Use and Feasibility of Telemedicine Technology in the Dissemination of Parent-Child Interaction Therapy

Abstract

This brief report discusses the use and feasibility of telemedicine technology in the dissemination of Parent-Child Interaction Therapy (PCIT). PCIT is an empirically supported behavioral parent training program for reducing disruptive behavior in young children and for reducing future rates of child physical abuse. The positive impact PCIT has demonstrated in reducing child maltreatment has galvanized interest in widespread dissemination of the PCIT model into child service systems. PCIT has traditionally been taught in university-based training programs in a mentored cotherapy model. By contrast, in field settings, PCIT training typically consists of workshop training supplemented by a period of telephone consultation (PC). Given concerns with the level of practitioner competency and fidelity yielded by the PC model, PCIT training programs have begun to examine Internet-based telemedicine technology to deliver live, mentored PCIT training to trainees at remote locations (Remote Real-Time or RRT) to better approximate the university-based training model. Challenges of disseminating evidence-based practices are discussed, using PCIT as a model of how these challenges are being addressed by telemedicine technology.

Factors Associated with Clinician Participation in TF-CBT Post-workshop Training Components

“…Therefore, additional interventions are required to facilitate treatment adoption following an educational session, including monitoring and feedback (Durlak and DuPre 2008;Edwards et al 2001). Monitoring techniques include video or audio session review (Baer et al 2007), session rating sheets or checklists (Schoenwald et al 2000), telephone consultation calls (Simons et al 2010), live remote supervision (Funderburk et al 2008), and in-person learning collaborative activities (Cohen and Mannarino 2008). While all of these techniques have evidence demonstrating that they aid in implementation monitoring, not all trainees choose to participate in such post-training activities (Nelson et al 2012).…”

Marginal Cost Analysis of Two Train-the-Trainer Models for Implementing SafeCare

“…13–16 Many purveyors of EBP have developed web-based training courses, reducing the need for expert trainers to conduct workshops. 17 Support following training may be conducted more effectively via telemedicine technologies that allow for real-time communication without the necessity of travel, 18 including the use of mobile technologies such as Skype or Facetime for services delivered in the home. Social media (e.g., Facebook) can also be used as support tool for trainers or providers in a learning community.…”

Building an evidence-base for the training of evidence-based treatments in community settings: Use of an expert-informed approach

“…Several authors have started examining the incorporation of technology to specific components of training such as using telemedicine technology for consultation (Funderburk, Chaffin, Bard, Shanley, Bard, & Berliner, 2014; Funderburk, Ware, Altshuler, & Chaffin, 2008; Wilsie & Brestan-Knight, 2012). Telemedicine technology, such as Remote Real-Time Coaching, allows the PCIT trainer to actively coach the PCIT trainee during therapy sessions, which may be a more time efficient method to increase trainee clinical competencies when compared to standard consultation conference calls.…”

“…Telemedicine technology, such as Remote Real-Time Coaching, allows the PCIT trainer to actively coach the PCIT trainee during therapy sessions, which may be a more time efficient method to increase trainee clinical competencies when compared to standard consultation conference calls. PCIT trainees ( n = 10) rated the real-time feedback and observation higher than consultation calls for skills-based elements of consultation and rated consultation calls higher than Remote Real-Time for conceptual elements (Funderburk et al, 2008). When given the choice of only one form, all participating trainees chose Remote Real-Time as the preferred form of consultation.…”