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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.
Background:
Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for child disruptive behavior problems, but access barriers historically limit its reach.
Objective:
This study examined the reach, effectiveness, adoption, and implementation of Pocket PCIT Online, a self-directed web-based adaptation of PCIT.
Methods:
In an open trial, 1480 caregivers accessed the free 4-week Pocket PCIT Online intervention. Measures of child behavior, parenting stress, and family conflict were collected pre- and postintervention. Reach, effectiveness, adoption, and implementation were assessed using an implementation science framework.
Results:
Significant improvements were observed across all outcome measures for intervention completers (n=204). Caregivers reported increased positive child behaviors (Cohen's d=0.87) and decreased parenting distress (Cohen's d=-0.3) following completion of Pocket PCIT Online. Of note, approximately 35.8% (73/204) of caregivers reported clinically significant improvements in their children's frequency of disruptive behaviors. However, only 16.5% (204/1234) of participants completed postintervention measures. Caregivers completed Pocket PCIT Online at a significantly higher rate prior to the COVID-19 national emergency (21/74, 28%) than during or after the onset of COVID-19 (183/1158, 15.8%).
Conclusions:
While Pocket PCIT Online demonstrates potential as a low-cost, accessible, and scalable public health intervention for child disruptive behaviors, strategies to enhance retention and broaden reach to historically underserved populations are needed.
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