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dc.contributor.authorWebb, Haley J
dc.contributor.authorThomas, Rae
dc.contributor.authorMcGregor, Leanne
dc.contributor.authorAvdagic, Elbina
dc.contributor.authorZimmer-Gembeck, Melanie J
dc.date.accessioned2018-01-07T23:51:08Z
dc.date.available2018-01-07T23:51:08Z
dc.date.issued2017
dc.identifier.issn1537-4416
dc.identifier.doi10.1080/15374416.2016.1247357
dc.identifier.urihttp://hdl.handle.net/10072/143719
dc.description.abstractAlthough many interventions for child externalizing behavior report promising outcomes for families, high attrition prior to program completion remains a problem. Many programs report dropout rates of 50% or higher. In this trial we sought to reduce attrition and improve outcomes by augmenting a well-known evidence-based intervention, Parent–Child Interaction Therapy (PCIT), with a 3-session individual motivational enhancement component. Participants were 192 Australian caregivers (91.7% female; Mage = 34.4 years) and their children (33.3% female; Mage = 4.4 years). Families (51% referred from child welfare or health services for risk of maltreatment) were assigned to PCIT or a supported waitlist, with families assigned to PCIT receiving either standard PCIT (S/PCIT) or motivation-enhanced PCIT (M/PCIT), depending on their time of entry to the study. Waitlist families received phone calls every week for 12 weeks. Parents in M/PCIT reported more readiness to change their behavior from preassessment to after the motivation sessions. Also, parents who reported high, rather than low, motivation at preassessment did have a lower attrition rate, and there was some evidence that enhancing motivation was protective of premature attrition to the extent that caregivers achieved a high degree of change in motivation. Yet comparison of attrition rates and survival analyses revealed no difference between M/PCIT and S/PCIT in retention rate. Finally, there were greater reductions in externalizing and internalizing child behavior problems and parental stress among families in S/PCIT and M/PCIT compared with waitlist, and there was generally no significant difference between the two treatment conditions.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherRoutledge
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto14
dc.relation.ispartofjournalJournal of Clinical Child & Adolescent Psychology
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchOther psychology not elsewhere classified
dc.subject.fieldofresearchCognitive and computational psychology
dc.subject.fieldofresearchcode52
dc.subject.fieldofresearchcode529999
dc.subject.fieldofresearchcode5204
dc.titleAn Evaluation of Parent–Child Interaction Therapy With and Without Motivational Enhancement to Reduce Attrition
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Applied Psychology
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© 2016 Taylor & Francis (Routledge). This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Clinical Child & Adolescent Psychology on 8 December 2016, available online: https://doi.org/10.1080/15374416.2016.1247357
gro.hasfulltextFull Text
gro.griffith.authorZimmer-Gembeck, Melanie


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