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

Law EF, Fisher E, Fales J, Noel M, Eccleston C. (2014) Systematic Review and Meta-Analysis: Parent and Family-Based Interventions for Children and Adolescents With Chronic Medical Conditions. Journal of Pediatric Psychology. 2014 May 30. pii: jsu032. [Epub ahead of print]

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 post-treatment and follow-up; no significant improvement was observed for other outcome domains. Problem-solving therapy (PST) improved parent mental health and parent behavior at post-treatment 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.

 

 

PMID: 24881048