A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy

Ufford, Amber; Wigod, Tali; Shen, Joy; Miller, Alec L.; McGinn, Lata K.

doi:10.3390/ijerph192114341

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…High attrition rates, recorded to be between 30% to 69% in PCIT programs 115 have instigated modifying standard PCIT to more brief versions with less time investment, but with similar effectiveness. Increasingly practitioners are realizing that the intensive support and skill practice provided for up to 16 weeks of PCIT may be overservicing some families.…”

Section: Current Research On Standard Pcit Generalizability and Mecha...mentioning

confidence: 99%

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

Campbell¹,

Hawes²,

Swan³

et al. 2023

PRBM

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Parent–Child Interaction Therapy (PCIT) is an intensive parent support program for caregivers and their children who exhibit difficult-to-manage disruptive behaviors. After more than four decades of research supporting its efficacy for reducing children’s disruptive behaviors and improving parent–child relationships, PCIT has become one of the most popular and widely disseminated parenting support programs in the world. The evidence for the efficacy of PCIT can be found in many reviews of randomized clinical trials and other rigorous studies. To add to those reviews, our aim was to provide practical guidance on how PCIT can be part of an evidence-based program for families that depends on practitioner expertise, as well as attention to families’ diverse needs. To do this, we describe the evolution of PCIT as practiced in a university-community partnership that has continued for over 20 years, alongside a narrative description of selected and recent findings on PCIT and its use in specific client presentations across four themes. These themes include studies of 1) whether the standard manualized form of PCIT is efficacious across a selection of diverse family situations and child diagnoses, 2) the mechanisms of change that explain why some parents and some children might benefit more or less from PCIT, 3) whether treatment content modifications make PCIT more feasible to implement or acceptable to some families, at the same time as achieving the same or better outcomes, and 4) whether PCIT with structural modifications to the delivery, such as online or intensive delivery, yields similar outcomes as standard PCIT. Finally, we discuss how these directions in research have influenced research and practice, and end with a summary of how the growing attention on parent and child emotion regulation and parents’ responses to (and coaching of) their children’s emotions has become important to PCIT theory and our practice.

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Section: Current Research On Standard Pcit Generalizability and Mecha...mentioning

confidence: 99%

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

Campbell¹,

Hawes²,

Swan³

et al. 2023

PRBM

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show abstract

“…That is, parents were instructed to perform each PRIDE skill five times during rehearsal for each training session. Although typical PCIT mastery criteria are implementation of each skill 10 times during a 5-min session (Eyberg & Funderburk, 2022), we set a goal of five per session as high mastery criteria have previously led to treatment attrition (Ufford et al, 2022). The lead clinician provided feedback for whether parents met our study's mastery criteria for each skill, with specific examples and recommendations for meeting criteria during future play sessions.…”

Section: Baselinementioning

confidence: 99%

“…Research indicates that some parents may require as many as 24 sessions to meet strict PCIT mastery criteria (Goldfine et al., 2008). As a result, attrition in PCIT research varies widely and has been reported as high as 67% in some studies (Fernandez & Eyberg, 2009; Lieneman et al., 2019; Lyon & Budd, 2010; Ufford et al., 2022). Moreover, attrition may be particularly high for underrepresented and low‐SES families (Lieneman et al., 2019; Lyon & Budd, 2010; Werba et al., 2006).…”

Section: Introductionmentioning

confidence: 99%

Internet‐delivered Parent–Child Interaction Therapy increases positive parenting behaviors that maintain over time

Dufrene,

LaBrot,

Peak

et al. 2023

Behavioral Interventions

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Young children's display of emotional and behavioral difficulties is relatively commonplace. However, if left unaddressed, these challenging behaviors have potential to develop into more serious problems. Furthermore, parents often report feeling unprepared to prevent and address their young children's emotional and behavioral difficulties. Fortunately, behavioral parent training strategies, such as Parent–Child Interaction Therapy, have been found to be effective for helping parents learn to effectively improve young children's behavior. Although effective, there are barriers to accessing behavioral parent training, such as cost, lack of transportation, and living in rural areas with limited mental and behavioral health care. Therefore, the purpose of this pilot study was to evaluate the effects of internet‐delivered PCIT (iPCIT) on parents' use of praise, reflections, imitations, descriptions, and enjoyment/enthusiasm (PRIDE skills) with children referred for disruptive behavior. Participants in this study included three parents and their 2‐year‐old children. We used a concurrent multiple probe across participants' design to test the effects of iPCIT on parents' use of PRIDE skills and maintenance of treatment effects. Results indicated that all three parents increased their use of PRIDE skills and maintained them following termination of treatment. Results, implications, and future directions are discussed.

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Treating physical abuse and neglect

Rokach,

Clayton

2023

Adverse Childhood Experiences and Their Life-Long Impact

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A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy

Cited by 4 publications

References 43 publications

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

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

Internet‐delivered Parent–Child Interaction Therapy increases positive parenting behaviors that maintain over time

Treating physical abuse and neglect

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