Kunnskapsoppsumering og klassifisering av tiltaket: Circle of Security (COS) International – Parenting (COS-P) (2.utg.)

BACKGROUND: Circle of security (COS) is a group of attachment-based parental guidance interventions designed to promote sensitive and affective communication with the child, increasing the child’s sense of security and self-understanding. This article describes the Circle of Security (COS) International – Parenting (COS-P), which is a preventive intervention targeting groups of families. The intervention is developed to be provided to parents of children with no known risk of developing attachment issues. Implementation of the intervention in Norway is organized by Tilknytningspsykologene in co-operation with Circle of Security International in USA. METHODS: This review is based on systematic literature search in the databases Embase, Medline, Psykinfo, NORART, Cochrane, Cristin, NORA, SCOPUS and SweMed. International databases on evidence have also been searched, as well as information about the intervention from the Norwegian provider. Literature searches and other information obtained were reviewed to identify Nordic impact studies, international systematic reviews and other Norwegian studies of the intervention. RESULTS: The results in this paper consist of assessments of the intervention’s description, available studies and quality of implementation. COS-P is considered to be satisfactorily described with a good theoretical foundation. However, there are only one Nordic study where the effect of the intervention has been investigated, which find no significant difference in effect between a group receiving COS-P in addition to ordinary treatment (TAU) and another group receiving only TAU. This means that it is unclear whether COS-P actually has an effect in relation to promoting secure attachment. CONCLUSION: COS-P is classified at evidence level 2 – Theoretically-based interventions