Systematic Review and Meta-Analysis of Parent and Family-Based Interventions for Children and Adolescents With Chronic Medical Conditions

Abstract

Parent- and family-based psychological therapies can improve parent outcomes, with PST emerging as particularly promising. Future research should incorporate consensus statements for outcomes assessment, multisite recruitment, and active comparator conditions.

Effects of Triple P parenting intervention on child health outcomes for childhood asthma and eczema: Randomised controlled trial

“…Existing health care focuses largely on a medical education model which has shown limited success in improving adherence (Dean, Walters, & Hall, 2010;Ersser et al, 2014) and family-based approaches have also shown limited effects (Eccleston, Palermo Tonya, Fisher, & Law, 2012;Law, Fisher, Fales, Noel, & Eccleston, 2014). The theoretical and empirical literature provide compelling evidence that parenting plays a central role in children's health outcomes (Morawska, Calam, & Fraser, 2015;Wood et al, 2008); yet, current approaches to childhood illness management do not target parenting (Law et al, 2014).…”

Psicología y dolor crónico infantil

“…Algunos programas de tratamiento basados en el modelo cognitivo-conductual han incluido a los cuidadores (padres, madres o tutores) de los niños con dolor crónico (52,53). Estas intervenciones se han contrastado en poblaciones con diferentes tipos de dolor, en estudios aleatorizados y controlados (54,55), aunque alguno incluye ensayos sin grupo control (45) y, en general, se han obtenido mejoras significativas en una amplia gama de variables, en comparación con los grupos control.…”

Supporting parents of children with type 1 diabetes mellitus: a literature review

“…Murphy et al 41 30,42 These vary from self-study materials and informational sessions to technical training (to develop proficiency with diabetic care procedures), motivational (individual or family) interventions, behavioral interventions to facilitate coping with stress, and support groups for patients and families. 17,30 The range of interventions is matched by the range of diverse methodologies used to test them in the literature.…”

“…Reviews spreading across the last 15 years highlight the lack of randomized controlled trial studies to test interventions and the overuse of cross-sectional and correlational studies. 42,43 Not surprisingly, given the inconsistency of content, methodology, and research design, literature reviews report a moderate size effect for both physiological indicators of glycemic control and psychosocial outcomes. 42 Moreover, the literature is inconsistent regarding the potential associations between behavioral outcomes (motivation, well-being, family outcomes, etc) and measures of glycemic control and balance.…”

“…Congruence in patients' and family perceptions is also associated with positive outcomes; thus, interventions based on communication and conflict management within the patient's family are an objective of some interventions. 42,44 Additional comorbidities associated with T1DM across the life span have to do with decreased cognitive function. 47 Studies report changes in brain structure and blood circuitry and flow that have been associated with decreased cognitive abilities, memory capacity, and performance on ability tests from early childhood.…”