Manuscript Details

Source

Peer reviewed?
Yes

Negrão, M., Pereira, M., Soares, I., & Mesman, J. (2014). Enhancing positive parent-child interactions and family functioning in a poverty sample: A randomized control trial. Attachment & Human Development, 16(4), 315-328.

High rating
Author Affiliation

Authors were affiliated with Catholic University of Portugal, the University of Minho in Portugal, and Leiden University in the Netherlands. Leiden University sponsors the VIPP home visiting program.

Funding Sources

This research was supported by Fundação Ciěncia e Tecnologia by Award Numbers SFRH/BD/45273/2008 and SFRH/BD/48411/2008.

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

Study Participants

Families were eligible for this study if (1) at least one risk related to quality of family relations or quality of parenting was present on the Portuguese short version of the Family Risks and Strengths Profile, (2) they had a child between 1 and 4 years of age, and (3) children were Portuguese and living with their biological mother as primary caregiver. Families were randomly assigned after pretest to either the intervention (29) or comparison (26) group based on a computer-generated list. The analytic sample included 43 families, 22 families in the intervention group and 21 families in the comparison group. Outcomes were assessed approximately one month after the last home visit in the intervention or after the last phone call for the comparison group. The mean age of children was 29.1 months at enrollment and 35.3 months at follow up. The mean age of mothers was 30 years old. Family education level was low, with the majority of mothers and fathers not having completed the Portuguese mandatory education level. Most families (79 percent) received welfare assistance.

Setting

The study took place in the North of Portugal.

Home Visiting Services

The Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) is a six session home visiting intervention for mothers of young children that uses a video-feedback technique to promote parental sensitivity and the use of positive discipline strategies. The first four intervention sessions took place in two-week intervals, and the last two sessions were scheduled one month apart. The first two sessions focus on building a relationship with the mother, focusing on child behavior, and emphasizing positive interactions in the video feedback. The second two sessions include working on actively improving mothers' parenting behaviors by focusing on strategies. The final two sessions aim to review previously presented information and feedback.

Comparison Conditions

Mothers in the comparison group received six telephone calls in parallel to when participants in the intervention group received the VIPP-SD sessions. Each researcher-led phone call lasted about 10 minutes and focused on a standard topic related to child development.

Were any subgroups examined?
No
Subgroups examined

There were no subgroups reported in this manuscript.

Study Participants

Families were eligible for this study if (1) at least one risk related to quality of family relations or quality of parenting was present on the Portuguese short version of the Family Risks and Strengths Profile, (2) they had a child between 1 and 4 years of age, and (3) children were Portuguese and living with their biological mother as primary caregiver. Families were randomly assigned after pretest to either the intervention (29) or comparison (26) group based on a computer-generated list. The analytic sample included 43 families, 22 families in the intervention group and 21 families in the comparison group. Outcomes were assessed approximately one month after the last home visit in the intervention or after the last phone call for the comparison group. The mean age of children was 29.1 months at enrollment and 35.3 months at follow up. The mean age of mothers was 30 years old. Family education level was low, with the majority of mothers and fathers not having completed the Portuguese mandatory education level. Most families (79 percent) received welfare assistance.

Setting

The study took place in the North of Portugal.

Home Visiting Services

The Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) is a six session home visiting intervention for mothers of young children that uses a video-feedback technique to promote parental sensitivity and the use of positive discipline strategies. The first four intervention sessions took place in two-week intervals, and the last two sessions were scheduled one month apart. The first two sessions focus on building a relationship with the mother, focusing on child behavior, and emphasizing positive interactions in the video feedback. The second two sessions include working on actively improving mothers' parenting behaviors by focusing on strategies. The final two sessions aim to review previously presented information and feedback.

Comparison Conditions

Mothers in the comparison group received six telephone calls in parallel to when participants in the intervention group received the VIPP-SD sessions. Each researcher-led phone call lasted about 10 minutes and focused on a standard topic related to child development.

Were any subgroups examined?
No
Subgroups examined

There were no subgroups reported in this manuscript.

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

Emotional Availability (EA) Scales: Positive parenting

1 month after last home visit/telephone call

High
0.63

Statistically significant, p= <.05

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Emotional Availability (EA) Scales: Sensitivity

1 month after last home visit/telephone call

High
0.42

Not statistically significant, p= >.05

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Emotional Availability (EA) Scales: Structuring

1 month after last home visit/telephone call

High
0.38

Not statistically significant, p= >.05

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Emotional Availability (EA) Scales: Nonintrusiveness

1 month after last home visit/telephone call

High
1.08

Statistically significant, p= <.001

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Emotional Availability (EA) Scales: Nonhostility

1 month after last home visit/telephone call

High
0.24

Not statistically significant, p= >.05

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Family Environment Scale (FES): Family relational functioning

1 month after last home visit/telephone call

High
0.57

Statistically significant, p= <.05

43 mothers

VIPP-SD vs. comparison, Portugal, full sample

Family Environment Scale (FES): Cohesion

1 month after last home visit/telephone call

High
0.89

Statistically significant, p= <.05

43 mothers

VIPP-SD vs. comparison, Portugal, full sample

Family Environment Scale (FES): Expressiveness

1 month after last home visit/telephone call

High
0.08

Not statistically significant, p= >.05

43 mothers

VIPP-SD vs. comparison, Portugal, full sample

Family Environment Scale (FES): Conflict

1 month after last home visit/telephone call

High
0.43

Not statistically significant, p= >.05

43 mothers

VIPP-SD vs. comparison, Portugal, full sample

Effect rating key
Favorable finding / Statistically significant
UnFavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant
Child development and school readiness
Outcome measure Timing of follow-up Rating Direction of Effect Effect size (absolute value) Stastical significance Sample size Sample description

Emotional Availability (EA) Scales: Positive child behavior

1 month after last home visit/telephone call

High
0.72

Statistically significant, p= <.05

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Emotional Availability (EA) Scales: Child responsiveness

1 month after last home visit/telephone call

High
0.76

Statistically significant, p= <.05

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Emotional Availability (EA) Scales: Child involvement

1 month after last home visit/telephone call

High
0.64

Statistically significant, p= <.05

43 mother/child dyads

VIPP-SD vs. comparison, Portugal, full sample

Effect rating key
Favorable finding / Statistically significant
UnFavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant