Randomised Controlled Trial of an Intervention (SPOCCL) to Enhance Parent-Infant Interactions and Improve Cognitive Outcomes of Children with Cleft lip
Louise Dalton, Elizabeth Rapa, Leonardo De Pascalis, Laura Bozicevic, Nienke Verkuijl, Stephen Gerry, Tim Goodacre, Peter J. Cooper, Alan Stein, Lynne MurrayObjective
Previous research has shown disruptions in parent-infant interactions and child cognition for families affected by cleft lip. This study assessed the impact of Video Feedback Treatment (VFT) vs. an active treatment control condition on these outcomes for children with cleft lip (CL) (with or without cleft palate) (CL ± P).
Design
Multi-centre, parallel group, randomised controlled trial.
Setting
Participants were recruited from 4 National Health Service (NHS) Cleft Centres in the UK.
Participants
Sixty-six parents of infants with CL ± P and without other serious medical conditions.
Intervention
Thirty-two participants were allocated to the VFT group; thirty-four participants were allocated to an active control group – Support, Information and Advice (SIA). Parents in both groups received 6 home visits from a therapist from 1 week postpartum at approximately weekly intervals.
Main Outcome Measures
Parental sensitivity (Global Rating Scale) in parent-infant interactions at 11 weeks, and infant cognitive performance (BSID-III) at 18 months.
Results
There were no differences between VFT and SIA groups on the primary outcomes. Parent-infant interactions and infant cognitive outcomes in both VFT and SIA groups approached those for nonaffected populations and were better than those in previously reported, non-treated populations with CL ± P.
Conclusions
There were no differences between the 2 treatment groups for the main outcomes. The lack of a no-intervention control group precludes conclusions regarding treatment efficacy.