Jent Jason F, Golson Megan, Peskin Abigail, Rothenberg William A, Salem Hanan, Weinstein Allison, Davis Eileen, Parlade Meaghan, Stokes Jocelyn, Brown Tasha, Berkovits Michelle, Garcia Dainelys
Department of Pediatrics, University of Miami Miller School of Medicine, 3047E 12th Ave, Miami, FL, 33136, United States, 1 3052436857.
West Virginia University Hospitals, Morgantown, WV, United States.
J Med Internet Res. 2025 Aug 8;27:e69887. doi: 10.2196/69887.
Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for child disruptive behavior problems, but access barriers historically limit its reach.
This study examined the reach, effectiveness, adoption, and implementation of Pocket PCIT Online, a self-directed web-based adaptation of PCIT.
In an open trial, 1480 caregivers accessed the free 4-week Pocket PCIT Online intervention. Measures of child behavior, parenting stress, and family conflict were collected pre- and postintervention. Reach, effectiveness, adoption, and implementation were assessed using an implementation science framework.
Significant improvements were observed across all outcome measures for intervention completers (n=204). Caregivers reported increased positive child behaviors (Cohen's d=0.87) and decreased parenting distress (Cohen's d=-0.3) following completion of Pocket PCIT Online. Of note, approximately 35.8% (73/204) of caregivers reported clinically significant improvements in their children's frequency of disruptive behaviors. However, only 16.5% (204/1234) of participants completed postintervention measures. Caregivers completed Pocket PCIT Online at a significantly higher rate prior to the COVID-19 national emergency (21/74, 28%) than during or after the onset of COVID-19 (183/1158, 15.8%).
While Pocket PCIT Online demonstrates potential as a low-cost, accessible, and scalable public health intervention for child disruptive behaviors, strategies to enhance retention and broaden reach to historically underserved populations are needed.
亲子互动疗法（PCIT）是一种针对儿童破坏性行为问题的循证治疗方法，但历史上的获取障碍限制了其普及范围。
本研究考察了在线口袋PCIT（Pocket PCIT Online）的普及程度、有效性、采用情况和实施情况，它是PCIT的一种基于网络的自主式改编版本。
在一项开放试验中，1480名照料者使用了为期4周的免费在线口袋PCIT干预措施。在干预前后收集了儿童行为、养育压力和家庭冲突的测量数据。使用实施科学框架评估普及程度、有效性、采用情况和实施情况。
干预完成者（n = 204）的所有结果指标均有显著改善。照料者报告称，完成在线口袋PCIT后，儿童的积极行为增加（科恩d值 = 0.87），养育困扰减少（科恩d值 = -0.3）。值得注意的是，约35.8%（73/204）的照料者报告其孩子破坏性行为的频率有临床显著改善。然而，只有16.5%（204/1234）的参与者完成了干预后测量。照料者在2019冠状病毒病全国紧急状态之前完成在线口袋PCIT的比例（21/74，28%）显著高于2019冠状病毒病爆发期间或之后（183/1158，15.8%）。
虽然在线口袋PCIT显示出作为一种低成本、可获取且可扩展的针对儿童破坏性行为的公共卫生干预措施的潜力，但仍需要采取策略来提高留存率，并将覆盖范围扩大到历史上服务不足的人群。
