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Pocket Parent-Child Interaction Therapy (PCIT) Online for Young Children With Disruptive Behaviors: Open Trial

Jason F Jent1, Megan Golson1, Abigail Peskin1

  • 1Department of Pediatrics, University of Miami Miller School of Medicine, 3047E 12th Ave, Miami, FL, 33136, United States, 1 3052436857.

Journal of Medical Internet Research
|August 8, 2025
PubMed

Insights

Pocket PCIT Online, a web-based adaptation of Parent-Child Interaction Therapy (PCIT), shows promise for treating child disruptive behaviors. However, strategies are needed to improve participant retention and reach underserved populations.

Area of Science:

  • Child Psychology
  • Behavioral Therapy
  • Digital Health Interventions

Background:

  • Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for disruptive child behaviors.
  • Access barriers limit the reach of traditional PCIT.
  • Digital adaptations can potentially overcome these limitations.

Purpose of the Study:

  • To examine the reach, effectiveness, adoption, and implementation of Pocket PCIT Online.
  • To assess a self-directed, web-based adaptation of PCIT.
  • To evaluate its potential as a public health intervention.

Main Methods:

  • An open trial of Pocket PCIT Online involving 1480 caregivers.
  • Pre- and postintervention measures of child behavior, parenting stress, and family conflict.
  • Assessment using an implementation science framework.

Main Results:

  • Significant improvements in child behavior and reduced parenting distress for completers (n=204).
  • Approximately 35.8% of completers showed clinically significant reductions in disruptive behaviors.
  • Participant completion rates were lower during the COVID-19 pandemic compared to pre-emergency periods.

Conclusions:

  • Pocket PCIT Online shows potential as a low-cost, accessible intervention for child disruptive behaviors.
  • Strategies to enhance participant retention are necessary.
  • Further efforts are needed to broaden reach to underserved populations.
Abstract

Keywords:
PCITParent-Child Interaction TherapyRE-AIM frameworkbehavioral parent trainingchild disruptive behaviorintervention engagementmHealth interventiononline parenting program

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