Supporting responsive parenting in real-world implementation: minimal effective dose of the Video Interaction Project.

Autor: Piccolo LR; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA., Roby E; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA., Canfield CF; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA., Seery AM; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA., Weisleder A; Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA., Cates CB; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA.; Department of Psychology, School of Natural and Social Sciences, Purchase College, State University of New York, Purchase, NY, USA., Tutasig L; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA., Matalon M; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA., Custode A; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA., Rodriguez L; Department of Pediatrics, Woodhull Medical Center Brooklyn, Brooklyn, NY, USA., Mendelsohn AL; Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, NYU Grossman School of Medicine, New York, NY, USA. Alan.Mendelsohn@nyulangone.org.
Jazyk: angličtina
Zdroj: Pediatric research [Pediatr Res] 2024 Apr; Vol. 95 (5), pp. 1295-1300. Date of Electronic Publication: 2023 Dec 02.
DOI: 10.1038/s41390-023-02916-4
Abstrakt: Background: The Video Interaction Project (VIP) is a healthcare-based intervention that provides real-time video-feedback of parent-child play and reading interactions to families with children aged 0 to 36 months. Although evidence from randomized controlled trials demonstrates improved early relational health, including responsive parenting, after three to five VIP visits, the minimal effective dose in real-world implementations is unknown. This study aimed to determine the minimal effective dose of VIP during a real-world implementation for changing responsive parenting behaviors.
Methods: We performed a longitudinal prospective study of 183 dyads at a public hospital pediatric clinic. Responsive parenting behaviors were assessed with an observational checklist utilized as part of standard VIP practice at baseline and two follow-up VIP visits.
Results: Multilevel models adjusted for baseline sociodemographics (child's sex and age, and maternal education) and time between visits showed that responsive parenting behaviors during parent-child reading and play significantly increased after a single VIP visit (Cohen's d = 0.52, p < 0.05) with additional impact following completion of a second visit (cumulative for 2 visits: d = 0.76, p < 0.05).
Conclusions: A single VIP visit is associated with increased responsive parenting behaviors. Findings support offering VIP widely, regardless of capacity to ensure attendance at multiple visits.
Impact: This is the first study showing the minimal effective dose of the Video Interaction Project (VIP) for increasing responsive parenting behaviors. Responsive parenting behaviors increased by over 22% following a single VIP visit, with a cumulative increase of 37% following the second visit compared to baseline. Findings have important implications for implementation and scalability of pediatric-based preventive programs that support early relational health through activities such as reading and play.
(© 2023. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.)
Databáze: MEDLINE
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