Online Parenting Support With VIPP-SD in Chile

NCT07365189 | Not Yet Recruiting

• 2 other identifiers: CEC N°69-251252183
• Study Type: interventional
• Target: 140
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this randomized controlled trial is to test whether the online Video-feedback Intervention to Promote Positive Parenting and Sensitive Discipline (VIPP-SD) can reduce parental burnout and improve parenting practices, in mothers of young children in Chile. The main questions it aims to answer are:

• Does the online VIPP-SD increase maternal sensitivity and the use of consistent but gentle limit setting?
• Does it reduce parental burnout?
• Does it improve parental stress and child attachment security and reduce child conduct problems? Researchers will compare families who receive the online VIPP-SD to families in a waitlist control group with dummy treatment to see if VIPP-SD has benefits for parents and children. Participants will be mothers of children aged 11-16 months at the start of the study who report elevated levels of parental burnout. Mothers in the intervention group will:
• Take part in 12 weekly online sessions with a trained intervener
• Receive video-feedback on their own interactions with their child
• Learn strategies to respond sensitively to their child's needs and to use positive discipline The study will also measure potential moderators such as maternal mental health, child temperament, and family sociodemographic factors.

Conditions

Parents; Burnout

Keywords

VIPP-SD online; maternal sensitivity; parental burnout; infant attachment; parental limit-setting

Outcome Measures

Primary Outcomes (4)

• Maternal sensitivity

  The Ainsworth et al. sensitivity scale will be used to measure maternal sensitivity in a 10-minute free play session. Trained observers code the caregiver's behavior using two rating scales: Sensitivity vs. Insensitivity and Cooperation vs. Intrusiveness, on a scale ranging from 1 to 9, with high values indicating greater sensitivity and cooperation. The procedure will be applied twice, first in the pre-test at home and again in the post-test in the laboratory.

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention).

• Maternal Limit Setting

  Parental limit-setting will be observed in a don't touch task. The task is video-taped and parental limit- setting is coded for positive discipline, using an adapted version of the revised Erickson 7-point rating scale for supportive presence, physical interference, rated on a 5-point scale, and Laxness, rated on a 5-point scale.

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention).

• Parental Burnout

  The Parental Burnout Assessment (PBA) is a 23-item questionnaire measuring the four dimensions of parental burnout: exhaustion - physical and emotional tiredness, contrast - the perceived discrepancy between the ideal caregiver they would like to be and the one they are currently, a comparison that produces guilt, feelings of being fed up - feeling tired of the parental role, and emotional distancing - putting an affective distance between themselves and their children). The Likert scale response options are: "never" (0), "a few times a year or less" (1), "once a month or less" (2), "a few times a month" (3), "once a week" (4), "a few times a week" (5), "every day" (6). High scores imply high levels of parental burnout.

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and posttest (1 month after the end of the intervention).

• Fidelity of the Online VIPP-SD

  Based on written and audio-recorded feedback of sessions, fidelity will be coded in terms of the delivery of key components of the treatment, as well as global adherence to the manual. Note that fidelity is promoted by regular intervision and supervision sessions. We will randomly select 10% of audio recordings for two assessors trained in the intervention to rate the adherence to the VIPP-SD manual using a 5-point scale (1 = Did not follow the manual at all, 2 = Adapted most of the material, did not follow the manual closely, 3 = Sometimes adapted the material, followed manual somewhat, 4 = Adapted only minor elements, followed the manual quite closely, and 5 = Followed the manual very closely and delivered the session as specified). A score of 3 will be set as the acceptable fidelity threshold, as to receive this score most core components of the intervention are present in the feedback.

  Immediately after the intervention

Secondary Outcomes (5)

• Hair Cortisol Concentrations

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention).

• Child Conduct Problems

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention)

• Infant attachment security

  Post-test (1 month after the end of the intervention).

• Health and social care service use

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention)

• Parent's quality of life

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention)

Other Outcomes (3)

• Parental depression and anxiety symptoms

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and post-test (1 month after the end of the intervention).

• Temperament

  pre-test (pre-intervention for the experimental group and at the same time for the control group).

• Parental sleep quality

  Pre-test (pre-intervention for the experimental group and at the same time for the control group), and posttest (1 month after the end of the intervention).

Study Arms (2)

Control Group

NO INTERVENTION

Families in the control group will be contacted online individually by a psychologist (different from interveners) six times to discuss parenting strategies and child development, serving as an active control group. Later, they will receive the online VIPP-SD intervention in the experimental group by the same group of interveners.

Experimental Group

EXPERIMENTAL

The intervention is delivered through a videoconference platform that allows 1) to record the parent-child tasks and 2) to simultaneously share the previously recorded parent- child interaction and provide feedback. The intervener provides directions in the recording sessions that ensure clearly capturing parent and child facial expressions during the task. Moreover, considering the delivery format, it is essential that both parents and interveners have access to good-quality internet and an electronic device (mobile phone, computer, tablet) with camera. To prevent fatigue arising from the delivery format, it was decided to shorten the sessions, with 30-minute sessions for recording the parent-child task and 40-60-minute sessions for video reviewing and feedback. Thus, Online-VIPP has 12 sessions with alternating recording sessions and video feedback sessions.

Behavioral: Video Intervention to Promote Positive Parenting and sensitive discipline (VIPP-SD)

Interventions

Video Intervention to Promote Positive Parenting and sensitive discipline (VIPP-SD) BEHAVIORAL

The intervention is delivered through a videoconference platform that allows 1) to record the parent-child tasks and 2) to simultaneously share the previously recorded parent- child interaction and provide feedback. The intervener provides directions in the recording sessions that ensure clearly capturing parent and child facial expressions during the task. Moreover, considering the delivery format, it is essential that both parents and interveners have access to good-quality internet and an electronic device (mobile phone, computer, tablet) with camera. To prevent fatigue arising from the delivery format, it was decided to shorten the sessions, with 30-minute sessions for recording the parent-child task and 40-60-minute sessions for video reviewing and feedback. Thus, Online-VIPP has 12 sessions with alternating recording sessions and video feedback sessions.

Experimental Group

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: inclusion criteria: * Mothers \>18 years * Child age between 11 - 16 months old at first contact
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Mothers \>18 years
• Child age between 11 - 16 months old at first contact
• Mothers scoring in the top 30% of our sample on the Parental Burnout Scale (BPPS)
• Written informed consent of mothers as participants and guardians
• Internet connection at mother's home.

You may not qualify if:

• Child or parent with severe sensory impairment, learning disability, or language limitation
• Sibling already participating in the trial
• Family participating in active family court proceedings
• Parent participating in another closely related research trial and/or receiving an individual video-feedback intervention.

Sponsors & Collaborators

• Universidad San Sebastián: lead

Related Publications (2)

• van Ijzendoorn MH, Stevens E, Bakermans-Kranenburg MJ. Development of the virtual-VIPP and a systematic review of online support for families during the COVID-19 pandemic. Attach Hum Dev. 2023 Apr;25(2):223-239. doi: 10.1080/14616734.2023.2179575.

  PMID: 37014109 BACKGROUND

• van IJzendoorn MH, Schuengel C, Wang Q, Bakermans-Kranenburg MJ. Improving parenting, child attachment, and externalizing behaviors: Meta-analysis of the first 25 randomized controlled trials on the effects of Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline. Dev Psychopathol. 2023 Feb;35(1):241-256. doi: 10.1017/S0954579421001462. Epub 2022 Jan 17.

  PMID: 35034668 BACKGROUND

MeSH Terms

Conditions

Burnout, Psychological

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Rodrigo A. Cárcamo, Ph.D.

  Facultad de Psicología y Humanidades, Universidad San Sebastián

  PRINCIPAL INVESTIGATOR

Central Study Contacts

RODRIGO A. CARCAMO LEIVA, Ph.D.

CONTACT

56 975802432; rodrigo.carcamol@uss.cl

Jessica Vidal, Ph.D.

CONTACT

56 953022964; jessica.vidal@uss.cl

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: Full Professor

Study Record Dates

• First Submitted: November 20, 2025
• First Posted: January 26, 2026
• Study Start: January 1, 2026
• Primary Completion (Estimated): December 1, 2027
• Study Completion (Estimated): March 30, 2028
• Last Updated: January 26, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share