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

Katelyn Blair, James Topitzes and Joshua P. Mersky

Children and Youth Services Review, 2019, vol. 106, issue C

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.

Keywords: Parent-child interaction therapy; Attrition; Treatment non-response; Non-adherence; Child welfare; Project connect (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:eee:cysrev:v:106:y:2019:i:c:s0190740919305900

DOI: 10.1016/j.childyouth.2019.104463

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