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Rapid, Full-Scale Change to Virtual PCIT During the COVID-19 Pandemic: Implementation and Clinical Implications. | LitMetric

AI Article Synopsis

  • Health agencies are pushing for quick action to address mental health issues in children and families caused by COVID-19, leading to a shift from in-person Parent-Child Interaction Therapy (PCIT) to a virtual model (I-PCIT) in Miami.
  • This pilot study involved training 17 therapists to provide virtual services to all families in need, examining its impact on 86 families during the initial lockdown period, even without a control group.
  • Results showed significant improvements in child behavior, caregiver stress, and parenting skills, highlighting the effectiveness of locally developed strategies in enhancing outcomes for children and caregivers during the pandemic.

Article Abstract

Health agencies call for the immediate mobilization of existing interventions in response to numerous child and family mental health concerns that have arisen as result of the COVID-19 pandemic. Answering this call, this pilot study describes the rapid, full-scale change from a primarily clinic-based Parent-Child Interaction Therapy (PCIT) model to a virtual service model (i.e., I-PCIT) in an academic and community-based program in Miami, Florida. First, we describe the virtual service training model our program developed and its implementation with 17 therapists (M = 32.35, 88.2% female, 47.1% Hispanic) to enable our clinic to shift from providing virtual services to a small portion of the families served (29.1%) to all of the families served. Second, we examine the effect of I-PCIT on child and caregiver outcomes during the 2-month stay-at-home period between March 16, 2020, and May 16, 2020, in 86 families (M = 4.75, 71% Hispanic). Due to the rapid nature of the current study, all active participants were transferred to virtual services, and therefore there was no comparison or control group, and outcomes represent the most recently available scores and not treatment completion. Results reveal that I-PCIT reduced child externalizing and internalizing problems and caregiver stress, and increased parenting skills and child compliance with medium to large effects even in the midst of the COVID-19 pandemic. Finally, the study examined components of our virtual service training model associated with the greatest improvements in child and caregiver outcomes. Preliminary findings revealed that locally and collaboratively developed strategies (e.g., online communities of practice, training videos and guides) had the strongest association with child and caregiver outcomes. Implications for virtual service delivery, implementation, and practice in the midst of the COVID-19 pandemic are discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7882248PMC
http://dx.doi.org/10.1007/s11121-021-01211-0DOI Listing

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