Bringing Parent–Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility—First Steps to Implementation

dc.contributor.authorDawson-Squibb, John-Joe
dc.contributor.authorDavids, Eugene Lee
dc.contributor.authorChase, Rhea
dc.contributor.authorPuffer, Eve
dc.contributor.authorRasmussen, Justin D M
dc.contributor.authorFranz, Lauren
dc.contributor.authorde Vries, Petrus J
dc.date.accessioned2022-04-23T21:13:20Z
dc.date.available2022-04-23T21:13:20Z
dc.date.issued2022-04-07
dc.date.updated2022-04-21T21:04:02Z
dc.description.abstractThere is a large assessment and treatment gap in child and adolescent mental health services, prominently so in low- and middle-income countries, where 90% of the world’s children live. There is an urgent need to find evidence-based interventions that can be implemented successfully in these low-resource contexts. This pre-pilot study aimed to explore the barriers and facilitators to implementation as well as overall feasibility of Parent–Child Interaction Therapy (PCIT) in South Africa. A reflective and consensus building workshop was used to gather South African PCIT therapist (N = 4) perspectives on barriers, facilitators, and next steps to implementation in that country. Caregiver participants (N = 7) receiving the intervention in South Africa for the first time were also recruited to gather information on overall feasibility. Facilitators for implementation, including its strong evidence base, manualisation, and training model were described. Barriers relating to sustainability and scalability were highlighted. Largely positive views on acceptability from caregiver participants also indicated the promise of PCIT as an intervention in South Africa. Pilot data on the efficacy of the treatment for participating families are a next step. These initial results are positive, though research on how implementation factors contribute to the longer-term successful dissemination of PCIT in complex, heterogeneous low-resource settings is required.en_US
dc.identifierdoi: 10.3390/ijerph19084450
dc.identifier.apacitationDawson-Squibb, J., Davids, E. L., Chase, R., Puffer, E., Rasmussen, J. D. M., Franz, L., & de Vries, P. J. (2022). Bringing Parent&ndash;Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility&mdash;First Steps to Implementation. <i>International Journal of Environmental Research and Public Health</i>, 19(8), 4450. http://hdl.handle.net/11427/36388en_ZA
dc.identifier.chicagocitationDawson-Squibb, John-Joe, Eugene Lee Davids, Rhea Chase, Eve Puffer, Justin D M Rasmussen, Lauren Franz, and Petrus J de Vries "Bringing Parent&ndash;Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility&mdash;First Steps to Implementation." <i>International Journal of Environmental Research and Public Health</i> 19, 8. (2022): 4450. http://hdl.handle.net/11427/36388en_ZA
dc.identifier.citationDawson-Squibb, J., Davids, E.L., Chase, R., Puffer, E., Rasmussen, J.D.M., Franz, L. & de Vries, P.J. 2022. Bringing Parent&ndash;Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility&mdash;First Steps to Implementation. <i>International Journal of Environmental Research and Public Health.</i> 19(8):4450. http://hdl.handle.net/11427/36388en_ZA
dc.identifier.ris TY - Journal Article AU - Dawson-Squibb, John-Joe AU - Davids, Eugene Lee AU - Chase, Rhea AU - Puffer, Eve AU - Rasmussen, Justin D M AU - Franz, Lauren AU - de Vries, Petrus J AB - There is a large assessment and treatment gap in child and adolescent mental health services, prominently so in low- and middle-income countries, where 90% of the world&rsquo;s children live. There is an urgent need to find evidence-based interventions that can be implemented successfully in these low-resource contexts. This pre-pilot study aimed to explore the barriers and facilitators to implementation as well as overall feasibility of Parent&ndash;Child Interaction Therapy (PCIT) in South Africa. A reflective and consensus building workshop was used to gather South African PCIT therapist (N = 4) perspectives on barriers, facilitators, and next steps to implementation in that country. Caregiver participants (N = 7) receiving the intervention in South Africa for the first time were also recruited to gather information on overall feasibility. Facilitators for implementation, including its strong evidence base, manualisation, and training model were described. Barriers relating to sustainability and scalability were highlighted. Largely positive views on acceptability from caregiver participants also indicated the promise of PCIT as an intervention in South Africa. Pilot data on the efficacy of the treatment for participating families are a next step. These initial results are positive, though research on how implementation factors contribute to the longer-term successful dissemination of PCIT in complex, heterogeneous low-resource settings is required. DA - 2022-04-07 DB - OpenUCT DP - University of Cape Town IS - 8 J1 - International Journal of Environmental Research and Public Health LK - https://open.uct.ac.za PY - 2022 T1 - Bringing Parent&ndash;Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility&mdash;First Steps to Implementation TI - Bringing Parent&ndash;Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility&mdash;First Steps to Implementation UR - http://hdl.handle.net/11427/36388 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36388
dc.identifier.vancouvercitationDawson-Squibb J, Davids EL, Chase R, Puffer E, Rasmussen JDM, Franz L, et al. Bringing Parent&ndash;Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility&mdash;First Steps to Implementation. International Journal of Environmental Research and Public Health. 2022;19(8):4450. http://hdl.handle.net/11427/36388.en_ZA
dc.language.isoenen_US
dc.publisher.departmentDivision of Child and Adolescent Psychiatryen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceInternational Journal of Environmental Research and Public Healthen_US
dc.source.journalissue8en_US
dc.source.journalvolume19en_US
dc.source.pagination4450en_US
dc.source.urihttps://www.mdpi.com/journal/ijerph
dc.titleBringing Parent&ndash;Child Interaction Therapy to South Africa: Barriers and Facilitators and Overall Feasibility&mdash;First Steps to Implementationen_US
dc.typeJournal Articleen_US
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