Predicting Outcome in Parent-Child Interaction Therapy

Abstract

This study explored predictors of treatment response and attrition in Parent-Child Interaction Therapy (PCIT). Participants were 99 families of 3- to 6-year-old children with disruptive behavior disorders. Multiple logistic regression was used to identify those pretreatment child, family, and accessibility factors that were predictive of success or attrition. For all study participants, waitlist group assignment and maternal age were the significant predictors of outcome. For treatment participants (study participants excluding those who dropped out after the initial evaluation but before treatment began), only maternal ratings of parenting stress and maternal inappropriate behavior during parent-child interactions were significant predictors of treatment outcome. These results suggest that for treatment studies of disruptive preschoolers, the benefits of using a waitlist control group may be outweighed by the disproportionate number of dropouts from this group. Once families begin PCIT, however, parent-related variables become salient in predicting treatment outcome.

Predictors of Treatment Engagement in Ethnically Diverse, Urban Children Receiving Treatment for Trauma Exposure

“…Many researchers studying this phenomenon use samples of children 7 with widely variable clinical problems, which is problematic because different variables may predict premature termination among children with different diagnoses (Kazdin & Mazurick, 1994;Kazdin 1996). A number of researchers have tried to remedy this problem by studying premature termination in relatively homogeneous samples of children participating in universitybased, randomized-control trials (Kazdin & Mazurick, 1994;Kendall & Sugarman, 1997;Werba, Eyberg, Boggs & Algina, 2006). However, results from these studies may not generalize to children receiving treatments within community settings .…”

The severely impaired do profit most: short-term and long-term predictors of therapeutic change for a parent management training under routine care conditions for children with externalizing problem behavior

“…One study showed that older mothers were more likely to attend the treatment and not to drop out of the study [59]. On the other hand, children of younger mothers sometimes had better outcomes [4].…”

Parent-Child Interaction Therapy as a Family-Focused Approach for Young Children with Traumatic Brain Injury

“…However, they demonstrated high intervention completion rates (71%) consistent with, and in some cases higher than, other PCIT studies (e.g., Antonini et al, 2012;Boggs et al, 2005;Schuhmann et al, 1998;Werba & Eyberg, 2006). Moreover, completion rates for the current study fare well relative to other evidenced-based parent training programs with attrition rates approaching 50% (Reyno & McGrath, 2006), and family-focused TBI interventions with attrition rates between 56% and 76% (Antonini et al, 2014(Antonini et al, , 2012.…”

“…Notably, caregivers who dropped out of the intervention endorsed multiple psychosocial stressors during the time they were enrolled in the study, which may have contributed to their inability to complete the intervention. Nonetheless, the fact that the retention rate for the current intervention, which was delivered twice per week, was similar and in some cases better than previously documented rates for weekly inperson and web-based interventions (Antonini et al, 2012;Boggs et al, 2005;Schuhmann et al, 1998;Werba et al, 2006), provides preliminary evidence regarding the feasibility of this time-limited and intensive approach to intervention. Notably, two families relied primarily on public and medical transportation during the study and still completed the intervention in spite of significant transportation barriers.…”