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Brief, group-based parent-child interaction therapy: Examination of treatment attrition, non-adherence, and non-response

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  • Blair, Katelyn
  • Topitzes, James
  • Mersky, Joshua P.

Abstract

Parent-Child Interaction Therapy (PCIT) has been shown to reduce challenging child behavior and improve parenting skills, yet treatment attrition, non-adherence and non-response remain matters of concern. This study analyzes rates and factors associated with attrition, non-adherence, and non-response using data from a randomized controlled trial of foster parent-child dyads who received brief, group-based PCIT. Multivariate logistic regressions demonstrated that, as compared to prior estimates of conventional outpatient PCIT, rates of treatment attrition, non-adherence and non-response from the group-based PCIT intervention were low. Compared to other racial/ethnic groups, rates of attrition were significantly higher among African American foster parents. No study variables were linked to treatment non-adherence. Foster parent ratings of child externalizing symptoms were positively associated with non-response. Implications for promoting retention and treatment effectiveness, successfully integrating PCIT into child welfare services and advancing future research are discussed.

Suggested Citation

  • Blair, Katelyn & Topitzes, James & Mersky, Joshua P., 2019. "Brief, group-based parent-child interaction therapy: Examination of treatment attrition, non-adherence, and non-response," Children and Youth Services Review, Elsevier, vol. 106(C).
    • Handle: RePEc:eee:cysrev:v:106:y:2019:i:c:s0190740919305900
    DOI: 10.1016/j.childyouth.2019.104463
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    Cited by:

    1. Blocker, Madeline S. & Noell, George H. & Clark, Kelly N., 2021. "Promoting assertiveness in youth in foster care: Pilot testing a brief intervention in a randomized trial," Children and Youth Services Review, Elsevier, vol. 126(C).
    2. Onovbiona, Harlee & Mapes, Ayla R. & Quetsch, Lauren B. & Theodorou, Laurie L. & McNeil, Cheryl B., 2023. "Parent-child interaction therapy for children in foster care and children with posttraumatic stress: Exploring behavioral outcomes and graduation rates in a large state-wide sample," Children and Youth Services Review, Elsevier, vol. 145(C).
    3. Erica E. Coates & Sierra Coffey & Kaela Farrise Beauvoir & Emily Aron & Katherine R. Hayes & Felipa T. Chavez, 2024. "Black Clinicians’ Perceptions of the Cultural Relevance of Parent–Child Interaction Therapy for Black Families," IJERPH, MDPI, vol. 21(10), pages 1-48, October.

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