About this trial
The study will examine Parent Child Interaction Therapy (PCIT) delivered via telehealth (Tele-PCIT) for young children at risk for adverse childhood experiences and/or trauma exposure.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be between 2:0-6:11 years old
Have elevated levels of disruptive behavior problems as defined by the Eyberg Child Behavior Inventory (ECBI)
Have receptive language appropriate for PCIT (approximately 2-years old)
Medicaid eligible, or be uninsured
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Telehealth Parent Child Interaction Therapy
BehavioralDuring tele-PCIT, therapists coach parents on parenting strategies while they play with their child during one hour weekly sessions. The first phase of therapy focuses on increasing positive behaviors and the second phase focuses on decreasing negative behaviors with discipline strategies. The therapist and the family will be connected through a video feed on either a phone, tablet, or computer and a Bluetooth headset.
Telehealth Parent Child Interaction Therapy (Delayed Start)
BehavioralDelayed start of 12-weeks for delivery of Tele-PCIT. During tele-PCIT, therapists coach parents on parenting strategies while they play with their child during one hour weekly sessions. The first phase of therapy focuses on increasing positive behaviors and the second phase focuses on decreasing negative behaviors with discipline strategies. The therapist and the family will be connected through a video feed on either a phone, tablet, or computer and a Bluetooth headset.
Treatment groups
Trial outcomes
Primary outcomes
Parenting Practices
Measured by the Parenting Scale. The parenting scale is comprised of 30 items rated 1-7 with specific items being averaged to create composites for Laxness, Verbosity, and Overreactivity. Higher scores on each scale indicate higher levels of each parenting behavior.
Child Behavior
Measured by Eyberg Child Behavior Inventory. The ECBI is comprised of 36 items ranging from 1 to 7 and the overall score has a a minimum of 36 and maximum of 252 with higher scores indicating higher behavioral challenges.
Trauma Related Symptoms
Measured by the Child and Adolescent Trauma Screen. The CATS contains 15 items measuring traumatic events, 20 items measuring DSM-5 PTSD symptoms, and 5 items measuring psychosocial functioning, with a range of 0-48 and higher scores indicating greater symptoms.
Sponsors and contacts
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Medical University of South Carolina
Lead sponsor
The Duke Endowment
Collaborator