Family Experiences and Feedback: An Examination of Attrition in Parent-Child Interaction Therapy

Liebsack, Brittany K.; Herschell, Amy D.; Hart, Jonathan; Kolko, David J.; Jackson, Carrie B.

doi:10.1080/23794925.2021.2007819

Cited by 1 publication

(2 citation statements)

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“…PCIT results in increased positive parenting behaviors, such as praise and reflective listening and decreased negative verbal and physical behaviors toward the child during parent–child interactions. Children show increased compliance to parent directives and decreases in disruptive behaviors [ 13 , 14 ] to subclinical levels for disorders such as conduct disorder and oppositional defiant disorder [ 15 , 16 ]. Research shows that treatment gains generalize to treated children’s school behavior and to the behavior of untreated siblings [ 17 , 18 , 19 ] and lead to reduced stress in parents [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, given the high attrition rates, and the consequences of dropping out of treatment for children, caregivers, and for society at large, more research is still needed to identify the range of reasons for treatment discontinuation. In their recent study examining families’ experiences in PCIT, Liebsack et al [ 16 ] examined factors associated with attrition, such as therapy attitudes, expectations, caregiver commitment to treatment, and cultural competence of the therapist. Caregivers and therapists were also asked about whether families had completed PCIT or left prematurely.…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy

Ufford¹,

Wigod

Shen

et al. 2022

IJERPH

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Parent–child interaction therapy (PCIT) is one of the strongest evidence-based treatments for young children with behavior problems. Despite the efficacy of PCIT, many families fail to complete treatment, with attrition rates ranging from 30 to 69 percent. Preliminary research on attrition in PCIT treatment studies has linked maternal distress, negative verbal behavior (critical and sarcastic comments towards the child), lower socioeconomic status (SES), and fewer child major depressive disorder (MDD) diagnoses with premature termination from PCIT. However, more research is still needed to identify the range of reasons for treatment discontinuation. The purpose of the present study was to explore the range of reasons for premature termination from PCIT by conducting in-depth interviews with parents who discontinued PCIT using a qualitative design methodology. Results yielded eight themes, which were organized into three constructs: child-directed interaction (CDI) successes, difficulties with treatment, and the need for more clarity and orientation. Several existing treatment strategies that emerged from the data could be applied to PCIT to further enhance it and potentially reduce dropout (e.g., reconceptualizing dropout from PCIT, micro-orienting strategies used in other cognitive and behavioral therapies and dialectical behavior therapy). Understanding the reasons why parents drop out of PCIT and exploring different adaptations that can be made can further enhance this evidence-based treatment and increase its accessibility.

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