Abstract
Improving parenting, child attachment, and externalizing behaviors: Meta-analysis of the first 25 randomized controlled trials on the effects of Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD). VIPP-SD combines support of parental sensitive responsiveness with coaching parents in sensitive limit setting. Here, we present meta-analyses of 25 RCTs conducted with more than 2,000 parents and caregivers. Parents or children had various risks. We examined its effectiveness in promoting parental cognitions and behavior regarding sensitive parenting and limit setting, in promoting secure child-parent attachment, and reducing externalizing child behavior. Web of Science, MEDLINE, PubMed, and recent reviews were searched for relevant trials (until May 10, 2021). Multilevel meta-analysis with META, METAFOR, and DMETAR in R took account of the 3-level structure of the datasets (studies, participants, measures). The meta-analyses showed substantial combined effect sizes for parenting behavior (r = .18) and attitudes (r = .16), and for child attachment security (r = .23), but not for child externalizing behavior (r = .07). In the subset of studies examining effects on both parenting and attachment, the association between effect sizes for parenting and for attachment amounted to r = .48. We consider the way in which VIPP-SD uses video-feedback an active intervention component. Whether VIPP-SD indeed stimulates secure attachment through enhanced positive parenting remains an outstanding question for further experimental study and individual participant data meta-analysis.
Highlights
Theory-based parenting interventions are the litmus test of causality and of the translational value of theories about parenting
Sessions last about 1–1.5 hr, and are usually home visits; this facilitates the transfer of trained skills to daily life and underscores the basic VIPP-SD idea of the parent being in charge with a visiting intervener in an empowering role
In each of the four outcome domains, we tested whether effect size of the studies was associated with risk of bias and with developer involvement separately because of its potentially crucial role in the trial
Summary
Theory-based parenting interventions are the litmus test of causality and of the translational value of theories about parenting. Child attachment, and externalizing behaviors: Meta-analysis of the first 25 randomized controlled trials on the effects of Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline. Developed and tested in more than 30 years on more than 2,000 families in 25 RCTs, the Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD; Juffer et al, 2008) has been the product of integrating social learning and attachment theory (Bosmans et al, 2020, 2021; Juffer et al, 2017). The intervener supports the parents or caregivers in reflecting on their own interactive images mirrored in the video-records (BakermansKranenburg et al, 2019)
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