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Home-Based Parent–Child Interaction Therapy
The current study evaluates the effectiveness of an adapted version of Parent–Child Interaction Therapy (PCIT). Based on theoretical foundations and increasing empirical evidence, PCIT is regarded as one of the most effective treatments in preventing child maltreatment. PCIT is a well-established parent training program originally developed for children aged between two and seven years with disruptive behavior problems, that is widely available across countries and cultures. Since child disruptive behavior problems play an important role in negative parent–child interactions, parenting stress, and parental harsh discipline, this behavior is not only a consequence of maltreatment, but also a strong factor in the risk for child maltreatment. Therefore, PCIT has been used at an increasing level in other populations including different ethnic populations and child welfare populations that are related to child maltreatment.
High treatment attrition and limited reach of mental health services for at-risk families remains an important problem in order to effectively address the global concern of child maltreatment and child disruptive behavior problems. This study evaluated the effectiveness of a home-based and time-limited adaptation of Parent–Child Interaction Therapy (PCIT). Twenty families with children (70% boys) aged between three and seven years were randomly assigned to an immediate treatment group (IT, n = 10) or a waitlist control group (WL, n = 10). After receiving treatment and compared to mothers in the WL group, mothers in the IT group reported fewer child behavior problems and more improved parenting skills. Although initial analyses revealed no significant differences, additional analyses showed a significant decrease in the primary outcome of the study, namely child abuse potential, between the baseline and follow-up assessment for the total treated sample. A low treatment attrition rate (15%) was found, indicating higher accessibility of treatment for families. Findings suggest that the brief home-based PCIT is a potentially effective intervention to prevent child maltreatment and disruptive behavior problems in at-risk families. Results also reinforce the importance of addressing the specific needs of these families to increase treatment effectiveness.
2. Parent–Child Interaction Therapy
The entry is from 10.3390/ijerph18168244
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