Ignite Creation Date:
2024-05-05 @ 11:16 PM
Last Modification Date:
2024-10-26 @ 10:31 AM
Study NCT ID:
NCT01294488
Status:
COMPLETED
Last Update Posted:
2013-05-08
First Post:
2011-02-10
Brief Title:
Using Technology to Augment the Implementation and Effectiveness of PCIT
Sponsor:
Centers for Disease Control and Prevention
Organization:
Centers for Disease Control and Prevention
Study Overview
Official Title:
Using Technology to Augment the Implementation and Effectiveness of PCIT
Status:
COMPLETED
Status Verified Date:
2013-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The overarching aim of the proposed study is to test the implementation effectiveness of two implementation approaches-Remote Real-Time RRT using the internet telemedicine technology and traditional Phone Consultation PC for training practitioners in PCIT The study will add to emerging knowledge about how technology can facilitate the transport of evidence-based intervention models into field settings
Detailed Description:
Parent-Child Interaction Therapy PCIT is an empirically supported behavioral parent training program for reducing aggressive behavior in young children and for reducing future rates of child physical abuse Prior research has found that an adapted version of PCIT developed specifically for violent parents in the child welfare system reduced future child physical abuse recurrence rates from 49 to 19 OUHSCCCAN researchers in prior and ongoing studies have found the benefits of PCIT to be durable over time and to generalize across settings and across children in the same family Culturally-specific adaptations of PCIT and adaptations for older abused children and their abusive parents have been developed A number of blue-ribbon panels have recommended PCIT for widespread dissemination in child abuse prevention and intervention service systems but uptake of PCIT has been limited One reason for this is that the traditional PCIT practitioner training models are not easily replicable in field settings PCIT has historically been taught in University-based training programs graduate programs internships etc and includes several months of co-therapy mentoring where trainers work directly with trainees during live sessions In contrast given the difficulties of conducting co-therapy mentoring in field settings training for widespread implementation has generally involved initial training in the model followed by phone consultation
OUHSCCCAN researchers have pilot- and feasibility tested a system using internet-based telemedicine technology to deliver live mentored PCIT training OUHSCCCAN researchers have piloted Remote Real-Time RRT training at sites in Utah Seattle Alaska Oregon and Oklahoma Feasibility appears excellent and the approach has been well received Moreover RRT implementation revealed misapplications of the model that had gone unaddressed in phone consultation This research project will make use of planned funded PCIT start-up implementations at 20-24 agency sites in Washington and Oklahoma Study participants will include agency practitioners engaged in implementing the PCIT model and families receiving PCIT services at these community agencies Using a multilevel interrupted time series randomized design the study will compare the RRT implementation approach with standard phone consultation PC Outcomes will include practitioner fidelity and competency in implementing PCIT practitioner acceptance and satisfaction with PCIT and family outcomes of parental skill acquisition parent satisfaction child aggressive and oppositional behaviors and rates of future child welfare abuse reports A mediational model is proposed in which differences in client outcomes are mediated by improved practitioner fidelity and competency Cost effectiveness and practitioner response to the implementation approach will be examined The study thus will inform strategies for facilitating widespread dissemination and implementation with fidelity of the evidence-based PCIT model thereby making the model available to a broader range of agencies and practitioners working with at-risk families
OUHSCCCAN researchers have pilot- and feasibility tested a system using internet-based telemedicine technology to deliver live mentored PCIT training OUHSCCCAN researchers have piloted Remote Real-Time RRT training at sites in Utah Seattle Alaska Oregon and Oklahoma Feasibility appears excellent and the approach has been well received Moreover RRT implementation revealed misapplications of the model that had gone unaddressed in phone consultation This research project will make use of planned funded PCIT start-up implementations at 20-24 agency sites in Washington and Oklahoma Study participants will include agency practitioners engaged in implementing the PCIT model and families receiving PCIT services at these community agencies Using a multilevel interrupted time series randomized design the study will compare the RRT implementation approach with standard phone consultation PC Outcomes will include practitioner fidelity and competency in implementing PCIT practitioner acceptance and satisfaction with PCIT and family outcomes of parental skill acquisition parent satisfaction child aggressive and oppositional behaviors and rates of future child welfare abuse reports A mediational model is proposed in which differences in client outcomes are mediated by improved practitioner fidelity and competency Cost effectiveness and practitioner response to the implementation approach will be examined The study thus will inform strategies for facilitating widespread dissemination and implementation with fidelity of the evidence-based PCIT model thereby making the model available to a broader range of agencies and practitioners working with at-risk families
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None