Protocol for a randomised pilot study of a novel Parent-Child Interaction Therapy (PCIT) 're-implementation' intervention.
Conduct problems
Evidence-based treatment
Feasibility
Implementation
PCIT
Parent–Child Interaction Therapy
Re-implementation
Time-out
Journal
Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536
Informations de publication
Date de publication:
03 May 2023
03 May 2023
Historique:
received:
19
10
2022
accepted:
21
04
2023
medline:
4
5
2023
pubmed:
4
5
2023
entrez:
3
5
2023
Statut:
epublish
Résumé
Despite a number of clinicians having been trained in Parent-Child Interaction Therapy (PCIT) in Aotearoa/New Zealand, few are regularly delivering the treatment, with barriers to use including a lack of suitable equipment and lack of professional support. This pragmatic, parallel-arm, randomised, controlled pilot trial includes PCIT-trained clinicians who are not delivering, or only rarely utilising, this effective treatment. The study aims to assess the feasibility, acceptability and cultural responsivity of study methods and intervention components and to collect variance data on the proposed future primary outcome variable, in preparation for a future, larger trial. The trial will compare a novel 're-implementation' intervention with a refresher training and problem-solving control. Intervention components have been systematically developed to address barriers and facilitators to clinician use of PCIT using implementation theory, and a draft logic model with hypothesised mechanisms of action, derived from a series of preliminary studies. The intervention includes complimentary access to necessary equipment for PCIT implementation (audio-visual equipment, a 'pop-up' time-out space, toys), a mobile senior PCIT co-worker and an optional weekly PCIT consultation group, for a 6-month period. Outcomes will include the feasibility of recruitment and trial procedures; acceptability of the intervention package and data collection methods to clinicians; and clinician adoption of PCIT. Relatively little research attention has been directed at interventions to resurrect stalled implementation efforts. Results from this pragmatic pilot RCT will refine and shape knowledge relating to what it might take to embed the ongoing delivery of PCIT in community settings, providing more children and families with access to this effective treatment. ANZCTR, ACTRN12622001022752, registered on July 21, 2022.
Sections du résumé
BACKGROUND
BACKGROUND
Despite a number of clinicians having been trained in Parent-Child Interaction Therapy (PCIT) in Aotearoa/New Zealand, few are regularly delivering the treatment, with barriers to use including a lack of suitable equipment and lack of professional support. This pragmatic, parallel-arm, randomised, controlled pilot trial includes PCIT-trained clinicians who are not delivering, or only rarely utilising, this effective treatment. The study aims to assess the feasibility, acceptability and cultural responsivity of study methods and intervention components and to collect variance data on the proposed future primary outcome variable, in preparation for a future, larger trial.
METHODS
METHODS
The trial will compare a novel 're-implementation' intervention with a refresher training and problem-solving control. Intervention components have been systematically developed to address barriers and facilitators to clinician use of PCIT using implementation theory, and a draft logic model with hypothesised mechanisms of action, derived from a series of preliminary studies. The intervention includes complimentary access to necessary equipment for PCIT implementation (audio-visual equipment, a 'pop-up' time-out space, toys), a mobile senior PCIT co-worker and an optional weekly PCIT consultation group, for a 6-month period. Outcomes will include the feasibility of recruitment and trial procedures; acceptability of the intervention package and data collection methods to clinicians; and clinician adoption of PCIT.
DISCUSSION
CONCLUSIONS
Relatively little research attention has been directed at interventions to resurrect stalled implementation efforts. Results from this pragmatic pilot RCT will refine and shape knowledge relating to what it might take to embed the ongoing delivery of PCIT in community settings, providing more children and families with access to this effective treatment.
TRIAL REGISTRATION
BACKGROUND
ANZCTR, ACTRN12622001022752, registered on July 21, 2022.
Identifiants
pubmed: 37138334
doi: 10.1186/s40814-023-01309-y
pii: 10.1186/s40814-023-01309-y
pmc: PMC10155153
doi:
Types de publication
Journal Article
Langues
eng
Pagination
73Subventions
Organisme : Health Research Council of New Zealand
ID : HRC 20/014
Informations de copyright
© 2023. The Author(s).
Références
Pilot Feasibility Stud. 2020 Oct 31;6(1):167
pubmed: 33292770
Psychol Health. 2023 Jun;38(6):766-794
pubmed: 35839082
BMC Med Res Methodol. 2010 Jan 06;10:1
pubmed: 20053272
Front Public Health. 2019 Jan 22;7:3
pubmed: 30723713
BMJ. 2016 Oct 24;355:i5239
pubmed: 27777223
Implement Res Pract. 2022 Mar 7;3:26334895221082330
pubmed: 37091096
Pediatrics. 2017 Sep;140(3):
pubmed: 28860132
JAMA Surg. 2020 May 1;155(5):434-435
pubmed: 31995157
Am Psychol. 2021 Jan;76(1):104-115
pubmed: 32134281
Br J Health Psychol. 2020 Sep;25(3):474-501
pubmed: 32314500
Psychol Res Behav Manag. 2017 Jul 20;10:239-256
pubmed: 28790873
Implement Sci. 2021 Jan 7;16(1):3
pubmed: 33413511
J Behav Health Serv Res. 2017 Apr;44(2):177-194
pubmed: 26289563
Behav Ther. 2019 Mar;50(2):340-352
pubmed: 30824250
J Am Acad Child Adolesc Psychiatry. 2013 Oct;52(10):1009-1025.e18
pubmed: 24074468
Lancet Psychiatry. 2022 Feb;9(2):137-150
pubmed: 35026139
J Child Psychol Psychiatry. 2019 Apr;60(4):430-450
pubmed: 30144077
Child Youth Serv Rev. 2015 Jun 1;53:113-120
pubmed: 25960585
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
J Child Psychol Psychiatry. 2013 Sep;54(9):921-3
pubmed: 23957373
Glob Public Health. 2022 Aug-Sep;17(9):1868-1882
pubmed: 34775913
J Child Psychol Psychiatry. 2021 Apr;62(4):372-381
pubmed: 32433792
Int J Behav Nutr Phys Act. 2017 Apr 4;14(1):45
pubmed: 28376892
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
Int J Environ Res Public Health. 2021 Dec 12;18(24):
pubmed: 34948725
Pediatrics. 2022 Mar 1;149(Suppl 3):
pubmed: 35230429