Cochrane · systematic review · CD012348

Video feedback for parental sensitivity and attachment security in children under five years

O'Hara, L, Smith, ER, Barlow, J, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 4 · 57.1%Low 1 · 14.3%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Video feedback versus no intervention or inactive alternative intervention for parental sensitivity and attachment

Population: parent‐child dyads (including foster or adoptive carers), where the child was aged between birth and four years 11 months (inclusive), and where problems had been identified that were impacting or might impact on the parent's sensitivity
7 questions
OutcomeEffectEvidenceStatus / GRADE
Parental sensitivity
Video feedback vs no intervention or inactive alternative intervention
no estimate extracted20 studies · 1757 participantsModerate
Downgraded: inconsistency
Parental reflective functioning
Video feedback vs no intervention or inactive alternative intervention
no estimate extractedNRNo studies
Attachment security Measured by: Strange Situation Procedure (odds of being securely attached)
Video feedback vs no intervention or inactive alternative intervention
OR 3.04 [1.39, 6.67]2 studies · 166 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Attachment security Measured by: Attachment Q‐sort
Video feedback vs no intervention or inactive alternative intervention
no estimate extracted2 studies · 131 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Adverse events: parental stress
Video feedback vs no intervention or inactive alternative intervention
no estimate extracted8 studies · 537 participantsLow
Downgraded: risk of bias, imprecision
Adverse events: parental anxiety
Video feedback vs no intervention or inactive alternative intervention
no estimate extracted2 studies · 311 participantsVery low
Downgraded: imprecision, inconsistency, publication bias
Child behaviour
Video feedback vs no intervention or inactive alternative intervention
no estimate extracted2 studies · 119 participantsVery low
Downgraded: risk of bias, imprecision, publication bias