Feasibility and effectiveness of a parenting programme for Mexican parents of children with acquired brain injury-Case report

Abstract

The programme is feasible in a Mexican population and was effective in improving parenting skills and reducing stress in parents of children with ABI, as well as improving child behaviour and behavioural SR. These domains continue improving three months after the intervention. The improvements in challenging behaviour at home did not transfer to the school environment.

A Parenting Program to Reduce Disruptive Behavior in Hispanic Children with Acquired Brain Injury: A Randomized Controlled Trial Conducted in Mexico

“…26 Signposts promotes the use of authoritative parenting practices as described by Prinzie et al, 64 such as giving directions to the child in a rational form (effective instructions), encouraging verbal exchange and explaining the rationale of rules (family problem-solving strategy and effective communication skills), applying limits without overwhelming the child with restrictions (management of antecedents and consequences), recognizing child qualities (labeled praise), setting expectations for future behavior (behavior support plan), inculcating the child's autonomy (developing skills in the child), discipline (daily routines), and recognizing adult rights and child interests (setting household rules). In line with a previous pilot study, 24 the current study shows that the reduction in disruptive behavior continues once parents have completed the intervention. Since there were no differences found in most measures of child self-regulation, the ongoing reduction in disruptive behavior appears related to parents implementing authoritative parenting practices (external regulation).…”

“…In line with the pilot study, 24 disruptive behavior was not reduced in school settings. We expected results to generalize to a school setting although reducing disruptive behavior at school was not a main target of this intervention.…”

“…The current results are contrary to previous studies that reported the maintenance of reduced parental stress after completion of Signposts. 23,24 However, these previous studies did not include a control group, which might have affected results. In addition, parents in the current sample did not present with clinical levels of parental stress, which can hinder the detection of treatment effects.…”

“…To assess the acceptability of Signposts within a Mexican population, we conducted a case study of four children with ABI in Mexico and found promising results. 24 The effectiveness of other interventions has been studied using an RCT design with a pediatric ABI population. Wade et al 25 found that an online family problem intervention was effective in reducing externalizing behavior.…”

Parenting and the dysregulation profile predict executive functioning in children with acquired brain injury

“…Six participants were diagnosed with comorbid disorders (one with a learning disorder, three with ADHD, one with ADHD and anxiety disorder, one with ADHD and learning disorder). Participants in the current study were part of a previous case study (Chavez-Arana et al, 2017b) and a randomized controlled trial (Chávez et al, 2017a). Table 2 shows the AIC, sBIC, LMRT, and entropy results for the models with one to five profiles.…”