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dc.contributor.authorBrown, F.
dc.contributor.authorWhittingham, K.
dc.contributor.authorBoyd, Roslyn
dc.contributor.authorMcKinlay, L.
dc.contributor.authorSofronoff, K.
dc.date.accessioned2017-01-30T13:26:15Z
dc.date.available2017-01-30T13:26:15Z
dc.date.created2015-10-29T04:10:12Z
dc.date.issued2014
dc.identifier.citationBrown, F. and Whittingham, K. and Boyd, R. and McKinlay, L. and Sofronoff, K. 2014. Improving child and parenting outcomes following paediatric acquired brain injury: A randomised controlled trial of Stepping Stones Triple P plus Acceptance and Commitment Therapy. Journal of Child Psychology and Psychiatry and Allied Disciplines. 55 (10): pp. 1172-1183.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/31586
dc.identifier.doi10.1111/jcpp.12227
dc.description.abstract

© 2014 Association for Child and Adolescent Mental Health. Background: Persistent behavioural difficulties are common following paediatric acquired brain injury (ABI). Parents and families also experience heightened stress, psychological symptoms and burden, and there is evidence of a reciprocal relationship between parent and child functioning, which may be mediated by the adoption of maladaptive parenting practices. Despite this, there is currently a paucity of research in family interventions in this population. The aim of this study was to determine the efficacy of Stepping Stones Triple P: Positive Parenting Program (SSTP), with an Acceptance and Commitment Therapy (ACT) workshop, in improving child outcomes and parenting practices following paediatric ABI. Methods: Fifty-nine parents of children (mean age 7 years, SD 3 years, 1 month; 35 males, 24 females) with ABI (Traumatic injuries 58%, Tumour 17%, Encephalitis or meningitis 15%, Cardiovascular accident 7%, Hypoxia 3%) who were evidencing at least mild behaviour problems were randomly assigned to treatment or care-as-usual conditions over 10 weeks. Mixed-model repeated-measures linear regression analyses were conducted to compare conditions from pre-to postintervention on child behavioural and emotional functioning (Eyberg Child Behavior Inventory, Strengths and Difficulties Questionnaire) and dysfunctional parenting style (Parenting Scale). Assessment of maintenance of change was conducted at a 6-month follow-up. The trial was registered on Australian New Zealand Clinical Trials Registry (ID: ACTRN12610001051033, www.anzctr.org.au). Results: Significant time-by-condition interactions were identified on number and intensity of child behaviour problems, child emotional symptoms and parenting laxness and overreactivity, indicating significant improvements in the treatment condition, with medium-to-large effect sizes. Most improvements were maintained at 6 months. Conclusions: Group parenting interventions incorporating Triple P and ACT may be efficacious in improving child and parenting outcomes following paediatric ABI.

dc.titleImproving child and parenting outcomes following paediatric acquired brain injury: A randomised controlled trial of Stepping Stones Triple P plus Acceptance and Commitment Therapy
dc.typeJournal Article
dcterms.source.volume55
dcterms.source.number10
dcterms.source.startPage1172
dcterms.source.endPage1183
dcterms.source.issn0021-9630
dcterms.source.titleJournal of Child Psychology and Psychiatry and Allied Disciplines
curtin.departmentSchool of Occupational Therapy and Social Work
curtin.accessStatusFulltext not available


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