Table 1 Re-implementation intervention components, described using the TIDieR checklist
Brief name | Re-implementation support package for PCIT-trained clinicians |
|---|---|
Why | PCIT is an effective treatment for childhood conduct problems, and a number of clinicians have received a five-day initial training in the approach since it was introduced to Aotearoa in 2010. Our earlier work suggests that, despite PCIT-trained clinicians viewing PCIT as effective and acceptable, relatively few are using it in their work, and those who are using it, are seeing a small number of families. The majority of PCIT-trained clinicians describe having encountered barriers to its use, which include lacking suitable equipment, and families having difficulty accessing clinic-based sessions. Facilitators of PCIT’s use included access to a suitable clinic room, and the ability to co-work PCIT cases with another clinician. These earlier studies have shaped the selection of intervention components, which have also been informed by the COM-B behaviour change theory |
What | Materials • Participating clinicians will have access to a Dropbox folder of PCIT-related resources, including research articles, slides from relevant presentations, handouts and worksheets. These have been produced by a number of different PCIT researchers and clinicians • Clinicians will be provided with a toy package of approximately $NZD700 value, containing toys selected by two senior PCIT clinicians (Māori and non- Māori) as being suitable for use in PCIT • Two robust Voyager Compact travel bed tents from Safespaces UK (www.safespaces.co.uk) will be available for clinicians to book, to use as portable time-out spaces for children. Setup support will be provided to clinicians • Audio-visual equipment will include a ‘baby monitor’ kit, to allow remote camera viewing and audio from the adjacent room, by a clinician located in a separate space to the parent and child. A basic mobile phone and earpiece worn by the parent will allow clinicians to discretely provide coaching out of the child’s hearing Procedures • Refresher training content will be compiled and delivered by two senior PCIT-trained clinicians (Māori and non-Māori), one of whom is a Within-Agency Trainer for PCIT. It will include pre-existing video content from the UC Davis PCIT web course, and the Auburn University PCIT continuing education videos. The two trainers will also facilitate discussions and problem-solving sessions relating to how to deliver PCIT in a culturally responsive way, navigating client or colleague concerns relating to the use of time-out, and other topics that have been identified in our earlier research as impeding or influencing implementation. These discussions will be informed by the trainers’ own research and clinical experience |
Who provided | The refresher training will be delivered by two PCIT-trained clinical psychologists, one of whom is Māori, and one of whom is a PCIT International accredited Within-Agency Trainer. The co-worker is an accredited PCIT provider, a Māori clinical psychologist. The weekly PCIT consultation groups will be facilitated by the first author, with support from the co-worker, who will also attend |
How | Refresher training will be delivered in person. Weekly PCIT consultation sessions will be delivered in a hybrid format, where clinicians can join via Zoom or in person, according to their preference. Co-working contacts may involve the co-worker joining a client session (client consent having been obtained by the participating clinician in advance) or in person contact |
Where | Refresher training will occur at a University clinic training room, over two successive Saturdays. Co-working will occur at a location of the clinician’s choice (e.g. their office, a Zoom call) |
When and How Much | Refresher training ‘dose’ is fixed at two 8-h days, that will be scheduled approximately 6 weeks after the trial information sessions. PCIT consultation groups will occur weekly, for 1 h, across the 6-month trial period. Co-worker contacts are not fixed and are unlimited, and the uptake of this component is of interest as a study outcome |
Tailoring | The re-implementation intervention will not be adapted or personalised by the research team; however, participating clinicians will select additional components that are of interest or relevance to them, using the online booking system. These additional components include (1) audio-visual equipment, (2) time-out pop-up tents, and (3) access to a co-worker |
Modifications | N/A for protocol |
How well | Intervention fidelity and adherence will not be assessed |