ClinicalTrials.gg
CompletedNCT03260725Updated Aug 24, 2017

Evaluating the Feasibility of Internet-delivered PCIT

An interventional study of Parent-Child Interaction Therapy (PCIT) and Internet-delivered PCIT (I-PCIT) in Oppositional Defiant Disorder, Conduct Disorder and Disruptive Behavior Disorder Nos, sponsored by Florida International University. Completed at 1 site in United States. Open to participants aged 3 Years to 5 Years. Per ClinicalTrials.gov, last updated 2017-08-24.

Sponsored by Florida International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 6 years 4 months after the study started (first participant enrolled Apr 2011, registered Aug 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
3 Years to 5 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 39 studies in Oppositional Defiant Disorder with a site in United States — 7 open to participants now, 8 under way, none of them phase 3. Oppositional Defiant Disorder · United States.

Enrollment
24th of 35
40 · median 86
Started
2011
with 1 other
No phase
24 of 39
4 open now
Registered
21st of 39
by date
Lead sponsor
2 of 39
Florida International University

Among the 39 studies in Oppositional Defiant Disorder with a site in United States, this one is the 24th largest by enrollment of the 35 interventional ones that give a count, is one of 2 that started in 2011, is one of 24 with no phase, and was the 21st registered.

Oppositional Defiant Disorder

86 studies on the registry are indexed under Oppositional Defiant Disorder; 16 are open to participants now.

This study's enrollment of 40 is below the median of 102 across 76 interventional studies indexed under Oppositional Defiant Disorder.

Browse Oppositional Defiant Disorder studies →

Open to participants now

7 of the 39 studies in Oppositional Defiant Disorder with a site in United States are open now.

All 7 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 13 Oppositional Defiant Disorder studies recruiting now, 2 (15%) set no upper age limit and 11 (85%) stop at 75 or younger; 11 take children under 18; 2 take healthy volunteers.

This study: 3 Years to 5 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 39 studies in Oppositional Defiant Disorder with a site in United States, or all of them as a file.
02

Study summary

The present study is leveraging a randomized-controlled design to evaluate an Internet-based format for the delivery of Parent-Child Interaction Therapy (I-PCIT). Drawing on videoteleconferencing technology, this format affords real-time interactions for the provision of care traditionally delivered in person, regardless of a family's geographic proximity to a mental health facility. Moreover, drawing on technological innovation to deliver interventions directly to families in their natural settings may extend the ecological validity of PCIT, as treatment is delivered in the very context in which child problems occur. Families seeking treatment for early child disruptive behavior problems (N=40) are being randomly assigned to either receive Internet-delivered PCIT or clinic-based PCIT. Outcomes and feasibility/acceptability will be assessed across the treatment phase as well as at post-treatment and 6-month follow-up.

Read the detailed description

Establishing the feasibility of an Internet-based format for the delivery of evidence-based parent management is a critical step in the evaluation of technological innovations and their potential for advancing children's mental health care. Drawing on teleconferencing technology, such a format affords real-time interactions for the provision of care traditionally delivered in person, regardless of a family's geographic proximity to a mental health facility. Moreover, drawing on technological innovation to deliver interventions directly to families in their natural settings may extend the ecological validity of treatments, as treatments are delivered in the very contexts in which child problems occur.

The objective of the present study is to develop an Internet-delivered Parent-Child Interaction Therapy (PCIT) protocol for preschoolers with Oppositional Defiant Disorder (ODD) or Conduct Disorder (CD) and to evaluate via randomized controlled trial (RCT) the feasibility and acceptability of enrolling, retaining, and treating children with I-PCIT relative to traditional PCIT. Phase I will involve development of an Internet-delivered PCIT (I-PCIT) protocol and treatment materials, including therapist treatment manual and online session handouts. Phase II will entail a case series: the PI will treat 5 consecutive preschool ODD/CD cases with I-PCIT, affording opportunity to further work out any difficulties with protocol or equipment. Phase III will entail testing the feasibility and acceptability of I-PCIT in a pilot RCT conducted with 40 children (ages 3-5) meeting for a Diagnostic and Statistical Manual (DSM-IV) principal diagnosis of ODD or CD and their parent(s) randomly assigned to I-PCIT or traditional PCIT. Parents will provide informed consent. All eligible families will receive evidence based treatment. Treatment will either be either in-clinic Parent-Child Interaction Therapy (PCIT) or Internet-delivered PCIT (I-PCIT). Formal evaluations will be conducted at baseline, post-treatment, and 6-month follow-up. Families can opt to participate in two optional psychophysiological components of the study (one involving behavioral tasks while parents are monitored via physiological equipment, and one involving play tasks while children are monitored via physiological equipment). All assessments will be conducted in the Department of Psychology at Florida International University (FIU), in the Center for Children and Families.

03

Conditions studied

  • Oppositional Defiant Disorder
  • Conduct Disorder
  • Disruptive Behavior Disorder Nos
04

Who can participate

Ages eligible
3 Years to 5 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children (ages 3-5) meeting for principal Oppositional Defiant Disorder (ODD) or Conduct Disorder (CD), and at least 1 primary caretaker.
  • Eyberg Child Behavior Inventory-Intensity Score in clinical range (i.e., >132).
  • English-speaking (child \& caretakers).
  • Family home equipped w/ broadband connection and computer equipped with Pentium (or compatible) processor, 128 MB random-access memory (RAM), 200 Megabytes available of hard disk space, 16-bit color display adapter, universal series bus (USB) port.

Exclusion criteria

Exclusion Criteria:

  • Behavior problems due to organic pathology or trauma,
  • Child receiving medication to manage behavior difficulties,
  • Presence of child emotional/behavior problem more impairing than ODD or CD,
  • Parent or child score \<75 standard score on intelligence quotient (IQ) screening,
  • History of severe physical or mental impairments (e.g., mental retardation, deafness, blindness, pervasive developmental disorder) in child or participating caretaker(s).
  • Child is a ward of the state
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Internet-delivered treatment

    This treatment arm entails Internet-Delivered PCIT (I-PCIT) remotely delivered in real time using videoconferencing. Families stream live parent-child interactions from their own home to a remote therapist who provides live bug-in-the-ear parent coaching via a parent-worn Bluetooth earpiece.

    Behavioral: Internet-delivered PCIT (I-PCIT)

  • Active comparator
    Clinic-delivered treatment

    This treatment arm entails Parent-Child Interaction Therapy (PCIT) delivered in the clinic. For much of the treatment, the therapist observes family interactions from behind a 1-way mirror and provides live bug-in-the-ear parent coaching via a parent-worn earpiece.

    Behavioral: Parent-Child Interaction Therapy (PCIT)

Interventions

  • BehavioralParent-Child Interaction Therapy (PCIT)

    PCIT is a short-term intervention that incorporates principles of play therapy into behavioral parent training, drawing on attachment and social learning theories to emphasize positive attention, consistency, problem solving, and communication. Treatment is delivered in the clinic.

  • BehavioralInternet-delivered PCIT (I-PCIT)

    I-PCIT is a short-term intervention that incorporates principles of play therapy into behavioral parent training, drawing on attachment and social learning theories to emphasize positive attention, consistency, problem solving, and communication. Treatment is delivered to families in their own home in real-time via videoconferencing over the Internet by a remote therapist.

06

What researchers measure

Primary outcomes

  1. Clinical Global Impressions (CGI) Improvement Scale

    Most widely used clinician-rated measure of treatment-related changes in functioning. The CGI-Improvement rates improvement on a 7-point scale, ranging from 1 ("very much improved") to 7 ("very much worse"). CGI-Improvement scores of 1 ("very much improved") or 2 ("much improved") reflect "treatment response." CGI-Improvement scores of 1 ("very much improved") reflect "excellent response." Completed by Independent Evaluator (IE) in present study.

    Time frame: Post-treatment (average = 35.2 weeks)

Secondary outcomes

  1. Eyberg Child Behavior Inventory (ECBI)

    Parent-report of child behavior problems that yields an Intensity Score (indicating frequency of symptoms, scores over 132 reflect clinical range) and Problem Score (indicating how problematic symptoms are for caregivers).

    Time frame: Baseline, post treatment (average = 35.2 weeks), and 6 month follow-up

  2. Kiddie Disruptive Behavior Disorders Schedule (K-DBDS)

    A supported parent interview that covers ODD, CD, and Attention-Deficit/Hyperactivity Disorder (ADHD), in preschoolers. Items are worded to maximize DSM-IV consistency, while retaining developmental appropriateness.

    Time frame: Baseline, post treatment (average = 35.2 weeks), and 6 month follow-up

  3. Barriers to Treatment Participation Scale (BTPS)

    44-item parent-report measure of perceived barriers to treatment participation. Items are rated along 5-point scales and assess stressors and obstacles that compete with treatment (e.g., transportation, scheduling), treatment demands issues (e.g., uncomfortable treatment setting), and attitudes about treatment and the therapist (e.g., treatment is not working). Tallying the items yields a total barriers score

    Time frame: Mid-treatment (average = 17.2 weeks) and post treatment (average = 35.2 weeks)

  4. Children's Global Assessment Scale (CGAS)

    Clinician-rated index of functioning. Scores range from 0-100; lower scores indicate greater impairment.

    Time frame: Baseline, post-treatment (average = 35.2 weeks), and 6 month follow-up

  5. Client Satisfaction Questionnaire (CSQ-8)

    Assessment of consumer satisfaction with services. Used as a parent report in present study

    Time frame: Post-treatment (average = 35.2 weeks)

  6. Therapy Attitude Inventory (TAI)

    Parent-report of satisfaction with parent training

    Time frame: Posttreatment (average = 35.2 weeks)

  7. Child Behavior Checklist for ages 1.5 to 5 (CBCL 1.5-5)

    Standardized instrument for assessing behavioral and emotional problems in young children, demonstrating very strong psychometric properties. Empirically based scales, normed for age and sex, are generated. T-scores below 65 reflect normative functioning.

    Time frame: Baseline, mid-treatment (average = 17.2 weeks), post treatment (average = 35.2 weeks), and 6 month follow-up

07

Study locations

1 site
  • Florida International University
    Miami, Florida 33199, United States
08

References and documents

Individual participant data

Plan to share: Undecided — The investigators will use a controlled access approach, using a robust system to review requests and provide secure access to de-identified data.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2011 to primary completion in Dec 2016, 68 months.

Of 35 non-industry interventional studies with no phase under Oppositional Defiant Disorder, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 48. This study's 68 months is above that.

Counting every sponsor, half of 36 studies reached it within 28 months; a quarter within 19 and three quarters within 48.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2017
First posted
Aug 24, 2017
StartActual
Apr 4, 2011
Primary completionActual
Dec 31, 2016
CompletionActual
Dec 31, 2016
Last update
Aug 24, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 24, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03260725
Collaborators
Boston University
Responsible party
Sponsor
First posted
Aug 24, 2017
Start date
Apr 4, 2011
Primary completion
Dec 31, 2016
Completion
Dec 31, 2016
Last update
Aug 24, 2017

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.

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