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Abstract
BackgroundFoster children are at higher risk of the development of behavior and emotional problems, which can contribute to the development of insecure attachment bonds with their foster parents and (subsequently) to placement breakdown. Sensitive parenting might minimize the adverse effects of the behavior and emotional problems. Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline in Foster Care (VIPP-FC) is an adaptation of the evidence-based Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) and aims at increasing sensitive parenting and the use of sensitive discipline strategies of foster parents. The current study is the first to examine the effectiveness of VIPP-FC.MethodsA randomized controlled trial is used with 60 foster parent-child dyads (intervention group n = 30, control group n = 30). The primary outcomes are parental sensitivity, parental disciplining, and parental attitudes towards parenting. Data about attachment (in)security, behavioral and emotional problems, neurobiological parameters, and possible confounders is additionally collected.DiscussionExamining the effectiveness of VIPP-FC contributes to the knowledge of evidence-based prevention and intervention programs needed in foster care practice.Trial registrationNTR3899.
Highlights
Foster children are at higher risk of the development of behavior and emotional problems, which can contribute to the development of insecure attachment bonds with their foster parents and to placement breakdown
In order to meet the needs of foster parents and enhance the effectiveness for foster families in improving the quality of the relationship with their foster child, VIPP-SD has been adapted to VIPP Foster Care (VIPP-FC) in two ways: first, by enhancing sensitive physical contact to improve the stress regulation of both foster parents and children, and second, to support foster parents in recognizing behavioral signals that are specific for foster children and helping them to adequately respond to these signals
This study aims to test the following secondary hypotheses: 1) VIPP-FC results in increased oxytocin production during parent-child interactions in foster parents and their foster children; 2) VIPP-FC results in better physiological stress regulation in foster parents and foster children; 3) VIPP-FC results in a reduction of behavior problems in foster children; 4) VIPP-FC results in less disorganized and more secure attachment relationships between foster children and foster parents; 5) The increase in parental sensitivity/sensitive disciplining and the decrease in child problem behavior is mediated by an increase in oxytocin production and stress regulation in foster parents and foster children, respectively
Summary
Children in foster care are a vulnerable population. They are more likely to show an insecure attachment than children in biological families [2], which can contribute to behavior problems and psychopathology later in life [3,4,5]. Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) is one of the few evidence based intervention programs in The Netherlands in other populations than foster care [11, 12, 72]. In order to meet the need for evidence-based intervention programs in the Dutch foster care system, the current study aims to provide insight into the effectiveness of an adaptation of the VIPP-SD for foster care. The VIPP-FC training for foster care professionals was offered to all participating organizations in this study. In case the results will show that VIPP-FC is effective in increasing foster parent’s sensitivity and sensitive discipline, organizations can immediately continue the implementation of this new intervention as a component of their care to foster families. Author details 1Institute for Education and Child Studies, Leiden University, Leiden, The Netherlands. 2Yulius Academy, Yulius Mental Health, Barendrecht, The Netherlands. 3Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands
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