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Home-Based Parent–Child Interaction Therapy to Prevent Child Maltreatment: A Randomized Controlled Trial

Author

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  • Mariëlle E. Abrahamse

    (Levvel, Academic Center for Child and Adolescent Psychiatry, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands
    Location Academic Medical Center, Department of Child and Adolescent Psychiatry, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Vionna M. W. Tsang

    (Levvel, Academic Center for Child and Adolescent Psychiatry, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands
    Location Academic Medical Center, Department of Child and Adolescent Psychiatry, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Ramón J. L. Lindauer

    (Levvel, Academic Center for Child and Adolescent Psychiatry, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands
    Location Academic Medical Center, Department of Child and Adolescent Psychiatry, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

Abstract

High treatment attrition and limited reach of mental health services for at-risk families remains an important problem in order to effectively address the global concern of child maltreatment and child disruptive behavior problems. This study evaluated the effectiveness of a home-based and time-limited adaptation of Parent–Child Interaction Therapy (PCIT). Twenty families with children (70% boys) aged between three and seven years were randomly assigned to an immediate treatment group (IT, n = 10) or a waitlist control group (WL, n = 10). After receiving treatment and compared to mothers in the WL group, mothers in the IT group reported fewer child behavior problems and more improved parenting skills. Although initial analyses revealed no significant differences, additional analyses showed a significant decrease in the primary outcome of the study, namely child abuse potential, between the baseline and follow-up assessment for the total treated sample. A low treatment attrition rate (15%) was found, indicating higher accessibility of treatment for families. Findings suggest that the brief home-based PCIT is a potentially effective intervention to prevent child maltreatment and disruptive behavior problems in at-risk families. Results also reinforce the importance of addressing the specific needs of these families to increase treatment effectiveness.

Suggested Citation

  • Mariëlle E. Abrahamse & Vionna M. W. Tsang & Ramón J. L. Lindauer, 2021. "Home-Based Parent–Child Interaction Therapy to Prevent Child Maltreatment: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(16), pages 1-15, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8244-:d:608099
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    References listed on IDEAS

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    1. Chen, Yi-Chuen & Fortson, Beverly L., 2015. "Predictors of treatment attrition and treatment length in Parent‐Child Interaction Therapy in Taiwanese families," Children and Youth Services Review, Elsevier, vol. 59(C), pages 28-37.
    2. Rosana E Norman & Munkhtsetseg Byambaa & Rumna De & Alexander Butchart & James Scott & Theo Vos, 2012. "The Long-Term Health Consequences of Child Physical Abuse, Emotional Abuse, and Neglect: A Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 9(11), pages 1-31, November.
    3. Abrahamse, Mariëlle E. & Niec, Larissa N. & Junger, Marianne & Boer, Frits & Lindauer, Ramón J.L., 2016. "Risk factors for attrition from an evidence-based parenting program: Findings from the Netherlands," Children and Youth Services Review, Elsevier, vol. 64(C), pages 42-50.
    4. Danko, Christina M. & Garbacz, Lauren Legato & Budd, Karen S., 2016. "Outcomes of Parent–Child Interaction Therapy in an urban community clinic: A comparison of treatment completers and dropouts," Children and Youth Services Review, Elsevier, vol. 60(C), pages 42-51.
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    Cited by:

    1. Merlijn Meynen & Cristina Colonnesi & Mariëlle E. Abrahamse & Irma Hein & Geert-Jan J. M. Stams & Ramón J. L. L. Lindauer, 2022. "A Cohort Study on the Effect of Parental Mind-Mindedness in Parent−Child Interaction Therapy," IJERPH, MDPI, vol. 19(8), pages 1-19, April.
    2. Juanjuan Sun & Mowei Liu & Xiaoyun Li & Yuena Zhou & Yan Li, 2023. "Effectiveness of Group Parent-Child Interaction Therapy on Problem Behaviors in Chinese Kindergartners," IJERPH, MDPI, vol. 20(4), pages 1-14, February.

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