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Hybrid Effectiveness-Implementation Pilot of Personalized PCIT In Community Mental Health Settings

Award Number: R01MH144540
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/06/2026
PERIOD OF PERFORMANCE END DATE: 03/31/2029

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Hybrid Effectiveness-Implementation Pilot of Personalized PCIT In Community Mental Health Settings - PROJECT SUMMARY/ABSTRACT Externalizing behavior disorders (EBDs) occur at high rates and have long term negative consequences for children, their families, and for society as a whole. There is robust empirical support for the efficacy of Behavioral Parent Training interventions (BPTs) such as Parent-Child Interaction Therapy (PCIT) for EBDs in children. However, BPT outcomes, including for PCIT, vary widely between controlled efficacy trials and community-based effectiveness trials, and there are variable rates of engagement across families, with dropout rates as high as 82%. Understanding mechanisms that affect parent engagement and treatment outcomes in BPTs is particularly important for services received in community mental health settings (CMHS), where families are most likely to access care. In addition, developing tools to increase engagement and outcome may have strong application in light of large-scale implementations of PCIT in CMHS. A personalized version of PCIT (called MY PCIT) has been developed, addressing key risk factors for low treatment engagement and poor outcomes in BPT that relate to differences between parent and treatment explanatory models. MY PCIT begins with a pre-treatment assessment of parent explanatory models, then provides therapists with a report with personalization guidance and a suite of personalization tools that may be deployed based on the pre-treatment assessment. While pilot data supports the successful development of MY PCIT and its potential to reduce targeted risk factors, more research is needed to prepare it for self-sustaining implementability in CMHS, and to compare engagement and outcomes to standard PCIT. This study is a pilot hybrid type 1 effectiveness-implementation trial designed to gather preliminary data to evaluate the effectiveness and the self-sustaining implementability of MY PCIT in CMHS through the following aims: 1) Engage representative CMHS therapists in mixed methods user testing sessions to identify barriers to/facilitators of implementing MY PCIT and inform areas for modifications to make it more feasible, usable, and appropriate in CMHS. 2) Conduct a randomized controlled trial in CMHS comparing PCIT as usual to MY PCIT to obtain pilot data on engagement, clinical outcomes and targeted mechanism change. 3) Gather therapist-level implementation outcomes data on MY PCIT from the clinical trial. Findings from this pilot study will inform and support a future R01 proposal for a fully powered trial of MY PCIT. This project directly supports the mission of NIMH by advancing research to improve how effective treatments are adapted and sustained in real-world care. It also advances several NIMH Strategic Plan objectives, including: tailoring interventions to increase effectiveness (3.2), testing interventions in real-world settings (3.3), developing innovative service models to improve outcomes (4.3), and promoting sustained implementation of evidence-based treatments (4.2).


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $395,457 )
2026	2026	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Mental Health Research Grants	000	1	7/7/2026	NEW	$395,457
														Subtotal = $395,457

Grand Total All Awards = $395,457

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Hybrid Effectiveness-Implementation Pilot of Personalized PCIT In Community Mental Health Settings

Award Number: R01MH144540

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/06/2026

PERIOD OF PERFORMANCE END DATE: 03/31/2029

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