the parent-child relation has the potential to reduce psychiatric symptoms in children. This trial will provide valuable information if attachment-based interventions like COS-P can enhance treatment as usual in child mental health services. Trail registration ClinicalTrials.gov Identifier: NCT03578016.

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“…To our knowledge, there is no published research on COS-VF to date. However, the core components in COS-VF are similar to the content of the original 20-week, group-based COS protocol that has shown promising results in quasi-experimental studies (see, eg, [ 16 - 18 ]), with the more recent addition of a small randomized trial that demonstrated its effectiveness on preschool children’s attachment and well-being [ 19 ]. The main differences between the intervention protocols are its group-based format and focus on caregivers’ core sensitivities, whereas COS-VF therapists work with individual families, focusing on strategies used to navigate close relationships and protect caregivers from emotional distress.…”

Section: Introductionmentioning

confidence: 99%

Identification of Implementation Strategies Used for the Circle of Security-Virginia Family Model Intervention: Concept Mapping Study

Nielsen¹,

Slinning²,

Oddli³

et al. 2018

JMIR Res Protoc

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BackgroundA reoccurring finding from health and clinical services is the failure to implement theory and research into practice and policy in appropriate and efficient ways, which is why it is essential to develop and identify implementation strategies, as they constitute the how-to component of translating and changing health practices.ObjectiveThe aim of this study was to provide a systematic and comprehensive review of the implementation strategies that have been applied for the Circle of Security-Virginia Family (COS-VF) model by developing an implementation protocol.MethodsFirst, informal interviews and documents were analyzed using concept mapping to identify implementation strategies. All documentation from the Network for Infant Mental Health’s work with COS-VF was made available and included for analysis, and the participants were interviewed to validate the findings and add information not present in the archives. To avoid lack of clarity, an existing taxonomy of implementation strategies, the Expert Recommendations for Implementing Change, was used to conceptualize (ie, name and define) strategies. Second, the identified strategies were specified according to Proctor and colleagues’ recommendations for reporting in terms of seven dimensions: actor, the action, action targets, temporality, dose, implementation outcomes, and theoretical justification. This ensures a full description of the implementation strategies and how these should be used in practice.ResultsTen implementation strategies were identified: (1) develop educational materials, (2) conduct ongoing training, (3) audit and feedback, (4) make training dynamic, (5) distribute educational materials, (6) mandate change, (7) obtain formal commitments, (8) centralize technical assistance, (9) create or change credentialing and licensure standards, and (10) organize clinician implementation team meetings.ConclusionsThis protocol provides a systematic and comprehensive overview of the implementation of the COS-VF in health services. It constitutes a blueprint for the implementation of COS-VF that supports the interpretation of subsequent evaluation studies, facilitates knowledge transfer and reproducibility of research results in practice, and eases the replication and comparison of implementation strategies in COS-VF and other interventions.

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The efficacy of circle of security on attachment and well-being in preschool children

Cited by 13 publications

References 19 publications

Identification of Implementation Strategies Used for the Circle of Security-Virginia Family Model Intervention: Concept Mapping Study (Preprint)

Identification of Implementation Strategies Used for the Circle of Security-Virginia Family Model Intervention: Concept Mapping Study (Preprint)

Protocol for a randomized controlled trial comparing the Circle of Security-parenting (COS-P) with treatment as usual in child mental health services

Identification of Implementation Strategies Used for the Circle of Security-Virginia Family Model Intervention: Concept Mapping Study

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