Strength-based Video-feedback to improve maternal sensitivity in mother-infant dyads with maternal depressive symptoms: Study protocol for a randomized controlled feasibility trial

Author:

Olhaberry MarciaORCID,Leyton FannyORCID,Morán-Kneer JavierORCID,León María JoséORCID,Sieverson CatalinaORCID,Muzard AntoniaORCID,Honorato CarolinaORCID,Ensink KarinORCID,Malberg NorkaORCID,Luyten PatrickORCID,Costa-Cordella StefanellaORCID

Abstract

Introduction Maternal sensitivity and mentalization are fundamental for children’s mental health development. These skills have been negatively associated with maternal postpartum depressive symptomatology. Moreover, its prevalence increases in low socioeconomic and psychosocial risk contexts, where the access to treatment is scarce. Even though Attachment Based Interventios, such as Video-Feedback has been internationally recognized as an effective intervention. Its cost, as well as the need for language translation and cultural adaptation makes it difficult to implement in Latinamerican countries. Aim The present study aims to assess the feasibility and acceptability of an online Video-Feedback intervention informed n mentalization aimed at mother-infant dyads with depressive symptomatology who attend Chilean public health centers. Method This is a pilot randomized clinical trial with two groups of 60 mother-infant dyads between 4 and 12 months of age. Participants will be randomly assigned to control and experimental groups in a 1:1 ratio. Even though both groups will receive usual treatment, the experimental group will also receive the present video-intervention. At the end of the study, feasibility will be assessed based on focus groups aimed at interveners and quantitative outcomes such as recruitment rate, questionnaire completion rate and intervention completeness. Acceptability will be assessed from in-depth interviews with participants. In addition, effect sizes of primary and secondary outcomes will be calculated. Expected results Results are expected to generate parameters to design a larger-scale clinical trial and to preliminary assess the effect of the reported mentalization-informed intervention on maternal sensitivity. Additionally, it seeks to contribute with a mental health intervention for low-income mother-infant dyads, which can be implemented remotely, at a low cost, and that would be suitable for implementation at a mental health care system policy. The protocol of this trial’s design was registered at Clinical Trials (NCT04748731).

Publisher

Medwave Estudios Limitada

Subject

General Medicine

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. From Dyad to Triad in Early Childhood: Mentalization-Informed Interventions Developed in Chile;Journal of Infant, Child, and Adolescent Psychotherapy;2024-01-02

2. Psychosocial Interventions in Perinatal Mental Illness;Indian Journal of Social Psychiatry;2023

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