Brief parenting intervention (Triple P) for families of children with eczema : a randomized controlled trial
© The Author(s) 2024. Published by Oxford University Press on behalf of the Society of Pediatric Psychology..
OBJECTIVE: To evaluate the efficacy and costs of a brief, group-delivered parenting intervention for families of children with eczema.
METHODS: A randomized controlled trial design was used. Families attending the Queensland Children's Hospital and from the community (n = 257) were assessed for eligibility (child 2-10 years, diagnosed with eczema, prescribed topical corticosteroids). Families who consented to participate (N = 59) were assessed at baseline for clinician-rated eczema severity, parent-reported eczema symptom severity, and electronically-monitored topical corticosteroid adherence (primary outcomes); and parenting behavior, parents' self-efficacy and task performance when managing eczema, eczema-related child behavior problems, and child and parent quality of life (secondary outcomes). Families were randomized (1:1, unblinded) to intervention (n = 31) or care-as-usual (n = 28). The intervention comprised two, 2-hr Healthy Living Triple P group sessions (face-to-face/online) and 28 intervention families attended one/both sessions. All families were offered standardized eczema education. Families were reassessed at 4-weeks post-intervention and 6-month follow-up, with clinician-raters blinded to condition. Costs of intervention delivery were estimated.
RESULTS: Multilevel modeling across assessment timepoints showed significant intervention effects for ineffective parenting (d = .60), self-efficacy (d = .74), task performance (d = .81), and confidence with managing eczema-related child behavior (d = .63), but not disease/symptom severity, treatment adherence or quality of life. Mean cost per participating family with parenting behavior (clinically) improved was $159.
CONCLUSIONS: Healthy Living Triple P is effective in reducing ineffective parenting practices and improving parents' self-efficacy and task performance when managing children's eczema and eczema-related behavior difficulties. There was no effect on disease/symptom severity, treatment adherence, or quality of life.
CLINICAL TRIAL REGISTRATION: ACTRN12618001332213.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Journal of pediatric psychology - (2024) vom: 10. Apr. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mitchell, Amy E [VerfasserIn] |
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| Links: |
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| Themen: |
Adherence/self-management |
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| Anmerkungen: |
Date Revised 10.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1093/jpepsy/jsae023 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM37087837X |
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| 100 | 1 | |a Mitchell, Amy E |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Brief parenting intervention (Triple P) for families of children with eczema |b a randomized controlled trial |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © The Author(s) 2024. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. | ||
| 520 | |a OBJECTIVE: To evaluate the efficacy and costs of a brief, group-delivered parenting intervention for families of children with eczema | ||
| 520 | |a METHODS: A randomized controlled trial design was used. Families attending the Queensland Children's Hospital and from the community (n = 257) were assessed for eligibility (child 2-10 years, diagnosed with eczema, prescribed topical corticosteroids). Families who consented to participate (N = 59) were assessed at baseline for clinician-rated eczema severity, parent-reported eczema symptom severity, and electronically-monitored topical corticosteroid adherence (primary outcomes); and parenting behavior, parents' self-efficacy and task performance when managing eczema, eczema-related child behavior problems, and child and parent quality of life (secondary outcomes). Families were randomized (1:1, unblinded) to intervention (n = 31) or care-as-usual (n = 28). The intervention comprised two, 2-hr Healthy Living Triple P group sessions (face-to-face/online) and 28 intervention families attended one/both sessions. All families were offered standardized eczema education. Families were reassessed at 4-weeks post-intervention and 6-month follow-up, with clinician-raters blinded to condition. Costs of intervention delivery were estimated | ||
| 520 | |a RESULTS: Multilevel modeling across assessment timepoints showed significant intervention effects for ineffective parenting (d = .60), self-efficacy (d = .74), task performance (d = .81), and confidence with managing eczema-related child behavior (d = .63), but not disease/symptom severity, treatment adherence or quality of life. Mean cost per participating family with parenting behavior (clinically) improved was $159 | ||
| 520 | |a CONCLUSIONS: Healthy Living Triple P is effective in reducing ineffective parenting practices and improving parents' self-efficacy and task performance when managing children's eczema and eczema-related behavior difficulties. There was no effect on disease/symptom severity, treatment adherence, or quality of life | ||
| 520 | |a CLINICAL TRIAL REGISTRATION: ACTRN12618001332213 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a adherence/self-management | |
| 650 | 4 | |a chronic illness | |
| 650 | 4 | |a health behavior | |
| 650 | 4 | |a parenting | |
| 650 | 4 | |a parents | |
| 650 | 4 | |a randomized controlled trial | |
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| 700 | 1 | |a Casey, Emily |e verfasserin |4 aut | |
| 700 | 1 | |a Forbes, Elana |e verfasserin |4 aut | |
| 700 | 1 | |a Filus, Ania |e verfasserin |4 aut | |
| 700 | 1 | |a Fraser, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Rowell, David |e verfasserin |4 aut | |
| 700 | 1 | |a Johnston, Aimee |e verfasserin |4 aut | |
| 700 | 1 | |a Birch, Stephen |e verfasserin |4 aut | |
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