Therapist Experiences and Attitudes About Implementing Internet-Delivered Parent-Child Interaction Therapy During COVID-19.

Therapist Experiences and Attitudes About Implementing Internet-Delivered Parent-Child Interaction Therapy During COVID-19.
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DOI:
10.1016/j.cbpra.2021.03.005
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发表时间:
2021-11
影响因子:
2.9
通讯作者:
Jent JF
Jent JF
中科院分区:
心理学3区
文献类型:
--
作者:
Barnett ML;Sigal M;Green Rosas Y;Corcoran F;Rastogi M;Jent JF

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人们普遍认识到,在COVID-19期间,获得精神卫生治疗对于解决儿童和父母当前和长期的压力源至关重要。由于其经验基础,互联网提供的亲子互动治疗(iPCIT,以前称为I-PCIT)是在社会距离限制期间远程服务提供的强大模型。然而,这种治疗方式在COVID-19之前并未得到广泛实施,可能是由于提供远程医疗服务存在障碍。这项混合方法研究进行了一项随访调查,以收集治疗师在COVID-19期间提供iPCIT的经验(N = 223),包括提供iPCIT的好处和挑战的定性数据。绝大多数治疗师(82%)表示,为了应对COVID-19,他们转向通过远程医疗提供PCIT。从第一次调查到COVID-19后续调查,PCIT病例量略有下降,但两次调查之间病例量的种族和民族组成没有显著差异。在183名过渡到通过远程医疗提供PCIT的治疗师中,82%的人表示有兴趣在COVID-19大流行后继续提供iPCIT。据报道,iPCIT的好处包括减少了获取障碍和在自然的家庭环境中练习技能的能力。知识产权综合教育面临的挑战主要是技术问题以及其他后勤障碍,这些障碍可能限制一些家庭的参与。这项研究的结果可能有助于在covid -19期间和之后改善iPCIT的未来实施。
It has been widely recognized that access to mental health treatment is imperative to address current and long-term stressors for children and parents during COVID-19. Internet-delivered Parent-Child Interaction Therapy (iPCIT, previously referred to as I-PCIT) is a strong model for remote service delivery during social distancing restrictions due to its empirical base. However, this treatment modality was not widely implemented before COVID-19, likely due to barriers to providing telehealth services. This mixed methods study conducted a follow-up survey to gather therapist experiences (N = 223) in delivering iPCIT during COVID-19, including qualitative data on the benefits and challenges to delivering iPCIT. The vast majority of therapists (82%) indicated that they transitioned to deliver PCIT via telehealth in response to COVID-19. PCIT caseloads decreased slightly from the first survey to the COVID-19 follow-up survey, but the racial and ethnic composition of caseloads were not significantly different between the two surveys. Of the 183 therapists who transitioned to deliver PCIT via telehealth, 82% expressed interest in continuing to provide iPCIT following the COVID-19 pandemic. Reported benefits of iPCIT included decreased barriers to access and the ability to practice skills within the naturalistic home environment. Challenges to iPCIT were primarily issues with technology as well as other logistical barriers, which could limit engagement for some families. Findings from this study may be beneficial in improving future implementation of iPCIT during and post-COVID-19.
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