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Feasibility of Intensive Parent–Child Interaction Therapy (I-PCIT): Results from an Open Trial

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Abstract

The current pilot study examined the feasibility, acceptability, and initial outcome of an intensive and more condensed version of Parent–child Interaction Therapy (90 min sessions for 5 days/week over the course of 2 weeks). Using an open trial design, 11 children (M child age = 5.01 years) and their mothers completed a baseline period of 2 weeks, a treatment period of 2 weeks, and a post-treatment evaluation. A follow-up evaluation was also conducted 4 months following treatment completion. Across all assessments, mothers completed measures of child behavior and parenting stress, and observational data was collected during three 5-min standard situations that vary in the degree of parental control (child-led play, parent-led play, & clean-up). All 11 families completed the intervention with extremely high attendance and reported high satisfaction. Results across both mother report and observations showed that: a) externalizing behavior problems were stable during the baseline period; b) treatment was effective in reducing externalizing behavior problems (ds = 1.67–2.50), improving parenting skills (ds = 1.93–6.04), and decreasing parenting stress (d = 0.91); and c) treatment gains were maintained at follow-up (ds = 0.53–3.50). Overall, preliminary data suggest that a brief and intensive format of a parent-training intervention is a feasible and effective treatment for young children with externalizing behavior problems with clinical implications for improving children’s behavioral impairment in a very brief period of time.

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Experiment Participants

The current study was conducted with the informed consent of all participants. This project was approved by the university Institutional Review Board.

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Authors and Affiliations

  1. Center for Children and Families & Department of Psychology, Florida International University, 11200 SW 8th Street, AHC4 Rm. 459, Miami, FL, 33199, USA

    Paulo A. Graziano

  2. Center for Children and Families & Department of Psychology, Florida International University, 11200 SW 8th Street, AHC1 Rm. 235A, Miami, FL, 33199, USA

    Daniel M. Bagner, Gabriela Hungerford, Kristine Kent & Dara Babinski

  3. Psychology Department, University of Kentucky, Lexington, KY, USA

    Karen Derefinko

  4. Department of Psychology, University of Maine, 11200 SW 8th Street, AHC1 Rm. 235A, Miami, FL, 33199, USA

    Janine Slavec

  5. Psychology Department, Simon Fraser University, Burnaby, BC, Canada

    Dave Pasalich

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Graziano, P.A., Bagner, D.M., Slavec, J. et al. Feasibility of Intensive Parent–Child Interaction Therapy (I-PCIT): Results from an Open Trial. J Psychopathol Behav Assess 37, 38–49 (2015). https://doi.org/10.1007/s10862-014-9435-0

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