Evidence map›Paper›PMID 41635186›Full record

Trial reportJournal of child psychology and psychiatry, and allied disciplines2026

Effects of parent-child interaction therapy dosage on child and parent outcomes: differentiating child-directed interaction and parent-directed interaction session impacts in child welfare-involved families.

Xiaolan Liao, Julia P Ruggiero, David E Bard, Adon F G Rosen, Elizabeth A Skowron

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xiaolan LiaoDepartment of Developmental/Behavioral Pediatrics, The University of Oklahoma of Health Sciences Center, Oklahoma City, OK, USA.
Julia P RuggieroDepartment of Psychology, University of Oregon, Eugene, OR, USA.
David E BardDepartment of Developmental/Behavioral Pediatrics, The University of Oklahoma of Health Sciences Center, Oklahoma City, OK, USA.
Adon F G RosenCollege of Arts & Sciences, Vanderbilt University, Nashville, TN, USA.
Elizabeth A SkowronDepartment of Human Development and Family Studies, Pennsylvania State University, University Park, PA, USA.ORCID 0000-0002-6612-807X

Funding

Targeting neurobiological & behavioral mechanisms of self-regulation in high-risk families- Diversity SupplementR01DA036533 · NIDA · UNIVERSITY OF OREGON · PI FISHER, PHILIP A, SKOWRON, ELIZABETH ANNE · 2015 to 2019
$3.6M
NIDA NIH HHS R01 DA036533NIDA NIH HHS R01DA036533
6 · The paper itself

Abstract

backgroundParent-child interaction therapy (PCIT) improves parenting and child behavior, yet little is known about how dosage of its two phases, warm relationship building focused child-directed interaction (CDI) sessions and safe, effective discipline skills-focused parent-directed interaction (PDI) sessions, contributes to outcomes, particularly in child welfare-involved families. Understanding these dose-response patterns can clarify the pathways through which PCIT produces change.

methodsIn a sample of 204 child welfare families with young children, we examined the dose-response relationship between each PCIT phase and key intervention outcomes of positive and negative parenting skills and disruptive child behavior problems. We also used sequential mediation models to test time-ordered intervention dosage effects (i.e., number of CDI sessions completed and subsequent number of PDI sessions completed) on the parent and child outcomes.

resultsSequential mediation models showed that the PCIT intervention exerted significant indirect effects on increased positive parenting skills and decreased negative parenting behaviors and child behavior problems through higher dosage of relationship-enhancing CDI sessions followed by higher dosage of safe discipline-focused PDI sessions. Further, CDI dosage interacted with PDI dosage to predict greater gains in positive parenting skills outcomes.

conclusionsThese results contribute new insights into the pathways through which PCIT shapes outcomes in a sample of child welfare-involved families. Findings also highlight the significant unique contribution that limit-setting-oriented PDI, a relatively understudied phase of PCIT, plays in enhancing positive parenting skills and mitigating child behavior problems.

Indexed as

Child BehaviorChild WelfareFamily TherapyOutcome Assessment, Health CareParent-Child RelationsParentingProblem BehaviorAdultChildChild, PreschoolFemaleHumansMalechild welfareparentingPCITRCTtreatment dosage

Identifiers

PMID41635186
PMCPMC13341367

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.