Pediatricians, Well-Baby Visits, and Video Intervention Therapy: Feasibility of a Video-Feedback Infant Mental Health Support Intervention in a Pediatric Primary Health Care Setting

Facchini, Sergio; Martin, Valentina; Downing, George

doi:10.3389/fpsyg.2016.00179

Cited by 12 publications

(20 citation statements)

References 75 publications

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“…In the context of early interventions, video feedback is a technique that is increasingly used as a central or complementary tool [53][54][55][56][57]. It consists of the video recording of interactions between the adult(s) and the child, which are then analyzed by the therapist and presented to the parents.…”

Section: Early Interventions and Video Feedbackmentioning

confidence: 99%

Video-feedback intervention to improve parental sensitivity and the quality of interactions in mother-father-infant triads

2017

Ment Health Fam Med

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The quality of dyadic and triadic family interactions during early childhood significantly influences social-emotional development and childhood mental health. Video feedback is a valuable psychotherapeutic tool for intervention in the early family. A brief intervention using this technique, aimed at mother-infant-father triads with difficulties in social-emotional development, was developed. Eighty triads, composed of heterosexual couples between 20 and 43 years of age for mothers, between 22 and 54 years of age for fathers, and between one and three years of age for children, participated. The results show a significant increase in the quality of triadic interactions (Wilks'λ = 0.735, F (1, 77) = 27,794; p < 0.000) and co-parenting (Wilks'λ = 0.098, F (1, 77) = 8.395; p = 0.005) as well as parental sensitivity (Wilks'λ = 0.661, F (1, 77) = 39.42; p < 0.000) and sensitivity in the mothers (Wilks'λ = 0.585, F (1, 77) = 54,706, p < 0.000) who were the object of the intervention. The fathers significantly reduced their nonresponsive behavior (Wilks 'λ = 0.903, F (1, 77) = 8.441; p = 0.005), and the mothers reduced their controlling behavior (Wilks' λ = 0.916, F (1, 77) = 7.084; p = 0.009). MeSh Headings/

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Section: Early Interventions and Video Feedbackmentioning

confidence: 99%

Video-feedback intervention to improve parental sensitivity and the quality of interactions in mother-father-infant triads

2017

Ment Health Fam Med

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“…The study is designed as a randomized controlled trial (NCT03212547), in order to remove bias in treatment allocation and the effect of possible confounding variables [ 41 ]. Chilean infants who were born moderately preterm or late preterm (up to N=110) and their parents will be included and randomized in a 1:1 allocation ratio to an intervention group (up to n=55) and a control group (up to n=55).…”

Section: Methodsmentioning

confidence: 99%

“…In a study with full-term infants, Bonifacino et al [ 38 , 39 ] described a significant difference in sustained social withdrawal in the infants who were followed by Alarm Distress Baby Scale–trained pediatricians compared to sustained social withdrawal in infants who attended routine pediatric follow-up care. Facchini et al [ 40 ] investigated the feasibility of a feedback guidance intervention performed by Alarm Distress Baby Scale–trained pediatricians on infants born full term at public well-baby clinics in Italy, and they concluded that these interventions are easily implemented and accepted by patients and their families; however, to the best of our knowledge, there are no reports regarding the effect of an interactive guidance intervention performed by Alarm Distress Baby Scale–trained neonatologists on infants born moderately or late preterm during their first twelve months (corrected age).…”

Section: Introductionmentioning

confidence: 99%

Interactive Guidance Intervention to Address Sustained Social Withdrawal in Preterm Infants in Chile: Protocol for a Randomized Controlled Trial

Loyola¹,

Retamal²,

Nudman³

et al. 2020

JMIR Res Protoc

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Background Preterm newborns can be exposed early to significant perinatal stress, and this stress can increase the risk of altered socioemotional development. Sustained social withdrawal in infants is an early indicator of emotional distress which is expressed by low reactivity to the environment, and if persistent, is frequently associated with altered psychological development. Infants born prematurely have a higher probability of developing sustained social withdrawal (adjusted odds ratio 1.84, 95% CI 1.04-3.26) than infants born full term, and there is a correlation between weight at birth and sustained social withdrawal at 12 months of age. Objective The aims of this study are to compare the effect of the interactive guidance intervention to that of routine pediatric care on sustained social withdrawal in infants born moderately or late preterm and to explore the relationship between sustained social withdrawal in these infants and factors such as neonatal intensive care unit hospitalization variables, parental depression, and posttraumatic stress symptoms. Methods This study is designed as a multicenter randomized controlled trial. Moderate and late preterm newborns and their parents were recruited and randomized (1:1 allocation ratio) to control and experimental groups. During neonatal intensive care unit hospitalization, daily duration of skin-to-skin contact, breastfeeding, and parental visits were recorded. Also, a daily score for neonatal pain and painful invasive procedures were recorded. After discharge from neonatal intensive care, for the duration of the study, both groups will attend follow-up consultations with neonatologists at 2, 6, and 12 months of age (corrected for gestational age) and will receive routine pediatric care. Every consultation will be recorded and assessed with the Alarm Distress Baby Scale to detect sustained social withdrawal (indicated by a score of 5 or higher). The neonatologists will perform an interactive guidance intervention if an infant in the intervention group exhibits sustained social withdrawal. In each follow-up consultation, parents will fill out the Edinburgh Postnatal Depression Scale, the modified Perinatal Posttraumatic Stress Disorder Questionnaire, and the Impact of Event Scale–revised. Results Recruitment for this trial started in September 2017. As of May 2020, we have completed enrollment (N=110 infants born moderately or late preterm). We aim to publish the results by mid-2021. Conclusions This is the first randomized controlled trial with a sample of infants born moderately or late preterm infants who will attend pediatric follow-up consultations during their first year (corrected for gestational age at birth) with neonatologists trained in the Alarm Distress Baby Scale and who will receive this interactive guidance intervention. If successful, this early intervention will show significant potential to be implemented in both public and private health care, given its low cost of training staff and that the intervention takes place during routine pediatric follow-up. Trial Registration ClinicalTrials.gov NCT03212547; https://clinicaltrials.gov/ct2/show/NCT03212547. International Registered Report Identifier (IRRID) DERR1-10.2196/17943

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“…The Primary Care-Video Intervention Therapy (PC-VIT [35,36]) program is an adaptation of the original VIT [30], specifically developed to suit characteristics of a pediatric setting. Indeed, during the pediatric consultations, pediatricians observe a widespread range of early parent-infant interactive exchanges that provide a wealth of relevant cues about socio-emotional development and the parenting.…”

Section: The Video Intervention Therapy and Primary-care Video Intervmentioning

confidence: 99%

“…The present case study illustrates the application of the innovative protocol of VF intervention, PC-VIT [35,36], across the first year of a child's life with the family of an SGA infant. The case reports on a family belonging to a non-referred healthy group of primiparous parent-infant dyads attending a pediatric primary care community center, located in Pordenone, in the north of Italy.…”

Section: Case Illustrationmentioning

confidence: 99%

The Primary Care-Video Intervention Therapy for Growth-Vulnerable Infants. A Case Study

Sacchi

Facchini²,

Downing

et al. 2020

IJERPH

Self Cite

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Perinatal growth vulnerability (e.g., Small for Gestational Age, SGA) poses the goal to not overlook subtle developmental susceptibilities and their impact on the parent–infant relationship. In this case study, we examined the application of a video-feedback intervention program to support parenting, the Primary Care-Video Intervention Therapy (PC-VIT), specifically developed to fit pediatric care characteristics. The case presentation details the principal steps of the intervention with the family of an SGA infant from birth up to toddlerhood. Findings for this family highlighted initial worries about the infant’s growth. Along sessions, PC-VIT held maternal anxiety and sustained parents’ abilities to recognize and talk about the infant’s developmental skills and regulatory abilities. The PC-VIT shows the powerful opportunity to limit the impact of infant growth vulnerability on the parent–child relationship and socio-emotional development. Pediatricians can prevent vulnerable developmental milestones from clinical outcomes by implementing timely and effective strategies embracing mental health and parenting-related issues.

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Pediatricians, Well-Baby Visits, and Video Intervention Therapy: Feasibility of a Video-Feedback Infant Mental Health Support Intervention in a Pediatric Primary Health Care Setting

Cited by 12 publications

References 75 publications

Video-feedback intervention to improve parental sensitivity and the quality of interactions in mother-father-infant triads

Video-feedback intervention to improve parental sensitivity and the quality of interactions in mother-father-infant triads

Interactive Guidance Intervention to Address Sustained Social Withdrawal in Preterm Infants in Chile: Protocol for a Randomized Controlled Trial

The Primary Care-Video Intervention Therapy for Growth-Vulnerable Infants. A Case Study

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