Supporting Parenting at Home: Empowering Rehabilitation Through Engagement (SPHERE) (SPHERE)
Neurodevelopmental Disorders
About this trial
This is an interventional supportive care trial for Neurodevelopmental Disorders focused on measuring early family-centered intervention, telemedicine, video feedback, parenting, telerehabilitation, disability, psychomotor delay
Eligibility Criteria
Inclusion Criteria:
- infants' (corrected) age between 1 and 18 months;
- presence of developmental risk or diagnosis of ND as defined by standardized clinical criteria;
- parental age greater than 18 years;
- parental mastery of Italian language;
- parents living together with the infant.
Exclusion Criteria:
- Twins;
- Infant's life-threatening conditions;
- Maternal full-blown documented psychiatric disorders.
Sites / Locations
- Mondino FoundationRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Telemedicine Video Feedback Arm
Psychoeducational booklet arm
Mother-child dyads will take part into a 6 video-conference sessions of Video Feedback (vVF). The vVF will be standardized according to previously published RCTs. Specifically, the 6 vVFI sessions will be organized in two subsequent phases: 4 sessions based on sharing the focus on different relational themes, and 2 sessions of interactive integration. In more specific terms, during the first set of 4 sessions the psychologist will review with mothers' segments of the videotapes obtained during the baseline assessment and will focus on four different relational themes: responsiveness, physical stimulation, teaching, and parenting experience. During the interactive integration session, the insights developed from the first 4 videoconferences will be applied to the real-time interaction between the parent and his/her infant under the guidance of the psychologist.
Mothers assigned to condition B will receive an informative booklet addressing the same themes discussed in the experimental intervention (i.e., responsiveness, physical stimulation, teaching, and parenting experience), but not tailored on their own infant or specific parenting challenges.