SPIN Video Home Training (VHT) - Detailed Report

• SPIN VHT addresses the relational difficulties and knowledge deficits that underlie a wide range of problems and symptoms that are seen in child welfare settings.
• Plan interventions based on program specific goals as well as "helping questions" developed or articulated by the parents: concerns, child behaviors, or problems that the parent identifies as important.
• Identify deficits and skills that address the helping question and respond to clinically significant concerns.
• Focus on building successful patterns of contact, interaction, communication, and conflict management in families that support healthy attachment and strong developmental outcomes for their children.
• Create positive self-modeling videotapes that highlight positive moments in family interactions and that respond to helping question and practitioner concerns. Children are present during taping sessions.
• Present positive self-modeling videotapes to parents. Parents view carefully edited video self models that exemplify (or approximate) themselves making successful resolutions of problems. Children may be present during feedback.
• Address problems and risks using SPIN’s operationalization of strengths-based intervention. Older children and adolescents may receive separate coaching sessions.
• Integrate content of parent education program with strengths-based interaction coaching. Targeted problems and symptoms are replaced as relational skills improve; parent confidence and motivation toward success increase; and children’s ongoing growth and developmental needs are understood and supported.
• Delivered by staff who receives regular video feedback coaching during an 18-month apprenticeship.

SPIN Video Home Training (VHT) has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated. " It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR – Not able to be Rated" classification, please see the Scientific Rating Scale.

Weiner, A., Kuppermintz, H., & Guttman, D. (1994). Video Home Training (the Orion Project): A short-term preventive and treatment intervention for families with young children. Family Processes, 33, 441-453.

Type of Study: Non-equivalent control group
Number of participants: 178
Population:

Age Range: Not given
Race/Ethnicity: Not given
Status (e.g., foster care, CW): Families from disadvantaged neighborhoods who were having interaction problems with their young children.

Location/Institution: Israel
Summary: (To include comparison groups, outcomes, measures, notable limitations) Intervention and control families were compared on key aspects of parent child interaction and family functioning, including naming with approval, taking turns, strengthening the weak link, following with a positive verbal response, framing verbal interactions positively, supporting initiative, taking the lead, and sharing pleasant moments. Measurement was based on home observation by Orion Project workers. Results showed improvements in the targeted areas for Orion Project families, which were sustained at 6 months from baseline. Control families did not show significant changes across time, but the authors note that they were already functioning at a higher level at the beginning of the study. The study also evaluated general appearance of well-being and found gains in choosing appropriate toys and child positive affect.
Length of post-intervention follow-up: 3 months post-intervention

Brooks, J. (2008). Video interaction guidance: A practitioner’s perspective, Community Practitioner, 81(9), 21-24.

Fukkink, R. (2008) Video Feedback in widescreen: A meta-analysis of family programs. Clinical Psychology Review, 28, 904-916. Also available at http://www.spinusa.org/Video%20feedback.pdf.

Pease, T., Colpa, A., Proulx, G., & Boss, J. (2004). Using technology in consultation: Enhancing relationships. Zero To Three, 24(6), 20-24.