Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial

Brown, Felicity L.; Whittingham, Koa; Boyd, Roslyn N.; McKinlay, Lynne; Sofronoff, Kate

doi:10.1016/j.brat.2015.07.001

Cited by 74 publications

(119 citation statements)

References 34 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…This poor response rate was symptomatic of the few studies to collect data at the 6-month follow-up interval. The two articles reporting on the study by Brown et al 128,140 performed similarly to the Whittingham articles. The article by Reigada et al 125 was also rated as being at low risk of bias overall, with only two negative scores.…”

Section: Reviewmentioning

confidence: 77%

“…118,119,[123][124][125][126][127][128][130][131][132][133][134]137,138 Five included studies were reported in more than one included journal article reporting on different study details or findings. Brown et al 140 reported additional parent and family function outcomes from their 2014 trial. 128 We excluded one article associated with this study as it did not provide any effectiveness outcomes that were not seen in the previous articles.…”

Section: Descriptive Statisticsmentioning

confidence: 99%

“…The participants in seven studies showed elevated symptoms in more than one mental health domain. 84,121,124,132,134,137,139 Additional CYP mental health outcomes were reported in 15 studies, 84,120,122,123,[126][127][128][130][131][132][133]137,138,140,144,145 crossing a wide range of categories including anxiety and depression, coping measures, emotional difficulties, adjustment and general mental health.…”

Section: Reviewmentioning

confidence: 99%

“…For those eight articles that did include longer follow-ups, response rates were 70-84% in three articles 118,142,145 and < 70% in the rest. 128,130,131,140,144 The criteria that indicated risk of bias most often across articles were the assessment of adherence, compliance or fidelity (20/31 'no'); explaining missing data (13/31 'no'); blinding of assessors and inclusion of a follow-up after treatment (both 17/31 'no'). In addition, only half of those articles including a follow-up assessment did this at ≥ 6 months.…”

Section: Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Interventions to improve the mental health of children and young people with long-term physical conditions: linked evidence syntheses

Moore

Nunns

Shaw

et al. 2019

Health Technol Assess

View full text Add to dashboard Cite

Background Although mental health difficulties can severely complicate the lives of children and young people (CYP) with long-term physical conditions (LTCs), there is a lack of evidence about the effectiveness of interventions to treat them. Objectives To evaluate the clinical effectiveness and cost-effectiveness of interventions aiming to improve the mental health of CYP with LTCs (review 1) and explore the factors that may enhance or limit their delivery (review 2). Data sources For review 1, 13 electronic databases were searched, including MEDLINE, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Science Citation Index. For review 2, MEDLINE, PsycINFO and CINAHL were searched. Supplementary searches, author contact and grey literature searches were also conducted. Review methods The first systematic review sought randomised controlled trials (RCTs) and economic evaluations of interventions to improve elevated symptoms of mental ill health in CYP with LTCs. Effect sizes for each outcome were calculated post intervention (Cohen’s d). When appropriate, random-effects meta-analyses produced pooled effect sizes (d). Review 2 located primary qualitative studies exploring experiences of CYP with LTCs, their families and/or practitioners, regarding interventions aiming to improve the mental health and well-being of CYP with LTCs. Synthesis followed the principles of metaethnography. An overarching synthesis integrated the findings from review 1 and review 2 using a deductive approach. End-user involvement, including topic experts and CYP with LTCs and their parents, was a feature throughout the project. Results Review 1 synthesised 25 RCTs evaluating 11 types of intervention, sampling 12 different LTCs. Tentative evidence from seven studies suggests that cognitive–behavioural therapy interventions could improve the mental health of CYP with certain LTCs. Intervention–LTC dyads were diverse, with few opportunities to meta-analyse. No economic evaluations were located. Review 2 synthesised 57 studies evaluating 21 types of intervention. Most studies were of individuals with cancer, a human immunodeficiency virus (HIV) infection or mixed LTCs. Interventions often aimed to improve broader mental health and well-being, rather than symptoms of mental health disorder. The metaethnography identified five main constructs, described in an explanatory line of argument model of the experience of interventions. Nine overarching synthesis categories emerged from the integrated evidence, raising implications for future research. Limitations Review 1 conclusions were limited by the lack of evidence about intervention effectiveness. No relevant economic evaluations were located. There were no UK studies included in review 1, limiting the applicability of findings. The mental health status of participants in review 2 was usually unknown, limiting comparability with review 1. The different evidence identified by the two systematic reviews challenged the overarching synthesis. Conclusions There is a relatively small amount of comparable evidence for the effectiveness of interventions for the mental health of CYP with LTCs. Qualitative evidence provided insight into the experiences that intervention deliverers and recipients valued. Future research should evaluate potentially effective intervention components in high-quality RCTs integrating process evaluations. End-user involvement enriched the project. Study registration This study is registered as PROSPERO CRD42011001716. Funding The National Institute for Health Research (NIHR) Health Technology Assessment programme and the NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula.

show abstract

Section: Reviewmentioning

confidence: 77%

Section: Descriptive Statisticsmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Interventions to improve the mental health of children and young people with long-term physical conditions: linked evidence syntheses

Moore

Nunns

Shaw

et al. 2019

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…The aim of acceptance and commitment therapy is to decrease experiential avoidance (experiential avoidance, attempt to adjust or control unwelcome inner experiences of cognitions, memories or feelings) and foster mental flexibility that is the ability of flexible communicating with internal experiences and adaptive responses to the situations for the worthwhile purpose of life. 2 There is empirical support for the effectiveness of acceptance and commitment therapy on the treatment of psychological distress. 3 Acceptance and commitment therapy is the third wave therapy behavior.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Stress in Patients with Spinal Cord Injuries

Torabian

Sabet

Meschi

2019

Int Clin Neurosci J

View full text Add to dashboard Cite

Background: Since the number of patients with spinal cord injuries is increasing, paying attention to these patients' psychological problems is a priority. This study aimed to evaluate the effect of acceptance and commitment therapy on anxiety, depression, and stress in patients with spinal cord injuries. Methods: The present study had utilized a single-subject approach in the form of multiple baseline design. The samples were selected using purposive sampling based on convenience sampling method. The statistical population included all patients in Hamadan city with spinal cord injuries who referred to the Shahid Beheshti hospital in this city. The total numbers of them were 181 people in 2016. The researchers informed the patients about the research and presented them with informed consent forms. Among 50 screened patients, five patients (4 males and one female) selected and entered the treatment process: anxiety, depression, and stress measured by Depression Anxiety Stress Scales (DASS-21). Acceptance and commitment therapy conducted in 8 treatment sessions on anxiety, depression, and stress in patients with spinal cord injuries. Results: The results of the graphic and chart analysis, reliable change index (RCI) and the percentage of recovery showed that acceptance and commitment therapy affected anxiety, depression, and stress in the patients with spinal cord injuries. Conclusion: Findings indicated that acceptance and commitment therapy improved people's mental health by working on acceptance and mindfulness processes and behavior change processes. This therapy decreased anxiety, depression, and stress in patients with spinal cord lesion.

show abstract

Acceptance and Commitment Therapy Among Informal Caregivers of People With Chronic Health Conditions

Ye,

Lee,

Xue

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceAlthough there is substantial evidence to suggest the health benefits of acceptance and commitment therapy (ACT) among informal caregivers of people with chronic health conditions, the great variation in intervention designs among published studies limits its application.ObjectivesTo identify intervention characteristics of ACT that are associated with improved psychological health and to assess the acceptability of ACT among informal caregivers.Data SourcesSeven English- and 3 Chinese-language databases without limits on publication dates, the reference lists of previous reviews, and gray literature were searched up to February 2023.Study SelectionRandomized clinical trials comparing the effect of ACT vs control groups on improving psychological health among informal caregivers.Data Extraction and SynthesisTwo reviewers independently screened searched records and extracted data from eligible studies. Random-effects meta-analysis and mixed-effects metaregression were performed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed.Main Outcomes and MeasuresPsychological health outcomes (eg, depressive symptoms) measured by valid measurements and the acceptability of ACT based on identified parameters.ResultsA total of 29 studies with 2010 participants, published between 2015 and 2023, were identified. ACT showed moderate to large effect sizes for improving psychological health at postintervention assessments (Hedges g range, −0.55 [95% CI, −0.98 to −0.12] to −1.14 [95% CI, −1.83 to −0.45]) and at 1-to-3–month and 4-to-6–month follow-ups (Hedges g range, −0.47 [95% CI, −0.69 to −0.25] to −1.29 [95% CI, −2.33 to −0.24]). Multivariable metaregression analysis regarding intervention characteristics found that ACT delivered in a mixed individual- and group-based format, face-to-face, or through more intervention sessions was associated with greater improvements for experiential avoidance (face-to-face: β = −1.170 [95% CI, −2.020 to −0.319]; number of sessions: β = −0.242 [95% CI, −0.353 to −0.130]), depressive symptoms (mixed delivery format: β = −2.583 [95% CI, −4.845 to −0.321]; face-to-face: β = −1.555 [95% CI, −3.002 to −0.108]), or anxiety symptoms (face-to-face: β = −1.241 [95% CI, −2.337 to −0.146]). In general, ACT had low attrition rates (11%), and participants’ adherence (51%-80%) and satisfactory ratings (72%-95%) lend support to its acceptability.Conclusions and RelevanceThis systematic review and meta-analysis found that ACT was consistently associated with improvements in psychological health, supporting its application to improve informal care for chronic disease management. This review provides specific details on the design parameters of ACT for achieving greater efficacy.

show abstract

Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial

Abstract: Parent skills training and ACT may be efficacious in improving parent, family, and couple outcomes in families of children with an ABI.

Cited by 74 publications

References 34 publications

Interventions to improve the mental health of children and young people with long-term physical conditions: linked evidence syntheses

Interventions to improve the mental health of children and young people with long-term physical conditions: linked evidence syntheses

The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Stress in Patients with Spinal Cord Injuries

Acceptance and Commitment Therapy Among Informal Caregivers of People With Chronic Health Conditions

Contact Info

Product

Resources

About