The purpose of the project is a) to examine evidence-based instruments (DFSI, ASQ:(SE) and ITSEA) in the Netherlands in practices of midwives and within the system of health care and b) to gain more insight into the role of specific risk- and…
ID
Source
Brief title
Condition
- Pregnancy, labour, delivery and postpartum conditions
- Personality disorders and disturbances in behaviour
- Environmental issues
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The quality of the parent-child interaction will be rated from videotapes
recorded during a free play situation and a changing diaper situation at home.
Four (5 or 9-point rating scales (Emotional Availability Scales; Biringen,
Robinson, & Emde, 1998) will be used to rate parental sensitivity/availability
and hostility and two 9-point rating scales to rate infant involvement and
responsiveness. In earlier studies of one of the applicants these scales have
proven to be valid (van Bakel & Riksen Walraven, 2004) and stable across the
first years of life. Even in a community-based sample of one-year-olds,
individual differences in parental hostile behaviour can be adequately observed
(Van Bakel & Riksen-Walraven, 2002a).
The *Still Face Procedure* (Tronick e.a., 1978) is a standardised 6 minutes
procedure (consisting of 3 phases: contact-, no-contact, and repair phase).
During this procedure the contact between parent and infant is observed
(neutral, positive or negative behaviour). The procedure offers the posibility
to observe the behavior of both partners.
The development of children is assessed by their parents using the Ages and
Stages questionnaires. The *Ages & Stages Questionnaires* (ASQ en ASQ:SE;
Bricker & Squires, 1999; Squires, Bricker & Twombly, 2002) are
screeningsinstruments to assess the development of young children in the
domains of communication, selfregulation, adaptive behavior, affect, and social
skills.
The parents are interviewed on their internal representation of the
relationship with their child, according to the Working Model of the Child
Interview (WMCI; Benoit et al. 1997). This interview will be conducted during
pregancy and 4 months after birth.
BRIEF-P (Gioia et al., 2001)
BITSEA
ECBQ
At age 5 the SDQ (behavior problems), CBQ (behavio characteristics), NOSI
(parenting stress), en MPAS/PRISM (parent-child bond) will be assessed.
Secondary outcome
The relationship between outcome of different measurement instruments and
moderator variables will be studied in relation to prenatal riskfactors.
Background summary
Over the past decades, evidence has emerged of the potential effectiveness of
early identification of high-risk families. The key characteristic of
successful programmes include the identification of high-risk families during
pregnancy or shortly after birth (Cox, 1998). Accurate and timely
identification of families at risk of adverse parenting is essential for health
care services (Barlow et al., 2006). During pregnancy various riskfactors may
be identified by midwives (o.a. Wilson e.a., 1996). However, little is known
about the relation between expectations and experiences of parenthood and the
moderating role of parental characteristics, such as resiliency, personality
characteristics and/or depressive symptomatology. The project fits the advice
of the Inventgroup (Hermanns et al., 2005) to signal and screen as early as
possible (i.e., during pregancy) and to examine the risk process after birth by
using promising evidence-based instruments. The project is a collaboration of
the CJG (Eindhoven), practices for midwives and health care centers (Zuidzorg).
Study objective
The purpose of the project is a) to examine evidence-based instruments (DFSI,
ASQ:(SE) and ITSEA) in the Netherlands in practices of midwives and within the
system of health care and b) to gain more insight into the role of specific
risk- and protective factors for disfunctional parent-child interactions and
infant development.
Study design
In this prospective longitudinal study, a sample of 240 pregnant women (varying
in degree of prenatal psychosocial risk) and their partner will be followed
from week 15 during pregnancy up till the child is 12 (24) months old. There
will be eight measurementpoints, 6 questionnaires rounds and 2 home-visits.
Study burden and risks
The burden of the research project is limited to answering questionnaires and
cooperating with an interview, as well as cooperation of parent and child with
an observation during daily routines. parents are free to stop participation if
they decide to do so. If parents feel that they need some further support or
counseling, possibilities for referral will be checked within the network of
the projectgroup en collaborating practices and centres.
Warandelaan 2 Warandelaan 2
Tilburg 5000 LE
NL
Warandelaan 2 Warandelaan 2
Tilburg 5000 LE
NL
Listed location countries
Age
Inclusion criteria
12 weeks pregnant without medical complications, and be able to understand and speak Dutch or English
Exclusion criteria
medical complications during pregnancy that result in referral to a gynecologist
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL23376.008.08 |