Category: Technology

Symposium

Remotely Delivering Real-Time Parent Training to the Home: A Randomized Trial of Internet-Delivered Parent-Child Interaction Therapy

Friday, November 17
2:00 PM - 3:30 PM
Location: Indigo Ballroom B, Level 2, Indigo Level

Keywords: Technology / Mobile Health | Randomized Controlled Trial | PCIT (Parent Child Interaction Therapy)
Presentation Type: Symposium

Objective: Remote technologies are increasingly being leveraged to expand the reach of supported care, but applications to early child disruptive behavior problems have been limited. This is the first controlled trial examining the use of videoteleconferencing to remotely deliver behavioral parent training to the home setting with a live therapist. Method: Children ages 3-5 years with disruptive behavior disorders, and their caregiver(s), participated in a randomized trial comparing Internet-delivered Parent-Child Interaction Therapy (I-PCIT; using webcams and parent-worn Bluetooth earpieces) versus standard clinic-based PCIT (N=40). Major assessments were conducted at baseline, midtreatment, posttreatment, and 6-month follow-up. Linear regressions and hierarchical linear modeling using maximum-likelihood estimation examined treatment satisfaction, diagnoses, symptoms, functional impairment, and burden to parents across conditions. Results: Intent-to-treat analyses found 70% of children treated with I-PCIT showed an “excellent response” after treatment, and 55% of children treated with I-PCIT continued to show an “excellent response” at 6-month follow-up. I-PCIT had significant effects on children’s symptoms, overall functioning, and burden to parents; effects were all large-to-very-large in magnitude at posttreatment and again at 6-month follow-up. Outcomes and symptom trajectories were comparable to those observed in children randomized to standard, clinic-based PCIT. Both treatments were also associated with positive engagement, treatment retention, and very high treatment satisfaction. Conclusions: Findings build on the small but growing literature supporting the promising role of new technologies for expanding the delivery of behavioral parent training, and add to broader efforts leveraging new technologies to expand the reach and scope of indicated mental healthcare.

Jonathan S. Comer

Director of the Mental Health Interventions and Technology (MINT) Program; Professor of Psychology and Psychiatry
Florida International University

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Remotely Delivering Real-Time Parent Training to the Home: A Randomized Trial of Internet-Delivered Parent-Child Interaction Therapy



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