Assessing the Key to Effective Coaching in Parent-Child Interaction Therapy: The Therapist-Parent Interaction Coding System
Assessing the Key to Effective Coaching in Parent-Child Interaction Therapy: The Therapist-Parent Interaction Coding System
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DOI：
10.1007/s10862-013-9396-8
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发表时间：
2014-06-01
影响因子：
1.6
通讯作者：
Acevedo-Polakovich, I. David
中科院分区：
文献类型：
--
作者：
Barnett, Miya L.;Niec, Larissa N.;Acevedo-Polakovich, I. David
本文描述了治疗师-父母互动编码系统(TPICS)的初步评估，该系统是治疗师对循证行为父母培训干预措施--亲子互动治疗(PCIT)的活体指导措施。使用TPICS对61个视频治疗过程进行编码，以调查(1)PCIT治疗师在治疗早期阶段使用的指导技术的多样性，(2)父母技能水平是否指导治疗师的指导方式和频率，以及(3)指导是否调节了父母技能水平从一个阶段到下一个阶段的变化。结果发现，TPICS掌握了一系列指导技术，指导前父母的技能水平确实与治疗师对体内反馈的使用有关。治疗师的响应性指导(例如，对父母的赞扬)对于特定的以儿童为中心的育儿技能而言，是从一次会议到下一次会议的父母行为变化的部分中介；而指导性指导(例如，建模)与变化无关。TPICS具有良好的信度分数和结构效度的初步证据，显示了在PCIT期间作为教练的一种手段的前景。
This paper describes the initial evaluation of the Therapist-Parent Interaction Coding System (TPICS), a measure of in vivo therapist coaching for the evidence-based behavioral parent training intervention, parent-child interaction therapy (PCIT). Sixty-one video-recorded treatment sessions were coded with the TPICS to investigate (1) the variety of coaching techniques PCIT therapists use in the early stage of treatment, (2) whether parent skill-level guides a therapist's coaching style and frequency, and (3) whether coaching mediates changes in parents' skill levels from one session to the next. Results found that the TPICS captured a range of coaching techniques, and that parent skill-level prior to coaching did relate to therapists' use of in vivo feedback. Therapists' responsive coaching (e.g., praise to parents) was a partial mediator of change in parenting behavior from one session to the next for specific child-centered parenting skills; whereas directive coaching (e.g., modeling) did not relate to change. The TPICS demonstrates promise as a measure of coaching during PCIT with good reliability scores and initial evidence of construct validity.