Manuscript Details

Source

Peer reviewed?
Yes

Van Zeijl, J., Mesman, J., Van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., Juffer, F., Stolk, M. N., . . . Alink, L. R. (2006). Attachment-based intervention for enhancing sensitive discipline in mothers of 1-to 3-year-old children at risk for externalizing behavior problems: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74(6), 994–1005.

High rating
Author Affiliation

Drs Juffer, Bakermans-Kranenburg, and van IJzendoorn, three authors of the study affiliated with Leiden University, are developers of the VIPP-SD intervention.

Funding Sources

The Netherlands Organization for Health Research and Development Award Number 2200.0097 supported this research.

Study Design

Design Attrition Baseline equivalence Confounding factors Valid, reliable measures?
Randomized controlled trial Low

Not assessed for randomized controlled trials with low attrition

No

Yes, details reported below for findings on valid, reliable outcomes that otherwise rate at least moderate

Notes

Models examining maternal discipline controlled for the baseline measure of the outcome. HomVEE did not review several analyses that tested overall impacts on multiple outcomes simultaneously. HomVEE does not have standards to rate overall effects that combine multiple outcomes; therefore, findings from these analyses are ineligible for review.

Study Participants

The study recruited families in the western region of the Netherlands from community records to obtain a sample of 1-, 2-, and 3-year-old children. To be eligible, children had to have traditional Dutch first and last names, live with two parents, and not be a twin. In addition, neither the child nor mother could have any serious medical conditions. Because this was a targeted intervention, it selected only children with scores above the 75th percentile on the Child Behavior Checklist Externalizing Problems scale. The study randomly assigned intervention and comparison groups. It included 237 motherchild dyads, 117 in the Video-feedback Intervention to Promote Positive Parenting Adapted-Sensitive Discipline (VIPP-SD) group and 120 in the comparison group. Children were, on average, 2 years old at baseline. For 64 percent of families, one or both parents had a bachelor’s or master’s degree. The study did not report further information about the race and ethnicity of the sample, though the sample sought to be culturally homogeneous by selecting children with Dutch first and last names.

Setting

The study took place in the western region of the Netherlands.

Home Visiting Services

VIPP-SD consisted of six 90-minute home visits; the first four visits were monthly and the last two were every other month. In each session, the home visitor started by videotaping standardized motherchild interactions, then reviewed video excerpts of the motherchild interactions from the previous week and provided some feedback. Each of the first four weeks focused on a specific theme, whereas the last two sessions reinforced material. Fathers could attend these last two booster sessions. The first two sessions focused on child behavior, whereas the second two focused on improving parenting strategies. The aim of the intervention was to increase maternal sensitivity and use of adequate discipline strategies.

Comparison Conditions

Mothers assigned to the comparison condition received six phone calls that consisted of a semi-structured interview that encouraged the mother to talk about their child’s development. Mothers did not receive any advice or information about child development.

Subgroups examined

• High level of marital discord • High level of daily hassles

Study Participants

The study recruited families in the western region of the Netherlands from community records to obtain a sample of 1-, 2-, and 3-year-old children. To be eligible, children had to have traditional Dutch first and last names, live with two parents, and not be a twin. In addition, neither the child nor mother could have any serious medical conditions. Because this was a targeted intervention, it selected only children with scores above the 75th percentile on the Child Behavior Checklist Externalizing Problems scale. The study randomly assigned intervention and comparison groups. It included 237 motherchild dyads, 117 in the Video-feedback Intervention to Promote Positive Parenting Adapted-Sensitive Discipline (VIPP-SD) group and 120 in the comparison group. Children were, on average, 2 years old at baseline. For 64 percent of families, one or both parents had a bachelor’s or master’s degree. The study did not report further information about the race and ethnicity of the sample, though the sample sought to be culturally homogeneous by selecting children with Dutch first and last names.

Setting

The study took place in the western region of the Netherlands.

Home Visiting Services

VIPP-SD consisted of six 90-minute home visits; the first four visits were monthly and the last two were every other month. In each session, the home visitor started by videotaping standardized motherchild interactions, then reviewed video excerpts of the motherchild interactions from the previous week and provided some feedback. Each of the first four weeks focused on a specific theme, whereas the last two sessions reinforced material. Fathers could attend these last two booster sessions. The first two sessions focused on child behavior, whereas the second two focused on improving parenting strategies. The aim of the intervention was to increase maternal sensitivity and use of adequate discipline strategies.

Comparison Conditions

Mothers assigned to the comparison condition received six phone calls that consisted of a semi-structured interview that encouraged the mother to talk about their child’s development. Mothers did not receive any advice or information about child development.

Subgroups examined

• High level of marital discord • High level of daily hassles

Findings that rate moderate or high in this manuscript

Positive parenting practices
Outcome measure Timing of follow-up Rating Direction of Effect Effect size (absolute value) Stastical significance Sample size Sample description
Maternal Attitudes Towards Sensitivity 1 year after enrollment High
0.58 Statistically significant, p <.01 237 mothers VIPP-SD vs. comparison, Netherlands 2001-2003, full sample
Maternal Attitudes Towards Sensitive Discipline 1 year after enrollment High
0.28 Statistically significant, p <.05 237 mothers VIPP-SD vs. comparison, Netherlands 2001-2003, full sample
Maternal Discipline: Positive Discipline 1 year after enrollment High
0.36 Statistically significant, p <.01 237 mothers VIPP-SD vs. comparison, Netherlands 2001-2003, full sample
Effect rating key
Favorable finding / Statistically significant
UnFavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant