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Video feedback for young babies and maternal perinatal mental illness: intervention adaptation, feasibility and acceptability.
Barnicot, Kirsten; Stevens, Eloise; Robinson, Fiona; Labovitch, Sarah; Ballman, Rajinder; Miele, Maddalena; Lawn, Tara; Sundaresh, Sushma; Iles, Jane.
Afiliación
  • Barnicot K; Department of Health Services Research and Management, City University of London, London, UK.
  • Stevens E; Perinatal Mental Health Service, Central & North West London NHS Foundation Trust, 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.
  • Ballman R; Department of Health Services Research and Management, City University of London, London, UK.
  • Miele M; Research and Development, West London NHS Trust, London, UK.
  • Lawn T; Perinatal Mental Health Service, Central & North West London NHS Foundation Trust, London, UK.
  • Sundaresh S; Perinatal Mental Health Service, Central & North West London NHS Foundation Trust, London, UK.
  • Iles J; Perinatal Mental Health Service, East London NHS Foundation Trust, London, UK.
J Reprod Infant Psychol ; : 1-17, 2024 Mar 05.
Article en En | MEDLINE | ID: mdl-38441072
ABSTRACT
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Reprod Infant Psychol Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Reprod Infant Psychol Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido