Training Paraprofessionals to Implement Hold Me Tight in South Africa: Outcomes and Experiences

No studies have examined the effectiveness of Hold Me Tight (HMT) delivered outside of North America by paraprofessionals. In this study, paraprofessionals were trained to deliver HMT experientially by personally receiving the intervention along with didactic training on establishing and delivering HMT groups. Paraprofessionals' outcomes and their qualitative experiences learning and delivering HMT were assessed. Paired-samples t-tests comparing pre- and posttest scores showed significant positive differences for emotional control, relationship trust, attachment avoidance, and psychological distress. There were no statistically significant differences for relationship satisfaction and attachment anxiety. Qualitative interviews showed that paraprofessionals had a positive experience of the training and that most facilitators felt confident in delivering HMT after the training. Their experiences receiving the training and establishing and delivering HMT are described.