1
|
Peskin A, Barth A, Mansoor E, Farias A, Rothenberg WA, Garcia D, Jent J. Impact of parent child interaction therapy on child eating behaviors. Appetite 2024; 200:107544. [PMID: 38850640 DOI: 10.1016/j.appet.2024.107544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 05/08/2024] [Accepted: 06/04/2024] [Indexed: 06/10/2024]
Abstract
BACKGROUND Picky eating commonly co-occurs with disruptive behaviors in young children. While feeding interventions exist, it remains unknown whether unmodified behavioral parent training (BPT) improves maladaptive child eating. As coercive feeding practices may exacerbate picky eating, BPT could ameliorate associated behaviors by increasing authoritative parenting. METHODS Caregiver-child dyads (N = 194, ages 2-8) received 18 weeks of Parent-Child Interaction Therapy (PCIT). Caregivers completed the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) at pre-, mid-, and post-treatment. The BPFAS overall picky eating frequency and number of problems was examined, as well as the subscale of mealtime misbehaviors, and overall caregiver feeding practices. RESULTS From pre-to post-treatment, reductions occurred in frequency/problems scales across overall BPFAS child behaviors. Mealtime misbehaviors significantly declined at all checkpoints - early skill acquisition may drive this early change, whereas changes in frequency/problem scales occurred after mid-treatment, suggesting later skill acquisition may be driving these changes. On the coercive caregiver feeding subscale, multivariate regression identified a significant race by time interaction (p = .02) - multiracial caregivers improved while others showed no difference. CONCLUSION Standard PCIT, not adapted for feeding concerns, decreased maladaptive child eating behaviors across all caregivers and coercive feeding practices in multiracial caregivers. Authoritative parenting principles may generalize to eating contexts for certain cultural groups. PCIT shows promise as an early upstream intervention potentially changing trajectories without needed feeding content modifications. Assessment of long-term maintenance is warranted. Coupling with nutrition education could optimize impact.
Collapse
Affiliation(s)
- Abigail Peskin
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL, 33136, USA.
| | - Alex Barth
- University of California San Diego, USA.
| | - Elana Mansoor
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - Alina Farias
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - W Andrew Rothenberg
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - Dainelys Garcia
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| | - Jason Jent
- University of Miami Miller School of Medicine, Mailman Center for Child Development, USA.
| |
Collapse
|
2
|
Fang Z, Martin M, Copeland L, Evans R, Shenderovich Y. Parenting Interventions During the COVID-19 Pandemic: A Systematic Review of the Rationales, Process, Feasibility, Acceptability, and Impacts of Adaptation. TRAUMA, VIOLENCE & ABUSE 2024:15248380241266183. [PMID: 39082191 DOI: 10.1177/15248380241266183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/05/2024]
Abstract
Evidence shows that parenting interventions are an effective method of reducing caregiver-perpetrated child maltreatment. The recent COVID-19 pandemic has changed the provision of parenting interventions worldwide, with many interventions adapting to continue providing services during the crisis. This global systematic review examined how parenting interventions targeting child maltreatment and its risk and protective factors were adapted during the COVID-19 pandemic. We searched for studies published between 2020 and 2022 and identified 31 eligible studies. The data on the rationale, process, feasibility, acceptability, and impacts of adaptations were narratively synthesized in accordance with the Framework for Reporting Adaptations and Modifications to Evidence-Based Interventions. Results showed that most adaptations were proactive and focused on delivery methods, predominantly digitalization. While feasibility and acceptability were generally observed, the impacts of adapted programs were inconclusive. Inadequate reporting, especially regarding rationale, fidelity, facilitator capacity building, stakeholder involvement, and decision-making processes, was noted. The review recommends enhanced planning, documentation, and reporting of program adaptations using established guidelines, as well as process and impact evaluations.
Collapse
|
3
|
Kiely J, DePaul E, Rojas S, Cortes S, Schilling S, Dougherty S, Wood JN. Evaluation of Virtual Enhanced Child Adult Relationship Enhancement in Primary Care Intervention. J Dev Behav Pediatr 2024:00004703-990000000-00178. [PMID: 38905220 DOI: 10.1097/dbp.0000000000001292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 04/25/2024] [Indexed: 06/23/2024]
Abstract
OBJECTIVE Because of COVID-19 pandemic social distancing requirements, the in-person Child Adult Relationship Enhancement in Primary Care (PriCARE) positive parenting intervention was adapted for virtual delivery. Objective was to evaluate the efficacy of the virtual PriCARE program to improve parenting capacity, decrease child behavioral problems, and decrease child maltreatment risk. METHODS Caregivers of children 2 to 6 years old recruited from pediatric primary care were randomized to PriCARE (n = 92) or waitlist control (n = 90). Dysfunctional parenting, positive parenting skills, child behaviors, and child maltreatment risk were measured at baseline and 2 to 3 months after intervention using the Parenting Scale (PS), Dyadic Parent-Child Interaction Coding System (DPICS), Eyberg Child Behavior Inventory (ECBI), and Child Abuse Potential Inventory (CAPI). Kruskal-Wallis test compared median change scores from baseline to follow-up by treatment arm. RESULTS Of 182 enrolled caregivers, 92% (168) were mothers and 67% (122) completed study measures at baseline and follow-up. The median decrease (improvement) in total PS score was greater in the PriCARE group compared with the control group (-0.3 [IQR 0.69] vs -0.1 [IQR 0.56], p = 0.028) as was the median decrease (improvement) in ECBI problem score (-3 [IQR 9] vs -1 [IQR 7], p = 0.045) and ECBI intensity score (-9 [IQR 21] vs 0 [IQR 25], p = 0.006). Improvements in 4 positive parenting skills measured by DPICS were greater in the PriCARE group compared with the control group (all p< 0.003). Median decrease in CAPI abuse score did not differ significantly by study arm (p = 0.055). CONCLUSION The PriCARE virtual adaptation demonstrated promise in promoting positive parenting and decreasing child behavior problems.
Collapse
Affiliation(s)
- Jenna Kiely
- PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA
- Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Emily DePaul
- PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA
- Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Stefany Rojas
- PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA
- Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA
| | - SolRubi Cortes
- PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA
- Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA
| | | | - Susan Dougherty
- PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Joanne N Wood
- PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA
- Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA
- Safe Place: Center for Child Protection and Health, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
- Leonard Davis Institute of Health Economics, University of Pennsylvania
| |
Collapse
|
4
|
Rothenberg WA, Lansford JE, Godwin JW, Dodge KA, Copeland WE, Odgers CL, McMahon RJ, Rybinska A. Intergenerational Effects of the Fast Track Intervention on Next-Generation Child Outcomes: A Preregistered Randomized Clinical Trial. Am J Psychiatry 2024; 181:213-222. [PMID: 38321914 PMCID: PMC11137839 DOI: 10.1176/appi.ajp.20220927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
Abstract
OBJECTIVE The authors sought to determine whether the Fast Track mental health intervention delivered to individuals in childhood decreased mental health problems and the need for health services among the children of these individuals. METHODS The authors examined whether Fast Track assignment in one generation of children (generation 2; G2) from grades 1 through 10 reduced parent-reported mental health problems and health services use in these children's children (generation 3; G3) 18 years later relative to a control group. The Fast Track intervention blended parent behavior-management training, child social-cognitive skills tutoring, home visits, and classroom social-ecology changes across grades 1-10 to ameliorate emerging conduct problems among the G2 children. For this study, 1,057 G3 children of Fast Track participants (N=581 intervention group, N=476 control group) were evaluated. RESULTS G3 children of G2 parents who were randomized to the Fast Track intervention group used fewer general inpatient services and fewer inpatient or outpatient mental health services compared with G3 children of G2 parents randomized to the control group. Some of these effects were mediated: randomization to Fast Track predicted fewer internalizing problems and less use of corporal punishment among G2 adults at age 25, which subsequently predicted less general inpatient service use and outpatient mental health service use among the G3 children by the time the G2 parents were 34 years old. There were no significant differences between G3 children from these two groups on the use of other health services or on mental health measures. CONCLUSIONS Fast Track was associated with lower use of general inpatient services and inpatient and outpatient mental health services intergenerationally, but effects on parent-reported mental health of the children were not apparent across generations. Investing in interventions for the mental health of children could reduce service use burdens across generations.
Collapse
Affiliation(s)
- W. Andrew Rothenberg
- Duke University Center for Child and Family Policy
- University of Miami Miller School of Medicine’s Mailman Center for Child Development
| | | | | | | | - William E. Copeland
- Duke University Center for Child and Family Policy
- University of Vermont Department of Psychiatry
| | - Candice L. Odgers
- Duke University Center for Child and Family Policy
- University of California Irvine
| | | | | | | |
Collapse
|
5
|
Peskin A, Barth A, Andrew Rothenberg W, Turzi A, Formoso D, Garcia D, Jent J. New Therapy for a New Normal: Comparing Telehealth and in-Person Time-Limited Parent-Child Interaction Therapy. Behav Ther 2024; 55:106-121. [PMID: 38216225 DOI: 10.1016/j.beth.2023.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 05/09/2023] [Accepted: 05/14/2023] [Indexed: 01/14/2024]
Abstract
Telehealth treatment for child disruptive behavior has the potential to overcome multiple barriers to access (e.g., transportation, therapist availability). Traditional Parent-Child Interaction Therapy (PCIT) has demonstrated efficacy via telehealth in randomized controlled trials. The current study extends this research by examining community-based effectiveness of time-limited (i.e., 18 week) telehealth PCIT, comparing intake and posttreatment child behavior and caregiver skills for both telehealth and in-person PCIT. Participants included predominantly racially, ethnically, linguistically, and socioeconomically diverse children aged 2 to 8 years, and their caregivers. Dyads (N = 380) received either telehealth (IPCIT) or in-person PCIT.Propensity score analyses were conducted to address potential selection bias due to the nonrandomized sample. Regression analyses revealed no difference between IPCIT and in-person treatment for child disruptive behaviors or compliance outcomes. However, caregivers who received IPCIT demonstrated fewer positive statements and greater corrective/directive statements at posttreatment than caregivers who received in-person treatment.This research demonstrated that time-limited IPCIT can effectively improve child disruptive behavior among a socioeconomically, linguistically, and culturally diverse population, and represents the largest sample to date demonstrating the effectiveness of PCIT via telehealth. Future research is warranted to document intervention sustainability on a more system-wide level, and balance prioritizing caregiver skill acquisition over family-derived treatment goals.
Collapse
|
6
|
Wright E, Martinovic J, de Camps Meschino D, Barker LC, Philipp DA, Israel A, Hussain-Shamsy N, Mukerji G, Wang V, Chatterjee A, Vigod SN. A virtual mother-infant postpartum psychotherapy group for mothers with a history of adverse childhood experiences: open-label feasibility study. BMC Psychiatry 2023; 23:950. [PMID: 38110902 PMCID: PMC10726650 DOI: 10.1186/s12888-023-05444-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 12/06/2023] [Indexed: 12/20/2023] Open
Abstract
OBJECTIVES Mothers with a history of adverse childhood experiences (ACE) are at elevated risk for postpartum mental illness and impairment in the mother-infant relationship. Interventions attending to maternal-infant interactions may improve outcomes for these parents and their children, but barriers to accessing in-person postpartum care limit uptake. We adapted a postpartum psychotherapy group for mothers with mental illness (e.g., mood, anxiety, trauma-related disorders) and ACE for live video-based delivery, and evaluated feasibility, acceptability, and preliminary efficacy in an open-label pilot study. METHODS We recruited adults with children (6-18 months) from a perinatal psychiatry program in Toronto, Canada. The intervention was a live video-based 12-week interactive psychotherapy group focused on maternal symptoms and maternal-infant relationships. The primary outcome was feasibility, including feasibility of recruitment and retention, fidelity of the intervention, and acceptability to patients and group providers. Maternal clinical outcomes were compared pre- to post-intervention, as secondary outcomes. RESULTS We recruited 31 participants (mean age 36.5 years (SD 3.9)) into 6 groups; 93.6% (n = 29) completed post-group questionnaires, and n = 20 completed an optional post-group acceptability interview. Mean weekly group attendance was 83% (IQR 80-87); one participant (3.2%) dropped out. All group components were implemented as planned, except for dyadic exercises where facilitator observation of dyads was replaced with unobserved mother-infant exercises followed by in-group reflection. Participant acceptability was high (100% indicated the virtual group was easy to access, beneficial, and reduced barriers to care). Mean maternal depressive [Edinburgh Postnatal Depression Scale: 14.6 (SD 4.2) vs. 11.8 (SD 4.2), paired t, p = 0.005] and post-traumatic stress [Posttraumatic Stress Disorder Checklist for DSM-5: 35.5 (SD 19.0) vs. 27.1 (SD 16.7)], paired t, p = 0.01] symptoms were significantly lower post vs. pre-group. No differences were observed on mean measures of anxiety, emotion regulation or parenting stress. CONCLUSIONS Recruitment and retention met a priori feasibility criteria. There were significant pre- to post-group reductions in maternal depressive and post-traumatic symptoms, supporting proceeding to larger-scale implementation and evaluation of the intervention, with adaptation of dyadic exercises.
Collapse
Affiliation(s)
- Elisabeth Wright
- Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada.
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada.
| | - Jovana Martinovic
- Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada
| | - Diane de Camps Meschino
- Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada
| | - Lucy C Barker
- Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada
| | - Diane A Philipp
- Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada
- Garry Hurvitz Centre for Community Mental Health at Sickkids, Toronto, ON, Canada
| | - Aliza Israel
- Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada
| | - Neesha Hussain-Shamsy
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, M5T 3M6, Canada
| | - Geetha Mukerji
- Department of Medicine, Temerty Faculty of Medicine, Sunnybrook Health Sciences Center, King's College Circle, University of Toronto, Toronto, ON, Canada
- Women's College Hospital Institute for Health System Solutions and Virtual Care, 76 Grenville Street, Toronto, ON, Canada
| | - Vivienne Wang
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada
| | - Antara Chatterjee
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada
| | - Simone N Vigod
- Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, M5T 3M6, Canada
- Department of Psychiatry, Women's College Hospital and Research Institute, 76 Grenville Street, Toronto, ON, M5S 1B2, Canada
| |
Collapse
|
7
|
Findley E. "It's already stressful being a foster parent": A qualitative inquiry into foster parenting stress during COVID-19. CHILD ABUSE & NEGLECT 2023; 146:106455. [PMID: 37717544 DOI: 10.1016/j.chiabu.2023.106455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Revised: 09/01/2023] [Accepted: 09/07/2023] [Indexed: 09/19/2023]
Abstract
BACKGROUND Emerging literature suggests parents were under increased stress as a result of the COVID-19 pandemic; however, fewer studies to date have examined the wellbeing of foster parents in this season. Miller et al.'s (2020) quantitative study recommended in-depth, qualitative study of the stressors faced by foster parents during COVID-19. OBJECTIVE Accordingly, this qualitative study sought to fill a gap in the literature regarding foster parents' lived experiences of foster parenting stress during the COVID-19 pandemic. PARTICIPANTS AND SETTING Virtual, semi-structured interviews were conducted with n = 20 foster parents from across one Southern U.S. state between April and July 2021. METHODS Verbatim transcripts were analyzed utilizing Braun and Clarke's (2006) thematic analysis. RESULTS Five themes emerged in the analysis: (1) Varied Descriptions of Fostering in a Pandemic; (2) Nowhere to Go; (3) COVID-Consciousness; (4) The Virtual Reality; and (5) Stress Relief. Eight total additional subthemes were recorded. All themes and subthemes were described with representative direct quotations from the data. CONCLUSIONS Findings from this study demonstrated foster parents experienced both shared and unique parenting challenges during COVID-19. Three areas for further consideration and development in practice included improving online service delivery, strengthening guidance for online parent-child visitation, and enhancing support for foster parents of children with special needs. Developing social support and self-care practices should continue to be ongoing priorities for foster parents and foster parent-serving agencies.
Collapse
Affiliation(s)
- Erin Findley
- School of Social Work, The University of Texas at Arlington, Arlington, TX, USA.
| |
Collapse
|
8
|
Jent JF, Rothenberg WA, Peskin A, Acosta J, Weinstein A, Concepcion R, Dale C, Bonatakis J, Sobalvarro C, Chavez F, Hernandez N, Davis E, Garcia D. An 18-week model of Parent-Child Interaction Therapy: clinical approaches, treatment formats, and predictors of success for predominantly minoritized families. Front Psychol 2023; 14:1233683. [PMID: 37915519 PMCID: PMC10616824 DOI: 10.3389/fpsyg.2023.1233683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 09/01/2023] [Indexed: 11/03/2023] Open
Abstract
Introduction Disruptive behavior disorders are among the most prevalent pediatric mental health referrals for young children. However, families from historically minoritized social identities have experienced disparities in treatment access, retention, and outcomes. Evidence-based interventions such as Parent-Child Interaction Therapy (PCIT) have been found to be effective in reducing children's disruptive behaviors in minoritized families. However, variable treatment length as a result of skill-based graduation criteria (e.g., observed caregiver verbalizations) may slow and/or hinder treatment progress, particularly for families where expected treatment verbalizations are less linguistically relative (e.g., no exact English to Spanish translations) and/or culturally familiar. Time-limited PCIT has been proposed as a strategy for promoting equity in treatment completion and outcomes amongst minoritized families, because treatment progression and/ or completion is not contingent upon caregiver linguistic skill demonstration. Methods The current study evaluated the overall effectiveness of an 18-week model of PCIT and examined predictors of retention and treatment outcomes. Participants (N = 488 dyads) included predominantly racially, ethnically, linguistically, and socioeconomically diverse children aged two to eight years, and their caregivers. Results Overall findings indicate that the 18-week PCIT model is an effective intervention for reducing children's externalizing and internalizing behaviors and improving caregiver parenting skills for most treatment completers. Despite advances in treatment completion, some caregiver social identities and PCIT treatment characteristics were predictive of lower completion rates and/or less optimal treatment outcomes. Discussion Overall, this study provides strong support for widely disseminating use of the 18-week model of PCIT for most families served. Clinical implications and considerations for continued treatment inequity are discussed.
Collapse
Affiliation(s)
- Jason F. Jent
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - William A. Rothenberg
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
- Center for Child and Family Policy, Duke University, Durham, NC, United States
| | - Abigail Peskin
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Juliana Acosta
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Allison Weinstein
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Raquel Concepcion
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Chelsea Dale
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
- Department of Psychology, Florida International University, Miami, FL, United States
| | - Jessica Bonatakis
- Department of Psychiatry and Behavioral Health, The Pennsylvania State University, University Park, PA, United States
| | - Cindy Sobalvarro
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Felipa Chavez
- School of Psychology, Florida Institute of Technology, Melbourne, FL, United States
| | - Noelia Hernandez
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Eileen Davis
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| | - Dainelys Garcia
- Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, United States
| |
Collapse
|
9
|
Sanchez BEL, Klein CC, Tremblay M, Rastogi M, Corcoran F, Barnett ML. Adapting to Unprecedented Times: Community Clinician Modifications to Parent-Child Interaction Therapy during COVID-19. EVIDENCE-BASED PRACTICE IN CHILD AND ADOLESCENT MENTAL HEALTH 2023; 8:348-363. [PMID: 37981955 PMCID: PMC10656036 DOI: 10.1080/23794925.2023.2238741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Abstract
Parent-Child Interaction Therapy (PCIT) is an evidence-based practice that effectively prevents and treats child disruptive behaviors and child physical maltreatment and reduces parenting stress. PCIT was adapted for telehealth delivery, internet-delivered PCIT (iPCIT), before the COVID-19 pandemic but was not widely implemented until the rapid transition to telehealth during stay-at-home orders. To understand how clinicians adapted PCIT during COVID-19, we followed up on a previous study investigating community clinician adaptations of PCIT pre-COVID-19 using the Lau et al. (2017) Augmenting and Reducing Framework. Clinicians (N = 179) who responded to the follow-up survey and reported delivering PCIT remotely completed a quantitative measure of adaptations at both time points (Fall 2019; Summer 2020) to assess how adaptations to PCIT changed following lockdown measures. Clinicians (n = 135) also provided qualitative descriptions of adaptations made early in the COVID-19 pandemic. Clinicians in the full sample were 74.3% Non-Hispanic White and 14% Latinx. Most clinicians had a master's degree (66.5%), were licensed (80.4%), and were PCIT-certified (70.4%). Paired samples t-tests showed that clinicians reported similar levels of augmenting t(179) = -0.09, p=.926) and reducing adaptations t(179) = -0.77, p=.442) at both time points. Unlike quantitative findings, qualitative findings indicated that clinicians described engaging in many types of adaptations in response to the pandemic. Clinicians discussed engaging in augmenting adaptations by extending treatment length and integrating other practices into treatment. Clinicians also discussed engaging in reducing adaptations. Implications and future directions will be discussed.
Collapse
|
10
|
Guastaferro K, Shipe SL, Connell CM, Holloway JL, Pulido ML, Noll JG. Knowledge Gains from the Implementation of a Child Sexual Abuse Prevention Program and the Future of School-Based Prevention Education. JOURNAL OF CHILD SEXUAL ABUSE 2023; 32:845-859. [PMID: 37814960 PMCID: PMC10841592 DOI: 10.1080/10538712.2023.2268618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 09/20/2023] [Indexed: 10/11/2023]
Abstract
School-based child sexual abuse (CSA) programs effectively increase students' CSA-related knowledge. This study focuses on an implementation trial of Safe Touches, an empirically supported, school-based CSA prevention program, that was disrupted by the COVID-19 pandemic. We sought to demonstrate gains in CSA-related knowledge following Safe Touches but were limited to a pre-post design. A total of 2,210 students across five counties in a Mid-Atlantic state received the Safe Touches workshop between September 2019 and March 2020. McNemar's chi-square test was used to assess changes in the proportion of correct responses pre-workshop (Time 1) and one-week post-workshop (Time 2). Students' CSA-related knowledge increased significantly based on changes in mean CSA knowledge scores and the number of correct item-level responses assessed at Time 1 and Time 2 (p < .000). Leveraging the experience of the facilitators' who delivered these workshops prior to the disruption of implementation, we gathered facilitators' perspectives to explore the viability of offering Safe Touches virtually. In July 2020, 16 facilitators completed an electronic survey designed to understand the viability of a virtual Safe Touches workshop. Three themes emerged from facilitator feedback on virtual programming: student engagement concerns, handling disclosures, and technology access to a virtual program. The findings of this study indicate that the Safe Touches workshop significantly increased CSA-related knowledge and, overall, facilitators supported further exploration and development of a virtual Safe Touches workshop. The transition of empirically supported school-based CSA prevention programs to a virtual delivery modality is necessary to maintain an effective means of primary prevention and opportunity for disclosure.
Collapse
Affiliation(s)
- Kate Guastaferro
- Department of Human Development and Family Studies, The Pennsylvania State University
- Department of Social and Behavioral Sciences, New York University
| | - Stacey L. Shipe
- Department of Human Development and Family Studies, The Pennsylvania State University
- Department of Social Work, State University of New York, Binghamton
| | - Christian M. Connell
- Department of Human Development and Family Studies, The Pennsylvania State University
| | | | - Mary L. Pulido
- New York Society for the Prevention of Cruelty to Children
| | - Jennie G. Noll
- Department of Human Development and Family Studies, The Pennsylvania State University
| |
Collapse
|
11
|
Ulaş S, Seçer İ, Victory EJ, McNeil CB. Scientific collaborations and research trends in Parent-Child Interaction Therapy: a bibliometric analysis. Front Psychol 2023; 14:1167937. [PMID: 37251036 PMCID: PMC10213549 DOI: 10.3389/fpsyg.2023.1167937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 04/21/2023] [Indexed: 05/31/2023] Open
Abstract
Parent-child interaction therapy (PCIT) is considered to be an effective intervention for children aged 2-7 years with conduct problems. PCIT research has been conducted for approximately 50 years; however, an analysis of general research patterns has not been published. In this context, the present study outlines a bibliometric analysis of scientific collaborations, prevalence across locations on the basis of countries and organizations, leading researchers, and trends within PCIT research. Findings demonstrate that PCIT is an area in which international scientific collaborations are intense and current, and collaborations continue to be formed around the world. Additionally, results indicate that dissemination of intercultural PCIT adaptations are continuous.
Collapse
Affiliation(s)
- Sümeyye Ulaş
- Laboratory Department of Psychological Counseling and Guidance, Atatürk University, Erzurum, Türkiye
| | - İsmail Seçer
- Laboratory Department of Psychological Counseling and Guidance, Atatürk University, Erzurum, Türkiye
| | - Erinn J. Victory
- Department of Psychology, West Virginia University, Morgantown, WV, United States
| | - Cheryl B. McNeil
- Department of Psychiatry, University of Florida, Gainesville, FL, United States
| |
Collapse
|
12
|
Spiegel JA, Sanchez CR, Bermeo LM, Graziano PA. Examining the Efficacy of Online Administration of a Time-Limited School Readiness Intervention in the Face of COVID-19. Behav Ther 2023; 54:557-571. [PMID: 37088510 PMCID: PMC9783141 DOI: 10.1016/j.beth.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 10/27/2022] [Accepted: 12/12/2022] [Indexed: 12/24/2022]
Abstract
Although the efficacy of online administration of behavioral parent training (BPT) programs is well-established, such programs address a single risk factor (behavioral functioning) for school readiness difficulties (comprised of academics, cognitive skills, and social, emotional, and behavioral functioning). The current study aims to examine the feasibility, acceptability, and efficacy of a telemedicine delivery of the School Readiness Parenting Program (SRPP), an integrative adaptation of PCIT designed to address the behavioral and academic domains of school readiness. The present study takes the first step towards validating an online administration of the SRPP as a treatment for early childhood disruptive behavior. Data were collected for 64 children ages 2-6 years (Mage = 4.63, SD = 0.86; 78.1% Hispanic/Latinx) and their families, who received either in-person administration of time-limited PCIT (PCIT-TL; n=30) or online administration of SRPP (n=34). A series of repeated measures ANOVAS were conducted to examine within and between group effects. Results revealed that both SRPP and PCIT-TL significantly reduced inattention (d's = -0.54 to -0.88), aggression (d's = -0.55 to -1.06), and behavioral symptomology (d's = -0.55 to -0.85) and produced significant gains in parental skills (d's = -1.47 to 2.99). Notably, online SRPP demonstrated greater improvement in positive parental verbalization, whereas PCIT-TL demonstrated greater reductions in parental stress. Overall, findings support the utility of online SRPP for addressing behavioral school readiness concerns.
Collapse
Affiliation(s)
- Jamie A Spiegel
- Florida International University-Center for Children and Families
| | | | - Luisa M Bermeo
- Florida International University-Center for Children and Families
| | - Paulo A Graziano
- Florida International University-Center for Children and Families.
| |
Collapse
|
13
|
Garcia D, Barnett ML, Rothenberg WA, Tonarely NA, Perez C, Espinosa N, Salem H, Alonso B, Juan JS, Peskin A, Davis EM, Davidson B, Weinstein A, Rivera YM, Orbano-Flores LM, Jent JF. A Natural Helper Intervention to Address Disparities in Parent Child-Interaction Therapy: A Randomized Pilot Study. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2023; 52:343-359. [PMID: 36524764 PMCID: PMC10213097 DOI: 10.1080/15374416.2022.2148255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Parent-child interaction therapy (PCIT) is an effective intervention to address child externalizing behaviors. However, disparities in access and retention are pervasive, which relate to the availability of PCIT in low-income communities, inadequate workforces to provide culturally appropriate care, and distrust in services due to systemic discrimination. This study incorporated natural helpers who had been trained as community health workers into PCIT delivery to improve disparities in engagement and outcomes. METHOD Families from three low-income, predominately Latino/a/x and Black neighborhoods in Miami qualified for services if they had a child aged 2-8 with clinically elevated externalizing behaviors. Families were randomly assigned into either Standard-PCIT group (N = 30 families; 80% boys, 57% Latino/a/x, 27% Black) or a PCIT plus Natural helper (PCIT+NH) group (N = 51 families; 66% boys, 76% Latino/a/x, 18% Black). Families in the PCIT+NH group received home visits and support addressing barriers to care from a natural helper. Path analyses within an intention-to-treat framework examined group-differences in treatment engagement, child behavior, and parenting skills and stress. RESULTS Families in both groups demonstrated large improvements in child externalizing behavior, caregiver stress, and parenting skills from pre-to-post-treatment. Externalizing behavior improved significantly more in the PCIT+NH group compared to the Standard-PCIT group. There were no significant group differences in parenting skills or caregiver stress. Though differences in engagement were not significant, the PCIT+NH group had a small effect on treatment retention. CONCLUSIONS Natural helpers may help to address structural barriers that systematically impact communities of color, apply treatment in naturalistic environments, and promote improved treatment outcomes.
Collapse
Affiliation(s)
- Dainelys Garcia
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Miya L. Barnett
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara, Santa Barbara, CA, USA 93106-9490
| | - W. Andrew Rothenberg
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
- Duke University Center for Child and Family Policy, 302 Towerview Rd, Durham, NC, USA 27708
| | - Niza A. Tonarely
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Camille Perez
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Natalie Espinosa
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Hanan Salem
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Betty Alonso
- ConnectFamilias, 1111 SW 8 Street, Miami, FL, USA 33130
| | | | - Abigail Peskin
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Eileen M. Davis
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Bridget Davidson
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Allison Weinstein
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | | | | | - Jason F. Jent
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| |
Collapse
|
14
|
Shenderovich Y, Sacolo-Gwebu H, Fang Z, Lachman J, Cluver L, Ward C. Adaptations and staff experiences in delivering parenting programmes and other family support services in three community-based organisations in Cape Town, South Africa during the COVID pandemic. Glob Public Health 2023; 18:2129725. [PMID: 36342401 PMCID: PMC10802685 DOI: 10.1080/17441692.2022.2129725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 09/14/2022] [Indexed: 11/09/2022]
Abstract
We explore how organisations working on parenting programmes and other types of family support and violence prevention in low-resource settings experienced the pandemic. In August 2020-May 2021, we interviewed (1) staff from three community-based organisations delivering evidence-informed parenting interventions and other psychosocial services for families in Cape Town, South Africa, (2) staff from a parenting programme training organisation and (3) staff from two international organisations supporting psychosocial services in South Africa. Interviews (22) were thematically analysed, with findings in three areas. First, respondents noted changes in the context, including the job losses, food insecurity, and stress experienced by local communities, and reductions in organisational funding. Second, we found that in response to these context changes, the organisations shifted their focus to food provision and COVID prevention. Parenting and psychosocial programmes were adapted - e.g. by changing the physical delivery settings, reducing group sizes, and taking up digital and phone implementation. Participants reported improved perceptions of remote delivery as a feasible approach for working with families - but internet and phone access remained challenging. Third, the pandemic brought new responsibilities for staff, and both the challenges of working from home and the health risks of in-person work.
Collapse
Affiliation(s)
- Yulia Shenderovich
- Wolfson Centre for Young People's Mental Health, Cardiff, UK
- Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff, UK
- Department of Social Policy and Intervention, Centre for Evidence-Based Intervention, University of Oxford, Oxford, UK
| | | | - Zuyi Fang
- Department of Social Policy and Intervention, Centre for Evidence-Based Intervention, University of Oxford, Oxford, UK
- School of Social Development and Public Policy, Beijing Normal University, Beijing, People's Republic of China
| | - Jamie Lachman
- Department of Social Policy and Intervention, Centre for Evidence-Based Intervention, University of Oxford, Oxford, UK
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | - Lucie Cluver
- Department of Social Policy and Intervention, Centre for Evidence-Based Intervention, University of Oxford, Oxford, UK
- Department of Psychiatry and Mental Health, Groote Schuur Hospital Observatory, University of Cape Town, Cape Town, South Africa
| | - Catherine Ward
- Department of Psychology, University of Cape Town, Cape Town, South Africa
| |
Collapse
|
15
|
Druskin LR, Victory EJ, Han RC, Phillips ST, Aman E, McNeil CB. The Impact of Maternal Depression on Internet-Parent–Child Interaction Therapy for Child Attention-Deficit/Hyperactivity Disorder: A Case Study. Clin Case Stud 2022. [DOI: 10.1177/15346501221145662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Conduct disorders and attention-deficit/hyperactivity disorder (ADHD) are highly comorbid, with an estimated prevalence rate of 51.5% for children between 2–17 years of age (Centers for Disease Control and Prevention, 2020). Parent–Child Interaction Therapy (PCIT) is an empirically supported behavioral parent training program for children with disruptive behavior. PCIT research consistently demonstrates decreases in disruptive behaviors and increases in positive parenting strategies among families of young children with ADHD; however, PCIT has yet to become widely recognized as a treatment for ADHD. This case study presents the treatment of a 6-year-old boy with ADHD and severe behavior problems. The case was further impacted by the single mother’s depressive symptoms and internet delivery of PCIT during the COVID-19 pandemic. Findings from this case report documented an improvement in disruptive child behaviors and emotion regulation and increased positivity during parent–child interactions, despite worsening maternal depressive symptoms. This case study highlights the utility of PCIT to improve child disruptive behaviors and ADHD symptoms in the midst of several complicating factors.
Collapse
Affiliation(s)
| | - Erinn J. Victory
- Department of Psychology, West Virginia University, Morgantown, WV, USA
| | - Robin C. Han
- Department of Psychology, West Virginia University, Morgantown, WV, USA
| | | | - Emily Aman
- Department of Psychology, West Virginia University, Morgantown, WV, USA
| | - Cheryl B. McNeil
- Department of Psychology, West Virginia University, Morgantown, WV, USA
- Department of Psychiatry, University of Florida, Gainesville, FL, USA
| |
Collapse
|
16
|
Druskin LR, Han RC, Phillips ST, Victory EJ, Aman E, Tiano J, Stokes J, McNeil CB. The Dissemination of Parent-Child Interaction Therapy in West Virginia during the Opioid Epidemic and COVID-19 Pandemic: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15085. [PMID: 36429803 PMCID: PMC9690909 DOI: 10.3390/ijerph192215085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 11/10/2022] [Accepted: 11/14/2022] [Indexed: 06/16/2023]
Abstract
The devastating impact of the opioid crisis on children and families in West Virginia was compounded by the COVID-19 pandemic and brought to light the critical need for greater mental health services and providers in the state. Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for child externalizing symptoms that teaches parents positive and appropriate strategies to manage child behaviors. The current qualitative study details barriers and facilitators to disseminating and implementing PCIT with opioid-impacted families across West Virginia during the COVID-19 pandemic. Therapists (n = 34) who participated in PCIT training and consultation through a State Opioid Response grant were asked to provide data about their experiences with PCIT training, consultation, and implementation. Almost all therapists (91%) reported barriers to telehealth PCIT (e.g., poor internet connection, unpredictability of sessions). Nearly half of therapists' cases (45%) were impacted directly by parental substance use. Qualitative findings about the impact of telehealth and opioid use on PCIT implementation are presented. The dissemination and implementation of PCIT in a state greatly impacted by poor telehealth capacity and the opioid epidemic differed from the implementation of PCIT training and treatment delivery in other states, highlighting the critical importance of exploring implementation factors in rural settings.
Collapse
Affiliation(s)
- Lindsay R. Druskin
- Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
| | - Robin C. Han
- Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
| | - Sharon T. Phillips
- Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
| | - Erinn J. Victory
- Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
| | - Emily Aman
- Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
| | - Jennifer Tiano
- Department of Psychology, Marshall University, Huntington, WV 25755, USA
| | - Jocelyn Stokes
- Department Behavioral Medicine and Psychiatry, School of Medicine Eastern Division, West Virginia University, Martinsburg, WV 25401, USA
| | - Cheryl B. McNeil
- Department of Psychology, West Virginia University, Morgantown, WV 26506, USA
- Department of Psychiatry, University of Florida, Gainesville, FL 32610, USA
| |
Collapse
|
17
|
Chavira DA, Ponting C, Ramos G. The impact of COVID-19 on child and adolescent mental health and treatment considerations. Behav Res Ther 2022; 157:104169. [PMID: 35970084 PMCID: PMC9339162 DOI: 10.1016/j.brat.2022.104169] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 07/14/2022] [Accepted: 07/22/2022] [Indexed: 12/15/2022]
Affiliation(s)
- Denise A Chavira
- University of California Los Angeles, Department of Psychology, USA.
| | - Carolyn Ponting
- University of California Los Angeles, Department of Psychology, USA; University of California San Francisco, Department of Psychiatry and Biobehavioral Sciences, USA
| | - Giovanni Ramos
- University of California Los Angeles, Department of Psychology, USA
| |
Collapse
|
18
|
Rosas YG, Sigal M, Park A, Barnett ML. Predicting a Rapid Transition to Telehealth-Delivered Parent-Child Interaction Therapy Amid COVID-19: A Mixed Methods Study. GLOBAL IMPLEMENTATION RESEARCH AND APPLICATIONS 2022; 2:293-304. [PMID: 36105665 PMCID: PMC9462633 DOI: 10.1007/s43477-022-00057-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 08/29/2022] [Indexed: 12/31/2022]
Abstract
The sudden onset of COVID-19 forced mental health therapists to rapidly transition to telehealth services. While some therapists and organizations were able to achieve an expeditious transition, others struggled. Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, which outlines key phases that guide the implementation process, the current mixed methods study examined what factors predicted the transition to internet-based Parent-Child Interaction Therapy (iPCIT), a telehealth-delivered evidence-based practice (EBP). We investigated two areas related to the transition: (1) if PCIT therapists transitioned to provide iPCIT and (2) if they made this transition quickly. In Fall 2019, 324 therapists completed a survey about implementing PCIT. After stay-at-home orders, 223 of those therapists completed a follow-up survey about their transition to telehealth, organizational characteristics, their caseloads, and telehealth training. The majority of therapists (82%) transitioned to provide iPCIT, with 48% making the transition in less than a week. Open-ended responses indicated that therapists who did not transition-faced challenges related to limited client resources, a lack of training, and organizational delays. Qualitative findings informed predictors for two logistic regression models that are statistical models that predict the probability of an event occurring, with criterion variables (1) whether therapists transitioned to provide iPCIT and (2) whether they transitioned in less than a week. Results showed that caseload in Fall 2019 and receipt of iPCIT training were associated with iPCIT transition. Organizational setting, resiliency, and baseline caseload predicted rapid transition to iPCIT. Implications regarding supporting the implementation of telehealth delivery of EBPs are discussed.
Collapse
Affiliation(s)
- Yessica Green Rosas
- grid.133342.40000 0004 1936 9676Department of Counseling, Clinical, and School Psychology, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA 93106-9490 USA
| | - Marika Sigal
- grid.27860.3b0000 0004 1936 9684Department of Human Ecology, University of California, Davis, Davis, CA USA
| | - Alayna Park
- grid.170202.60000 0004 1936 8008Department of Psychology, University of Oregon, Eugene, OR USA
| | - Miya L. Barnett
- grid.133342.40000 0004 1936 9676Department of Counseling, Clinical, and School Psychology, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA 93106-9490 USA
| |
Collapse
|
19
|
Rothenberg WA, Ali S, Rohner RP, Lansford JE, Britner PA, Giunta LD, Dodge KA, Malone PS, Oburu P, Pastorelli C, Skinner AT, Sorbring E, Steinberg L, Tapanya S, Uribe Tirado LM, Yotanyamaneewong S, Alampay LP, Al-Hassan SM, Bacchini D, Bornstein MH, Chang L, Deater-Deckard K. Effects of Parental Acceptance-Rejection on Children's Internalizing and Externalizing Behaviors: A Longitudinal, Multicultural Study. JOURNAL OF CHILD AND FAMILY STUDIES 2022; 31:29-47. [PMID: 35529327 PMCID: PMC9075417 DOI: 10.1007/s10826-021-02072-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/02/2021] [Indexed: 06/01/2023]
Abstract
BACKGROUND Grounded in interpersonal acceptance-rejection theory, this study assessed children's (N=1,315) perceptions of maternal and paternal acceptance-rejection in nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the United States) as predictors of children's externalizing and internalizing behaviors across ages 7-14 years. METHODS Parenting behaviors were measured using children's reports on the Parental Acceptance-Rejection Questionnaire. Child externalizing and internalizing behaviors were measured using mother, father, and child reports on the Achenbach System of Empirically-Based Assessment. RESULTS Using a multilevel modeling framework, we found that in cultures where both maternal and paternal indifference/neglect scores were higher than average-compared to other cultures -children's internalizing problems were more persistent. At the within-culture level, all four forms of maternal and paternal rejection (i.e., coldness/lack of affection, hostility/aggression, indifference/neglect, and undifferentiated rejection) were independently associated with both externalizing and internalizing problems across ages 7-14 even after controlling for child gender, parent education, and each of the four forms of parental rejection. CONCLUSIONS Results demonstrate that the effects of perceived parental acceptance-rejection are panculturally similar.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Marc H. Bornstein
- National Institute of Child Health and Human Development, and
Institute for Fiscal Studies
| | | | | |
Collapse
|
20
|
Caron EB, Kipp EC, Costello AH, Bernard K, Schein SS, Roben CKP, Dozier M. Parent Coaching Fidelity Trajectories of In-Person and Telehealth Sessions during the COVID-19 Pandemic. EVIDENCE-BASED PRACTICE IN CHILD AND ADOLESCENT MENTAL HEALTH 2022; 7:341-348. [PMID: 36212784 PMCID: PMC9536531 DOI: 10.1080/23794925.2021.1996300] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The COVID-19 pandemic has posed significant challenges to delivery of preventive and mental health services, and providers have rapidly transitioned to telehealth service provision. Factors such as sudden isolation, financial strain, and physical and mental health stress presented unique challenges for providers and families and highlight the need for accessible and effective services. Thus, providers' fidelity of implementation during the pandemic is an important area for research. The current observational study compared providers' fidelity across in-person and telehealth-delivered sessions before and during the COVID-19 pandemic in Attachment and Biobehavioral Catch-up (ABC), a preventive parent coaching intervention for infants and toddlers. Participants included 24 providers (95% female, 42% White, M age = 37) who participated in ABC training and consultation during the COVID-19 pandemic. Providers' fidelity data (N = 593 sessions) were modeled longitudinally using hierarchical linear modeling, and separate intercepts and slopes were estimated for in-person and telehealth-delivered sessions. When data were modeled across all available sessions, results indicated that providers demonstrated improving fidelity over the course of training. When in-person and telehealth-delivered sessions were compared, providers' fidelity in telehealth-delivered ABC sessions was not significantly different from their fidelity in in-person sessions. Providers demonstrated improving fidelity over time in telehealth-delivered sessions. Thus, providers were able to maintain and improve ABC fidelity during the COVID-19 pandemic when provided with implementation support. Rapid transition to telehealth delivery can be successful when ongoing support such as consultation is provided.
Collapse
Affiliation(s)
- EB Caron
- Department of Psychological Science, Fitchburg State University, Fitchburg, MA
| | - Evan C. Kipp
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Amanda H. Costello
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Kristin Bernard
- Department of Psychology, Stony Brook University, Stony Brook, NY
| | - Stevie S. Schein
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Caroline K. P. Roben
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Mary Dozier
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| |
Collapse
|
21
|
Barnett ML, Sigal M, Green Rosas Y, Corcoran F, Rastogi M, Jent JF. Therapist Experiences and Attitudes About Implementing Internet-Delivered Parent-Child Interaction Therapy During COVID-19. COGNITIVE AND BEHAVIORAL PRACTICE 2021; 28:630-641. [PMID: 33994769 PMCID: PMC8112899 DOI: 10.1016/j.cbpra.2021.03.005] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Accepted: 03/19/2021] [Indexed: 12/01/2022]
Abstract
It has been widely recognized that access to mental health treatment is imperative to address current and long-term stressors for children and parents during COVID-19. Internet-delivered Parent-Child Interaction Therapy (iPCIT, previously referred to as I-PCIT) is a strong model for remote service delivery during social distancing restrictions due to its empirical base. However, this treatment modality was not widely implemented before COVID-19, likely due to barriers to providing telehealth services. This mixed methods study conducted a follow-up survey to gather therapist experiences (N = 223) in delivering iPCIT during COVID-19, including qualitative data on the benefits and challenges to delivering iPCIT. The vast majority of therapists (82%) indicated that they transitioned to deliver PCIT via telehealth in response to COVID-19. PCIT caseloads decreased slightly from the first survey to the COVID-19 follow-up survey, but the racial and ethnic composition of caseloads were not significantly different between the two surveys. Of the 183 therapists who transitioned to deliver PCIT via telehealth, 82% expressed interest in continuing to provide iPCIT following the COVID-19 pandemic. Reported benefits of iPCIT included decreased barriers to access and the ability to practice skills within the naturalistic home environment. Challenges to iPCIT were primarily issues with technology as well as other logistical barriers, which could limit engagement for some families. Findings from this study may be beneficial in improving future implementation of iPCIT during and post-COVID-19.
Collapse
|