The Effectiveness of Parent-Child Interaction Therapy (PCIT)

Conduct Disorder Clinical Trial

Official title:

The Effectiveness of Parent-Child Interaction Therapy (PCIT) in Treating Behavior Problems in Young Children

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01085305
• Other study ID #: 4.2006.789
• Status: Completed
• Phase: N/A
• First received: March 10, 2010
• Last updated: September 14, 2016
• Start date: September 2006
• Est. completion date: March 2013

Study information

• Verified date: September 2016
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Health authority: Norway: Data Protection Authority
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 63
• Est. completion date: March 2013
• Est. primary completion date: January 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 2 Years to 7 Years

Eligibility

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

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Attention Deficit and Disruptive Behavior Disorders
• Behavior Problems
• Conduct Disorder
• Disease
• Oppositional Defiant Disorder
• Problem Behavior

Intervention

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.
• TAU
Usual treatment for behavioral disorders

Locations

Country	Name	City	State
Norway	barne- og ungdomspsykiatrisk klinikk, Helse Midt-Norge	Trondheim	Sør-trøndelag
Norway	Barne- og ungdomspsykiatrisk klinikk, Sør-Trøndelag	Trondheim

Sponsors (2)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology	St. Olavs Hospital

Country where clinical trial is conducted

Norway, 

References & Publications (1)

Bjørseth Å, Wichstrøm L. Effectiveness of Parent-Child Interaction Therapy (PCIT) in the Treatment of Young Children's Behavior Problems. A Randomized Controlled Study. PLoS One. 2016 Sep 13;11(9):e0159845. doi: 10.1371/journal.pone.0159845. eCollection 2 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Eyberg Child Behavior Inventory (ECBI)	ECBI is taken at study entry, after 6 months and after 18 months	Pre intervention, 6 months, 18 months	No
Secondary	Dyadic Parent-Child Interaction Coding System (DPICS)	Parent-child interaction coded from standardized situations	Pre intervention, 6 months, 18 months	No
Secondary	Parenting Stress Index	Number and degree of perceived stresses by parents	Pre intervention, 6 months, 18 months	No
Secondary	Working Model of the Child Interview (WMCI)	Parents' attachment to the child	Pre intervention, 6 months, 18 months	No
Secondary	Child Behavior Check List (CBCL)/Teacher Report Form (TRF)	Psychiatric symptoms as rated by parents and teachers, respectively	Pre intervention, 6 months, 18 months	No
Secondary	Beck Depression Inventory (BDI)	Depressive symptoms in parents	Pre intervention, 6 months, 18 months	No
Secondary	Parental Locus of Control - Short Form (PLOC-SF)	Parents' perceptions of internal versus external locus of control	Pre intervention, 6 months, 18 months	No