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    Interventions to reduce behavioral problems in children with cerebral palsy: An RCT

    Access Status
    Open access via publisher
    Authors
    Whittingham, K.
    Sanders, M.
    McKinlay, L.
    Boyd, Roslyn
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Whittingham, K. and Sanders, M. and McKinlay, L. and Boyd, R. 2014. Interventions to reduce behavioral problems in children with cerebral palsy: An RCT. Pediatrics. 133 (5): pp. e1249-e1257.
    Source Title
    Pediatrics
    DOI
    10.1542/peds.2013-3620
    ISSN
    0031-4005
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/34564
    Collection
    • Curtin Research Publications
    Abstract

    OBJECTIVE: To test Stepping Stones Triple P (SSTP) and Acceptance and Commitment Therapy (ACT) in a trial targeting behavioral problems in children with cerebral palsy (CP). METHODS: Sixty-seven parents (97.0% mothers; mean age 38.7 ± 7.1 years) of children (64.2% boys; mean age 5.3 ± 3.0 years) with CP (Gross Motor Function Classification System = 15, 22%; II = 18, 27%; III =12, 18%; IV = 18, 27%; V = 4, 6%) participated and were randomly assigned to SSTP, SSTP + ACT, or waitlist. Primary outcomes were behavioral and emotional problems (Eyberg Child Behavior Inventory [ECBI], Strengths and Difficulties Questionnaire [SDQ]) and parenting style (Parenting Scale [PS]) at postintervention and 6-month follow-up. RESULTS: SSTP with ACT was associated with decreased behavioral problems (ECBI Intensity mean difference [MD] = 24.12, confidence interval [CI] 10.22 to 38.03, P = .003; ECBI problem MD = 8.30, CI 4.63 to 11.97, P < .0001) including hyperactivity (SDQ MD = 1.66, CI 0.55 to 2.77, P = .004), as well as decreased parental overreactivity (PS MD = 0.60, CI 0.16 to 1.04, P = .008) and verbosity (PS MD = 0.68, CI 0.17 to 1.20, P = .01). SSTP alone was associated with decreased behavioral problems (ECBI problems MD = 6.04, CI 2.20 to 9.89, P = .003) and emotional symptoms (SDQ MD = 1.33, CI 0.45 to 2.21, P = .004). Decreases in behavioral and emotional problems were maintained at follow-up. CONCLUSIONS: SSTP is an effective intervention for behavioral problems in children with CP. ACT delivers additive benefits. Copyright © 2014 by the American Academy of Pediatrics.

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    • Stepping stones triple p and acceptance and commitment therapy for parents of children with cerebral palsy: Trial protocol
      Whittingham, K.; Sanders, M.; McKinlay, L.; Boyd, Roslyn (2013)
      This project aims to optimise outcomes for children with cerebral palsy (CP) and their families by testing the efficacy of two complementary interventions novel to the CP population: (1) parenting intervention (Stepping ...
    • Parenting intervention combined with acceptance and commitment therapy: A trial with families of children with cerebral palsy
      Whittingham, K.; Sanders, M.; McKinlay, L.; Boyd, Roslyn (2016)
      Objective - to examine the effects of Stepping Stones Triple P (SSTP) and Acceptance and Commitment Therapy (ACT) on child functioning, quality of life, and parental adjustment. Method - 67 parents (97.0% mothers) of ...
    • Improving child and parenting outcomes following paediatric acquired brain injury: A randomised controlled trial of Stepping Stones Triple P plus Acceptance and Commitment Therapy
      Brown, F.; Whittingham, K.; Boyd, Roslyn; McKinlay, L.; Sofronoff, K. (2014)
      © 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, ...
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