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Poster #76 - Usability study of a remote personalized video-feedback parenting program

Fri, March 24, 8:30 to 9:15am, Salt Palace Convention Center, Floor: 1, Hall A-B

Abstract

Video-feedback intervention promotes sensitive parenting and positive discipline with firm limits (Juffer et al., 2017), even in six short-term intervention sessions (Juffer et al., 2018). The video-feedback strategy uses recorded videos analyzed by experts to offer orientations for positive parenting and strengthening parent-child positive interactions, discipline with sensitivity, attachment, and child development (Fisher et al., 2016; Juffer et al., 2017; Moss et al., 2018). Despite the advances in remote delivery of parenting programs, it is still scarce studies examining the perspective of mothers that receive programs with the strategy of video-feedback remotely. The present study aimed to examine the usability of the Strengthening Bond Program evaluated by mothers, focusing on the engagement, interactivity, and satisfaction domains. The sample comprised 73 mothers of 2-to-6-year-old children. The Strengthening Bonds is an evidence-based preventive universal program that improved positive parenting (decreased coercive parenting and improved parental sense of competence) and reduced child behavior problems. In this program, the mothers received remotely (via WhatsApp) personalized video-feedback of mother-child interactions in a play situation. The facilitators sent weekly six videos with personalized clips of mother-child interactions edited with legends and emojis combined with animated clips about positive interactions (responsiveness, reciprocity, and adaptative directivity). In the data collection, the engagement was measured by the number of mothers` visualization of the videos on YouTube (Google analytics) during the intervention. The mothers` satisfaction with the program was measured by a feedback questionnaire including six questions (Likert scale 0-to-10), three open questions, and one question about the duration of the program (Frontiers of Innovation, Harvard Center on the Developing Child). The interactivity was assessed by messages exchanged between mothers and facilitators via WhatsApp; the messages focused if the mothers watched the videos, what was their opinion about them, and if they liked the videos. A coding system was developed to categorize the central thematic of the mothers` answers to the open questions in the feedback questionnaire and the messages in the interactivity procedure. Subsequently, the categories were quantified. The results showed that, in the engagement evaluation, 87% of mothers watched all the videos sent, predominantly in the first week. Eight mothers dropped out of the study, but they predominantly watched 4 or 6 videos. In the interactivity, the mothers sent messages with the predominant prevalence of positive feedback about the program (99%), mentioning concepts of positive parenting (42%) and referring that they shared the videos with other family members (48%). In the satisfaction assessment, the mothers scored the program upper than 9. Also, the mothers highlighted their learning about positive parenting (76%) and gave positive feedback about the program (72%). The mothers were very satisfied with the duration of the program and they did not suggest modifications, except for four mothers that wanted more videos, two mothers that required psychological support, and two mothers that recommended including fathers. In conclusion, the Strengthening Bonds, which is an effective universal preventive parenting program, demonstrated usability from the perspective of the mothers.

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