Effects of video feedback on early coercive parent-child interactions: the intervening role of caregivers' relational schemas.
Effects of video feedback on early coercive parent-child interactions: the intervening role of caregivers' relational schemas.
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DOI：
10.1080/15374416.2013.777917
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Wilson MN
中科院分区：
文献类型：
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作者：
Smith JD;Dishion TJ;Moore KJ;Shaw DS;Wilson MN
我们考察了在家庭体检干预(FCU)的评估反馈环节中添加视频反馈干预组件的效果。我们假设，在2岁儿童的FCU反馈过程中增加视频反馈程序将对照顾者对其孩子的负面关系图式产生积极影响，这反过来将中介减少观察到的5岁时评估的强制性照顾者与儿童的互动。我们观察了79个高危家庭的照顾者与儿童互动的录像带，这些家庭的孩子表现出临床上显著的问题行为。在FCU方案的反馈会议期间，向准随机抽样的家庭提供了关于他们相互作用的直接反馈。路径分析表明，回顾和参与有关2岁评估录像的反馈，可以预测照顾者在3岁时对儿童的负面关系图式减少，这对5岁时观察到的亲子强制互动的减少起到了中介变量的作用。视频反馈预测了随后几年家庭功能的改善，超过了FCU的投入水平，表明在早期基于家庭的问题行为预防干预中使用视频反馈程序具有重要的增量贡献。关于强制性家庭动态的支持性视频反馈是促进照顾者动机的重要策略，以减少对儿童的负面归因，这种归因助长了强制性互动。我们的研究还通过确定一个潜在的改变机制，为有关强迫理论和有效干预策略的临床和研究文献做出了贡献。
We examined the effect of adding a video feedback intervention component to the assessment feedback session of the Family Check-Up intervention (FCU). We hypothesized that the addition of video feedback procedures during the FCU feedback at child age 2 would have a positive effect on caregivers’ negative relational schemas of their child, which in turn would mediate reductions in observed coercive caregiver-child interactions assessed at age 5. We observed the caregiver-child interaction videotapes of 79 high-risk families with toddlers exhibiting clinically significant problem behaviors. A quasi-random sample of families were provided with direct feedback on their interactions during the feedback session of the FCU protocol. Path analysis indicated that reviewing and engaging in feedback about videotaped age-2 assessment predicted reduced caregivers’ negative relational schemas of the child at age 3, which acted as an intervening variable on the reduction of observed parent–child coercive interactions recorded at age 5. Video feedback predicted improved family functioning over and above level of engagement in the FCU in subsequent years, indicating the important incremental contribution of using video feedback procedures in early family-based preventive interventions for problem behaviors. Supportive video feedback on coercive family dynamics is an important strategy for promoting caregiver motivation to reduce negative attributions toward the child, which fuel coercive interactions. Our study also contributes to the clinical and research literature concerning coercion theory and effective intervention strategies by identifying a potential mechanism of change.