The impact of incentives on treatment adherence and attrition: A randomized controlled trial of Parent-Child Interaction Therapy with a primarily Latinx, low-income population

被引:18
作者
Quetsch, Lauren Borduin [1 ]
Girard, Emma, I [2 ]
McNeil, Cheryl B. [3 ]
机构
[1] Univ Arkansas, Dept Psychol Sci, 480 Campus Dr,Mem Hall 306, Fayetteville, AR 72701 USA
[2] Univ Calif Riverside, Sch Med, Riverside, CA 92521 USA
[3] West Virginia Univ, Dept Psychol, Morgantown, WV 26506 USA
关键词
Attrition; Homework; Incentives; Parent-Child Interaction Therapy; Treatment barriers; Latinx; MENTAL-HEALTH; MEXICAN-AMERICANS; DISRUPTIVE BEHAVIOR; HOMEWORK COMPLETION; CLINICAL-TRIALS; FOLLOW-UP; NO-SHOWS; RETENTION; BARRIERS; RECRUITMENT;
D O I
10.1016/j.childyouth.2020.104886
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Advancements in the implementation of evidence-based family therapies have yielded successful reductions in child disruptive behavior. Unfortunately, effective interventions such as Parent-Child Interaction Therapy (PCIT) are plagued with high rates of attrition and low rates of homework completion in community clinics. Objective: To evaluate the use of low-cost incentives on attendance and homework adherence in PCIT in a community mental health center. Method: Families referred for PCIT (N = 84; 63.1% Latinx) were randomly assigned to receive PCIT as usual or PCIT plus incentives. Families were able to earn incentives for attendance, homework completion, and therapeutic skill mastery. Results: Attrition rates (59.5%) were reflective of other community-based intervention studies, with a significant reduction in no-show rates for families receiving incentives. No significant changes were found between groups on attainment of therapeutic skill mastery or number of sessions prior to termination. Families completed homework at low rates with no differences between groups. Conclusions: Low-cost incentives largely did not impact meaningful outcomes for attendance in parent training, although no-shows were less likely. These findings suggest that adherence is a complex phenomenon requiring multi-faceted solutions.
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页数:15
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