Intensive parent-child interaction therapy for children with traumatic brain injury: Feasibility study

Dainelys Garcia, Gabriela M. Rodríguez, Nicole E. Lorenzo, Jennifer Coto, Angela Blizzard, Alina Farias, Nicholas David W. Smith, John Kuluz, Daniel M. Bagner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: This study examined the feasibility and initial outcome of a time-limited and intensive format of Parent-Child Interaction Therapy (PCIT) for families of young children who have sustained a traumatic brain injury (TBI). Methods: The nonrandomized open trial included 15 families with a child aged 2-5 years who had sustained a TBI and displayed clinically elevated levels of externalizing behavior problems. Families received clinic-based PCIT twice per week over an average of 6 weeks, with the exception of two families that received the same intensity and format of PCIT in the home. Results: Ten of the 14 families who completed the baseline assessment (71%) completed the intervention and post and follow-up assessments. On average, caregivers completed homework practice on 52% of the days in between sessions. Caregivers reported high acceptability and satisfaction following the intervention, as well as decreases in child externalizing and internalizing behavior problems at the post-assessment and 2-month follow-up. Conclusions: Results of this open trial provide preliminary support for the feasibility of a time-limited and intensive format of PCIT for families of young children who have sustained a TBI and have elevated levels of behavior problems. This study highlights a promising intervention approach for improving domains commonly affected by early childhood TBI and preventing the development of more severe and persistent problems.

Original languageEnglish (US)
Pages (from-to)844-855
Number of pages12
JournalJournal of pediatric psychology
Volume46
Issue number7
DOIs
StatePublished - Aug 1 2021

Keywords

  • Accidents and injuries
  • Behavior problems
  • Evidence-based practice
  • Parenting
  • Parents

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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