Video feedback for young babies and maternal perinatal mental illness: intervention adaptation, feasibility and acceptability.

Autor:	Barnicot K; Department of Health Services Research and Management, City University of London, London, UK.; Perinatal Mental Health Service, Central & North West London NHS Foundation Trust, London, UK., Stevens E; Department of Health Services Research and Management, City University of London, London, UK., Robinson F; Department of Health Services Research and Management, City University of London, London, UK., Labovitch S; Department of Health Services Research and Management, City University of London, London, UK.; Research and Development, West London NHS Trust, London, UK., Ballman R; Perinatal Mental Health Service, Central & North West London NHS Foundation Trust, London, UK., Miele M; Perinatal Mental Health Service, Central & North West London NHS Foundation Trust, London, UK., Lawn T; Perinatal Mental Health Service, East London NHS Foundation Trust, London, UK., Sundaresh S; Perinatal Mental Health Service, Oxleas NHS Foundation Trust, London, UK., Iles J; Department of Psychological Interventions, University of Surrey, Guildford, UK.
Jazyk:	angličtina
Zdroj:	Journal of reproductive and infant psychology [J Reprod Infant Psychol] 2024 Mar 05, pp. 1-17. Date of Electronic Publication: 2024 Mar 05.
DOI:	10.1080/02646838.2024.2322636
Abstrakt:	Aims/background: We aimed to adapt, pilot and explore experiences of receiving and delivering the video feedback intervention for positive parenting (VIPP) for 2 to 6 month old babies, mothers experiencing moderate to severe perinatal mental health difficulties and perinatal mental health clinicians. Design/methods: The VIPP intervention was adapted to include developmentally appropriate activities and developmental psychoeducation for 2 to 6 month olds, alongside psychoeducation on emotion regulation, and then piloted in 14 mothers experiencing moderate to severe perinatal mental health difficulties (registration ISRCTN64237883). Observational and self-reported pre-post outcome data on parenting and parent-infant mental health was collected, and post-intervention qualitative interviews were conducted with participating mothers and clinicians. Results: Consent (67%), intervention completion (79%) and follow-up rates (93%) were high. Effect sizes on pre-post outcome measures indicated large improvements in parenting confidence and perceptions of the parent-infant relationship, and a medium-size improvement in maternal sensitivity. In qualitative interviews, clinicians and mothers described how mothers' initial anxieties about being filmed were allayed through receiving positive and strengths-focussed feedback, boosting their self-confidence, and that the video feedback facilitated identification of young babies' subtle behavioural cues and moments of mother-infant connection. Streamlining the information provided on maternal emotion regulation, and allowing increased use of clinical judgement to tailor intervention delivery, were suggested to optimise intervention feasibility and acceptability. Conclusion: It is feasible and acceptable to implement VIPP with very young babies and their mothers experiencing perinatal mental health difficulties. A fully powered randomised controlled trial is required to establish intervention efficacy.
Databáze:	MEDLINE
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