Efficacy of psychosocial group intervention for children with chronic illness and their parents

Linde Scholten, Agnes M. Willemen, Bob F. Last, Heleen Maurice-Stam, Elisabeth M. Van Dijk, Elske Ensink, Noortje Zandbelt, Aafke Van Der Hoop-Mooij, Carlo Schuengel, Martha A. Grootenhuis

Onderzoeksoutput: Bijdrage aan tijdschriftArtikelpeer review

60 Citaten (Scopus)

Samenvatting

OBJECTIVE: To investigate the efficacy of a cognitive-behavioral group intervention for children with chronic illnesses and to test the effect of an added parent component. METHODS: Children (n = 194) and their parents participated in a multicenter randomized clinical trial comparing a child-only intervention and a parent-child intervention to a wait-list control group. Primary outcomes were parent-and self-reported internalizing and externalizing problems; secondary outcomes were child disease-related coping skills (information seeking, relaxation, social competence, medical compliance, and positive thinking). Assessments took place at baseline and at 6- and 12-month follow-ups. Intention-to-treat mixed-model analyses were performed to test the difference in change in outcomes. RESULTS: The intervention had a positive effect on changes in parent-reported internalizing problems, child-reported externalizing problems, information seeking, social competence, and positive thinking. The additional effect of parental involvement was observed on parent-reported internalizing problems, child-reported externalizing problems, information seeking, and social competence. Illness severity and illness type did not moderate the effects. There were no intervention effects on child-reported internalizing problems, parent-reported externalizing problems, relaxation, or medical compliance. Of the families in the wait-list control group, 74% sought alternative psychological support during the intervention period. CONCLUSIONS: This RCT supports the efficacy of a protocol-based group intervention for children with chronic illnesses and their parents. Adding a parental component to the intervention contributed to the persistence of the effects. Future research should focus on moderating and mediating effects of the intervention.

Originele taal-2Engels
Pagina's (van-tot)e1196-e1203
TijdschriftPediatrics
Volume131
Nummer van het tijdschrift4
DOI's
StatusGepubliceerd - apr. 2013
Extern gepubliceerdJa

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