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The Effectiveness of Parent-Child Interaction Therapy (PCIT)

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ClinicalTrials.gov Identifier: NCT01085305
Recruitment Status : Completed
First Posted : March 11, 2010
Last Update Posted : September 15, 2016
Sponsor:
Collaborator:
St. Olavs Hospital
Information provided by (Responsible Party):
Norwegian University of Science and Technology

Study Description
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Brief Summary:
The purpose of this study was to investigate whether a type of parent-based intervention, Parent-Child Interaction Therapy will lower symptoms of behavior problems in young children more than treatment as usual.

Condition or disease Intervention/treatment Phase
Behavior Problems Oppositional Defiant Disorder Conduct Disorder Behavioral: Parent-Child Interaction Therapy Behavioral: TAU Not Applicable

Detailed Description:
Behaviour problems, i.e. symptoms of oppositional defiant disorder (ODD) and conduct disorder (CD) are among the prevalent psychiatric disorders in children and one of the leading causes of help-seeking for mental health problems in children. There are several efficacious treatments for such problems in young children. However, most of these require that parents meet in groups. This is not always feasible. It is therefore a need to develop treatments that can deal with parents and families individually. Parent-Child Interaction Therapy (PCIT) is such an individually based treatment. Efficacy studies indicate symptom reduction greater that in treatment as usual (TAU). However, there is a need to study its effectiveness in ordinary clinical practise. This trial will study its effect in ordinary psychiatric clinics in the middle of Norway and compare it to the regular treatment (TAU) provided to young children with behavior problems in these clinics.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 63 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The Effectiveness of Parent-Child Interaction Therapy (PCIT) in Treating Behavior Problems in Young Children
Study Start Date : September 2006
Actual Primary Completion Date : January 2013
Actual Study Completion Date : March 2013

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MedlinePlus related topics: Drug Reactions

Arms and Interventions
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Arm Intervention/treatment
Experimental: PCIT
Provision of Parent-Child Interaction Therapy
 Behavioral: Parent-Child Interaction Therapy
Parents will be trained in interaction with their children in ways which foster non-hostility and cooperation in their children. By means of an ear-plug they will receive instruction on how to play and set limits for their child from their therapist who watches the interaction through a one-way mirror. Treatment is given until the parent masters these skill, which commonly takes 15-20 session of 1 hour.
Active Comparator: TAU
Treatment as usual from other therapists in the same clinics
 Behavioral: TAU
Usual treatment for behavioral disorders


Outcome Measures
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Primary Outcome Measures :
  1. Eyberg Child Behavior Inventory (ECBI) [ Time Frame: Pre intervention, 6 months, 18 months ]
    ECBI is taken at study entry, after 6 months and after 18 months


Secondary Outcome Measures :
  1. Dyadic Parent-Child Interaction Coding System (DPICS) [ Time Frame: Pre intervention, 6 months, 18 months ]
    Parent-child interaction coded from standardized situations

  2. Parenting Stress Index [ Time Frame: Pre intervention, 6 months, 18 months ]
    Number and degree of perceived stresses by parents

  3. Working Model of the Child Interview (WMCI) [ Time Frame: Pre intervention, 6 months, 18 months ]
    Parents' attachment to the child

  4. Child Behavior Check List (CBCL)/Teacher Report Form (TRF) [ Time Frame: Pre intervention, 6 months, 18 months ]
    Psychiatric symptoms as rated by parents and teachers, respectively

  5. Beck Depression Inventory (BDI) [ Time Frame: Pre intervention, 6 months, 18 months ]
    Depressive symptoms in parents

  6. Parental Locus of Control - Short Form (PLOC-SF) [ Time Frame: Pre intervention, 6 months, 18 months ]
    Parents' perceptions of internal versus external locus of control


Eligibility Criteria
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Ages Eligible for Study:   2 Years to 7 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Referred to Child mental health specialty clinic for behavioral or attentional/hyperactive problems
  • ECBI score of > 120
  • 2 to 7 years of age
  • Parental consent to the study

Exclusion Criteria:

  • Psychosis or serious drug abuse in parents
  • Lack of sufficient proficiency in Norwegian to fill in the questionnaires
  • Mental retardation or pervasive developmental disorder in the child
  • Suspicion of parental neglect or abuse of the child warranting a report to the child protection services
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01085305


Locations
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Norway
barne- og ungdomspsykiatrisk klinikk, Helse Midt-Norge
Trondheim, Sør-trøndelag, Norway
Barne- og ungdomspsykiatrisk klinikk, Sør-Trøndelag
Trondheim, Norway, 7057
Sponsors and Collaborators
Norwegian University of Science and Technology
St. Olavs Hospital
Investigators
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Study Director: Lars Wichstrøm, prof Norwegian University of Science and Technology
More Information
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Publications of Results:

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Responsible Party: Norwegian University of Science and Technology
ClinicalTrials.gov Identifier: NCT01085305    
Other Study ID Numbers: 4.2006.789
First Posted: March 11, 2010    Key Record Dates
Last Update Posted: September 15, 2016
Last Verified: September 2016
Keywords provided by Norwegian University of Science and Technology:
Behavior problems
Parent-Child Interaction
Locus of control
 Psychiatric symptoms
Depressive symptoms
Attachment
Additional relevant MeSH terms:
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Disease
Problem Behavior
Conduct Disorder
Attention Deficit and Disruptive Behavior Disorders
 Pathologic Processes
Behavioral Symptoms
Neurodevelopmental Disorders
Mental Disorders