Adapting the Delivery of Functional Family Therapy Around the World During a Global Pandemic

Robbins, Michael S.; Midouhas, Helen

doi:10.1007/s43477-021-00009-0

Cited by 9 publications

(6 citation statements)

References 10 publications

(13 reference statements)

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“…Yet receiving a mix of remote and in-person was related to more intensive treatment than mainly in-person therapy. Previous research on FFT did not find any difference regarding treatment length and number of sessions between 2019 and 2020 (Robbins & Midouhas, 2021 ).…”

Section: Discussionmentioning

confidence: 68%

The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study

Lange

Humayun

Jefford³

2022

Child Youth Care Forum

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Background Due to the recent COVID-19 pandemic, mental health care has largely transferred its services to online platforms, using videoconferencing (VC) or teletherapy. Within the field of family therapy, however, there is little evidence on the feasibility of using VC, especially when working with whole families at the edge of care. Objective This study investigated the feasibility of remote Functional Family Therapy (FFT), using a mixed-method approach. Method Study 1 consisted of semi-structured interviews with 23 FFT professionals (18 female) about their experience of providing remote FFT during the COVID-19 pandemic. Study 2 included monitoring data of 209 FFT clients (46% female, Mage = 14.00) who participated in FFT during the pandemic. We compared families who received mainly in-person, mainly remote or a mix of remote and in-person on client-reported alliance, drop-out, therapist-rated outcomes, and treatment intensity using MANCOVA’s and chi-square tests. Results In Study 1 two themes emerged around experienced challenges, namely ‘Feeling in control’ and ‘Engagement and alliance’. Two other themes emerged around adaptations, namely ‘Being more on top’ and ‘Connecting in different ways’. In Study 2, we found that the therapeutic alliance was not related to using VC. Also, families had less between-session contact during the Engagement and Motivation Phase when receiving mainly VC, but had more sessions and longer therapy when receiving a mix of in-person and remote therapy. Conclusions The current study suggests that providing systemic family teletherapy to families on the edge of care is feasible. Further development of systemic family teletherapy is warranted.

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Section: Discussionmentioning

confidence: 68%

The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study

Lange

Humayun

Jefford³

2022

Child Youth Care Forum

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“…This may have made it difficult for victims to know where to access help. 8 , 9 Second, victims of IPV or CAN may have been reluctant to seek help due to fears of: (1) contracting the virus by accessing health services, or (2) the perpetrator discovering the victim's attempts to seek help. Kourti et al’s review further suggested that increased proximity of perpetrators to victims under pandemic health restrictions such as work-from-home requirements may have increased coercive control and prevented victims’ help seeking.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,6,4 These restrictions increased the risk for mental health concerns, isolation, loneliness, economic vulnerability, job loss, and business closures and failures that heavily impacted families. 6 While many families 7 and relevant support systems 2,3,8,9 adapted to the pandemic over time, impacts may have been greatest in the first year of the pandemic, and potentially contributed to increased family violence, specifically intimate partner violence (IPV) and child abuse and neglect (CAN). 2,8,10 Pre-pandemic, 30% of women aged 15 and over experienced IPV during their lifetimes, with regional variation ranging from a low of 16% in East Asia to a high of 65% in Sub-Saharan Central Africa.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and family violence: A rapid review of literature published up to 1 year after the pandemic declaration

et al. 2022

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“…However, research is limited on the feasibility of using VCT to deliver family therapeutic interventions to this population [11][12][13]. While the use of VCT is not new to the field of family therapy, most studies have examined the feasibility and effectiveness of interventions that primarily target parenting skills for youth with specific mental health problems (eg, [14][15][16][17][18]).…”

Section: Introductionmentioning

confidence: 99%

A Video-Delivered Family Therapeutic Intervention for Perinatal Women With Clinically Significant Depressive Symptoms and Family Conflict: Indicators of Feasibility and Acceptability

Cluxton-Keller¹,

Hegel²

2022

JMIR Form Res

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Background Variation in family therapeutic intervention fidelity has an impact on outcomes. The use of video conferencing technology can strengthen therapist fidelity to family therapeutic interventions. Objective This article explores indicators of feasibility and acceptability for a video-delivered family therapeutic intervention for perinatal women with depressive symptoms and family conflict. The objectives of this article are to describe indicators of feasibility, including therapist fidelity to the intervention and technological factors that relate to implementation of the intervention, as well as indicators of acceptability for participants of the intervention. Methods The data included in this article are from an ongoing randomized trial of the Resilience Enhancement Skills Training (REST) video-delivered family therapeutic intervention. Participant recruitment and data collection are still underway for this clinical trial. Of the 106 participants who are currently enrolled in this study, 54 (51%) have been randomized to receive REST from May 2021 through July 2022. Currently, 2 therapists are delivering the intervention, and the training procedures for therapists are summarized herein. Therapist fidelity to the family therapeutic intervention was assessed in 67 audio recorded sessions. The training procedures were summarized for use of video conferencing technology by therapists and the 54 study participants. Knowledge of the video conferencing technology features was assessed in therapists and study participants by the number of attempts required to use the features. Participant responsiveness to the intervention was assessed by the percentage of attended sessions and percentage of complete homework assignments. Results To date, both therapists have demonstrated high fidelity to the family therapeutic intervention and used all video conferencing technology features on their first attempt. The current participants required 1 to 3 attempts to use 1 or more of the video conferencing technology features. About 59% (n=32) of the current participants immediately accessed the features on the first attempt. Our results show that perinatal women attended all sessions, and their family members attended 80% of the sessions. To date, participants have completed 80% of the homework assignments. Conclusions These early findings describe indicators of the feasibility and acceptability of the video-delivered family therapeutic intervention for use with this high priority population. Upon completion of recruitment and data collection, a subsequent article will include a mixed methods process evaluation of the feasibility and acceptability of the video-delivered family therapeutic intervention. Trial Registration ClinicalTrials.gov NCT04741776; https://clinicaltrials.gov/ct2/show/NCT04741776

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Adapting the Delivery of Functional Family Therapy Around the World During a Global Pandemic

Cited by 9 publications

References 10 publications

The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study

The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study

COVID-19 and family violence: A rapid review of literature published up to 1 year after the pandemic declaration

A Video-Delivered Family Therapeutic Intervention for Perinatal Women With Clinically Significant Depressive Symptoms and Family Conflict: Indicators of Feasibility and Acceptability

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