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A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy

Parent–child interaction therapy (PCIT) is one of the strongest evidence-based treatments for young children with behavior problems. Despite the efficacy of PCIT, many families fail to complete treatment, with attrition rates ranging from 30 to 69 percent. Preliminary research on attrition in PCIT t...

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Detalles Bibliográficos
Autores principales: Ufford, Amber, Wigod, Tali, Shen, Joy, Miller, Alec, McGinn, Lata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657374/
https://www.ncbi.nlm.nih.gov/pubmed/36361216
http://dx.doi.org/10.3390/ijerph192114341
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author Ufford, Amber
Wigod, Tali
Shen, Joy
Miller, Alec
McGinn, Lata
author_facet Ufford, Amber
Wigod, Tali
Shen, Joy
Miller, Alec
McGinn, Lata
author_sort Ufford, Amber
collection PubMed
description Parent–child interaction therapy (PCIT) is one of the strongest evidence-based treatments for young children with behavior problems. Despite the efficacy of PCIT, many families fail to complete treatment, with attrition rates ranging from 30 to 69 percent. Preliminary research on attrition in PCIT treatment studies has linked maternal distress, negative verbal behavior (critical and sarcastic comments towards the child), lower socioeconomic status (SES), and fewer child major depressive disorder (MDD) diagnoses with premature termination from PCIT. However, more research is still needed to identify the range of reasons for treatment discontinuation. The purpose of the present study was to explore the range of reasons for premature termination from PCIT by conducting in-depth interviews with parents who discontinued PCIT using a qualitative design methodology. Results yielded eight themes, which were organized into three constructs: child-directed interaction (CDI) successes, difficulties with treatment, and the need for more clarity and orientation. Several existing treatment strategies that emerged from the data could be applied to PCIT to further enhance it and potentially reduce dropout (e.g., reconceptualizing dropout from PCIT, micro-orienting strategies used in other cognitive and behavioral therapies and dialectical behavior therapy). Understanding the reasons why parents drop out of PCIT and exploring different adaptations that can be made can further enhance this evidence-based treatment and increase its accessibility.
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spelling pubmed-96573742022-11-15 A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy Ufford, Amber Wigod, Tali Shen, Joy Miller, Alec McGinn, Lata Int J Environ Res Public Health Article Parent–child interaction therapy (PCIT) is one of the strongest evidence-based treatments for young children with behavior problems. Despite the efficacy of PCIT, many families fail to complete treatment, with attrition rates ranging from 30 to 69 percent. Preliminary research on attrition in PCIT treatment studies has linked maternal distress, negative verbal behavior (critical and sarcastic comments towards the child), lower socioeconomic status (SES), and fewer child major depressive disorder (MDD) diagnoses with premature termination from PCIT. However, more research is still needed to identify the range of reasons for treatment discontinuation. The purpose of the present study was to explore the range of reasons for premature termination from PCIT by conducting in-depth interviews with parents who discontinued PCIT using a qualitative design methodology. Results yielded eight themes, which were organized into three constructs: child-directed interaction (CDI) successes, difficulties with treatment, and the need for more clarity and orientation. Several existing treatment strategies that emerged from the data could be applied to PCIT to further enhance it and potentially reduce dropout (e.g., reconceptualizing dropout from PCIT, micro-orienting strategies used in other cognitive and behavioral therapies and dialectical behavior therapy). Understanding the reasons why parents drop out of PCIT and exploring different adaptations that can be made can further enhance this evidence-based treatment and increase its accessibility. MDPI 2022-11-02 /pmc/articles/PMC9657374/ /pubmed/36361216 http://dx.doi.org/10.3390/ijerph192114341 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ufford, Amber
Wigod, Tali
Shen, Joy
Miller, Alec
McGinn, Lata
A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy
title A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy
title_full A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy
title_fullStr A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy
title_full_unstemmed A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy
title_short A Qualitative Analysis of Attrition in Parent–Child Interaction Therapy
title_sort qualitative analysis of attrition in parent–child interaction therapy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657374/
https://www.ncbi.nlm.nih.gov/pubmed/36361216
http://dx.doi.org/10.3390/ijerph192114341
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