TY - JOUR
T1 - Effectiveness of an attachment-based intervention for the assessment of parenting capacities in maltreating families
T2 - A randomized controlled trial
AU - van der Asdonk, Sabine
AU - de Haan, Whitney D.
AU - van Berkel, Sheila R.
AU - van IJzendoorn, Marinus H.
AU - Rippe, Ralph C.A.
AU - Schuengel, Carlo
AU - Kuiper, Chris
AU - Lindauer, Ramon J.L.
AU - Overbeek, Mathilde
AU - Alink, Lenneke R.A.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - 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.
AB - 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.
KW - Entscheidungsfindung
KW - Kindesmisshandlung
KW - Parent
KW - RCT
KW - ajustement
KW - attachment-based intervention
KW - bindungsbasierte Intervention
KW - bébé
KW - capacidad de crianza
KW - child maltreatment
KW - elterliche Kapazitäten
KW - intervención con base en la afectividad
KW - intervention de psychologie
KW - maltrato infantil
KW - neurodéveloppement
KW - parenting capacity
KW - placement decisions
KW - toma de decisión
UR - http://www.scopus.com/inward/record.url?scp=85087218104&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85087218104&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/imhj.21874
DO - https://doi.org/10.1002/imhj.21874
M3 - Article
C2 - 32583501
SN - 0163-9641
VL - 41
SP - 821
EP - 835
JO - Infant Mental Health Journal
JF - Infant Mental Health Journal
IS - 6
ER -