title: Effectiveness of hospital-based video interaction guidance on parental interactive behavior, bonding, and stress after preterm birth: A randomized controlled trial.
abstract: OBJECTIVE
  This study examined the effectiveness of hospital-based Video Interaction Guidance (VIG; Eliëns, 2010; Kennedy, Landor, & Todd, 2011) for mothers and fathers of infants born preterm (25-37 weeks of gestation).
  
  
  METHODS
  VIG is a preventive video-feedback intervention to support the parent-infant relationship. One hundred fifty families (150 infants, 150 mothers, 144 fathers) participated in a pragmatic randomized controlled trial to evaluate the effects of VIG as adjunct to standard hospital care. Primary outcome was parental interactive behavior (sensitivity, intrusiveness, and withdrawal) as observed in videotaped dyadic parent-infant interaction. Secondary outcomes comprised parental bonding, stress responses, and psychological well-being based on self-report. The intervention effects were assessed at baseline, mid-intervention, 3-week, 3-month, and 6-month follow-ups. Data were analyzed on an intention-to-treat basis, using multilevel modeling and analyses of covariance.
  
  
  RESULTS
  VIG proved to be effective in enhancing sensitive behavior and diminishing withdrawn behavior in mothers (Cohen's d range = .24-.44) and in fathers (d range: .54-.60). The positive effects of VIG were particularly found in mothers who experienced the preterm birth as very traumatic (d range = .80-1.04). The intervention, however, did not change parents' intrusive behavior. Analyses additionally revealed positive effects on parental bonding, especially for fathers, yet no significant effects on stress and well-being were detected.
  
  
  CONCLUSIONS
  The results indicate that VIG is a useful addition to standard hospital care, reducing the possible negative impact of preterm birth on the parent-infant relationship. VIG appeared particularly beneficial for fathers, and for mothers with traumatic birth experiences. High levels of parental intrusiveness, however, need complementary intervention. (PsycINFO Database Record
authors.affiliation: International Victimology Institute Tilburg, Tilburg University.
authors.forename: Hannah N
authors.initials: HN
authors.lastname: Hoffenkamp
authors.affiliation: International Victimology Institute Tilburg, Tilburg University.
authors.forename: Anneke
authors.initials: A
authors.lastname: Tooten
authors.affiliation: Department of Developmental Psychology, Tilburg University.
authors.forename: Ruby A S
authors.initials: RA
authors.lastname: Hall
authors.affiliation: Centre for Educational Measurement, University of Oslo.
authors.forename: Johan
authors.initials: J
authors.lastname: Braeken
authors.affiliation: Association Interaction Guidance and Treatment, Foundation and Combination Youth Care.
authors.forename: Marij P J
authors.initials: MP
authors.lastname: Eliëns
authors.affiliation: Department of Medical and Clinical Psychology, Tilburg University.
authors.forename: Ad J J M
authors.initials: AJ
authors.lastname: Vingerhoets
authors.affiliation: Department of Tranzo, Tilburg University.
authors.forename: Hedwig J A
authors.initials: HJ
authors.lastname: van Bakel
mesh_terms: D000328:Adult; D004505:Education, Nonprofessional / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D009769:Object Attachment; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000193:education* / Q000523:psychology; D013315:Stress, Psychological / Q000523:psychology*