Parent Interventions Improve Behavior After Pediatric Traumatic Brain Injury: A Systematic Review and Meta-analysis

Cermak, Carly A; McCabe, Sarah; Kuchurean, Brianna; Schaefer, Julia; Tendera, Anna; Beal, Deryk S.

doi:10.1097/htr.0000000000000766

Cited by 4 publications

(1 citation statement)

References 48 publications

(160 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the psychological distress of caregivers for patients with PDoC, 67 and 79% of respondents, respectively, reported thoughts of anxiety and depression, emphasizing once again the high level of psychological distress in this population ( Gosseries et al, 2023 ). Psychological interventions have been shown to improve various disorders, including stress, anxiety, and emotional disorders ( Cermak et al, 2022 ; LaRovere et al, 2022 ), as well as self-efficacy in the parents of children with acquired brain injuries ( Cardile et al, 2023 ), consistent with the present results. Beliefs regarding self-efficacy have also been demonstrated to impact the onset of response, cost of effort, and behavioral persistence in challenging situations ( Steffen et al, 2019 ).…”

Section: Discussionsupporting

confidence: 90%

Long-term psychological intervention for parents of children with prolonged disorders of consciousness: a pilot study

Xu,

Hao,

Zhao

et al. 2023

Front. Psychol.

View full text Add to dashboard Cite

BackgroundChildren with prolonged disorders of consciousness experience severe intellectual and behavioral disabilities that will last for decades or even a lifetime. Parents generally experience severe anxiety, stress, sadness, or family conflicts, which can lead to abnormal parenting behavior and can, in turn, adversely affect the cognitive, emotional, and behavioral well-being of the children. This causes a serious burden on children, families, and society. Psychological interventions targeting parents using online conversations provide an opportunity to improve the overall well-being of the parents, their children, and the family as a whole.MethodsA total of 13 patients completed the protocol. Six were girls (46.2%), the mean age was 4.5 ± 3.0 years, and the length of time before emergent from minimally consciousness state was 244 ± 235 days. A staff member with psychological counseling qualifications implemented all psychological interventions. Regular online psychological interventions were performed annually before and after discharge. Evaluation data were collected before discharge and at 1 and 3–5 years post-discharge.ResultsWith the extension of intervention time, the Strengths and Difficulties Questionnaire, the Depression Anxiety and Stress Scale-21, and the Parenting Sense of Competence Scale scores showed significant improvement (p < 0.05), while the Revised Scale for Caregiving Self-Efficacy scores did not. With the extension of intervention time, the Strengths and Difficulties Questionnaire (Total Difficulties scores, TD) scores showed significant improvement (p < 0.05), while the scores did not after 1 year compared with before intervention. The Index of Child Care Environment evaluation scores declined significantly (p < 0.05).ConclusionPsychological interventions aimed at the parents of children with prolonged disorders of consciousness performed at least once per year resulted in significant improvements in negative parental emotions, parental self-efficacy, and emotional and behavioral problems in their children. However, the childcare environment continued to decline.

show abstract

Section: Discussionsupporting

confidence: 90%

Long-term psychological intervention for parents of children with prolonged disorders of consciousness: a pilot study

Xu,

Hao,

Zhao

et al. 2023

Front. Psychol.

View full text Add to dashboard Cite

show abstract

SMART-goal domains and goal attainment in an individualized, goal-oriented intervention for children with acquired brain injury and their families

Holthe,

Rohrer-Baumgartner,

Svendsen

et al. 2024

Neuropsychological Rehabilitation

View full text Add to dashboard Cite

Family-centred service in paediatric acquired brain injury rehabilitation: Bridging the gaps

Jenkin

Anderson

D’Cruz

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

BackgroundChildren and adolescents who sustain an acquired brain injury (ABI) can experience acute and ongoing difficulties in a range of cognitive and functional domains, and their families often experience significant life changes and challenges. Family-centred service is therefore considered best practice in paediatric ABI rehabilitation. Despite widespread acceptance of family-centred service in this context, recent literature indicates that family needs are often unrecognised and unmet following paediatric ABI. Although family-centred service was introduced in the field of developmental disability over five decades ago, there remains a lack of clarity about how this approach is implemented in practice. Additionally, limited literature has discussed the implementation of family-centred service in paediatric ABI rehabilitation despite key differences between ABI and developmental disability, including nature and timing of onset, rehabilitation foci, and impacts on families.AimsIn this review, we aim to: (i) outline common sequelae of paediatric ABI with a focus on family outcomes; (ii) summarise paediatric rehabilitation and highlight opportunities for family support and involvement; (iii) discuss and synthesise literature across paediatric ABI rehabilitation and family-centred service to highlight gaps in knowledge and practice; and (v) identify clinical implications and future research directions.ConclusionsThere is a clear need for greater clarity and consensus regarding the implementation of family-centred service in paediatric ABI rehabilitation. This review highlights the importance of providing professional development opportunities for clinicians to increase competency in practising in a family-centred manner, and opportunities to actively involve, empower and support families within rehabilitation. This review also emphasises the importance of services implementing relevant supports to address family needs where possible and developing clear referral pathways so that families can access further support elsewhere when needed.

show abstract

Parent Interventions Improve Behavior After Pediatric Traumatic Brain Injury: A Systematic Review and Meta-analysis

Cited by 4 publications

References 48 publications

Long-term psychological intervention for parents of children with prolonged disorders of consciousness: a pilot study

Long-term psychological intervention for parents of children with prolonged disorders of consciousness: a pilot study

SMART-goal domains and goal attainment in an individualized, goal-oriented intervention for children with acquired brain injury and their families

Family-centred service in paediatric acquired brain injury rehabilitation: Bridging the gaps

Contact Info

Product

Resources

About