Video feedback intervention to enhance parental reflective function in primary caregivers of children with severe psychiatric disorders : feasibility randomized trial
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Date
2021
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Abstract
Parenting interventions for children who are admitted in a psychiatric hospitalization are scarce, Video Feedback (VF) intervention have proved to be effective in promoting parental and child wellbeing. Parental Reflective Functioning (PRF) is one of the parental abilities that can be improved with VF and could be especially important in coping with conflict and negative emotions in older children. The objective of this research was to evaluate the feasibility and acceptability of implementing Video Intervention Therapy (VIT) to improve RPF of primary caregivers of children hospitalized in a psychiatric service and provide evidence for a larger randomized control trial.
The study was a single center, two-arm feasibility randomized control trial with a qualitative component. Block randomization was done to generate a 2:1 allocation, leaving more participants in the intervention group. The intervention comprises four modules; every module has a one video-recorded play session and one VIT session (in a group setting) per week. Evaluation of caregivers included assessments of PRF and wellbeing, while child assessment included parent-ratings and clinician-ratings of symptomatology and general functioning.
Thirty participants were randomized; eligibility and recruitment rate were 70.6% and 83.3% respectively. Compliance-to-intervention rate was 85% in the VIT group and 90% in the control group. The intervention was acceptable to participants and feasible for therapists to deliver. Outcome data should be treated with caution due to the small numbers involved yet indicate that the VIT may have a positive effect in improving parental and child mental health.
In conclusion, VIT was feasible to deliver and acceptable for participants, therapist and the staff unit involved, there being sufficient evidence to undertake, with some design modifications, a full-scale effectiveness RCT. High quality preliminary evidence would indicate that VIT, as a tailored, evidence-base intervention, is feasible to implement in child psychiatric public services.
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Tesis (Doctor in Psychotherapy)--Pontificia Universidad Católica de Chile, 2021
Tesis (Doctor in Psychotherapy)--Universidad de Chile, 2021
Tesis (Doctor in Psychotherapy)--Universidad de Chile, 2021