2-142 - Modifying Parent-Child Interaction Therapy for at-risk children: Infants, home-based services, and motivation to reduce attrition

Session Type: Paper Symposium

Integrative Statement

Parent-Child Interaction Therapy (PCIT) is a clinic-based parenting intervention designed for young children with clinically significant behavioral problems, and involves direct coaching of parents with behavior management strategies. PCIT is documented as efficacious in improving parent-child relationships, reducing child behavior problems, parenting stress, and child abuse recidivism (Thomas & Zimmer-Gembeck, 2007, 2011). However, standard PCIT may not be appropriate for some groups of at-risk children. For example, the minimum age criterion of 2 to 3 years for PCIT reduces the opportunity for earlier intervention, and clinic-based PCIT limits access to at-risk families. Moreover, treatment attrition remains a significant challenge. This international symposium includes reports of three randomised controlled trials testing the efficacy of adaptations to the standard PCIT protocol in order to meet the needs of at-risk children. Together, these presentations show that PCIT is an effective intervention for improving parenting practices, and reducing child behavior problems and parental stress among multi-problem families in different cultural contexts. In the first paper, results of a home-based adaptation of PCIT will be reported. In the second paper, researchers describe an adaptation of PCIT for high-risk infants, which focuses on the Child-Directed Interaction phase specifically. In the third paper, results of a large trial of an augmentation to PCIT with a motivational component will be presented, which focuses on reducing attrition and improving outcomes for at-risk families. The discussant will address the fine balance that must be struck between maintaining core components and adaption to ensure fidelity of evidence-based treatments.

Sub Unit

• Parenting & Parent-Child Relationships

Chair

• Haley Webb, Griffith University, Gold Coast Campus

Discussant

• Rae Thomas, Bond University

Individual Presentations

• The Efficacy of Parent-Child Interaction Therapy (PCIT) in Home Settings - Presenting Author: Susan Goff Timmer, U.C. Davis Children'S Hospital; Anthony J Urquiza, UC Davis Children’s Hospital; CAARE Diagnostic & Treatment Center; Sharon Rea Zone, UC Davis Children’s Hospital; CAARE Diagnostic & Treatment Center

• A Brief and Home-Based Adaptation of Parent-Child Interaction Therapy for At-Risk Infants and Their Families - Presenting Author: Daniel M Bagner, Florida International University; Stefany Coxe, Florida International University, Miami, FL; Gabriela M Hungerford, Florida International University, Miami, FL; Dainelys Linares, Florida International University, Miami, FL; Nicole Barroso, Florida International University, Miami, FL; Jennifer Hernandez, Florida International University, Miami, FL; Jose Rosa-Olivares, Miami Children’s Hospital, Miami, FL

• A Randomised Controlled Trial of Parent-Child Interaction Therapy with and without a Motivational Enhancement - Presenting Author: Haley Webb, Griffith University, Gold Coast Campus; Rae Thomas, Bond University; Leanne McGregor, Griffith University; Elbina Avdagic, Griffith University; Melanie J. Zimmer-Gembeck, Griffith University, Gold Coast Campus