在社区重新实施亲子互动疗法 (PCIT):试点随机对照试验的发现
Melanie J Woodfield1,2, Sarah Fortune3, Tania Cargo1,4
1Te Ara Hāro-Centre for Infant, Child and Adolescent Mental Health, Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Implementation research and practice
|July 30, 2025
概括
这项试点试验评估了针对破坏性行为重新实施亲子互动疗法 (PCIT). 方法是可行的和可接受的,尽管PCIT的采用在各组之间没有差异.
科学领域:
- 儿童心理学 儿童心理学
- 临床心理学 临床心理学
- 干预科学 干预科学
背景情况:
- 父母与儿童互动疗法 (PCIT) 是一种基于证据的治疗方法,用于治疗破坏性儿童行为.
- 在PCIT中受过培训的临床医生在一致实施PCIT时经常面临挑战.
- 这项研究探讨了恢复临床医生与PCIT的可行性和文化响应性.
研究的目的:
- 探索研究方法和干预组件的可行性,可接受性和文化响应性.
- 支持临床医生恢复PCIT的实施.
- 确定有效重新实施基于证据的家长培训干预措施的策略.
主要方法:
- 一个为期6个月的实用,并行臂,随机控制的试点试验.
- 包括PCIT培训的临床医生,目前没有提供PCIT.
- 干预策略包括移动同事,便携式休息空间,视听设备,咨询小组和复习培训.
主要成果:
- 实现了高临床医生入学率 (14/20) 和调查响应率 (89.8%),没有磨损.
- 临床医生发现复习培训和手册是非常可接受的; 休息时间的隔间不那么好.
- 尽管临床医生的能力,机会和动机有所改善,但在PCIT采用方面没有观察到群体之间的显著差异.
结论:
- 这是第一个实用性研究,在初始临床医师培训几年后重新实施了家长培训干预措施.
- 数据收集方法被证明是可行的,其消耗率低,响应率高.
- 研究结果强调了改善最终试验设计的机会,以尽量减少资源浪费.
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