The effectiveness of VIPP V parenting training for parents of young children with a visual or visual and intellectual disability: study protocol of a multicenter randomized controlled trial
BackgroundVisual or visual and intellectual disabilities of children make daily interactions more difficult for their parents and may impact the quality of the parent child relationship. To support these parents, an existing intervention (Video feedback Intervention to promote Positive Parenting; VIPP; Juffer F, Bakermans Kranenburg MJ, van IJzendoorn MH, 2008. Promoting positive parenting; an attachment based intervention. Mahwah, NJ: Lawrence Erlbaum Associates; 2008) was adapted for use with parents of children with a visual or visual and intellectual disability (VIPP V) This attachment based intervention was hypothesized to support parents' interpretation and understanding of the behavior of their child with a visual or visual and intellectual disability and respond to their child's signals in a sensitive way to improve parent child interaction quality.Methods/DesignA randomized controlled trial (RCT) will be conducted to assess the effectiveness of the adapted intervention VIPP V (Video feedback Intervention to promote Positive Parenting in parents of children with Visual or visual and intellectual disabilities) Parent child dyads will be randomized into two groups: 50 dyads will receive VIPP V in combination with care as usual and 50 dyads will receive care as usual. Families with a child (1 5 years of age) with a visual or visual and intellectual disability will be recruited for participation in the study. Primary outcome measures are parental sensitivity and the quality of parent child interaction. Secondary outcome measures are parental self efficacy, and parenting stress. To assess feasibility of implementation of the intervention the experiences of early intervention workers with regard to using VIPP V are assessed. Moderator variables are the child's developmental age, working alliance between parent and VIPP V intervention worker and empathy of the VIPP V intervention worker. Data will be collected approximately one week before the intervention starts (T1) one week (T2) and three months (T3) after the intervention. Parent child dyads in the care as usual only condition will be assessed at the same time points. Both intention to treat and completer analyses will be performed.DiscussionDescriptive findings in pilot cases suggest benefits from VIPP V, and compatibility with existing services for parents of children with a visual or visual and intellectual disability. The current study will provide insight into the effectiveness of this intervention for parents of children with a visual or visual and intellectual disability, and, if the intervention is effective, prepare the field for broad scale implementation.Trial registrationNederlands Trial Register NTR4306 (registered 5 December 2013)
Trials