Research & Evidence-Base

SPIN Video Interaction Guidance® (VIG)
An International Evidence-Based Model

SPIN®VIG is an evidence-based intervention affecting (a) parent-child interaction,  (b) teacher-child interaction, and (c) child outcomes.  It is also applied to address model fidelity, professional practice and leadership in a broad range of settings.  It has been in existence for 25+ years, since its development in child-care settings and parent-support/family therapy, home health, education, child welfare and other health and welfare settings in the Netherlands.  VIG was developed based on observations and experience, rather than via theoretical predictions.  It is a practical method that emerged from practitioners and was refined by its users and thus early on it developed, to a significant degree, outside of university research settings.  For this reason, it has a strong record of replicability across countries, languages, cultures, disciplines and profoundly different systems of service delivery.  Current and emergent research in neuroscience and other disciplines has provided a scientific understanding of why the method works, strengthening the ever-growing evidence basis for the model itself.

The evidence for VIG’s effectiveness came (first) from a series of small qualitative and quantitative studies of VIG without controls or randomization.  A growing body of later studies (involving randomized controlled trials or RCTs and other more rigorous methodologies) has already established VIG as an international evidence-based practice in several important areas and additional research is currently underway.

1. VIG is an accredited evidence-based practice by the British National Health Services for practitioners to use to improve maternal sensitivity and mother-infant interaction.
In the UK, Video Interaction Guidance is recommended as an evidence-based practice for implementation throughout the NHS (National Health Service) in its Public Health Guidance PH40.

“This guidance aims to define how the social and emotional wellbeing of vulnerable children aged under 5 years can be supported through home visiting, childcare and early education. The term ‘vulnerable’ is used to describe children who are at risk of, or who are already experiencing, social and emotional problems and need additional support.  The guidance is for all those responsible for planning and commissioning children’s services in local authorities (including education), the NHS and the community, voluntary and private sectors.  It also for: GPs, health visitors, midwives, psychologists and other health practitioners, social workers, teachers and those working in all early years settings (including childminders and those working in children’s centres and nurseries).”

NICE, the National Institute for Health and Clinical Excellence in the UK
Public Health Guidance
PH40 – Issued: October 20121

Social and emotional wellbeing: early years

Recommendation 3 – Antenatal and postnatal home visiting for vulnerable children and their families

 Who should take action? Maternity Services; Health Visiting Services; and Early Years Services

 What action should they take? Health visitors and midwives should consider evidence-based interventions such asVideo Interaction Guidance to improve maternal sensitivity and mother-infant attachment.   

(pp. 12-13 in the full report)


2.VIG increases teacher sensitivity and language stimulation
Fukkink and Tavecchio’s RTC provides clear evidence that VIG, as a tool for teacher training in early childhood, was effective in increasing teacher sensitivity and language stimulation. Along with his work, ongoing research in the UK and the Netherlands strengthens the support for VIG as an evidence-based intervention including several peer reviewed articles (in press) regarding recently completed RCTs with VIG for moms and babies.

3. Cochrane2 Review of VIG
VIG was selected in 2012 for a Cochrane Review – conducted by Dr. Jane Barlow of Warwick Medical School in Warwick, UK – as an intervention for maternal sensitivity in the early years. Cochrane Reviews (internationally recognized as setting the standard in evidence-based health care) provide the highest quality information about the evidence basis for an intervention.   This review will further solidify our understanding of the evidence basis for VIG in these important applications to family and child wellbeing.

4. VIG improves mother-infant interaction.
An RCT (Kennedy, Landor and Todd, 2010) showed VIG’s effect on parent child scores on Crittenden’s Care Index (Effect size = .5).

1NICE, the Centre for Public Health Excellence, was created in April 2005 and develops guidance on the promotion of good health and disease prevention. The British National Health Service (NHS) has accredited NICE to produce guidance for its Service and this accreditation is valid for 5 years from January 2010.  Since January 2002, it has been a mandatory requirement for NHS organizations in England and Wales to provide funding for medicines and treatment recommended by NICE.  In the US, AHRQ (Agency for Health Care Research and Quality: an agency of the U.S. Department of Health and Human Services) is the equivalent organization.

2Cochrane Reviews are systematic reviews of primary research in human health care and health policy, and are internationally recognized as the highest standard in evidence-based health care. They investigate the effects of interventions for prevention, treatment and rehabilitation. They are published online in The Cochrane Library.