Video Feedback to Enhance Parental Mentalization

Summary

The objective of this study is to implement a Video Feedback (VF) intervention to enhance Parental Reflective Function in primary caregivers of inpatient psychiatric children. Because there is no published research using VF with parents of children with severe psychopathology and in hospitalized context, this study is a pilot study.

The research will include a qualitative and quantitative study; it will take place in a public hospital in Valparaíso, Chile. In the qualitative study, participants will be six primary caregivers who received the intervention and three stakeholders from Child Unit. For caregivers a semi-structured interview will be applied to know subjective experience gained by intervention regarding the perceived satisfaction. For health professional also a semi-structured interview will be applied to collect information pertinent to the feasibility of performing such intervention. The information obtained from the interviews will be analyzed with Grounded Theory model.

The quantitative study will be conducted amongst all tutors of children aged between 6 and 14 hospitalized in a child psychiatry ward between August 2017 and December 2018. The expected sample size is 30 subjects in total; 10 for the control group and 20 for the experimental group.

A four module of Video Intervention Therapy (VIT) was designed, each module includes a (video recorded) play session and a group VF session.

The evaluation of the caregivers at the beginning of the intervention will include a psychosocial questionnaire, GHQ-12 , Five Minutes Speech Sample (FMSS) where RF will be codified, Operationalized Psychodynamic Diagnosis - Structure Questionnaire (OPD.SQ). The Strengths and Difficulties Questionnaire will be applied to children, in addition to the Children Global Assessment Scale, (CGAS). After every VF session a new FMSS, GHQ-12 and CGAS will be made. A follow-up will be performed three months after the beginning of the intervention with FMSS, GHQ-12 for caregivers and SDQ and CGAS for children.

To determine Effect Size and Intra Class Correlation, the results will be analyzed using a multiple linear regression.

Conditions

• Parenting

Interventions

BEHAVIORAL

Video Feedback

first, a play interaction between the child and caregiver is recorded (5 to 10 minutes), then the therapist and caregivers watch together a selected part of the video (1 to 2 minutes) and provide feedback with a six step protocol.

BEHAVIORAL

Control Group

Play therapy will be administered once a week plus inpatient treatment as usual for 4 weeks

Sponsors & Collaborators

• Pontificia Universidad Catolica de Chile

  collaborator OTHER

• University of Chile

  collaborator OTHER

• Universidad de Valparaiso

  lead OTHER

Principal Investigators

• Fanny Leyton, Md · Hospital Psiquiátrico del Salvador. Universidad de Valparaíso

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2017-08-02

Primary Completion

2019-01-29

Completion

2019-04-23

Countries

• Chile

Study Locations