Larissa N Niec1, Miya L Barnett2, Matthew S Prewett3, Jenelle R Shanley Chatham4. 1. Center for Children, Families, and Communities, Central Michigan University. 2. Department of Psychology, University of California, Los Angeles. 3. Department of Psychology, Central Michigan University. 4. Institute of Public Health, Georgia State University.
Abstract
OBJECTIVE: Although efficacious interventions exist for childhood conduct problems, a majority of families in need of services do not receive them. To address problems of treatment access and adherence, innovative adaptations of current interventions are needed. This randomized control trial investigated the relative efficacy of a novel format of parent-child interaction therapy (PCIT), a treatment for young children with conduct problems. METHOD:Eighty-one families with 3- to 6-year-old children (71.6% boys, 85.2% White) with diagnoses of oppositional defiant or conduct disorder were randomized to individual PCIT (n = 42) or the novel format, Group PCIT. Parents completed standardized measures of children's conduct problems, parenting stress, and social support at intake, posttreatment, and 6-month follow-up. Therapist ratings, parent attendance, and homework completion provided measures of treatment adherence. Throughout treatment, parenting skills were assessed using the Dyadic Parent-Child Interaction Coding System. RESULTS: Parents in both group and individual PCIT reported significant improvements from intake to posttreatment and follow-up in their children's conduct problems and adaptive functioning, as well as significant decreases in parenting stress. Parents in both treatment conditions also showed significant improvements in their parenting skills. There were no interactions between time and treatment format. Contrary to expectation, parents in Group PCIT did not experience greater social support or treatment adherence. CONCLUSIONS: Group PCIT was not inferior to individual PCIT and may be a valuable format to reach more families in need of services. Future work should explore the efficiency and sustainability of Group PCIT in community settings. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
RCT Entities:
OBJECTIVE: Although efficacious interventions exist for childhood conduct problems, a majority of families in need of services do not receive them. To address problems of treatment access and adherence, innovative adaptations of current interventions are needed. This randomized control trial investigated the relative efficacy of a novel format of parent-child interaction therapy (PCIT), a treatment for young children with conduct problems. METHOD: Eighty-one families with 3- to 6-year-old children (71.6% boys, 85.2% White) with diagnoses of oppositional defiant or conduct disorder were randomized to individual PCIT (n = 42) or the novel format, Group PCIT. Parents completed standardized measures of children's conduct problems, parenting stress, and social support at intake, posttreatment, and 6-month follow-up. Therapist ratings, parent attendance, and homework completion provided measures of treatment adherence. Throughout treatment, parenting skills were assessed using the Dyadic Parent-Child Interaction Coding System. RESULTS: Parents in both group and individual PCIT reported significant improvements from intake to posttreatment and follow-up in their children's conduct problems and adaptive functioning, as well as significant decreases in parenting stress. Parents in both treatment conditions also showed significant improvements in their parenting skills. There were no interactions between time and treatment format. Contrary to expectation, parents in Group PCIT did not experience greater social support or treatment adherence. CONCLUSIONS: Group PCIT was not inferior to individual PCIT and may be a valuable format to reach more families in need of services. Future work should explore the efficiency and sustainability of Group PCIT in community settings. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
Authors: Edmund J S Sonuga-Barke; Joanne Barton; David Daley; Judy Hutchings; Tom Maishman; James Raftery; Louise Stanton; Cathy Laver-Bradbury; Maria Chorozoglou; David Coghill; Louisa Little; Martin Ruddock; Mike Radford; Guiqing Lily Yao; Louise Lee; Lisa Gould; Lisa Shipway; Pavlina Markomichali; James McGuirk; Michelle Lowe; Elvira Perez; Joanna Lockwood; Margaret J J Thompson Journal: Eur Child Adolesc Psychiatry Date: 2017-10-30 Impact factor: 4.785
Authors: Brandi N Hawk; Susan G Timmer; Lindsay A F Armendariz; Deanna K Boys; Anthony J Urquiza; Erik Fernández Y Garcia Journal: Child Psychiatry Hum Dev Date: 2022-08-11