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A Qualitative Analysis of Attrition in Parent-Child Interaction Therapy

International journal of environmental research and public health, 2022-11, Vol.19 (21), p.14341 [Peer Reviewed Journal]

2022 by the authors. 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/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2022 by the authors. 2022 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph192114341 ;PMID: 36361216

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  • Title:
    A Qualitative Analysis of Attrition in Parent-Child Interaction Therapy
  • Author: Ufford, Amber ; Wigod, Tali ; Shen, Joy ; Miller, Alec ; McGinn, Lata
  • Subjects: Adaptation ; Behavior disorders ; Behavior therapy ; Behavior Therapy - methods ; Caregivers ; Child, Preschool ; Children & youth ; Depressive Disorder, Major - therapy ; Families & family life ; Humans ; Maternal behavior ; Mental depression ; Mental health ; Parent-Child Relations ; Parents ; Parents & parenting ; Problem Behavior ; Qualitative analysis ; Skills ; Socioeconomics ; Therapists ; Therapy ; Verbal Behavior
  • Is Part Of: International journal of environmental research and public health, 2022-11, Vol.19 (21), p.14341
  • 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.
  • Publisher: Switzerland: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph192114341
    PMID: 36361216
  • Source: GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    Coronavirus Research Database
    ProQuest Central
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