背景:尽管许多临床医生在新西兰奥特亚罗阿接受了亲子互动疗法(PCIT)的培训,很少有人定期提供治疗,使用障碍,包括缺乏合适的设备和缺乏专业支持。这种务实,平行臂,随机化,受控试点试验包括未经PCIT培训的临床医生,或者很少使用,这种有效的治疗方法。这项研究旨在评估可行性,研究方法和干预成分的可接受性和文化响应性,并收集有关建议的未来主要结果变量的方差数据,为未来做准备,更大的审判。
方法:该试验将比较新颖的“重新实施”干预措施与进修培训和解决问题的控制。已经系统地开发了干预组件,以使用实施理论来解决临床医生使用PCIT的障碍和促进者,以及具有假设作用机制的逻辑模型草案,从一系列的初步研究中得出。干预包括免费使用PCIT实施所需的设备(视听设备,a\'pop-up\'超时空间,玩具),移动高级PCIT同事和可选的每周PCIT咨询小组,为期6个月。结果将包括招募和试验程序的可行性;临床医生对干预方案和数据收集方法的可接受性;以及临床医生采用PCIT。
结论:相对较少研究关注干预措施,以恢复停滞不前的实施工作。这个务实的试点RCT的结果将完善和塑造与在社区环境中嵌入PCIT的持续交付可能需要的知识,为更多的儿童和家庭提供这种有效的治疗。
背景:ANZCTR,ACTRN12622001022752,2022年7月21日注册。
BACKGROUND: Despite a number of clinicians having been trained in Parent-Child Interaction Therapy (
PCIT) in Aotearoa/New Zealand, few are regularly delivering the treatment, with barriers to use including a lack of suitable equipment and lack of professional support. This pragmatic, parallel-arm, randomised, controlled pilot trial includes
PCIT-trained clinicians who are not delivering, or only rarely utilising, this effective treatment. The study aims to assess the feasibility, acceptability and cultural responsivity of study methods and intervention components and to collect variance data on the proposed future primary outcome variable, in preparation for a future, larger trial.
METHODS: The trial will compare a novel \'re-implementation\' intervention with a refresher training and problem-solving control. Intervention components have been systematically developed to address barriers and facilitators to clinician use of PCIT using implementation theory, and a draft logic model with hypothesised mechanisms of action, derived from a series of preliminary studies. The intervention includes complimentary access to necessary equipment for PCIT implementation (audio-visual equipment, a \'pop-up\' time-out space, toys), a mobile senior
PCIT co-worker and an optional weekly
PCIT consultation group, for a 6-month period. Outcomes will include the feasibility of recruitment and trial procedures; acceptability of the intervention package and data collection methods to clinicians; and clinician adoption of PCIT.
CONCLUSIONS: Relatively little research attention has been directed at interventions to resurrect stalled implementation efforts. Results from this pragmatic pilot RCT will refine and shape knowledge relating to what it might take to embed the ongoing delivery of
PCIT in community settings, providing more children and families with access to this effective treatment.
BACKGROUND: ANZCTR, ACTRN12622001022752, registered on July 21, 2022.