Web-Based Parenting Skills Program for Pediatric Traumatic Brain Injury Reduces Psychological Distress Among Lower-Income Parents

Raj, Stacey P.; Antonini, Tanya N.; Oberjohn, Karen; Cassedy, Amy; Makoroff, Kathi L.; Wade, Shari L.

doi:10.1097/htr.0000000000000052

Cited by 33 publications

(40 citation statements)

References 22 publications

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“…Of the 22 studies included in this review, 8 assessed for depression [27,33-36,40,41,43], 5 for anxiety [27,33,40,41,44], 4 for PTSS [27,31,39,45], and 10 for HRQoL [25,26,29,30,32, 37,38,44,46,47]. A total of 5 studies [27,33,40,44,45] examined more than 1 outcome.…”

Section: Resultsmentioning

confidence: 99%

“…All included studies were randomized controlled trials (RCTs) per inclusion criteria. Some of the studies (n=12) [25-27,30,31,34,37-39,44-47] examined interventions that were solely delivered via Web, whereas 10 studies [29,32,33,35,36,38,40-43] used a combination of eHealth program components and sessions with a therapist or coach. See Multimedia Appendix 1 for additional study details.…”

Section: Resultsmentioning

confidence: 99%

“…Child participants were aged 2 to 18 years. A total of 7 interventions were designed for children alone [25,26,31,32,34,37,46], 3 for caregivers alone [36,39,45], and 11 for children and caregivers to use together [27,29,30,33,35,38,40-42,44,47]. Moreover, 10 studies focused on chronic conditions such as asthma [30,37,47], chronic headache [33], juvenile idiopathic arthritis (JIA) [25,38], inflammatory bowel disease [26], complex congenital heart disease [32], chronic respiratory condition [34], and type-1 diabetes [46].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, 10 studies focused on chronic conditions such as asthma [30,37,47], chronic headache [33], juvenile idiopathic arthritis (JIA) [25,38], inflammatory bowel disease [26], complex congenital heart disease [32], chronic respiratory condition [34], and type-1 diabetes [46]. In addition, 6 studies focused on pediatric patients suffering from psychological sequelae following a TBI [35,36,40-43]. A total of 3 studies focused on the aftermath of injuries (not focused on TBI) [27,39,45], and 1 study included children with potentially traumatic medical events (eg, injury, new diagnosis, and exacerbation of chronic condition) [31].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 2 interventions [27,44] primarily used psychoeducation to inform intervention content. Only 1 study included parent-child interaction therapy (PCIT) [36].…”

Section: Resultsmentioning

confidence: 99%

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Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review

McGar¹,

Kindler²,

Marsac³

2019

JMIR Pediatr Parent

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BackgroundPediatric medical conditions have the potential to result in challenging psychological symptoms (eg, anxiety, depression, and posttraumatic stress symptoms [PTSS]) and impaired health-related quality of life in youth. Thus, effective and accessible interventions are needed to prevent and treat psychological sequelae associated with pediatric medical conditions. Electronic health (eHealth) interventions may help to meet this need, with the capacity to reach more children and families than in-person interventions. Many of these interventions are in their infancy, and we do not yet know what key components contribute to successful eHealth interventions.ObjectiveThe primary objective of this study was to conduct a systematic review to summarize current evidence on the efficacy of eHealth interventions designed to prevent or treat psychological sequelae in youth with medical conditions.MethodsMEDLINE (PubMed) and PsycINFO databases were searched for studies published between January 1, 1998, and March 1, 2019, using predefined search terms. A total of 2 authors independently reviewed titles and abstracts of search results to determine which studies were eligible for full-text review. Reference lists of studies meeting eligibility criteria were reviewed. If the title of a reference suggested that it might be relevant for this review, the full manuscript was reviewed for inclusion. Inclusion criteria required that eligible studies (1) had conducted empirical research on the efficacy of a Web-based intervention for youth with a medical condition, (2) had included a randomized trial as part of the study method, (3) had assessed the outcomes of psychological sequelae (ie, PTSS, anxiety, depression, internalizing symptoms, or quality of life) in youth (aged 0-18 years), their caregivers, or both, (4) had included assessments at 2 or more time points, and (5) were available in English language.ResultsA total of 1512 studies were reviewed for inclusion based on their title and abstracts; 39 articles qualified for full-text review. Moreover, 22 studies met inclusion criteria for the systematic review. Of the 22 included studies, 13 reported results indicating that eHealth interventions significantly improved at least one component of psychological sequelae in participants. Common characteristics among interventions that showed an effect included content on problem solving, education, communication, and behavior management. Studies most commonly reported on child and caregiver depression, followed by child PTSS and caregiver anxiety.ConclusionsPrevious research is mixed but suggests that eHealth interventions may be helpful in alleviating or preventing problematic psychological sequelae in youth with medical conditions and their caregivers. Additional research is needed to advance understanding of the most powerful intervention components and to determine when and how to best disseminate eHealth interventions, with the goal of extending the current reach of psychological interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…A total of 2 interventions [27,44] primarily used psychoeducation to inform intervention content. Only 1 study included parent-child interaction therapy (PCIT) [36].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review

McGar¹,

Kindler²,

Marsac³

2019

JMIR Pediatr Parent

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Promoting Mental Health in Parents of Young Children Using eHealth Interventions: A Systematic Review and Meta-analysis

MacKinnon

Silang

Penner

et al. 2022

Clin Child Fam Psychol Rev

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Parent stress and mental health problems negatively impact early child development. This study aimed to systematically review and meta-analyze the effect of eHealth interventions on parent stress and mental health outcomes, and identify family- and program-level factors that may moderate treatment effects. A search of PsycINFO, Medline, CINAHL, Cochrane and Embase databases was conducted from their inception dates to July 2020. English-language controlled and open trials were included if they reported: (a) administration of an eHealth intervention, and (b) stress or mental health outcomes such as self-report or clinical diagnosis of anxiety and depression, among (c) parents of children who were aged 1–5 years old. Non-human studies, case reports, reviews, editorials, letters, dissertations, and books were excluded. Risk of bias was assessed using the National Institutes of Health (NIH) Study Quality Assessment Tools. Random-effects meta-analyses of standardized mean differences (SMD) were conducted and meta-regressions tested potential moderators. 38 studies were included ( N = 4360 parents), from 13 countries (47.4% USA). Meta-analyses indicated eHealth interventions were associated with better self-reported mental health among parents (overall SMD = .368, 95% CI 0.228, 0.509), regardless of study design ( k = 30 controlled, k = 8 pre-post) and across most outcomes ( k = 17 anxiety, k = 19 depression, k = 12 parenting stress), with small to medium effect sizes. No significant family- or program-level moderators emerged. Despite different types and targets, eHealth interventions offer a promising and accessible option to promote mental health among parents of young children. Further research is needed on moderators and the long-term outcomes of eHealth interventions. Prospero Registration: CRD42020190719. Supplementary Information The online version contains supplementary material available at 10.1007/s10567-022-00385-5.

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Technology-Focused Family Interventions in Pediatric Chronic Illness: A Systematic Review

Canter

Christofferson

Scialla

et al. 2018

J Clin Psychol Med Settings

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This systematic review provides a synthesis of randomized-controlled trials of technology-focused family interventions for children with chronic illnesses and their families, focused on describing the current state of the literature and generating recommendations for future family systems work in the field of eHealth/mHealth. Twenty-three studies met inclusion criteria and were included in the systematic review. No identified studies featured an mHealth delivery modality. Relevant data were extracted and studies were assessed for quality. There was great variability with regard to intervention factors (e.g., format) and family-centered intervention targets. There is some evidence that eHealth interventions may lead to improvements in particular domains of family functioning (e.g., family conflict) for some groups of participants. However, mixed results and selection of numerous different intervention targets by investigators make it challenging to draw summative conclusions about the overall effectiveness of family systems eHealth interventions. Future research should move beyond feasibility/acceptability studies and examine family-centered processes as primary outcomes. Future research should also consider novel intervention formats to determine whether intervention effects are more robust for certain groups (e.g., individuals who prefer electronic intervention delivery to in-person intervention).

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Web-Based Parenting Skills Program for Pediatric Traumatic Brain Injury Reduces Psychological Distress Among Lower-Income Parents

Abstract: Parent training interventions post-TBI may be particularly valuable for lower-income parents who are vulnerable to both environmental and injury-related stresses.

Cited by 33 publications

References 22 publications

Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review

Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review

Promoting Mental Health in Parents of Young Children Using eHealth Interventions: A Systematic Review and Meta-analysis

Technology-Focused Family Interventions in Pediatric Chronic Illness: A Systematic Review

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