Efficacy of the Circle of Security Intervention: A Meta-Analysis

Yaholkoski, Amber; Hurl, Kylee E.; Theule, Jennifer

doi:10.1080/15289168.2016.1163161

Cited by 55 publications

(39 citation statements)

References 16 publications

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“…Interventions covered in this meta-analysis and in a narrative review by Berlin et al (2016) included child-parent psychotherapy (Lieberman and Van Horn, 2005), attachment and bio-behavioural catch-up (Dozier et al, 2005), video-feedback intervention to promote positive parenting (Juffer et al, 2008) and circle of security (Powell et al, 2014). Meta-analyses focusing on specific systemic interventions have supported the effectiveness of child-parent psychotherapy (Barlow et al, 2016) and circle of security (Yaholkoski et al, 2016). Child-parent psychotherapy involves weekly dyadic sessions with mothers and children for about a year.…”

Section: Attachment Problemsmentioning

confidence: 99%

Family therapy and systemic interventions for child‐focused problems: the current evidence base

Carr

2018

Journal of Family Therapy

171

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This review updates previous similar papers published in JFT in 2000, 2009 and 2014. It presents evidence from meta‐analyses, systematic literature reviews, narrative literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with common mental health problems and other difficulties. In this context, systemic interventions include both family therapy and other family‐based approaches such as parent training, or parent implemented behavioural programmes. The evidence supports the effectiveness of systemic interventions either alone or as part of multimodal programmes for sleep, feeding and attachment problems in infancy; recovery from child abuse and neglect; conduct problems, emotional problems, eating disorders, somatic problems, and first episode psychosis.

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Section: Attachment Problemsmentioning

confidence: 99%

Family therapy and systemic interventions for child‐focused problems: the current evidence base

Carr

2018

Journal of Family Therapy

171

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“…A high level of parental stress may undermine parent sensitivity and responsiveness towards their son or daughter. Studies have shown that interventions based on attachment theory can boost self-efficacy in parents and induce attachment-related behavior between parents and their child [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Improving empathy and self-efficacy in caregivers of persons with intellectual disabilities, using m-learning (HiSense APP-ID): study protocol for a randomized controlled trial

Wingerden

Sterkenburg

Wouda³

2018

Trials

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BackgroundA secure attachment with one or more caregivers is one of the most important predictors of cognitive development and emotional wellbeing. Persons with intellectual disabilities (ID) have extra need for secure relationships with primary caregivers but can find making connections difficult. This study aims to explore the effect of a non-invasive m-learning intervention on the empathy and self-efficacy of caregivers, in view of improving attachment relationships with persons with ID.MethodsA randomized controlled trial (RCT) will be conducted to assess the efficacy of the HiSense APP-ID. The study will include 100 parents/relatives and 100 professional caregivers of adults with mild or moderate ID (18 years and older). Of both groups of participants, half will complete the m-learning intervention. Data will be collected before the intervention starts, immediately after completion of the m-learning, and 1 month after the intervention. Participants will complete questionnaires concerning knowledge about attachment theory, empathy and self-efficacy (primary outcome measures) and social validity (secondary measures).DiscussionThe intervention aims to increase caregiver understanding of attachment theory and to improve empathy and self-efficacy, which may lead to better care and less stress in social interactions. The HiSense APP-ID is an m-learning intervention that can be done independently on any digital device. The course is therefore easily accessible for caregivers of persons with ID. The current study will provide insight into the effectiveness of the intervention for parents/family members and professional caregivers of persons with mild or moderate ID.Trial registrationNederlands Trial Register, NTR 6944. Registered on 16 December 2017.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2772-7) contains supplementary material, which is available to authorized users.

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“…In spite of COS interventions being implemented in many countries, the empirical support is still limited (Berlin, Zeanah & Lieberman, ). A recent meta‐analysis, examining the efficacy of ten COS studies, concluded that the overall effects of the intervention demonstrate promising results, but more research is needed (Yaholkoski, Hurl & Theule, ). Significant within‐subject changes of children's attachment classifications from disorganized to organized, the majority changing to secure, were found after COS‐I intervention in a group of high‐risk toddlers and pre‐schoolers (Hoffman, Marvin, Cooper & Powell, ).…”

Section: Introductionmentioning

confidence: 99%

“…More recently, an RCT trial of COS‐P in a low‐income sample of mothers within the Head Start Program reported that intervention effects were moderated by maternal attachment style or depressive symptoms (Cassidy, Brett, Gross et al ., ). The four COS‐P studies included in the Yaholkoski and colleagues () meta‐study, were all students’ reports. One of the studies included was based on unpublished data (Gray, ), one was a conference poster (Page & Cain, ), and two were Master's or Doctoral theses (Horton, ; Renniee, n.d.).…”

Section: Introductionmentioning

confidence: 99%

Adding “Circle of Security – Parenting” to treatment as usual in three Swedish infant mental health clinics. Effects on parents’ internal representations and quality of parent‐infant interaction

Mothander

Furmark

Neander

2017

Scandinavian J Psychology

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. Adding "Circle of Security -Parenting" to treatment as usual in three Swedish infant mental health clinics. Effects on parents' internal representations and quality of parent-infant interaction. Scandinavian Journal of Psychology, 59,[262][263][264][265][266][267][268][269][270][271][272] This study presents effects of adding Circle of Security-Parenting (COS-P) to an already established comprehensive therapeutic model for early parentchild intervention in three Swedish infant mental health (IMH) clinics. Parents' internal representations and quality of parent-infant interaction were studied in a clinical sample comprised of 52 parent-infant dyads randomly allocated to two comparable groups. One group consisted of 28 dyads receiving treatment as usual (TAU) supplemented with COS-P in a small group format, and another group of 24 dyads receiving TAU only. Assessments were made at baseline (T1), 6 months after inclusion (T2) and 12 months after inclusion (T3). Changes over time were explored in 42 dyads. In the COS-P group, the proportion of balanced representations, as assessed with Working Model of the Child Interview (WMCI), significantly increased between T1 and T3. Further, the proportion of emotionally available interactions, as assessed with Emotional Availability scales (EA), significantly increased over time in the COS-P group. Improvements in the TAU-group were close to significant. Limitations of the study are mainly related to the small sample size. Strength is the real world character of the study, where COS-P was implemented in a clinical context not otherwise adapted to research. We conclude by discussing the value of supplementing TAU with COS-P in IMH treatment.

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Efficacy of the Circle of Security Intervention: A Meta-Analysis

Cited by 55 publications

References 16 publications

Family therapy and systemic interventions for child‐focused problems: the current evidence base

Family therapy and systemic interventions for child‐focused problems: the current evidence base

Improving empathy and self-efficacy in caregivers of persons with intellectual disabilities, using m-learning (HiSense APP-ID): study protocol for a randomized controlled trial

Adding “Circle of Security – Parenting” to treatment as usual in three Swedish infant mental health clinics. Effects on parents’ internal representations and quality of parent‐infant interaction

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