A Mixed-Methods Study of Clinician Adaptations to Parent-Child Interaction Therapy - What about Culture?

Evidence-Based Treatment in Practice: PCIT Research on Addressing Individual Differences and Diversity Through the Lens of 20 Years of Service

“…In a mixed-methods study of 314 community-based PCIT clinicians focused on identifying practice-based adaptations to PCIT, clinician adaptations based on reducing or reordering components of PCIT (eg, omitting DPICS) were rarely reported. 42 However, adaptations based on augmenting and adding components to PCIT (eg, emotion coaching, elements of trauma-focused cognitive-behavioral therapy) were more common. Clinicians reported that adaptations to PCIT were primarily due to client clinical diagnoses or presentation, as well as developmental level and emergent life events within the family.…”

“…Up until recently adaptions to PCIT for various diverse populations have been done locally, for specific populations, and applied as a standard across families or applied in an ad hoc basis in conjunction with therapist experience. 42 This approach makes it difficult to gauge the extent and possible impact of these modifications. For example, many modifications seem to concentrate on translating the psychoeducation and didactic materials from English to another language, and these changes may be minimal or may be more significant because of changes to the meaning of content and the delivery of information.…”

“…We also have methods of gathering practitioners' reflection through informal and formal meetings and supervision opportunities, and we provide opportunities for formal training outside of our service. In community-based clinics such as FIP, the evidence-informed approach of EBP, rather than an exclusive evidence-driven approach, has become helpful in decision-making about support services, especially where staff are tasked with meeting the diverse needs of clinical populations, 41,42 which can be more complex than those in rigorous clinical trials. 43 Although studies of PCIT have consistently demonstrated positive outcomes via rigorous RCTs based on a set of suitability criteria 16,24,[44][45][46] and we conducted some of these RCTs in FIP, 32,34 because of the diversity and complexity of community-based clinic presentations and our desire to maximise the number of people who can benefit from PCIT, we have increasingly witnessed the need for more flexible implementation by clinicians, or "local scientists".…”

construction of China-ASEAN Zhuang and Thai language culture converged community in the context of the belt and road initiative

“…Only in this way can the discourse power of Zhuang Language promote under expansively continuous transnational horizon, cultural transmission and dialogues among civilizations speed up and Chinese stories of Zhuang tell excellently. https://doi.org/10.12928/commicast.v4i2.8851 pattern, the similarities between Zhuang and Thai languages are reflected in the historical imprint of culture (Luis Sanchez et al, 2023). It may be an effective attempt to maximize the common ground of the languages and cultures of two sub-ethnic groups from the same nationality through the construction of a language and culture blending circle (Lin, 2022).…”

“…Scholars have compared more than 2000 basic words in zhuang-thai, about 75% of which have the same or similar pronunciation (Luis Sanchez et al, 2023). Qin Shengmin believes that the similarities between Thai and Zhuang are not only contact relations, after all, the two languages are related not only in vocabulary use, but also in grammar (Jiang et al, 2022).…”