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Predictors of treatment attrition and treatment length in Parent‐Child Interaction Therapy in Taiwanese families

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  • Chen, Yi-Chuen
  • Fortson, Beverly L.

Abstract

Parent–Child Interaction Therapy (PCIT) has been used successfully in the United States and in other countries around the world, but its use in Asian countries has been more limited. The present study is the first of its kind to examine the predictors of treatment attrition and length in a sample of Taiwanese caregivers and their children. It is also the first to examine PCIT outcomes in Taiwanese families. Maladaptive personality characteristics of the caregiver were the best predictor of attrition, followed by single-parent, removal of the child from the home, and lower levels of caregiver education. Treatment length was predicted by child minority status and parent–child interactions (i.e., parent commands and negative parent talk). In terms of outcomes, statistically significant treatment changes were noted for all treatment outcome variables at post-treatment and at 3-month follow-up. These findings suggest that PCIT is a promising intervention for this population. The predictors of treatment attrition and length can be used when Taiwanese caregiver–child dyads present for services so that additional assistance can be provided prior to or during treatment to increase adherence to the recommended number of treatment sessions for maximal impact. Future studies may replicate the present study with a larger clinical sample to examine the long-term effects of PCIT and to include a no-treatment control condition to afford a more robust empirical evaluation.

Suggested Citation

  • Chen, Yi-Chuen & Fortson, Beverly L., 2015. "Predictors of treatment attrition and treatment length in Parent‐Child Interaction Therapy in Taiwanese families," Children and Youth Services Review, Elsevier, vol. 59(C), pages 28-37.
  • Handle: RePEc:eee:cysrev:v:59:y:2015:i:c:p:28-37
    DOI: 10.1016/j.childyouth.2015.10.009
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    Cited by:

    1. Merlijn Meynen & Cristina Colonnesi & Mariëlle E. Abrahamse & Irma Hein & Geert-Jan J. M. Stams & Ramón J. L. L. Lindauer, 2022. "A Cohort Study on the Effect of Parental Mind-Mindedness in Parent−Child Interaction Therapy," IJERPH, MDPI, vol. 19(8), pages 1-19, April.
    2. Rostad, Whitney L. & Self-Brown, Shannon & Boyd, Clinton & Osborne, Melissa & Patterson, Alexandria, 2017. "Exploration of factors predictive of at-risk fathers' participation in a pilot study of an augmented evidence-based parent training program: A mixed methods approach," Children and Youth Services Review, Elsevier, vol. 79(C), pages 485-494.
    3. Abrahamse, Mariëlle E. & Niec, Larissa N. & Junger, Marianne & Boer, Frits & Lindauer, Ramón J.L., 2016. "Risk factors for attrition from an evidence-based parenting program: Findings from the Netherlands," Children and Youth Services Review, Elsevier, vol. 64(C), pages 42-50.
    4. Onovbiona, Harlee & Mapes, Ayla R. & Quetsch, Lauren B. & Theodorou, Laurie L. & McNeil, Cheryl B., 2023. "Parent-child interaction therapy for children in foster care and children with posttraumatic stress: Exploring behavioral outcomes and graduation rates in a large state-wide sample," Children and Youth Services Review, Elsevier, vol. 145(C).
    5. Mariëlle E. Abrahamse & Vionna M. W. Tsang & Ramón J. L. Lindauer, 2021. "Home-Based Parent–Child Interaction Therapy to Prevent Child Maltreatment: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(16), pages 1-15, August.

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