Using a Health Behavior Model to Inform Understanding of Therapy Engagement in Child Therapy: A Qualitative Study

Abstract

The present study assessed the potential of a health behavior model used to explain adherence to treatment for chronic illnesses, the Integrative Behavioral Prediction Model (IBPM), to better understand therapy engagement (e.g., low participation) for child therapy in community-based service settings. Qualitative interview methods were used to assess the fit of the IBPM to therapy engagement. Caregivers of children (n = 17) who had successfully completed therapy, were at risk of dropping out, or terminated prematurely at a community mental health clinic were interviewed. Clinic therapists and administrative staff were also interviewed (n = 8). From the perspective of caregivers, therapists, and administrative staff, most IBPM elements-cognitions, intentions, and environmental/contextual factors-appear to be relevant to therapy engagement. Other factors, such as personal and psychological barriers (e.g., poor fit with therapist), not found in the IBPM also may influence therapy engagement. It appears that the core elements of the IBPM may translate to child therapy, though future research is needed to evaluate the generalizability of the study findings. Thus, health behavior models (e.g., IBPM) may improve our understanding of factors contributing to poor therapy engagement for children receiving psychosocial therapy in community-based service settings.

A Psicoterapia Infantil no Setting Clínico: Uma Revisão Sistemática de Literatura

“…2020 familiar, trazendo essa instância como colaboradora para o entendimento dos psicodinamismos da criança e para melhores resultados na psicoterapia (Gordon & Cooper, 2016). As temáticas encontradas discutem as interferências familiares no processo infantil, a avaliação dos resultados da psicoterapia e as variáveis envolvidas considerando a família (Bolaño, 2009;Haugvik, 2012;Pereira, Schmitz & Menezes, 2015;Christon et al, 2016).…”

“…Nessa intervenção podem interagir diversos fatores, como a participação familiar e escolar, assim como a maneira que a criança se insere nessas relações. Quaisquer destes fatores podem influenciar o curso da psicoterapia e o resultado das intervenções (Deakin & Nunes, 2008;Cunha & Benetti, 2009;Brzozowski & Caponi, 2013;Christon, McLeod, Wheat, Corona & Islam, 2016;Halfon, Goodman, & Bulut, 2018).…”

Child and parent engagement in occupational therapy

“…These barriers included the child's difficulties in social skills, communication and having restricted interests. Research in adherence to treatment for chronic illnesses also identified some factors that impact child engagement in community based settings, such as child temperament and mood (Christon et al, 2016).…”