Remotely delivering real-time parent training to the home: An initial randomized trial of Internet-delivered parent-child interaction therapy (I-PCIT)
| Autor: | Julio Martin, Tommy Chou, Aubrey L. Carpenter, Caroline E. Kerns, Elizabeth Miguel, Jonathan S. Comer, Danielle Cornacchio, Stefany Coxe, Amanda L. Sanchez, R. Meredith Elkins, Mariah DeSerisy, Jami M. Furr, Rhea M. Chase, Kathleen Myers, Christine E. Cooper-Vince, Alejandra M. Golik |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Family therapy
Adult Conduct Disorder Male 050103 clinical psychology medicine.medical_specialty Telemedicine Parent–child interaction therapy PsycINFO Education Nonprofessional law.invention Randomized controlled trial law Behavior Therapy medicine Humans 0501 psychology and cognitive sciences Parent-Child Relations Telemental health Internet business.industry 05 social sciences Multilevel model Psychiatry and Mental health Clinical Psychology Child Preschool Physical therapy Parent training Female business 050104 developmental & child psychology Clinical psychology |
| Zdroj: | Journal of consulting and clinical psychology. 85(9) |
| ISSN: | 1939-2117 |
| Popis: | Objective Remote technologies are increasingly being leveraged to expand the reach of supported care, but applications to early child-behavior problems have been limited. This is the first controlled trial examining video-teleconferencing to remotely deliver behavioral parent training to the home setting with a live therapist. Method Racially/ethnically diverse children ages 3-5 years with disruptive behavior disorders, and their caregiver(s), using webcams and parent-worn Bluetooth earpieces, participated in a randomized trial comparing Internet-delivered parent-child interaction therapy (I-PCIT) versus standard clinic-based PCIT (N = 40). Major assessments were conducted at baseline, midtreatment, posttreatment, and 6-month follow-up. Linear regressions and hierarchical linear modeling using maximum-likelihood estimation were used to analyze treatment satisfaction, diagnoses, symptoms, functioning, and burden to parents across conditions. Results Intent-to-treat analyses found 70% and 55% of children treated with I-PCIT and clinic-based PCIT, respectively, showed "treatment response" after treatment, and 55% and 40% of children treated with I-PCIT and clinic-based PCIT, respectively, continued to show "treatment response" at 6-month follow-up. Both treatments had significant effects on children's symptoms and burden to parents, and many effects were very large in magnitude. Most outcomes were comparable across conditions, except that the rate of posttreatment "excellent response" was significantly higher in I-PCIT than in clinic-based PCIT, and I-PCIT was associated with significantly fewer parent-perceived barriers to treatment than clinic-based PCIT. Both treatments were associated with positive engagement, treatment retention, and very high treatment satisfaction. Conclusion Findings build on the small but growing literature supporting the promising role of new technologies for expanding the delivery of behavioral parent training. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|