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Effectiveness of an attachment-based intervention for the assessment of parenting capacities in maltreating families: A randomized controlled trial.
Infant Mental Health Journal ( IF 2.150 ) Pub Date : 2020-06-24 , DOI: 10.1002/imhj.21874
Sabine van der Asdonk 1 , Whitney D de Haan 1, 2 , Sheila R van Berkel 1 , Marinus H van IJzendoorn 3, 4 , Ralph C A Rippe 1 , Carlo Schuengel 5 , Chris Kuiper 6, 7 , Ramon J L Lindauer 8, 9 , Mathilde Overbeek 5, 10 , Lenneke R A Alink 1
Affiliation  

Even though Parenting Capacity Assessments (PCAs) are essential for child protection services to support placement decisions for maltreating families, presently no evidence‐based PCA protocols are available. In this randomized controlled trial, we tested the quality of an attachment‐based PCA protocol based on Video‐feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP‐SD). We recruited 56 parent‐child dyads (Mage children = 3.48 years) in Dutch family residential clinics that conduct PCAs to support placement decisions. After pretest, families were randomized to receive the Regular Assessment Procedure (RAP) (n = 28), or an additional assessment based on VIPP‐SD (n = 28). An immediate post‐test and a 10‐month follow‐up were conducted. Multilevel models showed that therapists felt equally confident about their recommendations regarding child placement for both groups and that they equally often modified their initial placement recommendations. Moreover, children in the VIPP‐SD group did not show fewer behavior problems and did not experience recurring child maltreatment less often than children in the RAP group. Thus, we found no evidence that PCAs incorporating the VIPP‐SD protocol outperformed PCAs as usual. We discuss possible explanations why in the current study VIPP‐SD did not seem to add to the quality of the RAP.

中文翻译:

基于依恋的干预措施对营养不良家庭育儿能力评估的有效性:一项随机对照试验。

尽管育儿能力评估(PCA)对于儿童保护服务以支持不良家庭的安置决定至关重要,但目前尚无基于证据的PCA协议。在这项随机对照试验中,我们测试了基于附件的PCA协议的质量,该协议基于视频反馈干预以促进积极育儿和敏感纪律(VIPP-SD)。我们在荷兰的家庭住宅诊所招募了56个亲子二元组(M子女= 3.48岁),他们进行PCA以支持安置决定。预测试后,家庭被随机分配接受定期评估程序(RAP)(n = 28),或基于VIPP-SD的额外评估(n= 28)。立即进行了后期测试,并进行了10个月的随访。多层次模型表明,治疗师对他们对两组儿童安置的建议同样充满信心,并且他们同样经常修改其最初的安置建议。此外,与RAP组相比,VIPP-SD组中的儿童没有表现出更少的行为问题,也没有经历过反复出现的儿童虐待事件。因此,我们没有发现证据表明包含VIPP-SD协议的PCA像往常一样胜过PCA。我们讨论了可能的解释,为什么在当前研究中VIPP-SD似乎没有增加RAP的质量。
更新日期:2020-06-24
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