Improving parenting, child attachment, and externalizing behaviors: Meta-analysis of the first 25 randomized controlled trials on the effects of Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline

Marinus H. Van Ijzendoorn*, Carlo Schuengel, Qiang Wang, Marian J. Bakermans-Kranenburg

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Improving parenting, child attachment, and externalizing behaviors: Meta-analysis of the first 25 randomized controlled trials on the effects of Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD). VIPP-SD combines support of parental sensitive responsiveness with coaching parents in sensitive limit setting. Here, we present meta-analyses of 25 RCTs conducted with more than 2,000 parents and caregivers. Parents or children had various risks. We examined its effectiveness in promoting parental cognitions and behavior regarding sensitive parenting and limit setting, in promoting secure child-parent attachment, and reducing externalizing child behavior. Web of Science, MEDLINE, PubMed, and recent reviews were searched for relevant trials (until May 10, 2021). Multilevel meta-analysis with META, METAFOR, and DMETAR in R took account of the 3-level structure of the datasets (studies, participants, measures). The meta-analyses showed substantial combined effect sizes for parenting behavior (r =.18) and attitudes (r =.16), and for child attachment security (r =.23), but not for child externalizing behavior (r =.07). In the subset of studies examining effects on both parenting and attachment, the association between effect sizes for parenting and for attachment amounted to r =.48. We consider the way in which VIPP-SD uses video-feedback an active intervention component. Whether VIPP-SD indeed stimulates secure attachment through enhanced positive parenting remains an outstanding question for further experimental study and individual participant data meta-analysis.

Original languageEnglish
Pages (from-to)241-256
Number of pages16
JournalDevelopment and Psychopathology
Volume35
Issue number1
Early online date17 Jan 2022
DOIs
Publication statusPublished - Feb 2023

Bibliographical note

Funding Information:
The work of MHVIJ is supported by the Netherlands Organization for Scientific Research, Spinoza Award 2004. MJB-K is supported by the European Research Council (ERC AdG). MHVIJ and MJB-K are additionally supported by the Gravitation award of the Netherlands Organization for Scientific Research (NWO grant number 024.001.003). CS was supported by an Academic Collaborative Center grant from ZonMW-The Netherlands Organisation for Health Research and Development, grant no 641001103.

Publisher Copyright:
© The Author(s), 2022. Published by Cambridge University Press.

Funding

The work of MHVIJ is supported by the Netherlands Organization for Scientific Research, Spinoza Award 2004. MJB-K is supported by the European Research Council (ERC AdG). MHVIJ and MJB-K are additionally supported by the Gravitation award of the Netherlands Organization for Scientific Research (NWO grant number 024.001.003). CS was supported by an Academic Collaborative Center grant from ZonMW-The Netherlands Organisation for Health Research and Development, grant no 641001103.

Keywords

  • causality
  • individual participant data meta-analysis
  • parenting attitudes
  • risk of bias
  • strange situation procedure

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