ISRCTN ISRCTN88988596
DOI https://doi.org/10.1186/ISRCTN88988596
Protocol serial number N/A
Sponsor Hamburg Foundation for the Advancement for Research and Culture (Germany)
Funder Hamburg Foundation for the Advancement for Research and Culture (Germany)
Submission date
04/02/2010
Registration date
07/06/2010
Last edited
04/09/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Brigitte Ramsauer
Scientific

Martinistr. 52
Hamburg
20246
Germany

Phone +49 (0)40 7410 55839
Email b.ramsauer@uke.uni-hamburg.de

Study information

Primary study designInterventional
Study designSingle-centre randomised controlled evaluation trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA randomised controlled evaluation of an attachment-based group intervention program (Circle of Security™) for mentally ill women with their infants
Study acronymRCT COSI
Study objectivesCircle of Security™ (COS) intervention will lead to significantly more securely attached infants compared to treatment as usual intervention.
Ethics approval(s)Ethics Committee of the Medical Association of Hamburg, 24/08/2009, ref: PV3269
Health condition(s) or problem(s) studiedMaternal mental illness, attachment disorders
InterventionCOS Intervention:
The Circle of Security™ (COS) intervention was designed to alter developmental pathways of at-risk parents and their children. Conceptualised as a manualised, group-based, 20-week intervention program, the focus is on the care-giver and his relationship capacities, to enhance the quality of child-parent attachment.

Duration of treatment: 7 months

TAU:
Standard treatment practice at the mother-infant unit at the Department of Child and Adolescent Psychiatry at the University Medical Center of Hamburg.

Duration of treatment: variable duration

Timepoints of assessments:
T1: Pre-treatment
T2: Post-treatment (child's age 16 - 18 months)
Intervention typeOther
Primary outcome measure(s)

Infant's attachment quality (security versus insecurity), measured at T2

Key secondary outcome measure(s)

1. Mother's attachment representation, measured at T1 and T2
2. Mother's interaction behaviour, measured at T1 and T2
3. Mother's reflecting functioning (RF), measured at T1 and T2
4. Mother's symptomatology, measured at T1 and T2

Completion date31/12/2011

Eligibility

Participant type(s)Patient
Age groupMixed
SexAll
Target sample size at registration72
Key inclusion criteria1. Mother (no age restrictions): mental illness
2. Infant: age of 4 to 9 months at study inclusion, either sex
Key exclusion criteria1. Mother:
1.1. Acute crisis of mental illness (i.e. suicidal tendency)
1.2. Schizophrenia
1.3. Primary substance-abuse
1.4. Intellectual impairments (intelligence quotient [IQ] less than 80)
2. Infant:
2.1. Mental retardation
2.2. Autism
Date of first enrolment01/01/2010
Date of final enrolment31/12/2011

Locations

Countries of recruitment

  • Germany

Study participating centre

Martinistr. 52
Hamburg
20246
Germany

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 30/01/2014 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes