Promoting Sensitivity in Center-based Childcare
SECURE
SEnsitive Care: Understanding and REsponding - Promoting Sensitivity in Center-based Childcare of 0-2 Year Old Children (the SECURE Project)
1 other identifier
interventional
110
1 country
1
Brief Summary
The purpose of this study is to test the efficacy of an attachment research-informed intervention adapted to the Danish childcare context in terms of improving process quality in center-based childcare for 0-2 years old children. Specifically, the aim is to improve caregiver interactive skills and mind-mindedness. The intervention is delivered in groups during eight weekly sessions and is based on the manualized Circle of Security Parenting model, but adapted to the childcare context: The Circle of Security Classroom model. Intake is planned to be completed in January 2023 and 110 childcare providers are estimated to be enrolled in the trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2021
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 26, 2020
CompletedFirst Posted
Study publicly available on registry
December 4, 2020
CompletedStudy Start
First participant enrolled
March 19, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2023
CompletedJanuary 28, 2022
January 1, 2022
1.8 years
November 26, 2020
January 13, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Caregiver Interactive Profile (CIP-scales), Sensitive responsiveness scale.
Coding of sensitive responsiveness is based on video-recorded caregiver-child interactions and sensitivity is rated on a 7-point scale with higher ratings reflecting higher levels of sensitivity
12-16 weeks
Secondary Outcomes (4)
The Mind-Mindedness Interview
12-16 weeks
Interactional Mind-Mindedness
12-16 weeks
Caregiver Interactive Profile (CIP-scales), Respect for autonomy, Structuring and limit setting, Verbal communication, Developmental stimulation, and Fostering positive peer interactions.
12-16 weeks
The Child Care Worker Job Stress Inventory
12-16 weeks
Other Outcomes (3)
The Acceptability of Intervention Measure (AIM)
12-16 weeks
Feasibility of Intervention Measure (FIM)
Up to 16 weeks
Client Change Interview.
Up to 16 weeks
Study Arms (2)
COSC
EXPERIMENTALEight weekly manualized sessions of Circle of Security Classroom (COSC), delivered in groups, two hours per session, 5-10 childcare providers per group. COSC is facilitated by a psychologist who is a registered COSP facilitator and who has completed the an additional COSC online training.
Control
NO INTERVENTIONUsual care control condition, i.e., standard practice in the participating childcare centers. Teams of childcare providers are allocated to either COSC or waitlist in clusters, and baseline and follow-up measures are collected parallel in both groups. Childcare providers allocated to the waitlist will receive COSC after the follow-up data have been collected.
Interventions
COSC is professional development program for early childcare providers adapted from the Circle of Security-Parenting (COSP) model. It is a manualized intervention that leverages research on attachment relationships combining psycho-education with a mentalization-based approach. The model uses pre-produced video vignettes of secure and problematic caregiver-child interactions to illustrate how caregivers' may struggle in meeting children's' attachment needs. Participants are invited to reflect on how they meet and perhaps still not meet the needs of the children in their care with a particular focus on the challenging or 'difficult' children. The COSP manual has been translated into Danish (Cooper, Hoffman and Powel, 2020, translated by Pedersen, Kronendorf von Wowern, Lier, \& Smith-Nielsen), and the additional COSC material has been translated into Danish for the purpose of this study.
Eligibility Criteria
You may qualify if:
- Childcare providers who work in Danish childcare centers ("dagtilbud") for children aged 0 - 60 months in the Municipality of Høje-Taastrup can participate in the study.
- Childcare providers with an educational background within childcare as well as childcare providers without education within childcare are included.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Copenhagenlead
- Independent Research Fund Denmarkcollaborator
- TrygFonden, Denmarkcollaborator
- University of Groningencollaborator
- The Danish Evaluation Institutecollaborator
Study Sites (1)
Department of Psychology, University of Copenhagen
Copenhagen, 1353, Denmark
Related Publications (1)
Smith-Nielsen J, Wendelboe KI, Mohr JEW, Vaever MS, Pontoppidan M, Helmerhorst K, Egmose I. Promoting interactive skills and mind-mindedness among early childcare professionals: study protocol for a randomized wait-list controlled trial comparing the Circle of Security approach with care as usual in center-based childcare (the SECURE project). BMC Psychol. 2022 Jun 18;10(1):153. doi: 10.1186/s40359-022-00835-3.
PMID: 35717243DERIVED
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 26, 2020
First Posted
December 4, 2020
Study Start
March 19, 2021
Primary Completion
January 1, 2023
Study Completion
June 1, 2023
Last Updated
January 28, 2022
Record last verified: 2022-01