Efficacy of psychosocial group intervention for children with chronic illness and their parents.
نویسندگان
چکیده
OBJECTIVE To investigate the efficacy of a cognitive-behavioral group intervention for children with chronic illnesses and to test the effect of an added parent component. METHODS Children (n = 194) and their parents participated in a multicenter randomized clinical trial comparing a child-only intervention and a parent-child intervention to a wait-list control group. Primary outcomes were parent- and self-reported internalizing and externalizing problems; secondary outcomes were child disease-related coping skills (information seeking, relaxation, social competence, medical compliance, and positive thinking). Assessments took place at baseline and at 6- and 12-month follow-ups. Intention-to-treat mixed-model analyses were performed to test the difference in change in outcomes. RESULTS The intervention had a positive effect on changes in parent-reported internalizing problems, child-reported externalizing problems, information seeking, social competence, and positive thinking. The additional effect of parental involvement was observed on parent-reported internalizing problems, child-reported externalizing problems, information seeking, and social competence. Illness severity and illness type did not moderate the effects. There were no intervention effects on child-reported internalizing problems, parent-reported externalizing problems, relaxation, or medical compliance. Of the families in the wait-list control group, 74% sought alternative psychological support during the intervention period. CONCLUSIONS This RCT supports the efficacy of a protocol-based group intervention for children with chronic illnesses and their parents. Adding a parental component to the intervention contributed to the persistence of the effects. Future research should focus on moderating and mediating effects of the intervention.
منابع مشابه
Moderators of the efficacy of a psychosocial group intervention for children with chronic illness and their parents: what works for whom?
OBJECTIVE To investigate psychosocial characteristics of children and parents as predictors and moderators of the effect of a group intervention for children with chronic illness and their parents. METHODS Data from a randomized controlled trial were used, including 194 children (8-18 years) who were assigned to a child-only intervention, a parent-child intervention, or a wait-list control gr...
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Background: The objective of this study was to investigate psychosocial characteristics of children and parents as well as parent-child relationships as moderators of the effect of a cognitive behavioral group intervention for children with chronic illness and their parents. Methods: Data from a randomized controlled trial were used, including 194 children (8-18 years) who were assigned to a ch...
متن کاملFeasibility of a Psychosocial Group Intervention for Children with Chronic Illness and their Parents and Directions for Future Implementation
متن کامل
A Cognitive Behavioral Based Group Intervention for Children with a Chronic Illness and their Parents: Study Protocol of a Multicentre Randomized Controlled Trial
Background: Coping with a chronic illness (CI) challenges children’s psychosocial functioning and wellbeing. Cognitive-behavioral intervention programs that focus on teaching the active use of coping strategies may prevent children with CI from developing psychosocial problems. Involvement of parents in the intervention program may enhance the use of learned coping strategies in daily life, esp...
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عنوان ژورنال:
- Pediatrics
دوره 131 4 شماره
صفحات -
تاریخ انتشار 2013