Abstract
Disruptive behavior disorders are the most common behavioral health referral for children. While numerous evidence-based behavioral parent training programs exist to ameliorate these problems, dissemination attempts have still fallen short of population need. Further, family barriers to treatment and low family retention rates have limited the effectiveness and reach of behavioral parent training programs. Technology-enhanced services and dissemination have been cited as potential solutions for increasing both parent training population reach and family engagement in services.
Parent–child interaction therapy (PCIT) lends itself naturally to the use of technology. Technology is already embedded in PCIT delivery as therapists live coach parent–child interactions from behind a one-way mirror or via live, secure video feed (in-office or home-based). The use of a live coaching model of treatment has led to innovations in dissemination, training, and supervision methods for training PCIT clinicians. The model has also led to advances in technology-based approaches to the delivery of PCIT and the augmentation of existing PCIT services. Within this chapter, we explore methods for how technology can expand the reach of PCIT. Specifically, we discuss technology-based PCIT training approaches and technologically enhanced delivery of services and consider future directions for other technologically driven formats of PCIT delivery or dissemination.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Baumel, A., Pawar, A., Kane, J. M., & Correll, C. U. (2016). Digital parent training for children with disruptive behaviors: Systematic review and meta-analysis of randomized trials. Journal of Child and Adolescent Psychopharmacology, 26(8), 740–749.
Berkovits, M. D., O’Brien, K. A., Carter, C. G., & Eyberg, S. M. (2010). Early identification and intervention for behavior problems in primary care: A comparison of two abbreviated versions of parent-child interaction therapy. Behavior Therapy, 41(3), 375–387. https://doi.org/10.1016/j.beth.2009.11.002
Comer, J. S., & Barlow, D. H. (2013). The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments. American Psychologist, 69, 1–18.
Comer, J. S., Furr, J. M., Cooper-Vince, C., Madigan, R. J., Chow, C., Chan, P. T., … Eyberg, S. M. (2015). Rationale and considerations for the internet-based delivery of parent–child interaction therapy. Cognitive and Behavioral Practice, 22(3), 302–316.
Comer, J. S., Furr, J. M., Cooper-Vince, C. E., Kerns, C. E., Chan, P. T., Edson, A. L., … Freeman, J. B. (2014). Internet-delivered, family-based treatment for early-onset OCD: A preliminary case series. Journal of Clinical Child & Adolescent Psychology, 43(1), 74–87.
Comer, J. S., Furr, J. M., Miguel, E. M., Cooper-Vince, C. E., Carpenter, A. L., Elkins, R. M., … Chase, R. (2017). Remotely delivering real-time parent training to the home: An initial randomized trial of internet-delivered parent-child interaction therapy (I-PCIT). Journal of Consulting and Clinical Psychology, 85, 909–917. https://doi.org/10.1037/ccp0000230
Comer, J. S., & Myers, K. (2016). Future directions in the use of telemental health to improve the accessibility and quality of children's mental health services. Journal of Child and Adolescent Psychopharmacology, 26(3), 296–300.
Crum, K. I., & Comer, J. S. (2016). Using synchronous videoconferencing to deliver family-based mental healthcare. Journal of Child and Adolescent Psychopharmacology, 26(3), 229–234.
de Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008a). Effectiveness of the triple P positive parenting program on parenting: A meta-analysis. Family Relations, 57, 553–566.
de Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008b). Effectiveness of the triple P positive parenting program on behavioral problems in children: A meta-analysis. Behavior Modification, 32(5), 714–735. https://doi.org/10.1177/0145445508317134
Eyberg, S. M., & Funderburk, B. (2011). Parent-child interaction therapy protocol. Gainesville, FL: PCIT International, Inc..
Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–237. https://doi.org/10.1080/15374410701820117
Eyberg, S. M., Nelson, M. M., Ginn, N. C., Bhuiyan, N., & Boggs, S. R. (2013). Dyadic parent-child interaction coding system (DPICS) comprehensive manual for research and training. Gainesville, FL: PCIT International, Inc..
Eyberg, S. M. and Matarazzo, R. G. (1980), Training parents as therapists: A comparison between individual parent‐child interaction training and parent group didactic training. Journal of Clinical Psychology 36, 492–499. https://doi.org/10.1002/jclp.612036021
Flaum, M. (2013). Telemental health as a solution to the widening gap between supply and demand for mental health services. In K. Myer & C. L. Turvey (Eds.), Telemental health: Clinical, technical and administrative foundations for evidence-based practice (pp. 11–25). Amsterdam, Netherlands: Elsevier Inc.. https://doi.org/10.1016/B978-0-12-416048-4.00002-6
Funderburk, B., Chaffin, M., Bard, E., Shanley, J., Bard, D., & Berliner, L. (2015). Comparing client outcomes for two evidence-based treatment consultation strategies. Journal of Clinical Child & Adolescent Psychology, 44, 730–741. https://doi.org/10.1080/15374416.2014.910790
Gamble, N., Boyle, C., & Morris, Z. A. (2015). Ethical practice in telepsychology. Australian Psychologist, 50, 292–298. https://doi.org/10.1111/ap.12133
Glisson, C., & Schoenwald, S. K. (2005). The ARC organizational and community intervention strategy for implementing evidence-based children’s mental health treatments. Mental Health Services Research, 7, 243–259. https://doi.org/10.1007/s11020-005-7456-1
Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466. https://doi.org/10.1016/j.cpr.2010.02.005
Jackson, C. B., Herschell, A. D., Schaffner, K. F., Turiano, N. A., & McNeil, C. B. (2017). Training community-based clinicians in parent-child interaction therapy: The interaction between expert consultation and caseload. Professional Psychology: Research and Practice, 48, 481–489. https://doi.org/10.1037/pro0000149
Jensen-Doss, A., Hawley, K. M., Lopez, M., & Osterberg, L. D. (2009). Using evidence-based treatments: The experiences of youth providers working under a mandate. Professional Psychology: Research and Practice, 40, 417–424. https://doi.org/10.1037/a0014690
Jent, J. F., Weinstein, A., Simpson, G. R., Gisbert, P., & Simmons, S. (2014). Pocket PCIT: Child-directed interaction. Apple: iBooks e-book. https://itunes.apple.com/us/book/pocket-pcit/id933980011?mt=11.
Jent, J. F., Weinstein, A. W., & Dandes, E. (2017). Pocket PCIT child directed interaction: Does it help treatment and how do parents utilize it? Presented at 2017 PCIT international convention, Traverse City, MI.
Joint Task Force for the Development of Telepsychology Guidelines for Psychologists. (2013). Guidelines for the practice of telepsychology. American Psychologist, 68, 791–800. https://doi.org/10.1037/a0035001
Jones, D. J., Anton, M., Gonzalez, M., Honeycutt, A., Khavjou, O., Forehand, R., & Parent, J. (2015). Incorporating mobile phone technologies to expand evidence-based care. Cognitive and Behavioral Practice, 22, 281–290.
Jones, D. J., Forehand, R., Cuellar, J., Kincaid, C., Parent, J., Fenton, N., & Goodrum, N. (2013). Harnessing innovative technologies to advance children’s mental health: Behavioral parent training as an example. Clinical Psychology Review, 33, 241–252. https://doi.org/10.1016/j.cpr.2012.11.003
Kazdin, A. E. (1995). Child, parent and family dysfunction as predictors of outcome in cognitive-behavioral treatment of antisocial children. Behaviour Research and Therapy, 33, 271–281. https://doi.org/10.1016/0005-7967(94)00053-M
Kazdin, A., & Blase, S. (2011). Interventions and models of their delivery to reduce the burden of mental illness: Reply to commentaries. Perspectives on Psychological Science, 6(5), 507–510. https://doi.org/10.1177/1745691611418241
McMahon, R., & Forehand, R. (2003). Helping the noncompliant child: Family-based treatment for oppositional behavior. New York: Guilford.
Nixon, R. D., Sweeney, L., Erickson, D. B., & Touyz, S. W. (2003). Parent-child interaction therapy: A comparison of standard and abbreviated treatments for oppositional defiant preschoolers. Journal of Consulting and Clinical Psychology, 71, 251–260. https://doi.org/10.1037/0022-006X.71.2.251
Novins, D. K., Green, A. E., Legha, R. K., & Aarons, G. A. (2013). Dissemination and implementation of evidence-based practices for child and adolescent mental health: A systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 52, 1009–1025.
Owens, P. L., Hoagwood, K., Horowitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., & Ialongo, N. S. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 731–738. https://doi.org/10.1097/00004583-200206000-00013
PCIT International. (2018). Training requirements for certification as a PCIT therapist. Retrieved from http://www.pcit.org/therapist-requirements.html.
Pew Research Center. (2017). Mobile fact sheet. Retrieved from http://www.pewinternet.org/fact-sheet/mobile/.
Prensky, M. (2001). Digital natives, digital immigrants. On the Horizons, 9(5), 1–6.
Reyno, S. M., & McGrath, P. J. (2006). Predictors of parent training efficacy for child externalizing behavior problem—a meta-analytic review. Journal of Child Psychology and Psychiatry, 47, 99–111.
Rieckmann, T., Bergmann, L., & Rasplica, C. (2011). Legislating clinical practice: Counselor responses to an evidence-based practice mandate. Journal of Psychoactive Drugs, 43, 27–39. https://doi.org/10.1080/02791072.2011.601988
Sanders, M. R. (2008). Triple P Positive Parenting Program as a public health approach to strengthening parenting. Journal of Family Psychology, 22, 506–517. https://doi.org/10.1037/0893-3200.22.3.506
Sanders, M. R., Markie-Dadds, C., Tully, L. A., & Bor, W. (2000). The triple P-positive parenting program: A comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology, 68, 624–640. https://doi.org/10.1037//0022-006X.68.4.624
Sarche, M., & N’Zi. (2017). A mobile adapted intervention to support parent-child relationships as buffers to toxic stress. Presented at society for research on child development biennial meeting, Austin, TX.
Silverthorn, P., Frick, P. J., & Reynolds, R. (2001). Timing of onset and correlates of severe conduct problems in adjudicated girls and boys. Journal of Psychopathology and Behavior Assessment, 23, 171–181.
Sourander, A., McGrath, P. J., Ristkari, T., Cunningham, C., Huttunen, J., Lingley-Pottie, P., … Unruh, A. (2016). Internet-assisted parent training intervention for disruptive behavior in 4-year-old children: A randomized clinical trial. JAMA Psychiatry, 73, 378–387. https://doi.org/10.1001/jamapsychiatry.2015.3411
The Trust. (2017). Sample electronic communication policy. Retrieved from https://www.trustinsurance.com/Resources/Articles/sample-electronic-communication-policy.
Thomas, R., Abell, B., Webb, H. J., Avdagic, E., & Zimmer-Gembeck, M. J. (2017). Parent-child interaction therapy: A meta-analysis. Pediatrics, 140, e20170352. https://doi.org/10.1542/peds.2017-0352
Thomas, R., & Zimmer-Gembeck, M. J. (2007). Behavioral outcomes of parent-child interaction therapy and triple P-positive parenting program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35, 475–495.
Tsetsi, E., & Rains, S. A. (2017). Smartphone internet access and use: Extending the digital divide and usage gap. Mobile Media & Communication, 5, 239–255. https://doi.org/10.1177/205015791770832
Webster-Stratton, C., Kolpacoff, M., & Hollinsworth, T. (1988). Self-administered videotape therapy for families with conduct-problem children: Comparison with two cost-effective treatments and a control group. Journal of Consulting and Clinical Psychology, 56, 558–566.
Weinstein, R. S., Lopez, A. M., Joseph, B. A., Erps, K. A., Holcomb, M., Barker, G. P., & Krupinski, E. A. (2014). Telemedicine, telehealth, and mobile health applications that work: Opportunities and barriers. The American Journal of Medicine, 127, 183–187. https://doi.org/10.1016/j.amjmed.2013.09.032
Whiteside, S. P. (2016). Mobile device-based applications for childhood anxiety disorders. Journal of Child and Adolescent Psychopharmacology, 26(3), 246–251.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Jent, J., Brown, T.M., Weinstein, A. (2018). Using Technology to Expand the Reach of PCIT. In: Niec, L. (eds) Handbook of Parent-Child Interaction Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-97698-3_23
Download citation
DOI: https://doi.org/10.1007/978-3-319-97698-3_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-97697-6
Online ISBN: 978-3-319-97698-3
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)