Hoffenkamp Hannah N, Tooten Anneke, Hall Ruby A S, Braeken Johan, Eliëns Marij P J, Vingerhoets Ad J J M, van Bakel Hedwig J A
International Victimology Institute Tilburg, Tilburg University.
Department of Developmental Psychology, Tilburg University.
J Consult Clin Psychol. 2015 Apr;83(2):416-29. doi: 10.1037/a0038401. Epub 2014 Dec 8.
This study examined the effectiveness of hospital-based Video Interaction Guidance (VIG; Eliëns, 2010; Kennedy, Landor, & Todd, 2011) for mothers and fathers of infants born preterm (25-37 weeks of gestation).
VIG is a preventive video-feedback intervention to support the parent-infant relationship. One hundred fifty families (150 infants, 150 mothers, 144 fathers) participated in a pragmatic randomized controlled trial to evaluate the effects of VIG as adjunct to standard hospital care. Primary outcome was parental interactive behavior (sensitivity, intrusiveness, and withdrawal) as observed in videotaped dyadic parent-infant interaction. Secondary outcomes comprised parental bonding, stress responses, and psychological well-being based on self-report. The intervention effects were assessed at baseline, mid-intervention, 3-week, 3-month, and 6-month follow-ups. Data were analyzed on an intention-to-treat basis, using multilevel modeling and analyses of covariance.
VIG proved to be effective in enhancing sensitive behavior and diminishing withdrawn behavior in mothers (Cohen's d range = .24-.44) and in fathers (d range: .54-.60). The positive effects of VIG were particularly found in mothers who experienced the preterm birth as very traumatic (d range = .80-1.04). The intervention, however, did not change parents' intrusive behavior. Analyses additionally revealed positive effects on parental bonding, especially for fathers, yet no significant effects on stress and well-being were detected.
The results indicate that VIG is a useful addition to standard hospital care, reducing the possible negative impact of preterm birth on the parent-infant relationship. VIG appeared particularly beneficial for fathers, and for mothers with traumatic birth experiences. High levels of parental intrusiveness, however, need complementary intervention. (PsycINFO Database Record
本研究探讨了基于医院的视频互动指导（VIG；埃利恩斯，2010年；肯尼迪、兰多和托德，2011年）对早产（妊娠25 - 37周）婴儿的父母的有效性。
VIG是一种预防性视频反馈干预措施，旨在支持亲子关系。150个家庭（150名婴儿、150名母亲、144名父亲）参与了一项实用随机对照试验，以评估VIG作为标准医院护理辅助手段的效果。主要结果是在录像的亲子二元互动中观察到的父母互动行为（敏感性、侵扰性和退缩性）。次要结果包括基于自我报告的父母依恋、应激反应和心理健康。在基线、干预中期、3周、3个月和6个月随访时评估干预效果。数据采用意向性分析，使用多水平模型和协方差分析。
VIG被证明能有效增强母亲（科恩d值范围 = 0.24 - 0.44）和父亲（d值范围：0.54 - 0.60）的敏感行为并减少退缩行为。VIG的积极效果尤其在那些将早产经历视为极具创伤性的母亲中发现（d值范围 = 0.80 - 1.04）。然而，该干预并未改变父母的侵扰行为。分析还显示对父母依恋有积极影响，尤其是对父亲，但未检测到对应激和幸福感的显著影响。
结果表明，VIG是标准医院护理的有益补充，可减少早产对亲子关系可能产生的负面影响。VIG对父亲以及有创伤性分娩经历的母亲似乎特别有益。然而，高水平的父母侵扰行为需要补充干预。（PsycINFO数据库记录）
