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Reliability and Validity of the Therapy Attitude Inventory in Caregivers Receiving Internet-Delivered Parent Child Interaction Therapy for Young Children with Developmental Delay

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Abstract

Despite common use of the Therapy Attitude Inventory (TAI) to measure satisfaction with parenting interventions, psychometric support has only been demonstrated in predominantly White caregivers of typically developing children following clinic-based treatments. Additionally, the reliability and validity of the Spanish version of the TAI have not been assessed. The present study examined the reliability and validity of the English and Spanish versions of the TAI among mostly Hispanic/Latinx caregivers of children with developmental delay (DD; n = 65) following Internet-delivered Parent-Child Interaction Therapy (iPCIT). Internal consistency was excellent for both versions. Convergent validity was demonstrated by a strong correlation with the Client Satisfaction Questionnaire-8. Satisfaction was predicted by improvements in child behavior and parenting skills, as well as reductions in caregivers’ negative feelings about parenting, following treatment. These findings support use of the TAI with Spanish-speaking families, families from minoritized backgrounds and with children with DD, and following telehealth interventions.

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Data Availability

The data presented here represent a secondary data analysis from a larger project led by Drs. Bagner and Comer (R01HD084497). Materials and analysis code for this study are not available. However, further information about the larger project can be found at the ClinicalTrials.gov Identifier: NCT03260816, where the study is registered.

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Acknowledgements

This work was supported by a research project grant from the National Institute of Child Health and Human Development (NICHD) to the third and fourth authors (R01HD084497). We thank all the families who participated in this research.

Funding

This work was supported by a research project grant from the National Institute of Child Health and Human Development (NICHD) to Drs. Comer and Bagner (R01HD084497).

Author information

Authors and Affiliations

Authors

Contributions

Conceptualization: Keara J. Neuman, Timothy Hayes, Jonathan S. Comer, Daniel M. Bagner; Methodology: Keara J. Neuman, Timothy Hayes, Jonathan S. Comer, Daniel M. Bagner; Formal analysis and investigation: Keara J. Neuman, Timothy Hayes; Writing – original draft preparation: Keara J. Neuman; Writing – review and editing: Keara J. Neuman, Timothy Hayes, Jonathan S. Comer, Daniel M. Bagner; Funding acquisition: Jonathan S. Comer, Daniel M. Bagner; Resources: Jonathan S. Comer, Daniel M. Bagner; Supervision: Daniel M. Bagner

Corresponding author

Correspondence to Keara J. Neuman.

Ethics declarations

Ethics Approval and Consent to Participate

This study was performed in line with the principles of the Declaration of Helsinki. Approval was obtained from the Institutional Review Board (IRB) of Florida International University.

Consent to Participate

Informed consent, which was approved by the IRB, was obtained from all caregivers prior to screening.

Competing Interests

Dr. Bagner reported receiving grants from the National Institutes of Health and personal fees from PCIT International to train clinicians in PCIT supported by a grant from the Florida Department of Children and Families outside the submitted work. Dr. Comer reported receiving grants from the National Institutes of Health; personal fees from Macmillan Learning for textbook royalties; and personal fees from Association for Behavioral and Cognitive Therapies for an editorial stipend outside the submitted work. No other disclosures were reported.

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The data presented in this manuscript come from a research project grant (R01HD084497) entitled “Advancing Child Competencies by Extending Supported Services (ACCESS) for Families Program” which was provided to Drs. Bagner and Comer by the National Institute of Child Health and Human Development (NICHD). The data presented here represent a secondary data analysis from this project. Materials and analysis code for this study are not available. However, further information about the larger project can be found at the ClinicalTrials.gov Identifier: NCT03260816, where the study is registered. Portions of the data in this manuscript have been accepted for presentation at the Association for Behavioral and Cognitive Therapies Annual Convention in November 2023.

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Neuman, K.J., Hayes, T., Comer, J.S. et al. Reliability and Validity of the Therapy Attitude Inventory in Caregivers Receiving Internet-Delivered Parent Child Interaction Therapy for Young Children with Developmental Delay. J Psychopathol Behav Assess 46, 25–34 (2024). https://doi.org/10.1007/s10862-023-10104-1

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