Early intervention for families experiencing homelessness: A pilot randomized trial comparing two parenting programs.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2023-04-01 DOI:10.1037/ccp0000810

Paulo A Graziano, Jamie A Spiegel, Timothy Hayes, Emily Arcia

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Abstract

Objective: As part of a larger community-based, service-driven research project, the primary purpose of this pilot randomized study was to examine the feasibility and acceptability of delivering time-limited adaptations of parent-child interaction therapy (PCIT) and child-parent psychotherapy (CPP) within a sample of children experiencing homelessness. The secondary goal was to examine the promise of both interventions in improving parent/child outcomes.

Method: One hundred forty-four young children (18 month-5 years old; M_age = 3.48, SD = 1.09; 43.1% female; 78.5% Black/African American; 27.1% Hispanic) and their mothers were recruited from a women's homeless shelter and randomly assigned to 12 weeks of either PCIT or CPP delivered by shelter clinicians on-site. Attendance, fidelity, and program satisfaction were obtained. Families completed pre- and postintervention assessments, including observational data on maternal verbalizations during a child-led play session.

Results: Both time-limited PCIT and time-limited CPP were successfully implemented with similarly high levels of intervention fidelity (>90%) and satisfaction by mothers (85%). Completion rates were similar across both time-limited PCIT (76.6%) and time-limited CPP (71.4%). Both time-limited CPP and PCIT resulted in decreases in children's posttraumatic stress, parental stress, and increases in maternal positive verbalizations. Only time-limited PCIT resulted in significant improvements in externalizing behavior problems in children and reductions in maternal negative verbalizations.

Conclusions: Time-limited PCIT and CPP are acceptable, feasible, and hold significant promise for helping families within a homeless shelter environment and by extension, other transitional and/or shelter environments. A full randomized trial is warranted to determine which program may offer a more effective intervention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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对无家可归家庭的早期干预:一项比较两种育儿计划的试点随机试验。

目的:作为一个更大的以社区为基础、服务驱动的研究项目的一部分，本试点随机研究的主要目的是在无家可归的儿童样本中检验提供亲子互动治疗(PCIT)和亲子心理治疗(CPP)的限时适应性的可行性和可接受性。第二个目标是检查两种干预措施在改善父母/儿童结果方面的前景。方法:144名幼儿(18个月-5岁;Mage = 3.48, SD = 1.09;43.1%的女性;78.5%黑人/非裔美国人;27.1%西班牙裔)和他们的母亲从妇女无家可归者收容所招募，并随机分配到由收容所临床医生现场提供的12周PCIT或CPP。获得了出勤率、忠诚度和项目满意度。家庭完成了干预前和干预后的评估，包括在儿童主导的游戏过程中对母亲语言表达的观察数据。结果:限时PCIT和限时CPP均成功实施，干预保真度(>90%)和母亲满意度(85%)相似。限时PCIT(76.6%)和限时CPP(71.4%)的完成率相似。限时CPP和PCIT均能降低儿童创伤后应激、父母应激和母亲积极言语表达。只有有时间限制的PCIT才能显著改善儿童的外化行为问题，减少母亲的消极言语。结论:有时间限制的PCIT和CPP是可以接受的，可行的，并且对于帮助无家可归的收容所环境中的家庭以及其他过渡和/或收容所环境具有重要的承诺。一个完全的随机试验是必要的，以确定哪个方案可能提供更有效的干预。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.