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 Fales, Melanie Noel, Christopher Eccleston

Research output: Contribution to journalArticlepeer-review

75 Citations (Scopus)
126 Downloads (Pure)

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.
Original languageEnglish
Pages (from-to)866-886
Number of pages21
JournalJournal of Pediatric Psychology
Volume39
Issue number8
DOIs
Publication statusPublished - Sep 2014

Keywords

  • asthma
  • Cancer
  • cardiovascular disease
  • Children
  • chronic illness
  • Chronic pain
  • cystic fibrosis
  • diabetes mellitus
  • epilepsy
  • Family
  • Meta-analysis
  • parent
  • Psychological therapies
  • Randomized controlled trials
  • solid organ transplant
  • spina bifida
  • Systematic review
  • traumatic brain injury

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