Video-Feedback Intervention to promote Positive Parenting adapted to Autism (VIPP–AUTI)

2

Manuscripts

Released in 2002 through 2021

1

Manuscript

Impact studies rated high or moderate quality

Services intended at ages
0-11 months (WILL BE REMOVED)
12-23 months
24-35 months
36-47 months
48+ months
Favorable results from well-defined research
Positive parenting practices

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Effectiveness

Does not meet criteria established by the U.S. Department of Health and Human Services for an evidence-based home visiting model.

Does not meet criteria for an evidence-based home visiting model for Indigenous peoples and communities.

Extent of Evidence

For more information about manuscripts, search the research database.

For more information on the criteria used to rate research, please see details of HomVEEʼs methods and standards.

2

Manuscripts

Released in 2002 through 2021

2

Manuscripts

Eligible for review

1

Manuscript

Impact studies rated high or moderate quality

Note: When an individual manuscript reports findings from multiple studies, HomVEE reviews each study as a distinct manuscript. In these rare instances, HomVEE counts that manuscript multiple times in this table, once for each study identified, screened, and reviewed by HomVEE.

Summary of Findings

To see details on each manuscript HomVEE reviewed in well-designed research, click on the manuscript counts in the table.

Favorable:
A finding showing a statistically significant impact on an outcome measure in a direction that is beneficial for children and parents.

No effect:
Findings are not statistically significant.

Unfavorable:
A finding showing a statistically significant impact on an outcome measure in a direction that may indicate potential harm to children and/or parents.

Outcomes Manuscripts Favorable Findings No Effects Findings Unfavorable Findings
Child development and school readiness View 1 Manuscript 0 6 0
Child health Not measured - - -
Family economic self-sufficiency Not measured - - -
Linkages and referrals Not measured - - -
Maternal health Not measured - - -
Positive parenting practices View 1 Manuscript 1 2 0
Reductions in child maltreatment Not measured - - -
Reductions in juvenile delinquency, family violence, and crime Not measured - - -

Implementation

In this section:

Overview

Theoretical approach, intended population, and targeted outcomes.

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Support Availability

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Service Delivery

Model services, adaptions and enhancements, model intensity and length.

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Requirements

Staffing and organizational requirements.

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Overview

Theoretical approach

VIPP-SD serves caregivers with children ages 1 through 6 years old who have an increased risk of behavioral problems. For the purpose of the HomVEE review, the only studies of VIPP-SD included were those of sites that included families with children ages 1 through 5.

Intended population

VIPP-SD aims to promote sensitive responsiveness and sensitive discipline by increasing caregivers (1) knowledge of child development, (2) skill in observing and responding to their children’s signals, (3) capacity to empathize with their children, and (4) use of appropriate discipline strategies.

Targeted outcomes

VIPP-SD consists of visits conducted in the caregiver’s home while one child is present. During the first visit, the home visitor introduces the caregiver to the VIPP-SD model and answers any questions. The home visitor also records a video of the caregiver and child interacting. After the visit, the home visitor views the recording, selects clips of the video to share with the caregiver, and prepares feedback on the selected clips. During subsequent home visits, the home visitor begins by recording another round of caregiver–child interactions, and then the home visitor and caregiver discuss the prepared video clips from the previous visit. The home visitor provides feedback and tips on the following topics:

Parental sensitivity, which involves the following:
  • Attending to the child’s subtle signals and expressions
  • Appropriately reacting to a child’s signals
  • Sharing positive and negative emotions

    Sensitive discipline, which involves the following:
  • Using consistent discipline strategies and setting limits
  • Using distraction and noncoercive responses to challenging child behavior
  • Providing positive reinforcement by praising the child’s positive behavior and ignoring attention-seeking behavior
  • Providing time-outs to de-escalate temper tantrums
  • Empathizing with the child

    Although the intervention manual specifies the general content of each visit, the home visitor tailors feedback to each family based on the home visitor’s observations.

    • Highlights

    Services intended at ages
    0-11 months (WILL BE REMOVED)
    12-23 months
    24-35 months
    36-47 months
    48+ months

    Support Availability

    Implementation support availability

    VIPP-SD is theoretically grounded in attachment theory, developed by John Bowlby and Mary Ainsworth, and coercion theory, developed by Gerald Patterson. Attachment theory emphasizes the importance of sensitive responsiveness, which refers to a caregiver accurately perceiving and responding to a child’s signals. Coercion theory states that children are more likely to exhibit negative behavior when caregivers use ineffective discipline techniques. VIPP-SD blends the two theories by encouraging caregivers to take into account the child’s perspective and signals when providing discipline.

    VIPP-SD has been adapted for specific target populations, including families with infants, families with children who have autism, children in foster care, and second-generation Turkish families (described in Adaptations and Enhancements). Another adaptation of the model, Video-feedback Intervention to promote Positive Parenting adapted to Child Care, serves teaching staff in child care settings (and, because it is not delivered by home visits, that adaptation was excluded from the HomVEE review). This profile is based on versions of VIPP-SD that use home visiting as the primary service delivery method.

    Service Delivery

    Model services

    VIPP-SD consists of seven home visits that last about two hours each. Visits typically occur once or twice a month.

    Model intensity and length

    VIPP-SD is being implemented in more than 15 countries.

    Adaptations and enhancements

    No information is available about the recommended or required type of organization or the characteristics of organizations that can implement VIPP-SD.

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    Requirements

    Staffing requirements

    Any professional working with caregivers of young children, including teachers, special educators, psychologists, nurses, social workers, child psychiatrists, and behavioral health staff, can implement the model. Home visitors should have a basic understanding of attachment theory and child development.

    No information is available on the minimum requirements for other types of staff required to implement the model.

    HomVEE requests input and feedback from the model developers on their profiles. The information in this implementation profile reflects feedback, if provided, from this model’s developer as of the above date. HomVEE reserves the right to edit the profile for clarity and consistency. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Model developers are encouraged to notify HomVEE of any changes to their contact information on this page.