Parental disciplinary practices following acquired brain injury in children

Woods, Damith T.; Catroppa, Cathy; Barnett, Peter; Anderson, Vicki

doi:10.3109/17518423.2011.586371

Cited by 32 publications

(36 citation statements)

References 42 publications

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“…What is more, when parents reported greater psychological distress, they were less likely to employ positive parenting approaches to manage post-TBI challenging behaviour. Woods et al (2011) reported similar findings and suggested that dysfunctional parenting practices potentially exacerbate challenging child behaviours following TBI and should be a target of post-injury behavioural interventions.…”

Section: Introductionsupporting

confidence: 68%

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Woods

Catroppa

Godfrey

et al. 2014

Social Care and Neurodisability

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Purpose -The purpose of this paper is to determine the preliminary clinical utility of a telephone-support format of the "Signposts" (Hudson et al., 2003) behavioural intervention programme to be used with a paediatric traumatic brain injury (TBI) population. Design/methodology/approach -Nine families caring for a child with moderate or severe TBI, participated in a pilot study of a TBI adapted "Signposts for Building Better Behaviour" manualised programme. The programme is designed to help parents learn positive parenting skills and strategies that empower them to successfully manage their child's challenging behaviour post-TBI. The programme consists of seven core sessions and two supplemental sessions. Parents work through the sessions with an accompaniment of guiding information booklets, a DVD with scenes modelling positive parenting strategies, and a workbook containing written exercises. At the completion of each session parents receive a telephone-support call from a trained Signposts practitioner who provides assistance and feedback on programme content. Findings -On average parents completed eight sessions (range seven to nine) and every family completed the seven core sessions. Participation in the telephone-support calls was high with 96 per cent of calls having been successfully received by families. All parents agreed that the telephone calls were a useful part of the programme and felt that the materials were helpful for managing challenging behaviour. Pairedsamples t-tests showed significant reductions for challenging behaviour from pre-to post-intervention. Parenting practices also significantly improved over the course of the intervention. In general, parents rated a high level of consumer satisfaction with the Signposts programme and its content. Originality/value -Overall, these preliminary findings support the potential clinical utility of a telephonesupport version of the Signposts programme to improve parenting skills and to reduce challenging child behaviour following TBI. This study has provided the impetus for a larger clinical research trial to be conducted.

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Section: Introductionsupporting

confidence: 68%

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Woods

Catroppa

Godfrey

et al. 2014

Social Care and Neurodisability

Self Cite

View full text Add to dashboard Cite

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“…Given that family function is a potentially modifiable risk factor, this finding indicates that attention to family stress and burden may enhance the quality of the child's environment with secondary benefits to the child. Indeed, growing evidence suggests that, following child brain insult, family and parent-based behavioral interventions are able to reduce parent stress and psychopathology, and improve children's behavior and social competence (Wade, Carey, & Wolfe, 2006;Woods, Catroppa, & Anderson, 2012;Woods, Catroppa, Barnett, & Anderson, 2011).…”

Section: Discussionmentioning

confidence: 99%

Social competence following pediatric stroke: Contributions of brain insult and family environment

Anderson

Gomes

Greenham

et al. 2014

Social Neuroscience

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Limited information is available regarding predictors of psychosocial difficulties in children following stroke. This study aimed to (i) compare social competence of children with arterial ischemic stroke (AIS) to those with chronic illness and healthy controls and (ii) investigate the contribution of stroke pathology, neurological outcome and environment. Thirty-six children with AIS > 12 months prior to recruitment were compared with children with chronic illness (asthma) (n = 15) and healthy controls (n = 43). Children underwent intellectual assessment, and children and parents completed questionnaires to assess social competence. Children with AIS underwent MRI scan and neurological evaluation. Child AIS was associated with poorer social adjustment and participation, and children with AIS were rated as having more social problems than controls. Lesion volume was not associated with social outcome, but subcortical stroke was linked to reduced social participation and younger stroke onset predicted better social interaction and higher self-esteem. Family function was the sole predictor of social adjustment. Findings highlight the risk of social impairment following pediatric stroke, with both stroke and environmental factors influencing children's social competence in the chronic stages of recovery. They indicate the potential for intervention targeting support at the family level.

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“…With investigations indicating that the family environment can help moderate the negative behavioural impact of childhood brain injury (Anderson et al, 2005;Hooper et al, 2007;Rivara et al, 1993Rivara et al, , 1996Woods et al, 2011), rehabilitation specialists have endeavoured to deliver interventions that incorporate an even greater family emphasis (Braga et al, 2005;van't Hooft and Norberg, 2010;Wade et al, 2006bWade et al, , c, 2008Wade et al, , 2012Woods et al, 2012. In a randomised-clinical trial (RCT), Braga et al (2005) compared a direct clinician delivered vs an indirect family supported (IFS) intervention for children with chronic impairment following traumatic brain injury (TBI).…”

Section: Introductionmentioning

confidence: 98%

“…Other families will "slip through the cracks", recognising that they do not have the necessary skills to ameliorate the ongoing problems. An inability to control their child's challenging behaviour can set in motion a course of maladaptive interactions that become firmly entrenched (Taylor et al, 2001;Woods et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Long-term maintenance of treatment effects following intervention for families with children who have acquired brain injury

Woods

Catroppa

Godfrey

et al. 2014

Social Care and Neurodisability

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Purpose -Where no psychosocial or interventional support is provided, children with acquired brain injury (ABI) are at significant risk of serious long-term behavioural and social difficulties. The purpose of this paper is to report the six-and 18-month long-term treatment effects of a family centred behavioural intervention to help families manage and prevent challenging behaviours in children following ABI. Design/methodology/approach -In total, 31 parents were followed up at three time points (post-intervention, 6 and 18 months) after participating in an ABI adapted manualised "Signposts for Building Better Behaviour" programme (Hudson et al., 2003). Findings -Attrition rates were highest amongst families caring for a child with mild ABI. The maintenance of treatment effects were detailed for those families who reported a reduction in challenging behaviour immediately post-intervention. There were no significant elevations in challenging child behaviour, maladaptive parenting, or family dysfunction for any participants over the long-term follow-up. Irrespective of injury severity, parents reported high levels of satisfaction and efficacy in the parenting role at 18 months post-intervention. Originality/value -"Signposts" has further demonstrated its clinical viability by meeting the needs of parents who have a child with ABI in both the short-and longer-term.

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Parental disciplinary practices following acquired brain injury in children

Cited by 32 publications

References 42 publications

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Social competence following pediatric stroke: Contributions of brain insult and family environment

Long-term maintenance of treatment effects following intervention for families with children who have acquired brain injury

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