A feasibility study and pilot RCT of a modified video-feedback parenting intervention for children in foster care with reactive attachment disorder: Brief study protocol

Abstract

Introduction: Looked after children are at significantly greater risk of experiencing attachment difficulties. There is an urgent need to develop and make available effective and cost-effective interventions for this group of highly vulnerable children. Video-Feedback Intervention to Promote Positive Parenting and Sensitive Discipline (VIPP-SD) is an extensively evaluated and effective treatment that is a promising intervention for children in care with attachment difficulties. Methods and analysis: This is a mixed-methods study. Firstly, with the guidance of experts in the field we will adapt the VIPP–Foster Care intervention for use in the context of children in foster care in the UK with symptoms of reactive attachment disorder. The identification of eligible participants will be supported by a screening mechanism run by the local authorities in collaboration with the university. Through a pilot randomised controlled trial we will test the screening process and the acceptability of the intervention and research assessments. Qualitative interviews will be conducted with key stakeholders and with carers who receive the new intervention. Ethics and dissemination: The complex consent process was designed based on consultation with experts and local authorities. This feasibility study and pilot trial will determine a range of key feasibility parameters in preparation for a future full-scale trial of the effectiveness and costeffectiveness of VIPP-FC. Findings of the pilot RCT and interviews will be published in peer-reviewed journals and presented to various audiences. Trial registration: This study was registered in the ISRCTN registry, with number ISRCTN18374094, on 05-22-2017 and the Central Portfolio Management System, CPMS ID: 34889.