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Early identification and intervention for behavior problems in primary care: a comparison of two abbreviated versions

Michelle D Berkovits1, Kelly A O'Brien, Carolyn G Carter

  • 1Department of Clinical and Health Psychology, University of Florida, FL, USA. mharwood@med.miami.edu <mharwood@med.miami.edu>

Behavior Therapy
|June 24, 2010
PubMed

Insights

Brief Parent-Child Interaction Therapy (PCIT) interventions in pediatric primary care effectively reduced behavioral problems in young children. Both group sessions and written guidance showed similar positive outcomes for children and parents.

Area of Science:

  • Pediatric Primary Care
  • Child Psychology
  • Behavioral Intervention

Background:

  • Subclinical behavior problems are common in 3- to 6-year-olds.
  • Early intervention in pediatric primary care can address these issues.
  • Parent-Child Interaction Therapy (PCIT) is an evidence-based behavioral intervention.

Purpose of the Study:

  • To evaluate the effectiveness of two brief, abbreviated versions of PCIT for young children with subclinical behavior problems in a primary care setting.
  • To compare a 4-session group intervention (Primary Care PCIT) with written guidance (PCIT Anticipatory Guidance).

Main Methods:

  • 111 children aged 3-6 were screened using the Eyberg Child Behavior Inventory.
  • 30 children with subclinical behavior problems whose mothers sought help were randomized.
  • Interventions included a 4-session group PCIT (PC-PCIT) or written PCIT materials (PCIT-AG).

Main Results:

  • Both PC-PCIT and PCIT-AG groups showed significant decreases in child problem behaviors and ineffective parenting.
  • Improvements in parental control were observed in both groups.
  • No significant differences were found between the two intervention versions at post-intervention or 6-month follow-up.

Conclusions:

  • Brief PCIT interventions are promising for pediatric primary care.
  • Both group and written formats demonstrated effectiveness as preventive strategies.
  • Further research is warranted to explore the potential of these abbreviated PCIT models.

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