Understanding the Effectiveness of the Cascading Model to Implement Parent-Child Interaction Therapy

Brabson, Laurel A.; Herschell, Amy D.; Snider, Mira D H; Jackson, Carrie B.; Schaffner, Kenneth F.; Scudder, Ashley T.; Kolko, David J.; Mrozowski, Stanley J.

doi:10.1007/s11414-020-09732-2

Cited by 8 publications

(8 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite these limitations, our study highlights some areas for future research to expand. Continued examination of training methods, techniques, and formats for community-based PCIT dissemination is needed, particularly given recent expansion within WATer models and online training (Brabson et al, 2020; Jackson et al, 2018). Currently, PCIT International allows for flexibility with online PCIT training in response to the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of two PCIT workshop formats for trainee knowledge, attitude, and skill acquisition.

Hatley-Cotter¹,

Jimenez²,

Richey³

et al. 2023

Professional Psychology: Research and Practice

View full text Add to dashboard Cite

Despite increased emphasis on implementation science for empirically supported child mental health treatments, such as parent-child interaction therapy (PCIT), there continues to be limited understanding of optimal training methods and formats to disseminate protocols within community-based settings. The present study examined changes in trainee knowledge, attitudes, perceived competency, and coding skills after completion of an in-person 40-hr PCIT training workshop presented in two formats. Sixtyone mental health providers participated in either a consecutive or split 5-day workshop and completed written and behavioral measures pre-and posttraining. Results showed that trainees in either training format exhibited similar increases in PCIT knowledge, perceived competency, and behavior coding skills even for those with previous PCIT exposure. Trainee attitudes toward evidence-based practice did not change from pre-to posttraining; however, trainees reported high levels of satisfaction and clinical relevance for the workshop regardless of format. These findings validate the effectiveness of a 40-hr PCIT training workshop and support flexibility in training formats, which may reduce barriers and enhance access to evidence-based practice. They also offer insight into areas requiring increased emphasis within PCIT training, such as developing trainee behavior coding and coaching skills. Public Significance StatementThis study found that mental health clinicians who completed a 5-day training workshop, either in one long segment or two shorter segments, had increased knowledge of the treatment protocol, more confidence about using the treatment, and better behavior coding skills even when they had prior knowledge of the treatment. This study supports flexibility in training formats and highlights areas to emphasize in parent-child interaction therapy (PCIT) training.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of two PCIT workshop formats for trainee knowledge, attitude, and skill acquisition.

Hatley-Cotter¹,

Jimenez²,

Richey³

et al. 2023

Professional Psychology: Research and Practice

View full text Add to dashboard Cite

show abstract

“…Review papers over the past two decades have converged on key training elements as essential features of EBPT trainings, namely: a workshop utilizing active learning strategies, a provider manual, and ongoing clinical supervision and/or consultation (e.g., [ 4 , 5 ]). However, there are significant barriers to widespread implementation of these multicomponent training initiatives in community settings, including insufficient time and funding, shortage of trainers and consultants, staff turnover, and staff resistance to changes in the status quo [ 6 , 7 ]. Indeed, many sites that initially embraced EBPTs after training have not sustained the practice [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

The Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for serious mental illness in community mental health part 2: study protocol for a hybrid type 2 effectiveness-implementation cluster-randomized trial using train-the-trainer

Callaway,

Sarfan,

Agnew

et al. 2023

Trials

View full text Add to dashboard Cite

Background Train-the-trainer (TTT) is a promising method for implementing evidence-based psychological treatments (EBPTs) in community mental health centers (CMHCs). In TTT, expert trainers train locally embedded individuals (i.e., Generation 1 providers) to deliver an EBPT, who then train others (i.e., Generation 2 providers). The present study will evaluate implementation and effectiveness outcomes of an EBPT for sleep and circadian dysfunction—the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C)—delivered to CMHC patients with serious mental illness by Generation 2 providers (i.e., trained and supervised within CMHCs via TTT). Specifically, we will investigate whether adapting TranS-C to fit CMHC contexts improves Generation 2 (a) patient outcomes and (b) providers’ perceptions of fit. Methods TTT will be implemented in nine CMHCs in California, USA (N = 60 providers; N = 130 patients) via facilitation. CMHCs are cluster-randomized by county to Adapted TranS-C or Standard TranS-C. Within each CMHC, patients are randomized to immediate TranS-C or usual care followed by delayed treatment with TranS-C (UC-DT). Aim 1 will assess the effectiveness of TranS-C (combined Adapted and Standard), compared to UC-DT, on improvements in sleep and circadian problems, functional impairment, and psychiatric symptoms for Generation 2 patients. Aim 2 will evaluate whether Adapted TranS-C is superior to Standard TranS-C with respect to Generation 2 providers’ perceptions of fit. Aim 3 will evaluate whether Generation 2 providers’ perceived fit mediates the relation between TranS-C treatment condition and patient outcomes. Exploratory analyses will (1) evaluate whether the effectiveness of TranS-C for patient outcomes is moderated by generation, (2) compare Adapted and Standard TranS-C on patient perceptions of credibility/improvement and PhenX Toolkit outcomes (e.g., substance use, suicidality), and (3) evaluate other possible moderators. Discussion This trial has potential to (a) inform the process of embedding local trainers and supervisors to expand delivery of a promising transdiagnostic treatment for sleep and circadian dysfunction, (b) add to the growing body of TTT literature by evaluating TTT outcomes with a novel treatment and population, and (c) advance our understanding of providers’ perceptions of EBPT “fit” across TTT generations. Trial registration ClinicalTrials.gov identifier NCT05805657. Registered on April 10, 2023.

show abstract

“…Review papers over the past two decades have converged on key training elements as essential features of EBPT trainings, namely: a workshop utilizing active learning strategies, a provider manual, and ongoing clinical supervision and/or consultation (7)(8)(9)(10). However, there are signi cant barriers to widespread implementation of these multicomponent training initiatives in community settings, including insu cient time and funding, shortage of trainers and consultants, staff turnover, and staff resistance to changes in the status quo (11)(12)(13)(14). Indeed, many sites that initially embraced EBPTs after training have not sustained the practice (15).…”

Section: Introductionmentioning

confidence: 99%

“…Southam-Gerow et al (2014) found poorer quality case materials were submitted by providers trained by local trainers compared to those of providers trained by national experts (22). In a recent study conducted by Brabson and colleagues (2021), providers trained in Generation 2 were less knowledgeable about the EBPT and less satis ed with the training compared to those trained in Generation 1 (11). However, it is important to note that research on TTT is still in its infancy.…”

Section: Introductionmentioning

confidence: 99%

The Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for serious mental illness in community mental health part 2: Study protocol for a hybrid type 2 effectiveness-implementation cluster-randomized trial using train-the-trainer

Callaway,

Sarfan,

Agnew

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Train-the-trainer (TTT) is a promising method for implementing evidence-based psychological treatments (EBPTs) in community mental health centers (CMHCs). In TTT, expert trainers train locally embedded individuals (i.e., Generation 1 providers) to deliver an EBPT, who then train others (i.e., Generation 2 providers). The present study will evaluate implementation and effectiveness outcomes of an EBPT for sleep and circadian dysfunction—the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C)—delivered to CMHC patients with serious mental illness by Generation 2 providers (i.e., trained and supervised within CMHCs via TTT). Specifically, we will investigate whether adapting TranS-C to fit CMHC contexts improves Generation 2 (a) patient outcomes (b) providers’ perceptions of fit. Methods TTT will be implemented in nine CMHCs in California, United States (N = 60 providers; N = 130 patients) via facilitation. CMHCs are cluster-randomized by county to Adapted TranS-C or Standard TranS-C. Within each CMHC, patients are randomized to immediate TranS-C or usual care followed by delayed treatment with TranS-C (UC-DT). Aim 1 will assess the effectiveness of TranS-C (combined Adapted and Standard), compared to UC-DT, on improvements in sleep and circadian problems, functional impairment, and psychiatric symptoms for Generation 2 patients. Aim 2 will evaluate whether Adapted TranS-C is superior to Standard TranS-C with respect to Generation 2 providers’ perceptions of fit. Aim 3 will evaluate whether Generation 2 providers’ perceived fit mediates the relation between TranS-C treatment condition and patient outcomes. Exploratory analyses will: (1) evaluate whether the effectiveness of TranS-C for patient outcomes is moderated by generation, (2) compare Adapted and Standard TranS-C on patient perceptions of credibility/improvement and PhenX Toolkit outcomes (e.g., substance use, suicidality); and (3) evaluate other possible moderators. Discussion This trial has potential to inform the process of (a) embedding local trainers and supervisors to expand delivery of a promising transdiagnostic treatment for sleep and circadian dysfunction, (b) adding to the growing body of TTT literature by evaluating TTT outcomes with a novel treatment and population, and (c) advancing our understanding of providers’ perceptions of EBPT ‘fit’ across TTT generations. Trial registration: Clinicaltrials.gov identifier: NCT05805657. Registered on April 10, 2023. https://clinicaltrials.gov/ct2/show/NCT05805657

show abstract

Understanding the Effectiveness of the Cascading Model to Implement Parent-Child Interaction Therapy

Cited by 8 publications

References 39 publications

Evaluation of two PCIT workshop formats for trainee knowledge, attitude, and skill acquisition.

Evaluation of two PCIT workshop formats for trainee knowledge, attitude, and skill acquisition.

The Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for serious mental illness in community mental health part 2: study protocol for a hybrid type 2 effectiveness-implementation cluster-randomized trial using train-the-trainer

The Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for serious mental illness in community mental health part 2: Study protocol for a hybrid type 2 effectiveness-implementation cluster-randomized trial using train-the-trainer

Contact Info

Product

Resources

About