Justifying a dedicated role for family therapy in pediatric neurorehabilitation

McCrossin, Jeffrey

doi:10.1080/10522158.2020.1819499

Cited by 1 publication

(1 citation statement)

References 40 publications

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“…Future research could also use clinician and family-related outcomes to reduce the possibility of bias in reporting or blinded assessors within an RCT. It would also be helpful to consider the collection of physical health outcome data such as seizure frequency to analyse the impact of the intervention on the relationship between mental health and physical health 28–32. It may be beneficial to assess the efficacy of the intervention in a group with static neurological injury (eg, traumatic brain injury) with those who have an ongoing active disease (eg, Myelin oligodendrocyte glycoprotein antibody-associated disease).…”

Section: Discussionmentioning

confidence: 99%

Group-based parent training programme for children with neurological conditions: a feasibility study

Parikh,

Faulkner,

Hadji-Michael

et al. 2023

Arch Dis Child

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Objective and designThis study aimed to determine the feasibility and effectiveness of a parent training programme for parents of children with neurological conditions and behaviours that challenge.SettingChild and adolescent mental health service within a specialist children’s hospital.ParticipantsParents of 31 children with neurological conditions and behaviours that challenge.InterventionsParents attended a 6-week evidence-based behavioural parenting programme delivered in a group format, either face-to-face or remote.Main outcome measuresFeasibility was determined by attendance rates. Effectiveness was analysed primarily using parent-reported measures of child behaviour (Strengths and Difficulties Questionnaire, Paediatric Quality of Life and Goal-Based Outcomes). Secondary measures of parental well-being were also reported (Brief Parental Self-Efficacy Scale, Depression Anxiety Stress Scale Short Form and Parental Sense of Competence). Paired t-tests or Wilcoxon rank-sum tests were conducted to analyse differences preintervention and postintervention.ResultsThe attendance rates for the face-to-face and remote groups were 80% and 79%, respectively. Medium to large effect sizes were reported for most measures of child behaviour and parental well-being. There were statistically significant improvements found postintervention in children’s behaviour (p=0.014), quality of life (p<0.001), goal-based outcomes (p<0.001), parental self-efficacy (p<0.001) and parental anxiety (p=0.030). Anecdotal feedback showed that parents indicated the group format was acceptable.ConclusionsThe group parenting intervention for parents of children with heterogeneous neurological conditions and behaviours that challenge appears feasible and effective in improving child behaviour and parental well-being.

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Section: Discussionmentioning

confidence: 99%