Kicking in Diabetes Support (KIDS) intervention effects: Parent reports of diabetes management.

Objective: Abdominal pain-related disorders of gut-brain interaction (DGBIs) in children are best understood from a biopsychosocial model, including particular attention to the child's environment. Interventions have begun to increasingly target parents as important agents of change in this population. The purpose of this article is to summarize the evolution of parent-targeted interventions for pediatric pain-related DGBIs and provide recommendations for application of the model to clinical practice. Method: A topical review of literature regarding parent-targeted interventions and related factors in the treatment of pediatric pain-related DGBIs was conducted, followed by a discussion of these findings to clinical practice settings. Results: A growing body of research has supported parent-targeted interventions in the treatment of pediatric pain-related DGBIs, although translation of these findings to practice settings is complicated by numerous factors. Strategies for obtaining physician buy-in and parental engagement are discussed, as are potential logistical considerations of multiple caregivers, child age, and billing considerations. Conclusions: There is a promising and growing evidence-base for parent-targeted interventions for pain-related DGBIs, which have not yet been widely adopted into clinical practice recommendations. Engaging all stakeholders and attending to the nuances of this approach are recommended to successfully apply parent-targeted interventions into clinical practice settings. Implications for Impact StatementThe role of parents in treating children with pain-related disorders of gut-brain interaction (DGBIs) has been an increasing area of study. This article summarizes the research on interventions for DGBIs that focus on parents as agents of change and provides practical considerations for applying this research to clinical, "real-world" settings.

Section: Abdominal Pain-related Interventionsmentioning

confidence: 99%

Evolution of parent-targeted interventions for pain-predominant disorders of gut–brain interactions: Research and clinical practice considerations.

Lamparyk,

Stellway,

Turnage

et al. 2023

“…In the realm of standardized screening, Buchholz et al (2021) takes a broad approach in describing the implementation of universal screening for parent mental health and social determinants of health in 3 hospital system-based primary care clinics serving unique, diverse, and at-risk populations. Several articles in this issue highlight the importance of pediatric psychologists in addressing parents’ mental health in the context of caring for a child’s medical needs (for example, specific to parental postraumatic stress following traumatic pediatric injury in Riley et al (2021) and specific to parent mental health in youth with cystic fibrosis in Harris et al (2021)); while additional articles such as those by Jemcov and colleagues (2021) and Kichler and Kaugars (2021) examine parent specific intervention and training with the focus of engaging parents as active members of the treatment team toward improving child health and functioning (for example, improving adolescent self-management behaviors in youth living with diabetes in Kichler and Kaugars and improving child sleep behaviors in Jemcov et al, 2021 ). The article by Lee and colleagues included treatment targets both specific to parent training to optimize youth outcomes, as well as integrating ACT principles to address parental psychological flexibility, mindfulness, acceptance, and values-based actions (2021).…”

Section: Interventions For Parent Health and Parents As Change Agents...mentioning

confidence: 99%

Introduction to the special interest issue on parent/guardian interventions in pediatric psychology: The role of the pediatric psychologist working with caregivers as the target of intervention.

Kahhan¹,

Junger

2021

Objective: There is a complex and bidirectional relationship between parent/guardian wellbeing and child physical and mental health. The role of a pediatric psychologist in this relationship has historically emphasized working with the parent as an agent of change to disseminate evidence-based skills and techniques toward improving child functioning. Increasingly, the role a pediatric psychologist can play in directly impacting the health and wellbeing of the parent/guardian of the identified patient is being explored, especially with expanded integration of behavioral health into primary care and medical home models that approach child health through a holistic, preventative lens. Furthermore, parents of children with acute/chronic illness are at increased risk of mental health concerns themselves; thus, considering parent functioning as its own outcome when working with pediatric patients may confer additional benefits in optimizing family adjustment. Method: Articles inclusive of topics on screening, early intervention, treatment, and program development targeting the parent/guardian of pediatric patients were considered for this issue. Results: This Special Issue includes 10 articles highlighting novel interventions targeting parent well-being in primary care and medical subspecialty settings using a range of service delivery modalities. Additionally, this issue explores the ethical, logistical, and systems considerations that can pose challenges to responding to parent mental health needs within the pediatric health care system, which pediatric psychology as a field is still learning to negotiate. Conclusions: This issue highlights clinical practice approaches and novel research in which the primary target of intervention is the caregiver of a pediatric patient. Implications for Impact StatementThe aim of this Special Issue is to contribute to the research base for pediatric psychology providers with regards to models and methodology for parent/guardian specific screening and intervention in the pediatric health care system. Ethical issues in addressing caregivers as the primary point of intervention also are explored while promoting a holistic family care model.

“…The recognition of parent mental health needs in the context of pediatric settings has been identified as an area of unmet need, with implementing services and research in this domain determined to be an ethical imperative for pediatric psychologists (Kahhan & Junger, 2021). This has been highlighted not only across published interventions targeting child health and behaviors via parent training (e.g., Kichler & Kaugars, 2021), but also in services provided for parents which can indirectly impact child health through improved parent wellbeing (e.g., mindfulness training, depression screening; Harris et al, 2021; Lovejoy et al, 2000). This was explored in our previous special issue “Parent/Guardian Targeted Interventions in Pediatric Psychology” (Kahhan & Junger, 2021) where ethical, logistical, and service development considerations for parent screening and interventions were explored under best practice guidelines from the American Psychological Association (APA;, e.g., Maragakis et al, 2021).…”

mentioning

confidence: 99%

Incorporating DEI informed-frameworks and increasing access to parent-focused interventions in pediatric psychology.

Junger¹,

Kahhan²

2022

Objective: The ethical imperative to work with the parents, caregivers, and guardians (hereafter, parents) of pediatric patients has been highlighted. However, parents continue to be underserved in pediatric health care settings. The syndemics of COVID-19 and mental health further magnified health disparities and the differential impacts of social determinants of health on the wellbeing of those from minority or disadvantaged backgrounds. Therefore, dedicated efforts to developing holistic, culturally responsive, accessible, and effective interventions that meet the needs of the child and parents have never been more needed. Methods: Papers highlighting the role of pediatric psychology in working with parents while also emphasizing issues of diversity, equity, inclusion and access in screening and interventions were solicited and considered for this issue. Results: This Special Issue includes 11 articles highlighting efforts to (a) support parents' unmet needs in medical subspecialty settings, (b) utilize a diversity, equity, and inclusion (DEI) framework to develop and adapt interventions specifically designed to support these populations; and (c) improve access to behavioral health for vulnerable populations through different modes of care. This issue also includes a commentary outlining advocacy actions which can be taken by pediatric psychologists working with the families of transgender and gender diverse youth, with implications for advocating across populations. Conclusions: This issue highlights opportunities for pediatric psychologists to collectively and individually better support families and close health equity gaps through clinical and research avenues, as well as through opportunities for advocacy. Implications for Impact StatementThe aim of this special issue is to further highlight the ethical imperative that exists for mental health providers in pediatric settings to address the mental health needs of parents, caregivers, and guardians, with an emphasis on diversity, access, equity, and inclusion. Pediatric psychologists can and should utilize existing skills to help all families reach their fullest potential through their involvement in research, clinical services, and advocacy efforts, with articles in this offering examples for implementation models.