Department of Developmental and Social Psychology, University of Padua, Padua, Italy.
Department of Psychology, University of Milano-Bicocca, Milan, Italy.
Trials. 2022 Jul 23;23(1):588. doi: 10.1186/s13063-022-06420-8.
Maternal substance use disorder (SUD) represents a risk condition for quality of parenting and child development. The current literature highlights the need to identify interventions that effectively enhance the quality of parenting and to better understand which mechanisms are involved in the process of change. The present study protocol describes a randomized wait-list controlled trial that aims to examine (1) the efficacy of the Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) in improving the quality of parenting (i.e., sensitive parenting and sensitive discipline) in mothers with SUD, (2) whether the intervention affects parental cognitive mechanisms (i.e., attentional disengagement to infant negative emotions, inhibitory control confronted with children's affective expression, and parental reflective functioning), and (3) whether changes in these processes act as mechanisms of change, mediating the effect of the VIPP-SD program on quality of parenting. Moreover, the study aims (4) to explore whether the VIPP-SD has an effect on parenting stress and (5) to compare mothers with SUD to low-risk mothers on the outcome measures.
The study will involve 40 mothers with SUD and 20 low-risk mothers of children aged between 14 months and 6 years old. Mothers in the SUD group will be randomly divided into two groups, one receiving the intervention (SUD experimental group) and one undergoing treatment as usual (SUD control group). All the mothers will be assessed pre-test and post-test. Quality of parenting will be assessed through observed parenting behaviors, whereas parental cognitive mechanisms will be assessed through neuropsychological tasks and self-report measures.
The results of the study will reveal whether an intervention that has been proven effective in other at-risk samples is also effective in improving parenting behaviors in the context of SUD. The results will also provide insight into potential cognitive mechanisms involved in the process of change.
ISRCTN registry ISRCTN63070968 . Registered on 25 June 2021. Retrospectively registered.
母体物质使用障碍（SUD）代表了育儿质量和儿童发展的风险条件。目前的文献强调需要确定哪些干预措施能有效地提高育儿质量，并更好地了解哪些机制参与了改变的过程。本研究方案描述了一项随机等待名单对照试验，旨在检验：（1）视频反馈干预促进积极育儿和敏感纪律（VIPP-SD）在改善 SUD 母亲育儿质量（即敏感育儿和敏感纪律）方面的效果；（2）干预是否影响父母的认知机制（即对婴儿负面情绪的注意力脱离、面对孩子情感表达的抑制控制和父母的反思功能）；（3）这些过程的变化是否作为变化的机制，调节 VIPP-SD 计划对育儿质量的影响；（4）探索 VIPP-SD 是否对育儿压力有影响；（5）比较 SUD 母亲和低风险母亲在结果测量上的差异。
该研究将纳入 40 名 SUD 母亲和 20 名低风险母亲，其子女年龄在 14 个月至 6 岁之间。SUD 组中的母亲将随机分为两组，一组接受干预（SUD 实验组），一组接受常规治疗（SUD 对照组）。所有母亲都将进行前测和后测。通过观察育儿行为评估育儿质量，通过神经心理学任务和自我报告评估父母的认知机制。
该研究的结果将揭示在 SUD 背景下，已被证明在其他高危样本中有效的干预措施是否也能有效改善育儿行为。结果还将提供对变化过程中涉及的潜在认知机制的深入了解。
ISRCTN 注册处 ISRCTN63070968。于 2021 年 6 月 25 日注册。回顾性注册。
