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Jent JF, St. George SM, Agosto Y, Rothenberg WA, Howe E, Velasquez C, Mansoor E, Garcia EG, Bulotsky-Shearer RJ, Natale R. Virtual robotic telepresence early childhood mental health consultation to childcare centers in the aftermath of COVID-19: training approaches and perceived acceptability and usefulness. Front Psychol 2024; 15:1339230. [PMID: 38903468 PMCID: PMC11188678 DOI: 10.3389/fpsyg.2024.1339230] [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: 11/15/2023] [Accepted: 05/16/2024] [Indexed: 06/22/2024] Open
Abstract
Introduction Childcare center closures during COVID-19 impacted education for approximately 40 million children nationwide. Unfortunately, COVID-19 restrictions significantly limited the extent that outside personnel could provide in-person support to educators, resulting in the need for innovative approaches to meet childcare centers' needs. A virtual robotic telepresence approach was applied to early childhood consultation models to promote child resilience while mitigating COVID-19 risks. The goal of this study was to examine how training influenced consultants' and childcare staff uptake of the virtual robotic telepresence consultation approach and their acceptance of this technology. Methods Ten early childhood consultants received multimedia/simulation training and weekly communities of practice related to virtual telepresence robotic consultation. Telepresence robotic consultation equipment was deployed to 16 childcare centers in a diverse multilingual metropolitan area as a part of a larger randomized controlled trial. Consultants trained childcare staff (14 center directors and 58 teachers) on how to receive virtual telepresence robotic consultation. Demographic information and measures of technology acceptability and uptake were collected from childcare staff and consultants. A mixed methods approach was used including multilevel modeling and focus groups to examine consultation uptake, acceptability, barriers, and facilitators of virtual telepresence robotic consultation implementation. Results Consultants and childcare staff generally perceived the virtual telepresence consultation approach to be useful and easy to use. Consultant perceptions of the acceptability of technology did not change over time. Childcare staff, center, and consultant factors impacted the uptake of the virtual robotic telepresence consultation approach and childcare staff acceptance of the technology. Focus groups revealed that consultants believed that additional hands-on training with childcare staff would have benefited implementation and expressed a desire for a hybrid approach for consultation. Discussion Perceptions of telepresence robotic consultation acceptability are discussed, including future recommendations for training.
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Affiliation(s)
- Jason F. Jent
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
| | - Sara M. St. George
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
| | - Yaray Agosto
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
| | | | - Elizabeth Howe
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
| | - Carolina Velasquez
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
| | - Elana Mansoor
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
| | - Emperatriz G. Garcia
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
| | | | - Ruby Natale
- Leonard M. Miller School of Medicine, University of Miami, Miami, FL, United States
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2
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Rothenberg WA, Sorbring E, Lansford JE, Peña Alampay L, Al-Hassan SM, Bacchini D, Bornstein MH, Chang L, Deater-Deckard K, Giunta LD, Dodge KA, Gurdal S, Liu Q, Long Q, Oburu P, Pastorelli C, Skinner AT, Tapanya S, Steinberg L, Maria Uribe Tirado L, Yotanyamaneewong S. Predicting child aggression: The role of parent and child endorsement of reactive aggression across 13 cultural groups in 9 nations. Aggress Behav 2023; 49:183-197. [PMID: 36565473 PMCID: PMC10105370 DOI: 10.1002/ab.22067] [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: 07/15/2022] [Revised: 12/05/2022] [Accepted: 12/07/2022] [Indexed: 12/25/2022]
Abstract
Parent and child endorsement of reactive aggression both predict the emergence of child aggression, but they are rarely studied together and in longitudinal contexts. The present study does so by examining the unique predictive effects of parent and child endorsement of reactive aggression at age 8 on child aggression at age 9 in 1456 children from 13 cultural groups in 9 nations. Multiple group structural equation models explored whether age 8 child and parent endorsement of reactive aggression predicted subsequent age 9 child endorsement of reactive aggression and child aggression, after accounting for prior child aggression and parent education. Results revealed that greater parent endorsement of reactive aggression at age 8 predicted greater child endorsement of aggression at age 9, that greater parent endorsement of reactive aggression at age 8 uniquely predicted greater aggression at age 9 in girls, and that greater child endorsement of reactive aggression at age 8 uniquely predicted greater aggression at age 9 in boys. All three of these associations emerged across cultures. Implications of, and explanations for, study findings are discussed.
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Affiliation(s)
- William A Rothenberg
- Duke Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
- Mailman Center for Child Development, University of Miami, Coral Gables, Florida, USA
| | - Emma Sorbring
- Division of Social Work and Social Pedagogy, University West, Trollhättan, Sweden
| | - Jennifer E Lansford
- Duke Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Liane Peña Alampay
- Department of Psychology, Ateneo de Manila University, Quezon City, Philippines
| | - Suha M Al-Hassan
- Abu Dhabi Early Childhood Authority, Emirates College for Advanced Education, Abu Dhabi, United Arab Emirates
- Department of Early Childhood Education, Hashemite University, Zarqa, Jordan
| | - Dario Bacchini
- Department of Humanities, University of Naples Federico II, Naples, Italy
| | - Marc H Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA
- UNICEF, New York City, New York, USA
- Institute for Fiscal Studies, London, UK
| | - Lei Chang
- Faculty of Social Sciences, University of Macau, Zhuhai, China
| | - Kirby Deater-Deckard
- Department of Psychological and Brain Sciences, University of Massachusetts, Massachusetts, Amherst, USA
| | - Laura Di Giunta
- Department of Psychology, Università di Roma "La Sapienza", Rome, Italy
| | - Kenneth A Dodge
- Duke Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Sevtap Gurdal
- Division of Social Work and Social Pedagogy, University West, Trollhättan, Sweden
| | - Qin Liu
- School of Public Health & Management, Chongqing Medical University, Chongqing, China
| | - Qian Long
- Global Health Research Center, Duke Kunshan University, Suzhou, China
| | - Paul Oburu
- Department of Psychology, Maseno University, Maseno, Kenya
| | | | - Ann T Skinner
- Duke Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Sombat Tapanya
- Department of Psychiatry, Chiang Mai University, Chiang Mai, Thailand
| | - Laurence Steinberg
- Psychology and Neuroscience Department, Temple University, Philadelphia, Pennsylvania, USA
- King Abdulaziz University, Jeddah, Saudi Arabia
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Davis EM, Schmidt E, Rothenberg WA, Davidson B, Garcia D, Barnett ML, Fernandez C, Jent JF. Universal Teacher-Child Interaction Training in early childhood special education: A cluster randomized control trial. J Sch Psychol 2023; 97:171-191. [PMID: 36914364 DOI: 10.1016/j.jsp.2023.02.001] [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: 10/11/2021] [Revised: 04/22/2022] [Accepted: 02/01/2023] [Indexed: 02/20/2023]
Abstract
Growing evidence suggests that Teacher-Child Interaction Training-Universal (TCIT-U) is effective for increasing teachers' use of strategies that promote positive child behavior, but more rigorous research with larger, diverse samples is needed to understand the effects of TCIT-U on teacher and child outcomes in early childhood special education. Using a cluster randomized control trial, we evaluated the effects of TCIT-U on (a) teacher skill acquisition and self-efficacy and (b) child behavior and developmental functioning. Teachers in the TCIT-U group (n = 37) exhibited significantly greater increases in positive attention skills, increased consistent responding, and decreased critical statements relative to teachers in the waitlist control group (n = 36) at post and 1-month follow-up (d's range from 0.52 to 1.61). Teachers in the TCIT-U group also exhibited significantly fewer directive statements (d's range from 0.52 to 0.79) and greater increases in self-efficacy compared to waitlist teachers at post (d's range from 0.60 to 0.76). TCIT-U was also associated with short-term benefits for child behavior. Frequency (d = 0.41) and total number of behavior problems (d = 0.36) were significantly lower in the TCIT-U group than in the waitlist group at post (but not follow-up), with small-to-medium effects. The waitlist group, but not the TCIT-U group, demonstrated an increasing trend in number of problem behaviors over time. There were no significant between-group differences in developmental functioning. Current findings build support for the effectiveness of TCIT-U as universal prevention of behavior problems with an ethnically and racially diverse sample of teachers and children, including children with developmental disabilities. Implications for implementation of TCIT-U in the early childhood special education setting are discussed.
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Affiliation(s)
- Eileen M Davis
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL 33136, USA.
| | - Ellyn Schmidt
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL 33136, USA; Boston Child Study Center, 729 Boylston St 5th floor, Boston, MA 02116, USA
| | - W Andrew Rothenberg
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL 33136, USA; Duke University Center for Child and Family Policy, 302 Towerview Rd, Durham, NC 27708, USA
| | - Bridget Davidson
- Pediatric Psychology Associates, 1625 North Commerce Parkway, Suite 200, Weston, FL 33326, USA
| | - Dainelys Garcia
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL 33136, USA
| | - Miya L Barnett
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara, CA 93106-9490, USA
| | - Corina Fernandez
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL 33136, USA
| | - Jason F Jent
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL 33136, USA
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Davis EM, Garcia D, Rothenberg WA, Barnett ML, Davidson B, Espinosa N, Tonarely NA, Robertson EL, Alonso B, San Juan J, Jent JF. A Preliminary Analysis of Parent-Child Interaction Therapy Plus Natural Helper Support to Increase Treatment Access and Engagement for Low-Income Families of Color. CHILDREN AND YOUTH SERVICES REVIEW 2022; 134:106370. [PMID: 35273422 PMCID: PMC8903162 DOI: 10.1016/j.childyouth.2022.106370] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Disparities in care for low-income children of color call for innovative culturally and linguistically responsive solutions to better engage marginalized populations in evidence-based interventions. In partnership with a community organization, the addition of natural helper support as an adjunct to Parent-Child Interaction Therapy (PCIT+NH) was examined as a strategy to increase recruitment, engagement, and retention in PCIT for families historically unreached by a university-based clinic. Natural helpers provided home-based skills practice and support for forty-two families whose parents were more racially and linguistically diverse and had lower income and lower caregiver education than the typical population served by the same program (i.e., program population). Families who received PCIT+NH had comparable or higher rates of engagement and improvements in clinical outcomes (i.e., decreased child externalizing and internalizing behaviors, increased child compliance, decreased caregiver stress, increased caregiver parenting skills) relative to the program population. Furthermore, higher doses of natural helper support were associated with higher rates on most measures of treatment engagement (i.e., treatment completion, completion of the Child Directed Interaction phase of treatment, PCIT sessions, homework in the Parent Directed Interaction phase of treatment), with the exception of homework in the Child Directed Interaction phase of treatment and overall session attendance rate. Next steps for testing the treatment engagement and clinical outcome effects of the PCIT+NH model are discussed.
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Affiliation(s)
- Eileen M. Davis
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Dainelys Garcia
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - 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
| | - Miya L. Barnett
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara, Santa Barbara, CA, USA 93106-9490
| | - Bridget Davidson
- 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
| | - Niza A. Tonarely
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
| | - Emily L. Robertson
- 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
| | | | - Jason F. Jent
- University of Miami Miller School of Medicine, Mailman Center for Child Development, 1600 NW 12 Ave, Miami, FL, USA 33136
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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.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Marc H. Bornstein
- National Institute of Child Health and Human Development, and
Institute for Fiscal Studies
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Sullivan ADW, Forehand R, Acosta J, Parent J, Comer JS, Loiselle R, Jones DJ. COVID-19 and the Acceleration of Behavioral Parent Training Telehealth: Current Status and Future Directions. COGNITIVE AND BEHAVIORAL PRACTICE 2021; 28:618-629. [PMID: 34629838 PMCID: PMC8488182 DOI: 10.1016/j.cbpra.2021.06.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 05/12/2021] [Accepted: 06/19/2021] [Indexed: 02/01/2023]
Abstract
The SARS-COV-2 (COVID-19) pandemic and associated social distancing guidelines have accelerated the telehealth transition in mental health. For those providing Behavioral Parent Training (BPT), this transition has called for moving sessions that are traditionally clinic-based, active, and directive to engaging, supporting, and treating families of children with behavior disorders remotely in their homes. Whereas many difficulties accompany this transition, the lessons learned during the current public health crisis have the potential to transform BPT service delivery on a large scale in ways that address many of its long-standing limitations. We describe both challenges and opportunities and consider the possibilities inherent in a large scale BPT service delivery model capable of increasing the reach and impact of evidence-based treatment for all families.
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Affiliation(s)
| | | | - Juliana Acosta
- Center for Children and Families, Florida International University
| | - Justin Parent
- Center for Children and Families, Florida International University
| | - Jonathan S Comer
- Center for Children and Families, Florida International University
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