Protocol for a randomised pilot study of a novel Parent–Child Interaction Therapy (PCIT) ‘re-implementation’ intervention

Pilot and Feasibility Studies

Study Protocol

Sally Merry¹  Sarah E. Hetrick²  Tania Cargo³  Melanie J. Woodfield⁴ 

[1] Centre for Infant, Child and Adolescent Mental Health, Department of Psychological Medicine, University of Auckland, Auckland, New Zealand;Centre for Infant, Child and Adolescent Mental Health, Department of Psychological Medicine, University of Auckland, Auckland, New Zealand;Centre for Youth Mental Health, University of Melbourne, Melbourne, USA;Centre for Infant, Child and Adolescent Mental Health, Department of Psychological Medicine, University of Auckland, Auckland, New Zealand;Department of Psychology, University of Auckland, Auckland, New Zealand;Centre for Infant, Child and Adolescent Mental Health, Department of Psychological Medicine, University of Auckland, Auckland, New Zealand;Te Toka Tumai Auckland (Health New Zealand), Auckland, New Zealand;

关键词: PCIT;    Parent–Child Interaction Therapy;    Conduct problems;    Evidence-based treatment;    Feasibility;    Time-out;    Re-implementation;    Implementation;   

DOI  :  10.1186/s40814-023-01309-y

 received in 2022-10-19, accepted in 2023-04-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDespite a number of clinicians having been trained in Parent–Child Interaction Therapy (PCIT) in Aotearoa/New Zealand, few are regularly delivering the treatment, with barriers to use including a lack of suitable equipment and lack of professional support. This pragmatic, parallel-arm, randomised, controlled pilot trial includes PCIT-trained clinicians who are not delivering, or only rarely utilising, this effective treatment. The study aims to assess the feasibility, acceptability and cultural responsivity of study methods and intervention components and to collect variance data on the proposed future primary outcome variable, in preparation for a future, larger trial.MethodsThe trial will compare a novel ‘re-implementation’ intervention with a refresher training and problem-solving control. Intervention components have been systematically developed to address barriers and facilitators to clinician use of PCIT using implementation theory, and a draft logic model with hypothesised mechanisms of action, derived from a series of preliminary studies. The intervention includes complimentary access to necessary equipment for PCIT implementation (audio-visual equipment, a ‘pop-up’ time-out space, toys), a mobile senior PCIT co-worker and an optional weekly PCIT consultation group, for a 6-month period. Outcomes will include the feasibility of recruitment and trial procedures; acceptability of the intervention package and data collection methods to clinicians; and clinician adoption of PCIT.DiscussionRelatively little research attention has been directed at interventions to resurrect stalled implementation efforts. Results from this pragmatic pilot RCT will refine and shape knowledge relating to what it might take to embed the ongoing delivery of PCIT in community settings, providing more children and families with access to this effective treatment.Trial registrationANZCTR, ACTRN12622001022752, registered on July 21, 2022.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 2