Efficacy of early interventions with active parent implementation in low-and-Middle income countries for young children with cerebral palsy to improve child development and parent mental health outcomes: a systematic review

Branjerdporn, Nataya; Benfer, Katherine A; Crawford, Emma; Ziviani, Jenny; Boyd, Roslyn N.; Sakzewski, Leanne

doi:10.1080/09638288.2021.1989063

Cited by 7 publications

(6 citation statements)

References 49 publications

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Section: Introductionmentioning

confidence: 99%

“…A few available studies on parent-implemented intervention for children with CP in low and middle income countries indicated that home based therapy program found to improve child's bimanual hand and chewing function [28] A number of factors determine the success of home-based program [18,29,30]. According to Peplow and Carpenter [18], child's motivation, time management and perception of physiotherapists regarding the home based exercises determines adherence to the home based therapy.…”

Section: Introductionmentioning

confidence: 99%

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Home-based therapy and its determinants for children with cerebral palsy, exploration of parents’ and physiotherapists’ perspective, a qualitative study, Ethiopia

et al. 2023

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Objective This study aimed to explore the perceptions of parents and physiotherapists regarding home-based therapy programs for children with cerebral palsy and to understand the factors affecting adherence to home-based therapy programs. Materials and method Thematic analysis method was used to identify, analyse and report findings. Twelve physiotherapists and five caregivers were purposively sampled and interviewed. Results All transcripts were coded line by line, and the codes were then organized into categories for the development of descriptive themes and the generation of analytical themes. The data analysis followed the steps of the thematic analysis process. Seven themes emerged during the analysis: Why Home-Based Therapy? Ways of Teaching, Types of the therapy, Strategies of assessing adherence, Environmental factors, Attitude and knowledge; and Family participation. Physiotherapists use home-based therapy to prevent complications and improve functioning. They use various ways of teaching, such as explaining, demonstrating, and using pictures and videos. Physiotherapists consider several factors such as severity, age, and availability of resources before they decide the type of home therapy programs. However, parent’s participation was low; and strategies to monitor and evaluate adherence were also low. Low family support, limited recourse, lack of knowledge and poor attitude negatively affected adherence to home-based therapy. Conclusions Our finding revealed that physiotherapists use quite limited methods of teaching, and do not properly monitor adherence of the home-based therapy. Additionally, family participation to select type of therapy and to set goal were low.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Home-based therapy and its determinants for children with cerebral palsy, exploration of parents’ and physiotherapists’ perspective, a qualitative study, Ethiopia

et al. 2023

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“…Branjerdporn et al. (2020) included 11 studies in their paper, and four estimated the parent‐implemented interventions (PIIs) effect, targeting child development generally and feeding on PS. Two ( n = 58) among the four were used for meta‐analysis and showed that compared to health advice or a parent playgroup, interventionist training aimed at general child development increased parental stress (SMD = 1.4, 95%CI: −.98 to 3.78, I 2 = 0%).…”

Section: Resultsmentioning

confidence: 99%

“…Branjerdporn et al. (2020) concluded that PIIs targeting general child development and feeding had mixed effects on parent stress outcomes and further research is needed. O'Toole et al.…”

Section: Resultsmentioning

confidence: 99%

Interventions to address parenting stress among caregivers of children with chronic diseases: An umbrella review

Yang,

Gao,

Wang

et al. 2024

Journal of Clinical Nursing

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BackgroundCaregivers of children with chronic diseases suffer from great parenting pressure, which directly affects the treatment and rehabilitation of children, reduces the quality of life of caregivers and damages family functioning. Existing reviews have not systematically summarized and evaluated interventions for parenting stress in caregivers of children with chronic diseases.Data SourcesEmbase, PubMed, Web of Science, OVID, CNKI, CBM, Wan Fang and Cochrane Library were searched for eligible reviews in November 2021 and October 2022.MethodsTwo reviewers independently screened titles and abstracts, reviewed full texts of articles for eligibility, and appraised the quality of reviews using JBI. The quality of the evidence was assessed using GRADE. Findings are reported in accordance with PRISMA checklist. Narrative summaries grouped findings by intervention types.ResultsOut of 2632 records, we included 21 systematic reviews for a synthesis. Interventions for parenting stress in children with chronic diseases were divided into seven categories. Cognitive behavioural interventions, psychosocial interventions, child behavioural and/or developmental parent interventions and synthesized interventions have shown high‐level evidence in reducing parenting stress for caregivers of children with chronic diseases. Furthermore, outcome measures and intervention protocols were highly heterogeneous across interventions.ConclusionsThis umbrella review suggest that reducing the parenting stress of caregivers of children with chronic diseases can directly target caregivers' parenting stress through cognitive behavioural interventions/psychosocial interventions and/or provide guidance to parents on the behavioural and developmental problems of children with chronic diseases. A more standardized approach to outcome measures is essential to assess efficacy and compare interventions across studies.Relevance to Clinical PracticeThe findings provide information and evidence for reducing parenting stress among caregivers of children with chronic diseases to guide the development of comprehensive intervention strategies.Patient or Public ContributionPatient or public contribution does not apply to this study.

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“…A systematic review aiming to investigate the efficacy of approaches with active parent implementation for young children with CP in LMICs showed that intensive motor training-based interventions with active parent implementation were effective to increase child gross motor, bimanual hand, and chewing function in young children with CP compared with passive, generic, interventionist-implemented health education approaches. This systematic review also highlights the relevance of gathering data on adherence to home practice dose and session frequency, and a qualitative comprehension of contextual and child factors related to parent implementation is necessary 15…”

Section: How Can We Expand Our Thinking To Include Icf Concepts On Re...mentioning

confidence: 99%

Research on Children With Cerebral Palsy in Low- and Middle-Income Countries

Leite

Jindal

Malek

et al. 2022

Pediatric Physical Therapy

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The purpose of this special communication is to present ideas and thoughts from a symposium at the 75th Annual Meeting of the American Academy for Cerebral Palsy and Developmental Medicine. These included perspectives and lessons from 3 previously published review studies regarding cerebral palsy (CP) research in Brazil, India, and African countries, which explored the literature through the lens of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework. Using this common lens, first we present the main findings of each of these articles, as well as the similarities and differences in CP research across these low-and middle-income countries (LMICs). Second, considering current evidence, lessons from other LMICs and based on our experiences, we raise recommendations of critical areas to be addressed such as ICF framework implementation and best evidence practice on CP, focusing on prevention, early diagnosis, and intervention

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Efficacy of early interventions with active parent implementation in low-and-Middle income countries for young children with cerebral palsy to improve child development and parent mental health outcomes: a systematic review

Cited by 7 publications

References 49 publications

Home-based therapy and its determinants for children with cerebral palsy, exploration of parents’ and physiotherapists’ perspective, a qualitative study, Ethiopia

Home-based therapy and its determinants for children with cerebral palsy, exploration of parents’ and physiotherapists’ perspective, a qualitative study, Ethiopia

Interventions to address parenting stress among caregivers of children with chronic diseases: An umbrella review

Research on Children With Cerebral Palsy in Low- and Middle-Income Countries

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