A Motivational Intervention Can Improve Retention in PCIT for Low-Motivation Child Welfare Clients
A Motivational Intervention Can Improve Retention in PCIT for Low-Motivation Child Welfare Clients
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DOI：
10.1177/1077559509332263
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发表时间：
2009-11-01
影响因子：
5.1
通讯作者：
Kees, Michelle
中科院分区：
文献类型：
--
作者：
Chaffin, Mark;Valle, Linda Anne;Kees, Michelle
旨在提高育儿计划保留率的动机定向干预措施与两个育儿计划（亲子互动疗法（PCIT）和标准教学家长培训小组）的标准定向进行了现场测试。这两项干预措施都是由中心工作人员在一线儿童福利育儿中心内实施的。参与者之前平均有过六次儿童福利转介，主要是因为忽视。使用双随机设计来测试主要效应和交互效应。动机干预仅在与 PCIT 结合时才能提高保留率（累积生存率 = 85%，而其他三种设计单元的生存率约为 61%）。跨人口特征和参与障碍的好处是强大的，但集中在初始动机水平低到中等的参与者中。对于初始动机相对较高的参与者会产生负面影响。研究结果表明，当选择性地对相对低到中等积极性的儿童福利客户使用时，结合使用动机干预和 PCIT 可以提高保留率。
A motivational orientation intervention designed to improve parenting program retention was field tested versus standard orientation across two parenting programs, Parent-Child Interaction Therapy (PCIT) and a standard didactic parent training group. Both interventions were implemented within a frontline child welfare parenting center by center staff. Participants had an average of six prior child welfare referrals, primarily for neglect. A double-randomized design was used to test main and interaction effects. The motivational intervention improved retention only when combined with PCIT (cumulative survival = 85% vs. around 61% for the three other design cells). Benefits were robust across demographic characteristics and participation barriers but were concentrated among participants whose initial level of motivation was low to moderate. There were negative effects for participants with relatively high initial motivation. The findings suggest that using a motivational intervention combined with PCIT can improve retention when used selectively with relatively low to moderately motivated child welfare clients.