NCT04244318

Brief Summary

This is a study protocol of a randomized controlled trial, which aims to validate the effectiveness of the ODISEA Trauma intervention (parental thearpy + videofeedback) compared to a control group. The data collection will be through a three point evaluation (pre, medium and post intervention) using the parenting skills questionnaire (E2P short form), parental stress index - short form (PSI-SF), the adult emotional regulation questionnaire (ERQ), an adult reflective function questionnaire, the parental reflective function questionnaire (PRFQ), the child abuse potential inventory (CAPI), and the socioemotional competence scale for children (ECOS). Additionally, caregivers will be screened for ACES and with a sociodemographic characterization questionnaire. At the same time, profesionals will be assessing caregivers using an scale to measure complex trauma in adults (ECTA). The primary outcome aims to measure the effectiveness of the intervention within the parenting domain (positive parenting practices) and parental trauma (complex trauma, adult emotion regulation, reflective function and child abuse potential of the caregivers). The secondary outcomes will be to assess parenting stress, socioemotional competencies of children and implementation fidelity compared to accumulated risk.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
153

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2024

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 24, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 28, 2020

Completed
4.5 years until next milestone

Study Start

First participant enrolled

August 10, 2024

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2025

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2025

Completed
Last Updated

February 20, 2026

Status Verified

February 1, 2026

Enrollment Period

1.1 years

First QC Date

January 24, 2020

Last Update Submit

February 18, 2026

Conditions

Keywords

video feedback interventionrandomized controlled trialparenting skillsODISEAvideo-feedbackparental therapyparental traumacomplex trauma

Outcome Measures

Primary Outcomes (3)

  • Difference of the parental resilience

    Parental resilience is defined as a reduction of symptoms associated with complex trauma in the caregivers, assesed using a complex trauma scale in adults (ECTA).

    12 months.

  • Difference of the positive parenting practices

    The perception or self-assessment that the adult has regarding their own parenting skills, which will be measured through the E2P short form positive parenting scale (Gómez, Contreras \& Pezora, 2022). E2P is a self-report questionnaire that can be completed by any adult who has a caregiver role of a child between 0 and 17 years old.

    12 months

  • Difference of child abuse potential

    Child abuse potential concerns with the risk factors measured by using the Child Abuse Potential Inventory (CAPI, Milner).

    12 months

Secondary Outcomes (7)

  • Difference of the adult emotion regulation

    12 months.

  • Difference of the reflective function of caregivers

    12 months.

  • Difference of the parental reflective function of caregivers

    12 months.

  • Difference of parenting stress.

    12 months.

  • Difference of children´s socioemotional competencies

    12 months.

  • +2 more secondary outcomes

Study Arms (3)

G1: DTP + Videofeedback 3.0

EXPERIMENTAL

Once a week, it will be offered a 5-session intervention of parental therapy (DTP). After that, a 5-session intervention of videofeedback. Parental Therapy. S1: the therapist will talk with caregiver about her childhood and attachment figures. S2: family mandates and how they have influenced his life. S3: integration of painful memories and the "inner child". S4: focus on the present time, and rearing. S5: exploring expectations and stimulating a commimment to positive parenting. Videofeedback. S1: a play interaction between the child and the caregiver will be recorded for 10 minutes. S2: will be done between the therapist and caregivers, where they will watch different selected parts of the video and will provide feedback through a mentalization constructed framework. S3: another play interaction video will be recorded, that will be discussed on the S4 with the caregiver. S5: a final interaction video will be recorded.

Behavioral: Video-feedback ODISEA 3.0Behavioral: ODISEA-DTP: parental therapy

G2: Videofeedback 3.0 + DTP

EXPERIMENTAL

Once a week, it will be offered a 5-session intervention of videofeedback. After that, a 5-session intervention of parental therapy (DTP). Videofeedback. S1: a play interaction between the child and the caregiver will be recorded for 10 minutes. S2: will be done between the therapist and caregivers, where they will watch different selected parts of the video and will provide feedback through a mentalization constructed framework. S3: another play interaction video will be recorded, that will be discussed on the S4 with the caregiver. S5: a final interaction video will be recorded. Parental Therapy. S1: the therapist will talk with caregiver about her childhood and attachment figures. S2: family mandates and how they have influenced his life. S3: integration of painful memories and the "inner child". S4: focus on the present time, and rearing. S5: exploring expectations and stimulating a commimment to positive parenting.

Behavioral: Video-feedback ODISEA 3.0Behavioral: ODISEA-DTP: parental therapy

Control Group

ACTIVE COMPARATOR

Patients in control group will be placed as an active comparator group, as "treatment as usual" due to the nature of the psychosocial program from wich the cases were selected. After collecting the post-test data, they will be offered the same intervention than the experimental group.

Behavioral: Treatment as usual

Interventions

Video-feedback intervention ODISEA 3.0 (Gómez \& Maureira, 2022), which incorporates an attachment theory framework. This intervention was constructed within the ODISEA's comprehensive and formative model of parenthood which was developed in Chile by Dr. Esteban Gómez Muzzio (Gómez, 2022).

Also known as: videofeedback
G1: DTP + Videofeedback 3.0G2: Videofeedback 3.0 + DTP

Parental Therapy (ODISEA-DTP, Gómez \& Maureira, 2022): is a parental therapy strategy that works over 5 sessions with the history of caregivers in a systematic way, allowing to explore their past, present and expected future concerning parenting, child rearing, attachment and child abuse, between other issues. The DTP is a protocolized model of parental therapy, each session is carefully designed to elicit memories, emotions and to stimulate reflective function (about the past and their own childhood) and parental reflective function (about the present with the child).

Also known as: Parental Therapy
G1: DTP + Videofeedback 3.0G2: Videofeedback 3.0 + DTP

Psychosocial intervention (parental education, family counseling, home visits and school and Court coordination) for child abuse and neglect, implemented by six Family Therapeutic Programs (AFT) of the NGO "Protectora de la Infancia"

Control Group

Eligibility Criteria

Age1 Month - 17 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Ages eligible for study: Caregivers (≥ 18 years), with children between 1 month and 17 years.
  • Sexes eligible for study: both.
  • Accepts healthy volunteers: yes.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

ONG Protectora de la Infancia

Santiago, Santiago Metropolitan, 8150000, Chile

Location

Related Publications (15)

  • Bakermans-Kranenburg MJ, van IJzendoorn MH, Juffer F. Less is more: meta-analyses of sensitivity and attachment interventions in early childhood. Psychol Bull. 2003 Mar;129(2):195-215. doi: 10.1037/0033-2909.129.2.195.

    PMID: 12696839BACKGROUND
  • Barone L, Barone V, Dellagiulia A, Lionetti F. Testing an Attachment-Based Parenting Intervention-VIPP-FC/A in Adoptive Families with Post-institutionalized Children: Do Maternal Sensitivity and Genetic Markers Count? Front Psychol. 2018 Feb 19;9:156. doi: 10.3389/fpsyg.2018.00156. eCollection 2018.

    PMID: 29515483BACKGROUND
  • Cassidy J, Brett BE, Gross JT, Stern JA, Martin DR, Mohr JJ, Woodhouse SS. Circle of Security-Parenting: A randomized controlled trial in Head Start. Dev Psychopathol. 2017 May;29(2):651-673. doi: 10.1017/S0954579417000244.

    PMID: 28401843BACKGROUND
  • Feder G, Ramsay J, Dunne D, Rose M, Arsene C, Norman R, Kuntze S, Spencer A, Bacchus L, Hague G, Warburton A, Taket A. How far does screening women for domestic (partner) violence in different health-care settings meet criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria. Health Technol Assess. 2009 Mar;13(16):iii-iv, xi-xiii, 1-113, 137-347. doi: 10.3310/hta13160.

    PMID: 19272272BACKGROUND
  • Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998 May;14(4):245-58. doi: 10.1016/s0749-3797(98)00017-8.

    PMID: 9635069BACKGROUND
  • Finkelhor D. Screening for adverse childhood experiences (ACEs): Cautions and suggestions. Child Abuse Negl. 2018 Nov;85:174-179. doi: 10.1016/j.chiabu.2017.07.016. Epub 2017 Aug 4.

    PMID: 28784309BACKGROUND
  • Fukkink RG. Video feedback in widescreen: a meta-analysis of family programs. Clin Psychol Rev. 2008 Jul;28(6):904-16. doi: 10.1016/j.cpr.2008.01.003. Epub 2008 Feb 5.

    PMID: 18359136BACKGROUND
  • Juffer F, Struis E, Werner C, Bakermans-Kranenburg MJ. Effective preventive interventions to support parents of young children: Illustrations from the Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD). J Prev Interv Community. 2017 Jul-Sep;45(3):202-214. doi: 10.1080/10852352.2016.1198128.

    PMID: 28641060BACKGROUND
  • Juffer F, Bakermans-Kranenburg MJ. Working with Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD): A case study. J Clin Psychol. 2018 Aug;74(8):1346-1357. doi: 10.1002/jclp.22645. Epub 2018 May 21.

    PMID: 29781521BACKGROUND
  • Risholm Mothander P, Furmark C, Neander K. Adding "Circle of Security - Parenting" to treatment as usual in three Swedish infant mental health clinics. Effects on parents' internal representations and quality of parent-infant interaction. Scand J Psychol. 2018 Jun;59(3):262-272. doi: 10.1111/sjop.12419. Epub 2017 Dec 15.

    PMID: 29244205BACKGROUND
  • Ramsauer B, Lotzin A, Muhlhan C, Romer G, Nolte T, Fonagy P, Powell B. A randomized controlled trial comparing Circle of Security Intervention and treatment as usual as interventions to increase attachment security in infants of mentally ill mothers: Study Protocol. BMC Psychiatry. 2014 Jan 30;14:24. doi: 10.1186/1471-244X-14-24.

    PMID: 24476106BACKGROUND
  • Schoemaker NK, Jagersma G, Stoltenborgh M, Maras A, Vermeer HJ, Juffer F, Alink LRA. The effectiveness of Video-feedback Intervention to promote Positive Parenting for Foster Care (VIPP-FC): study protocol for a randomized controlled trial. BMC Psychol. 2018 Aug 3;6(1):38. doi: 10.1186/s40359-018-0246-z.

    PMID: 30075813BACKGROUND
  • Suess GJ, Bohlen U, Carlson EA, Spangler G, Frumentia Maier M. Effectiveness of attachment based STEEP intervention in a German high-risk sample. Attach Hum Dev. 2016 Oct;18(5):443-60. doi: 10.1080/14616734.2016.1165265. Epub 2016 Apr 1.

    PMID: 27035267BACKGROUND
  • Vilaseca R, Rivero M, Bersabe RM, Navarro-Pardo E, Cantero MJ, Ferrer F, Valls Vidal C, Innocenti MS, Roggman L. Spanish Validation of the PICCOLO (Parenting Interactions With Children: Checklist of Observations Linked to Outcomes). Front Psychol. 2019 Mar 27;10:680. doi: 10.3389/fpsyg.2019.00680. eCollection 2019.

    PMID: 30971993BACKGROUND
  • West AL, Aparicio EM, Berlin LJ, Jones Harden B. IMPLEMENTING AN ATTACHMENT-BASED PARENTING INTERVENTION WITHIN HOME-BASED EARLY HEAD START: HOME-VISITORS' PERCEPTIONS AND EXPERIENCES. Infant Ment Health J. 2017 Jul;38(4):514-522. doi: 10.1002/imhj.21654. Epub 2017 Jun 30.

    PMID: 28665540BACKGROUND

MeSH Terms

Interventions

Therapeutics

Study Officials

  • Esteban Gómez, Ph.D.

    Executive Director Fundación América por la Infancia

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
Due to the characteristics of the intervention and the allocation, neither caregivers nor the professionals will be blinded.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Phd, Executive Director

Study Record Dates

First Submitted

January 24, 2020

First Posted

January 28, 2020

Study Start

August 10, 2024

Primary Completion

August 30, 2025

Study Completion

December 30, 2025

Last Updated

February 20, 2026

Record last verified: 2026-02

Locations