A combined motivation and parent-child interaction therapy package reduces child welfare recidivism in a randomized dismantling field trial.

نویسندگان

  • Mark Chaffin
  • Beverly Funderburk
  • David Bard
  • Linda Anne Valle
  • Robin Gurwitch
چکیده

OBJECTIVE A package of parent-child interaction therapy (PCIT) combined with a self-motivational (SM) orientation previously was found in a laboratory trial to reduce child abuse recidivism compared with services as usual (SAU). Objectives of the present study were to test effectiveness in a field agency rather than in a laboratory setting and to dismantle the SM versus SAU orientation and PCIT versus SAU parenting component effects. METHOD Participants were 192 parents in child welfare with an average of 6 prior referrals and most with all of their children removed. Following a 2 x 2 sequentially randomized experimental design, parents were randomized first to orientation condition (SM vs. SAU) and then subsequently randomized to a parenting condition (PCIT vs. SAU). Cases were followed for child welfare recidivism for a median of 904 days. An imputation-based approach was used to estimate recidivism survival complicated by significant treatment-related differences in timing and frequency of children returned home. RESULTS A significant orientation condition by parenting condition interaction favoring the SM + PCIT combination was found for reducing future child welfare reports, and this effect was stronger when children were returned to the home sooner rather than later. CONCLUSIONS Findings demonstrate that previous laboratory results can be replicated in a field implementation setting and among parents with chronic and severe child welfare histories, supporting a synergistic SM + PCIT benefit. Methodological considerations for analyzing child welfare event history data complicated by differential risk deprivation are also emphasized.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Evaluation of Parent-Child Interaction Therapy on Anxiety Level in Pre-Elementary School Children: A Randomized Controlled Trial

Objective: Anxiety is one of the most common disorders of childhood. The treatment Interaction therapy can be used for determining anxiety symptomsis . In line with this, the Parent-Child Interaction Therapy (PCIT) has been successful in America as well as in some other countries. However, the application of this approach was more limited in Asia. The present study aimed at evaluating the exten...

متن کامل

Develop of compassion-based education package on mother-child interaction and its effectiveness on mother-child relationship and parental stress improvement

Introduction: The child needs an appropriate environment for growth and development. An environment where parental care is the key to achieve the desired development.The purpose of this study was to develop of compassion-based education package on mother-child interaction and its effectiveness on mother-child relationship and parental stress improvement. Methods: The research method was semi-ex...

متن کامل

Comparison of the Effectiveness of “Compassion-Based Group Therapy” and “Group Reality Therapy” on Parent-Child interaction in Mothers with Autistic Children

Introduction: Families of autistic children are strongly influenced by various factors on the parent-child relationship. The aim of this study is to compare the effectiveness of "Compassion-Based Group Therapy" and "Group Reality Therapy" on parent-child interaction in mothers with autistic children. Methods: The research method was semi-experimental with a pre-test, post-test and 3 months’ fo...

متن کامل

Appraisal of effectiveness and comparison of parent-child interaction therapy and parent management training on symptom improvement of ADHD among boys with ADHD

Parenting a child who has ADHD presents most parents with many challenges. The aim of study was to appraise the effectiveness and comparison of parent-child interaction therapy (PCIT) and parent management training (PMT) to mothers in symptom improvement of 8-10 year old boys with ADHD in Urmia. A quasi-experimental pretest-posttest design with a control group was used. The population consisted...

متن کامل

Developing a Family-Centered Eclectic Model and Comparison of its Effectiveness with the Treatment of Parent-Child Interaction in Improving the Parent-Child Relationship of Children with Autism Spectrum Disorders (High Performance)

Introduction: It seems necessary to identify the components affecting the treatment and to develop a comprehensive, flexible, family-oriented eclectic model that is compatible with each family. Therefore, the aim of this study was to develop an eclectic family-centered model and compare its effectiveness with the treatment of parent-child interaction in improving the parent-child relationship o...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Journal of consulting and clinical psychology

دوره 79 1  شماره 

صفحات  -

تاریخ انتشار 2011