Table 3.

Summary of findings: therapists’ experience with video-PACT.

Summary of findings: themes and subthemes
Positive changes on many levels Increases parents’ confidence in their abilities Change in parent’s position in interaction with the child Allows parents to take time specifically for their child PACT enables parents to adjust their expectations to the child’s rhythm. The therapist’s position as a facilitator of change is a satisfying one. PACT enables the therapist to learn to better adapt to the parent’s profile. PACT enables the therapist to develop a clinical viewpoint more focused on the interaction and its development. Impact on the child, beyond play Significant and persistent results for a small number of sessions
Intervention may be affected by certain factors A higher flexibility in the different stages of PACT could allow for better accommodation to parents’ and children’s needs Complementary techniques may be required Impact of the parent’s profile on treatment Homework time as an obstacle to intervention
Videoconferencing, a tool that can be implemented under certain conditions More ecological intervention with video The benefits of videoconferencing for intervention implementation Therapeutic relationship possible in visio Intervention by videoconference is dependent on technical aspects but remains feasible PACT through videoconferencing allows the therapist to anticipate and prepare sessions well
The essential components of PACT Requires a great deal of thought and analysis on the professional’s part Importance of PACT structure and intervention schedule Importance of video feedback Implementing the objectives in day-to-day life rather than in the daily 30-min homework Requires significant parental investment Importance of preparing parents for PACT intervention

See Supplementary Table S1 for detailed results.