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Adapting to Unprecedented Times: Community Clinician Modifications to Parent-Child Interaction Therapy during

B Erika Luis Sanchez1, Corinna C Klein1, Madeleine Tremblay1

  • 1University of California Santa Barbara.

Evidence-Based Practice in Child and Adolescent Mental Health
|November 20, 2023
PubMed

Insights

Clinicians reported similar quantitative levels of augmenting and reducing adaptations for Parent-Child Interaction Therapy (PCIT) before and during COVID-19. However, qualitative data revealed numerous adaptations were made to internet-delivered PCIT (iPCIT) during the pandemic.

Area of Science:

  • Clinical Psychology
  • Child Psychiatry
  • Telehealth Research

Background:

  • Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for disruptive child behaviors and maltreatment, also reducing parenting stress.
  • Internet-delivered PCIT (iPCIT) was adapted pre-pandemic, but widespread telehealth implementation accelerated during COVID-19 stay-at-home orders.
  • Understanding clinician adaptations of PCIT during the pandemic is crucial for effective service delivery.

Purpose of the Study:

  • To assess changes in clinician adaptations of PCIT (augmenting and reducing) from pre-COVID-19 to early COVID-19 pandemic using quantitative and qualitative methods.
  • To explore how clinicians modified internet-delivered PCIT (iPCIT) in response to the rapid shift to remote service delivery.

Main Methods:

  • A follow-up survey (N=179) measured quantitative adaptations (augmenting/reducing) of PCIT delivered remotely in Fall 2019 and Summer 2020.
  • Qualitative descriptions of adaptations made during early COVID-19 pandemic were provided by a subset of clinicians (n=135).
  • The Lau et al. (2017) Augmenting and Reducing Framework guided the assessment of adaptations.

Main Results:

  • Quantitative analyses showed no significant differences in reported levels of augmenting or reducing adaptations between pre-pandemic and early pandemic periods.
  • Qualitative findings revealed clinicians described numerous augmenting adaptations, such as extending treatment length and integrating other therapeutic practices.
  • Clinicians also described engaging in various reducing adaptations in response to pandemic-related challenges.

Conclusions:

  • While quantitative data suggest stability in PCIT adaptation levels, qualitative insights highlight significant, diverse modifications made by clinicians to iPCIT during the COVID-19 pandemic.
  • These findings underscore the adaptability of clinicians in maintaining evidence-based practices via telehealth.
  • Further research should explore the impact and efficacy of these diverse adaptations on treatment outcomes.

Keywords:
AdaptationsImplementation ScienceInternet-Delivered Parent-Child Interaction TherapyTelehealth Transition

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