The Experts below are selected from a list of 119463 Experts worldwide ranked by ideXlab platform
Sheila M. Eyberg - One of the best experts on this subject based on the ideXlab platform.
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rationale and considerations for the internet based delivery of parent child Interaction therapy
Cognitive and Behavioral Practice, 2015Co-Authors: Jonathan S Comer, Cheryl B Mcneil, Jami M Furr, Christine E Coopervince, Ryan J Madigan, Candice Chow, Priscilla T Chan, Fabio Idrobo, Rhea M Chase, Sheila M. EybergAbstract:Given the enormous individual, familial, and societal costs associated with early disruptive behavior disorders, transformative efforts are needed to develop innovative options for overcoming traditional barriers to effective care and for broadening the availability of supported interventions. This paper presents the rationale and key considerations for a promising innovation in the treatment of early-onset disruptive behavior disorders—that is, the development of an Internet-based format for the delivery of Parent–Child Interaction Therapy (PCIT) directly to families in their own homes. Specifically, we consider traditional barriers to effective care, and discuss how technological innovations can overcome problems of treatment availability, accessibility, and acceptability. We then detail our current Internet-delivered PCIT treatment program (I-PCIT), which is currently being evaluated across multiple randomized clinical trials relative to waitlist comparison, and to traditional in-office PCIT. Embedded video clips of children treated with I-PCIT are used to illustrate novel aspects of the treatment.
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treatment outcome for low socioeconomic status african american families in parent child Interaction therapy a pilot study
Child & Family Behavior Therapy, 2011Co-Authors: Melanie Fernandez, Ashley M Butler, Sheila M. EybergAbstract:The course and efficacy of Parent-Child Interaction therapy (PCIT) were examined in 18 socioeconomically disadvantaged African American families of preschoolers with disruptive behavior disorders. Mothers reported significant improvements in child disruptive behavior but not in maternal depressive symptoms or parenting stress. Attrition was 56%, most often occurring after pre-treatment assessment but before treatment began. Results suggest that PCIT may lead to positive behavior changes for disadvantaged young African American children when families complete treatment. Recruitment, engagement, and retention remain significant problems requiring further study. Reduction of parenting stress also requires study in this population.
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early identification and intervention for behavior problems in primary care a comparison of two abbreviated versions of parent child Interaction therapy
Behavior Therapy, 2010Co-Authors: Michelle D Berkovits, Kelly Obrien, Carolyn G Carter, Sheila M. EybergAbstract:Behavioral screening and preventive intervention were implemented for 3- to 6-year-olds in pediatric primary care with subclinical behavior problems. One hundred eleven children were screened with the Eyberg Child Behavior Inventory. Thirty children who scored within one standard deviation of the normative mean whose mothers indicated wanting help for their child's behavior were randomized to one of two abbreviated versions of Parent-Child Interaction Therapy (PCIT) for use in pediatric primary care: (a) a 4-session group preventive intervention called Primary Care PCIT (PC-PCIT); or (b) written materials describing basic steps of PCIT and guidelines for practice, called PCIT Anticipatory Guidance (PCIT-AG). Decreases in child problem behaviors and ineffective parenting strategies, and increases in parental feelings of control were not significantly different between versions at post-intervention or 6-month follow-up. Changes during intervention were significantly larger for both groups than changes during pretreatment baseline, with moderate to large effect sizes. These brief versions of PCIT are both promising primary care preventive interventions that deserve further study.
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predicting treatment and follow up attrition in parent child Interaction therapy
Journal of Abnormal Child Psychology, 2009Co-Authors: Melanie Fernandez, Sheila M. EybergAbstract:Predictors of attrition from individual parent–child Interaction therapy were examined for 99 families of preschoolers with disruptive behavior disorders. Seventy-one percent of treatment dropouts were identified by lower SES, more maternal negative talk, and less maternal total praise at pretreatment. Following PCIT, families were randomly assigned to an Assessment-Only or Maintenance Treatment condition. Higher maternal distress predicted 63% of dropouts in the Assessment-Only condition. Lower maternal intellectual functioning predicted 83% of dropouts from Maintenance Treatment. Findings highlight a continuing need for evidence-based retention strategies at various phases of engagement in PCIT.
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The Implementation of Modified Parent-Child Interaction Therapy for Youth with Separation Anxiety Disorder
Cognitive and Behavioral Practice, 2008Co-Authors: Donna B. Pincus, Jill T. Ehrenreich, Lauren C. Santucci, Sheila M. EybergAbstract:Separation Anxiety Disorder (SAD) is the most prevalent anxiety disorder experienced by children, and yet empirical treatment studies of SAD in young children are virtually nonexistent. This paper will describe the development and implementation of an innovative treatment for SAD in young children. First, we will highlight the rationale for developing interventions specifically for SAD in young children. Second, we will describe an existing empirically supported treatment, Parent-Child Interaction Therapy (PCIT; Brinkmeyer, M. Y., & Eyberg, S.M., (2003)), that may have particular applicability to very young children with SAD and their parents. We present how results from 10 pilot participants were utilized to modify PCIT to better address the needs of children with SAD and their families. The benefits and challenges of implementing this modified version of PCIT are reviewed, along with potential directions for future research in this area.
Cheryl B Mcneil - One of the best experts on this subject based on the ideXlab platform.
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parent child Interaction therapy findings from an exploratory qualitative study with practitioners and foster parents
Qualitative Social Work, 2020Co-Authors: Katelyn Blair, James Topitzes, Erin N Winkler, Cheryl B McneilAbstract:This exploratory study examines practitioners’ and foster parents’ perceptions on use of Parent–Child Interaction Therapy in child welfare. Focus groups were completed with Parent–Child Interaction...
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parent child Interaction therapy current perspectives
Psychology Research and Behavior Management, 2017Co-Authors: Corey C Lieneman, Laurel A Brabson, April Highlander, Nancy M Wallace, Cheryl B McneilAbstract:Parent-Child Interaction Therapy (PCIT) is an empirically supported intervention originally developed to treat disruptive behavior problems in children between the ages of 2 and 7 years. Since its creation over 40 years ago, PCIT has been studied internationally with various populations and has been found to be an effective intervention for numerous behavioral and emotional issues. This article summarizes progress in the PCIT literature over the past decade (2006-2017) and outlines future directions for this important work. Recent PCIT research related to treatment effectiveness, treatment components, adaptations for specific populations (age groups, cultural groups, military families, individuals diagnosed with specific disorders, trauma survivors, and the hearing-impaired), format changes (group and home-based), teacher-child Interaction training (TCIT), intensive PCIT (I-PCIT), treatment as prevention (for externalizing problems, child maltreatment, and developmental delays), and implementation are discussed.
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examining the efficacy of parent child Interaction therapy with children on the autism spectrum
Journal of Child and Family Studies, 2016Co-Authors: Joshua J Masse, Cheryl B Mcneil, Stephanie M Wagner, Lauren B QuetschAbstract:Externalizing behaviors are a common component of the clinical presentation of autism spectrum disorders. Although traditionally used with typically-developing children, parent–child Interaction therapy (PCIT) is one behaviorally-based parent training program that has demonstrated success in increasing child compliance, reducing problem behavior, and improving parent–child communication. The study examined the efficacy of PCIT as a treatment for children with autism spectrum disorders by employing a single subject, non-concurrent multiple baseline design across three subjects. Primary findings revealed increases in child compliance, reductions in child disruptive behavior, and improved parenting skills across participants. In addition, each caregiver reported high levels of satisfaction with the intervention. Results suggested that PCIT may be a treatment option for children on the autism spectrum with co-occurring behavioral difficulties. Although the non-concurrent nature of the multiple baseline design is a limitation, this study replicates and extends previous research investigating the efficacy of PCIT with children with autism and their parents.
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adapting parent child Interaction therapy to foster care outcomes from a randomized trial
Research on Social Work Practice, 2016Co-Authors: Joshua P Mersky, James Topitzes, Stacey D Grantsavela, Michael J Brondino, Cheryl B McneilAbstract:Objective:This study presents outcomes from a randomized trial of a novel Parent-Child Interaction Therapy (PCIT) model for foster families. Differential effects of two intervention doses on child externalizing and internalizing symptoms are examined.Method:A sample of 102 foster children was assigned to one of three conditions—brief PCIT, extended PCIT, or wait-list control. The brief and extended groups received 2 days of PCIT training and 8 weeks of telephone consultation. The extended PCIT group received an additional booster training plus 6 more weeks of consultation. Wait-list controls received services as usual. Tests of change over time were estimated using mixed-model repeated measures analysis of covariance.Results:Compared to controls, children in both PCIT groups exhibited a greater reduction in externalizing and internalizing scores over time. Pairwise contrasts of the two PCIT conditions yielded mixed results.Conclusion:Results indicate that PCIT can be tailored efficaciously for foster fami...
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enhancing foster parent training with parent child Interaction therapy evidence from a randomized field experiment
Journal of The Society for Social Work and Research, 2015Co-Authors: Joshua P Mersky, James Topitzes, Colleen E Janczewski, Cheryl B McneilAbstract:AbstractObjective: Research indicates that foster parents often do not receive sufficient training and support to help them meet the demands of caring for foster children with emotional and behavioral disturbances. Parent-Child Interaction Therapy (PCIT) is a clinically efficacious intervention for child externalizing problems, and it also has been shown to mitigate parenting stress and enhance parenting attitudes and behaviors. However, PCIT is seldom available to foster families, and it rarely has been tested under intervention conditions that are generalizable to community-based child welfare service contexts. To address this gap, PCIT was adapted and implemented in a field experiment using 2 novel approaches—group-based training and telephone consultation—both of which have the potential to be integrated into usual care. Method: This study analyzes 129 foster-Parent-Child dyads who were randomly assigned to 1 of 3 conditions: (a) waitlist control, (b) brief PCIT, and (c) extended PCIT. Self-report and...
Rae Thomas - One of the best experts on this subject based on the ideXlab platform.
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parent child Interaction therapy adapted for preschoolers with callous unemotional traits an open trial pilot study
Journal of Clinical Child and Adolescent Psychology, 2019Co-Authors: Eva R Kimonis, Rae Thomas, Daniel M Bagner, Georgette E Fleming, Nancy Briggs, Lauren Brouwerfrench, Paul J Frick, David J Hawes, Mark R DaddsAbstract:Children with co-occurring conduct problems and callous-unemotional (CU) traits show a distinct pattern of early starting, chronic, and aggressive antisocial behaviors that are resistant to traditional parent-training interventions. The aim of this study was to examine in an open trial the acceptability and initial outcomes of a novel adaptation of Parent–Child Interaction Therapy, called PCIT-CU, designed to target 3 distinct deficits of children with CU traits. Twenty-three Australian families with a 3- to 6-year-old (M age = 4.5 years, SD = .92) child with clinically significant conduct problems and CU traits participated in the 21-week intervention and 5 assessments measuring child conduct problems, CU traits, and empathy at a university-based research clinic. Treatment retention was high (74%), and parents reported a high level of satisfaction with the program. Results of linear mixed models indicated that the intervention produced decreases in child conduct problems and CU traits, and increases in e...
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parent child Interaction therapy a meta analysis
Pediatrics, 2017Co-Authors: Rae Thomas, Bridget Abell, Haley J Webb, Elbina Avdagic, Melanie J ZimmergembeckAbstract:CONTEXT Parent-Child Interaction therapy (PCIT) is effective at reducing children’s externalizing behavior. However, modifications are often made to PCIT, and it is not known whether these impact effectiveness. OBJECTIVE To systematically review and meta-analyze the effects of PCIT on child externalizing behaviors, considering modifications, study design, and bias. DATA SOURCES We searched PubMed, PsycINFO, Education Resources Information Center, Sociological Abstracts, and A+ Education. STUDY SELECTION We selected randomized controlled or quasi-experimental trials. DATA EXTRACTION We analyzed child externalizing and internalizing behaviors, parent stress, Parent-Child Interactions, PCIT format, and study design and/or characteristics. RESULTS We included 23 studies (1144 participants). PCIT was superior to control for reducing child externalizing (standardized mean difference [SMD]: −0.87, 95% confidence interval [CI]:−1.17 to −0.58). PCIT studies that required skill mastery had significantly greater reductions in externalizing behavior than those that did not (Mastery: SMD: −1.09, 95% CI: −1.44 to −0.73; Nonmastery: SMD: −0.51,95% CI: −0.85 to −0.17, P = .02). Compared with controls, PCIT significantly reduced parent-related stress (mean difference [MD]: −6.98, 95% CI: −11.69 to −2.27) and child-related stress (MD: −9.87, 95% CI: −13.64 to −6.09). Children in PCIT were observed to be more compliant to parent requests (SMD: 0.89, 95% CI: 0.50 to 1.28) compared with controls. PCIT effectiveness did not differ depending on session length, location (academic versus community settings), or child problems (disruptive behaviors only compared with disruptive behavior and other problems). LIMITATIONS Results for Parent-Child observations were inconsistently reported, reducing the ability to pool important data. CONCLUSIONS PCIT has robust positive outcomes across multiple parent-reported and observed Parent-Child Interaction measures, and modifications may not be required even when implemented in diverse populations.
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an evaluation of parent child Interaction therapy with and without motivational enhancement to reduce attrition
Journal of Clinical Child and Adolescent Psychology, 2017Co-Authors: Haley J Webb, Rae Thomas, Elbina Avdagic, Leanne Mcgregor, Melanie J ZimmergembeckAbstract:Although many interventions for child externalizing behavior report promising outcomes for families, high attrition prior to program completion remains a problem. Many programs report dropout rates of 50% or higher. In this trial we sought to reduce attrition and improve outcomes by augmenting a well-known evidence-based intervention, Parent-Child Interaction Therapy (PCIT), with a 3-session individual motivational enhancement component. Participants were 192 Australian caregivers (91.7% female; Mage = 34.4 years) and their children (33.3% female; Mage = 4.4 years). Families (51% referred from child welfare or health services for risk of maltreatment) were assigned to PCIT or a supported waitlist, with families assigned to PCIT receiving either standard PCIT (S/PCIT) or motivation-enhanced PCIT (M/PCIT), depending on their time of entry to the study. Waitlist families received phone calls every week for 12 weeks. Parents in M/PCIT reported more readiness to change their behavior from preassessment to after the motivation sessions. Also, parents who reported high, rather than low, motivation at preassessment did have a lower attrition rate, and there was some evidence that enhancing motivation was protective of premature attrition to the extent that caregivers achieved a high degree of change in motivation. Yet comparison of attrition rates and survival analyses revealed no difference between M/PCIT and S/PCIT in retention rate. Finally, there were greater reductions in externalizing and internalizing child behavior problems and parental stress among families in S/PCIT and M/PCIT compared with waitlist, and there was generally no significant difference between the two treatment conditions.
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parent child Interaction therapy an evidence based treatment for child maltreatment
Child Maltreatment, 2012Co-Authors: Rae Thomas, Melanie J ZimmergembeckAbstract:It is common practice to augment efficacious treatment protocols for special populations (Durlak & DuPre, 2008), but this is often done before establishing that standard services are not appropriate. In this randomized controlled trial with families at risk or with a history of maltreatment (N = 151), we investigated the effectiveness of standard 12-session Parent-Child Interaction Therapy (PCIT). This is in contrast to other PCIT studies with similar parents, which have allowed for longer and sometimes variable treatment length and with modifications to PCIT protocol. After treatment and compared to Waitlist, mothers reported fewer child externalizing and internalizing behaviors, decreased stress, and were observed to have more positive verbalizations and maternal sensitivity. These outcomes were equivalent or better than outcomes of our previous PCIT trial with high-risk families (Thomas & Zimmer-Gembeck, 2011) when treatment length was variable and often longer. These findings support standard protocol PCIT as an efficacious intervention for families in the child welfare system. Language: en
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Behavioral outcomes of Parent-Child Interaction therapy and triple P-positive parenting program: A review and meta-analysis
Journal of Abnormal Child Psychology, 2007Co-Authors: Rae Thomas, Melanie J. Zimmer-gembeckAbstract:We conducted a review and meta-analyses of 24 studies to evaluate and compare the outcomes of two widely disseminated parenting interventions-Parent-Child Interaction Therapy and Triple P-Positive Parenting Program. Participants in all studies were caregivers and 3- to 12-year-old children. In general, our analyses revealed positive effects of both interventions, but effects varied depending on intervention length, components, and source of outcome data. Both interventions reduced parent-reported child behavior and parenting problems. The effect sizes for PCIT were large when outcomes of child and parent behaviors were assessed with parent-report, with the exclusion of Abbreviated PCIT, which had moderate effect sizes. All forms of Triple P had moderate to large effects when outcomes were parent-reported child behaviors and parenting, with the exception of Media Triple P, which had small effects. PCIT and an enhanced version of Triple P were associated with improvements in observed child behaviors. These findings provide information about the relative efficacy of two programs that have received substantial funding in the USA and Australia, and findings should assist in making decisions about allocations of funding and dissemination of these parenting interventions in the future.
Jason F Jent - One of the best experts on this subject based on the ideXlab platform.
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parent child Interaction therapy for children with autism spectrum disorder and a matched case control sample
Autism, 2020Co-Authors: Meaghan V Parlade, Allison Weinstein, Dainelys Garcia, Amelia M Rowley, Nicole C Ginn, Jason F JentAbstract:Parent-Child Interaction Therapy is an empirically based, behavioral parent training program for young children exhibiting disruptive behaviors. Parent-Child Interaction Therapy shows promise for treating disruptive behaviors in children with autism spectrum disorder. Treatment processes (i.e. treatment length and homework compliance), parenting skills, parenting stress, and behavioral outcomes (i.e. disruptive and externalizing behaviors and executive functioning) were compared in 16 children with autism spectrum disorder and 16 children without autism spectrum disorder matched on gender, age, and initial intensity of disruptive behaviors. Samples were statistically similar in terms of child receptive language, child race and ethnicity, parent age, gender and education, and number of two-parent families in treatment. Families received standard, mastery-based Parent-Child Interaction Therapy. Both groups demonstrated significant and clinically meaningful improvements in child disruptive and externalizing behavior and executive functioning, parenting skills, and parenting stress. Length of treatment, homework compliance, and parent and child outcomes did not differ significantly between groups. A subset of children with autism spectrum disorder also showed significant improvements in social responsiveness, adaptive skills, and restricted/repetitive behaviors. This study replicates and extends prior research by demonstrating that children with and without autism spectrum disorder experience similar benefits following Parent-Child Interaction Therapy. Findings may expand the availability and dissemination of time-limited, evidence-based interventions for autism spectrum disorder and comorbid disruptive behaviors.
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improving child emotion regulation effects of parent child Interaction therapy and emotion socialization strategies
Journal of Child and Family Studies, 2019Co-Authors: Andrew W Rothenberg, Allison Weinstein, Erin Dandes, Jason F JentAbstract:Emotion regulation is a mechanism that, when targeted in treatment, can ameliorate heterogeneous psychopathology across ontogeny. Parent-Child Interaction Therapy (PCIT) is one evidence-based intervention hypothesized to improve child emotion regulation. Building on this hypothesis, the present study examined three objectives. First, it examined whether child behavior improvement or parent positive parenting skill use during PCIT predicted improvements in post-treatment child emotion regulation. Second, it measured whether these associations persisted after controlling for baseline child emotion regulation, as well as positive and negative parent emotion socialization strategies. Third, it evaluated whether positive parenting skill use and child behavior improvement mediated associations between pre- and post-treatment child emotion regulation. PCIT participants were 86 2–8 year-olds and their caregivers. Child behavior improvement during PCIT (β = −0.65, p < 0.01) and positive pre-treatment parent emotion socialization strategies (β = −0.33, p = 0.05) were associated with improvements in post-treatment child emotion regulation. Additionally, improvements in child behavior during PCIT (β = −0.29, p < 0.01) but not mid-treatment positive parenting skill use (β = 0.00, p = 0.98) mediated the association between pre- and post-treatment emotion regulation. For children with clinically-elevated emotion regulation scores pre-treatment, over 80% of such scores fell to the normative range post-treatment. These preliminary results indicate PCIT may be effective in improving children’s emotion regulation, such effectiveness may persist even when treatment coincides with parent negative emotion socialization strategy use, and such effectiveness appears attributable to child behavior improvements over treatment. Additionally, parent positive emotion socialization strategies appear to be promising targets for future interventions.
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successful therapist parent coaching how in vivo feedback relates to parent engagement in parent child Interaction therapy
Journal of Clinical Child and Adolescent Psychology, 2017Co-Authors: Miya L. Barnett, Larissa N Niec, Samuel O Peer, Jason F Jent, Allison Weinstein, Patricia Gisbert, Gregory SimpsonAbstract:Although behavioral parent training is considered efficacious treatment for childhood conduct problems, not all families benefit equally from treatment. Some parents take longer to change their behaviors and others ultimately drop out. Understanding how therapist behaviors impact parental engagement is necessary to improve treatment utilization. This study investigated how different techniques of therapist in vivo feedback (i.e., coaching) influenced parent attrition and skill acquisition in Parent-Child Interaction therapy (PCIT). Participants included 51 Parent-Child dyads who participated in PCIT. Children (age: M = 5.03, SD = 1.65) were predominately minorities (63% White Hispanic, 16% African American or Black). Eight families discontinued treatment prematurely. Therapist coaching techniques during the first session of treatment were coded using the Therapist-Parent Interaction Coding System, and parent behaviors were coded with the Dyadic Parent-Child Interaction Coding System, Third Edition. Parents who received more responsive coaching acquired child-centered parenting skills more quickly. Therapists used fewer responsive techniques and more drills with families who dropped out of treatment. A composite of therapist behaviors accurately predicted treatment completion for 86% of families. Although group membership was correctly classified for the treatment completers, only 1 dropout was accurately predicted. Findings suggest that therapist in vivo feedback techniques may impact parents' success in PCIT and that responsive coaching may be particularly relevant.
Melanie J Zimmergembeck - One of the best experts on this subject based on the ideXlab platform.
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parent child Interaction therapy a meta analysis
Pediatrics, 2017Co-Authors: Rae Thomas, Bridget Abell, Haley J Webb, Elbina Avdagic, Melanie J ZimmergembeckAbstract:CONTEXT Parent-Child Interaction therapy (PCIT) is effective at reducing children’s externalizing behavior. However, modifications are often made to PCIT, and it is not known whether these impact effectiveness. OBJECTIVE To systematically review and meta-analyze the effects of PCIT on child externalizing behaviors, considering modifications, study design, and bias. DATA SOURCES We searched PubMed, PsycINFO, Education Resources Information Center, Sociological Abstracts, and A+ Education. STUDY SELECTION We selected randomized controlled or quasi-experimental trials. DATA EXTRACTION We analyzed child externalizing and internalizing behaviors, parent stress, Parent-Child Interactions, PCIT format, and study design and/or characteristics. RESULTS We included 23 studies (1144 participants). PCIT was superior to control for reducing child externalizing (standardized mean difference [SMD]: −0.87, 95% confidence interval [CI]:−1.17 to −0.58). PCIT studies that required skill mastery had significantly greater reductions in externalizing behavior than those that did not (Mastery: SMD: −1.09, 95% CI: −1.44 to −0.73; Nonmastery: SMD: −0.51,95% CI: −0.85 to −0.17, P = .02). Compared with controls, PCIT significantly reduced parent-related stress (mean difference [MD]: −6.98, 95% CI: −11.69 to −2.27) and child-related stress (MD: −9.87, 95% CI: −13.64 to −6.09). Children in PCIT were observed to be more compliant to parent requests (SMD: 0.89, 95% CI: 0.50 to 1.28) compared with controls. PCIT effectiveness did not differ depending on session length, location (academic versus community settings), or child problems (disruptive behaviors only compared with disruptive behavior and other problems). LIMITATIONS Results for Parent-Child observations were inconsistently reported, reducing the ability to pool important data. CONCLUSIONS PCIT has robust positive outcomes across multiple parent-reported and observed Parent-Child Interaction measures, and modifications may not be required even when implemented in diverse populations.
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an evaluation of parent child Interaction therapy with and without motivational enhancement to reduce attrition
Journal of Clinical Child and Adolescent Psychology, 2017Co-Authors: Haley J Webb, Rae Thomas, Elbina Avdagic, Leanne Mcgregor, Melanie J ZimmergembeckAbstract:Although many interventions for child externalizing behavior report promising outcomes for families, high attrition prior to program completion remains a problem. Many programs report dropout rates of 50% or higher. In this trial we sought to reduce attrition and improve outcomes by augmenting a well-known evidence-based intervention, Parent-Child Interaction Therapy (PCIT), with a 3-session individual motivational enhancement component. Participants were 192 Australian caregivers (91.7% female; Mage = 34.4 years) and their children (33.3% female; Mage = 4.4 years). Families (51% referred from child welfare or health services for risk of maltreatment) were assigned to PCIT or a supported waitlist, with families assigned to PCIT receiving either standard PCIT (S/PCIT) or motivation-enhanced PCIT (M/PCIT), depending on their time of entry to the study. Waitlist families received phone calls every week for 12 weeks. Parents in M/PCIT reported more readiness to change their behavior from preassessment to after the motivation sessions. Also, parents who reported high, rather than low, motivation at preassessment did have a lower attrition rate, and there was some evidence that enhancing motivation was protective of premature attrition to the extent that caregivers achieved a high degree of change in motivation. Yet comparison of attrition rates and survival analyses revealed no difference between M/PCIT and S/PCIT in retention rate. Finally, there were greater reductions in externalizing and internalizing child behavior problems and parental stress among families in S/PCIT and M/PCIT compared with waitlist, and there was generally no significant difference between the two treatment conditions.
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parent child Interaction therapy an evidence based treatment for child maltreatment
Child Maltreatment, 2012Co-Authors: Rae Thomas, Melanie J ZimmergembeckAbstract:It is common practice to augment efficacious treatment protocols for special populations (Durlak & DuPre, 2008), but this is often done before establishing that standard services are not appropriate. In this randomized controlled trial with families at risk or with a history of maltreatment (N = 151), we investigated the effectiveness of standard 12-session Parent-Child Interaction Therapy (PCIT). This is in contrast to other PCIT studies with similar parents, which have allowed for longer and sometimes variable treatment length and with modifications to PCIT protocol. After treatment and compared to Waitlist, mothers reported fewer child externalizing and internalizing behaviors, decreased stress, and were observed to have more positive verbalizations and maternal sensitivity. These outcomes were equivalent or better than outcomes of our previous PCIT trial with high-risk families (Thomas & Zimmer-Gembeck, 2011) when treatment length was variable and often longer. These findings support standard protocol PCIT as an efficacious intervention for families in the child welfare system. Language: en
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accumulating evidence for parent child Interaction therapy in the prevention of child maltreatment
Child Development, 2011Co-Authors: Raelouise Thomas, Melanie J ZimmergembeckAbstract:In a randomized controlled trial, the effectiveness of Parent–Child Interaction Therapy (PCIT) and correlates of maltreatment outcomes were examined. Mothers (N = 150) had a history or were at high risk of maltreating their children. After 12 weeks and compared to waitlist, PCIT mothers were observed to have improved parent–child Interactions and reported better child behavior and decreased stress. At PCIT completion, improvements continued and mothers reported less child abuse potential and had improved maternal sensitivity. Also, PCIT completers were less likely to be notified to child welfare than noncompleters. Finally, those families not notified post-PCIT showed greater reductions in child abuse potential and improvements in observed sensitivity during treatment. Implications for theory and practice are discussed.
