Scherpbier Iza C A, Abrahamse Mariëlle E, Mos Mirte N, Lindauer Ramón J L, Niec Larissa N
Amsterdam UMC Locatie AMC, The Netherlands.
Karakter, Ede, Gelderland, The Netherlands.
Behav Modif. 2025 May;49(3):271-292. doi: 10.1177/01454455251319731. Epub 2025 Mar 12.
In vivo therapeutic coaching of parent-child interactions is the primary mechanism of change in behavioral parent training programs such as parent-child interaction therapy (PCIT), yet relatively little research has examined the coaching process. The primary aim of this study was to explore the bidirectional interaction between therapist-parent dyads to better understand how therapists influence parent behavior and vice versa. Observational data from two research projects were analyzed separately and together using lag sequential analysis (LSA). Results demonstrate that therapist responsive coaching (e.g., praising parent behavior) led parents to use more child-centered skills. Responsive coaching techniques led to immediate increases in parents' use of the targeted positive parenting skill (10%-25% re-use). Responsive strategies followed targeted parent verbalizations more often than directive strategies, suggesting that therapists reinforce positive parenting skills as soon as parents use them. When directive coaching techniques were used, there was a 18% to 32% chance that parents followed through with a child-centered skill as coached. This study is the first to explore the influence of in vivo coaching on parent skill acquisition on a micro-level and has implications for the therapist training.
亲子互动的现场治疗指导是亲子互动疗法（PCIT）等行为亲子训练项目中改变的主要机制，但对指导过程的研究相对较少。本研究的主要目的是探讨治疗师与家长二元组之间的双向互动，以更好地理解治疗师如何影响家长行为，反之亦然。来自两个研究项目的观察数据分别和共同使用滞后序列分析（LSA）进行分析。结果表明，治疗师的响应式指导（例如，赞扬家长行为）会促使家长更多地使用以孩子为中心的技巧。响应式指导技巧会使家长对目标积极育儿技巧的使用立即增加（重复使用率为10%-25%）。与指导性策略相比，响应式策略更常跟随目标家长的言语表达，这表明治疗师会在家长使用积极育儿技巧后立即给予强化。当使用指导性指导技巧时，家长按照指导使用以孩子为中心技巧的可能性为18%至32%。本研究首次在微观层面探讨了现场指导对家长技巧习得的影响，并对治疗师培训具有启示意义。
