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Social Sciences › Psychology › Clinical Psychology
Therapist Coaching in Parent-Child Interaction Therapy in the Netherlands: An Archival Lag Sequential Analysis Study
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Conflicts of Interest
Identified Weaknesses
Rating Explanation
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Paper Summary
Paperzilla title
Therapist Praise Works! (But This PCIT Coaching Study Has a Small Sample)
This study of Parent-Child Interaction Therapy (PCIT) with a limited sample found that responsive therapist coaching, especially praise, can lead to parents' immediate increased use of positive parenting skills during the first three sessions. Directive coaching was also associated with parents using child-centered skills, though it was used less frequently. While promising, the study's small sample size, focus on early sessions, and correlational design limit its generalizability and causal inferences.
Possible Conflicts of Interest
The research was supported by ZonMw, The Netherlands Organization of Health Research and Development (2017|04232). No other conflicts were disclosed.
Identified Weaknesses
Small and Heterogeneous Sample
The sample size is small (n=17 families) and comes from two different research projects with varying intervention settings (standard PCIT and PCIT-Home). While baseline characteristics were compared and the samples combined for some analyses due to power limitations, this introduces potential confounding and limits generalizability. The study also acknowledges the need for replication with larger and more homogenous samples.
Limited timeframe
The study examines only the first three CDI sessions, which represent a limited timeframe within the overall PCIT intervention. Conclusions about the efficacy of coaching strategies and their impact on parent skill acquisition might not fully generalize to later stages of PCIT.
Correlation, not Causation
While lag sequential analysis provides insights into the temporal relationships between therapist and parent verbalizations, it doesn't establish causality. The observed patterns could be influenced by unmeasured factors related to therapist, parent, or child characteristics.
Rating Explanation
This study uses a novel method (lag sequential analysis) to investigate the bidirectional interactions between therapists and parents in PCIT, offering valuable insights into the coaching process. However, limitations related to the small and heterogeneous sample, limited timeframe of analysis, and correlational nature of the findings prevent a higher rating. The study acknowledges these limitations and warrants further investigation with more robust designs.
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Original Title:
Therapist Coaching in Parent-Child Interaction Therapy in the Netherlands: An Archival Lag Sequential Analysis Study
File Name:
scherpbier-et-al-2025-therapist-coaching-in-parent-child-interaction-therapy-in-the-netherlands-an-archival-lag.pdf
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July 19, 2025 at 06:52 PM
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