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Journal of Child and Family Studies

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Gepubliceerd in: Journal of Child and Family Studies 4/2018

12-12-2017 | Original Paper

Home-Based vs. Clinic-Based Parent–Child Interaction Therapy: Comparative Effectiveness in the Context of Dissemination and Implementation

Auteurs: Timothy R. Fowles, Joshua J. Masse, Lucy McGoron, Ryan M. Beveridge, Ariel A. Williamson, Marissa A. Smith, Brendt P. Parrish

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 4/2018

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Abstract

Disruptive child behavior disorders remain a major public health issue despite the proliferation of several strong Evidence-Based Practices (EBPs) for these children and their families. This may stem from barriers to treatment facing many families in need, particularly families with low resources. Home-based treatment may be best suited for this population; however, EBPs are not always available or tested as home-based interventions. The current study compares an intensive home-based adaptation of Parent Child Interaction Therapy (PCIT) to the standard clinic-based model in the context of a statewide implementation. As part of the statewide implementation, therapists entered archival data into an online system. Data was gathered for 314 families receiving PCIT, with 181 children in clinic-based PCIT and 133 in intensive home-based PCIT. Consistent with other trials of PCIT, results of the current study indicate that both versions of the therapy were effective in reducing child-behavior problems and increasing parenting skills; however, there were marked differences in attrition. Intensive home-based participants were twice as likely to complete treatment (64.66%) compared to clinic-based participants (33.15%) despite facing more adversity. These results underscore the importance of scientifically-sound adaptations of EBPs, as well as the role of comparative effectiveness studies as a critical tool in the integrative model of intervention science.
vorige artikel The Treatment of Childhood Disruptive Behavior Disorders in Ambulatory Mental Health Centers
volgende artikel Evaluation of a Train-The-Trainers Model for Family Peer Advocates in Children’s Mental Health
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Metagegevens
Titel
Home-Based vs. Clinic-Based Parent–Child Interaction Therapy: Comparative Effectiveness in the Context of Dissemination and Implementation
Auteurs
Timothy R. Fowles
Joshua J. Masse
Lucy McGoron
Ryan M. Beveridge
Ariel A. Williamson
Marissa A. Smith
Brendt P. Parrish
Publicatiedatum
12-12-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 4/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-017-0958-3

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