Early Intervention for Families Experiencing Homelessness: A Pilot Randomized Trial Comparing Two Parenting Programs

被引:3
作者
Graziano, Paulo A. [1 ,2 ,5 ,6 ]
Spiegel, Jamie [1 ,2 ]
Hayes, Timothy [1 ,2 ]
Arcia, Emily [3 ,4 ]
机构
[1] Florida Int Univ, Ctr Children & Families, Miami, FL USA
[2] Florida Int Univ, Dept Psychol, Miami, FL USA
[3] Emily Arcia Consulting Co, Miami Beach, FL USA
[4] Inc Dba Lotus House Womens Shelter, Sundari Fdn, Miami, FL USA
[5] Florida Int Univ, Ctr Children & Families, 11200 Southwest 8th St, Miami, FL 33199 USA
[6] Inc dba Lotus House Womens Shelter, Sundari Fdn, Constance Collins, 217 Northwest 15th St, Miami, FL 33136 USA
关键词
parenting intervention; young children; externalizing behavior problems; trauma; homelessness; CHILD INTERACTION THERAPY; PSYCHOSOCIAL TREATMENTS; PSYCHOMETRIC PROPERTIES; FATHER INVOLVEMENT; TRAUMA SYMPTOMS; RISK-FACTORS; HEALTH; BEHAVIOR; OUTCOMES; MOTHERS;
D O I
10.1037/ccp0000810
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: As part of a larger community-based, service-driven research project, the primary purpose of this pilot randomized study was to examine the feasibility and acceptability of delivering time-limited adaptations of parent-child interaction therapy (PCIT) and child-parent psychotherapy (CPP) within a sample of children experiencing homelessness. The secondary goal was to examine the promise of both interventions in improving parent/child outcomes. Method: One hundred forty-four young children (18 month-5 years old; M-age = 3.48, SD = 1.09; 43.1% female; 78.5% Black/African American; 27.1% Hispanic) and their mothers were recruited from a women's homeless shelter and randomly assigned to 12 weeks of either PCIT or CPP delivered by shelter clinicians on-site. Attendance, fidelity, and program satisfaction were obtained. Families completed pre- and postintervention assessments, including observational data on maternal verbalizations during a child-led play session. Results: Both time-limited PCIT and time-limited CPP were successfully implemented with similarly high levels of intervention fidelity (>90%) and satisfaction by mothers (85%). Completion rates were similar across both time-limited PCIT (76.6%) and time-limited CPP (71.4%). Both time-limited CPP and PCIT resulted in decreases in children's posttraumatic stress, parental stress, and increases in maternal positive verbalizations. Only time-limited PCIT resulted in significant improvements in externalizing behavior problems in children and reductions in maternal negative verbalizations. Conclusions: Time-limited PCIT and CPP are acceptable, feasible, and hold significant promise for helping families within a homeless shelter environment and by extension, other transitional and/or shelter environments. A full randomized trial is warranted to determine which program may offer a more effective intervention.
引用
收藏
页码:192 / 207
页数:16
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