Date of Award


Degree Name

Doctor of Philosophy



First Advisor

Dr. Galen Alessi

Second Advisor

Dr. Amy Damashek

Third Advisor

Dr. Scott Gaynor

Fourth Advisor

Dr. Roberto Flachier


Parent-child interaction therapy, children, disruptive behavior, noncompliance, in-room coaching


One significant consequence of oppositional and defiant behavior is an increase in negative interactions between caregivers and the child exhibiting those behaviors (Greene & Doyle, 1999). Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment that targets the development of a nurturing parent-child relationship along with teaching effective discipline strategies to decrease child noncompliance (Bodiford-McNeil & Hembree-Kigin, 2010). The purpose of the present study was to evaluate the efficacy of PCIT when modified by utilizing strictly in-room coaching. This type of research would allow for expanded use of this empirically supported treatment into community agencies and clinics which do not currently have the resources to conduct traditional PCIT using a one-way mirror and bug-in-the-ear technology. Supporting previous research, results of the current study revealed a significant decrease in child oppositional behavior and parent stress (McNeil, Capage, Bahl, & Blanc, 1999; Eyberg, Boggs, & Algina, 1995; Schuhmann et al., 1998). Improvements were also seen in differing dimensions of the parenting relationship, an area not frequently assessed in PCIT research. The current study provides initial empirical support for the use of in-room coaching with PCIT.

Access Setting

Dissertation-Open Access