Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353, Copenhagen, Denmark.
Department of Health, VIVE-The Danish Center for Social Science Research, Herluf Trolles Gade 11, 1353, Copenhagen, Denmark.
BMC Psychol. 2022 Jun 18;10(1):153. doi: 10.1186/s40359-022-00835-3.
In countries where the majority of young children are enrolled in professional childcare, the childcare setting constitutes an important part of children's caregiving environment. Research consistently shows that particularly the quality of the daily interactions and relationship between young children and their professional caregivers have long-term effects on a range of developmental child outcomes. Therefore, professional caregivers' capacity for establishing high quality interactions with the children in their care is an important target of intervention.
A prospective, parallel, cluster-randomized wait-list controlled trial is used to test the efficacy of the attachment- and mentalization theory informed Circle of Security (COS) approach adapted to the childcare setting (COS-Classroom) on caregiver interactive skills and mind-mindedness. Participants are professional caregivers of children aged 0-2.9 years working in center-based childcare in Denmark. Approximately 31 childcare centers, corresponding to an estimated 113 caregivers, are expected to participate. The primary outcome is caregiver Sensitive responsiveness measured with the Caregiver Interactive Profile Scales (CIP-scales). Secondary outcomes include caregiver Mind-mindedness, the five remaining CIP-scales (Respect for autonomy, Structure and limit setting, Verbal communication, Developmental stimulation, and Fostering positive peer interactions), and caregivers' resources to cope with work-related stress. Data on structural factors (e.g., staff stability, caregiver-child ratio, and level of pre-service education), caregiver attachment style, acceptability and feasibility of the COS-C together with qualitative data on how the participants experience the COS-C is additionally collected to investigate moderating and confounding effects.
Examining the effectiveness of the COS-C in center-based childcare contributes to the knowledge of evidence-based intervention programs and can potentially improve the caregiver quality early childcare.
ClinicalTrials.gov: NCT04654533. Prospectively registered December 4, 2020, https://clinicaltrials.gov/ct2/show/NCT04654533 .
在大多数幼儿都入读专业儿童看护机构的国家，儿童看护机构构成了儿童照护环境的重要组成部分。研究一致表明，幼儿与专业照护者之间日常互动和关系的质量对一系列儿童发展结果具有长期影响。因此，专业照护者与照护儿童建立高质量互动的能力是干预的一个重要目标。
采用前瞻性、平行、集群随机对照试验，测试依恋和心理化理论指导的安全圈（COS）方法应用于儿童看护环境（COS-Classroom）对照护者互动技能和心理化能力的效果。参与者是在丹麦中心式儿童看护机构工作的 0-2.9 岁儿童的专业照护者。预计将有大约 31 个儿童看护中心，对应约 113 名照护者参与。主要结果是使用照顾者互动特征量表（CIP-scales）测量的照顾者敏感反应性。次要结果包括照顾者心理化能力、其余 5 个 CIP 量表（自主尊重、结构和限制设定、言语交流、发展刺激和促进积极同伴互动），以及照顾者应对工作相关压力的资源。还收集了关于结构性因素（如员工稳定性、照护者与儿童比例以及职前教育水平）、照顾者依恋风格、COS-C 的可接受性和可行性以及参与者对 COS-C 的体验的定性数据，以调查调节和混杂效应。
检验 COS-C 在中心式儿童看护中的有效性有助于了解基于证据的干预计划，并有可能改善早期儿童看护的照护者质量。
ClinicalTrials.gov：NCT04654533。于 2020 年 12 月 4 日前瞻性注册，https://clinicaltrials.gov/ct2/show/NCT04654533。
