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

Emily F. Law · Emma Fisher · Jessica L. Fales · Melanie E. Noel · Christopher Eccleston

159 citations0/0 files storedJournal of Pediatric Psychology

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Family Support in Illness Family and Disability Support Research Counseling, Therapy, and Family Dynamics

Abstract

OBJECTIVE: To quantify the effects of parent- and family-based psychological therapies for youth with common chronic medical conditions on parent and family outcomes (primary aim) and child outcomes (secondary aim). METHODS: MEDLINE, EMBASE, and PsycINFO were searched from inception to April 2013. 37 randomized controlled trials were included. Quality of the evidence was evaluated using GRADE criteria. Data were extracted on parent, family, and child outcomes. RESULTS: Pooled psychological therapies had a positive effect on parent behavior at posttreatment and follow-up; no significant improvement was observed for other outcome domains. Problem-solving therapy (PST) improved parent mental health and parent behavior at posttreatment and follow-up. There was insufficient evidence to evaluate cognitive-behavioral and systems therapies for many outcome domains. CONCLUSIONS: 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.

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References

2009Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement 2009Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement 2009Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.2011The Cochrane Collaboration's tool for assessing risk of bias in randomised trials 2011GRADE guidelines: 3. Rating the quality of evidence 2011Cognitive behavior therapy : basics and beyond 2013Parenting Stress Among Caregivers of Children With Chronic Illness: A Systematic Review 1988Handbook of pediatric psychology

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