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Qualitative evaluation of Australian Caregiver's experiences of parent–child interaction therapy delivered in a community‐based clinic setting
Australian Psychologist ( IF 1.9 ) Pub Date : 2019-08-31 , DOI: 10.1111/ap.12431
Jane Kohlhoff 1, 2 , Sara Cibralic 1, 2 , Linda Lennie 2 , Lucy Rabbetts 2 , Susan Morgan 2
Affiliation  

Abstract Background Parent–child interaction therapy (PCIT) is a short‐term, evidence‐based parent training program for parents of children aged 2–7-years with disruptive behaviour disorders (DBDs). The evidence‐base for the effectiveness of PCIT is extensive but to date most studies have been quantitative in nature and conducted in university research clinics within the United States. Thus, understanding of the effectiveness and acceptability of PCIT in community‐based settings in other countries, including Australia, is limited. Objective This study used a qualitative methodology to explore Australian caregiver's perceptions of a standard PCIT program delivered at a community‐based PCIT clinic. Method Participants were nine mothers and one father who completed the PCIT program at the clinic for treatment of child DBD. Results Thematic analysis yielded four major themes, namely “Parenting challenges before PCIT”; “Positive treatment outcomes” (sub‐themes: improved child behaviour, increased parental confidence, increased insight into the child needs, and improved relationships with partner); “Program strengths” (sub‐themes: child‐directed interaction, parent‐directed interaction, home practice, therapeutic relationship); and “Challenges experienced.” Conclusions These findings highlight the benefits of the PCIT program for families who are struggling with DBD in early childhood, and point to the potential positive impacts of disseminating PCIT within clinical settings more widely across Australia.

中文翻译:

对澳大利亚护理人员在社区诊所环境中进行的亲子互动治疗体验的定性评估

摘要 背景亲子互动疗法 (PCIT) 是一项针对 2-7 岁破坏性行为障碍 (DBD) 儿童父母的短期循证家长培训计划。PCIT 有效性的证据基础是广泛的,但迄今为止,大多数研究本质上都是定量的,并且是在美国的大学研究诊所进行的。因此,在其他国家(包括澳大利亚)的社区环境中,对 PCIT 的有效性和可接受性的了解是有限的。目标 本研究使用定性方法来探讨澳大利亚护理人员对社区 PCIT 诊所提供的标准 PCIT 计划的看法。方法 参与者是在诊所完成了 PCIT 计划以治疗儿童 DBD 的九位母亲和一位父亲。结果 专题分析产生了四大主题,即“PCIT 前的育儿挑战”;“积极的治疗结果”(子主题:改善儿童行为、增强父母信心、增加对儿童需求的洞察力以及改善与伴侣的关系);“项目优势”(子主题:儿童互动、家长互动、家庭实践、治疗关系);和“经历的挑战”。结论 这些发现强调了 PCIT 计划对在儿童早期与 DBD 作斗争的家庭的好处,并指出在澳大利亚更广泛的临床环境中传播 PCIT 的潜在积极影响。增强父母的信心,增强对孩子需求的洞察力,并改善与伴侣的关系);“项目优势”(子主题:儿童互动、家长互动、家庭实践、治疗关系);和“经历的挑战”。结论 这些发现强调了 PCIT 计划对在儿童早期与 DBD 作斗争的家庭的好处,并指出在澳大利亚更广泛的临床环境中传播 PCIT 的潜在积极影响。增强父母的信心,增强对孩子需求的洞察力,并改善与伴侣的关系);“项目优势”(子主题:儿童互动、家长互动、家庭实践、治疗关系);和“经历的挑战”。结论 这些发现强调了 PCIT 计划对在儿童早期与 DBD 作斗争的家庭的好处,并指出在澳大利亚更广泛的临床环境中传播 PCIT 的潜在积极影响。
更新日期:2019-08-31
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