Interventions to reduce behavioral problems in children with cerebral palsy: An RCT
dc.contributor.author | Whittingham, K. | |
dc.contributor.author | Sanders, M. | |
dc.contributor.author | McKinlay, L. | |
dc.contributor.author | Boyd, Roslyn | |
dc.date.accessioned | 2017-01-30T13:44:21Z | |
dc.date.available | 2017-01-30T13:44:21Z | |
dc.date.created | 2015-10-29T04:10:12Z | |
dc.date.issued | 2014 | |
dc.identifier.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. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/34564 | |
dc.identifier.doi | 10.1542/peds.2013-3620 | |
dc.description.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. | |
dc.title | Interventions to reduce behavioral problems in children with cerebral palsy: An RCT | |
dc.type | Journal Article | |
dcterms.source.volume | 133 | |
dcterms.source.number | 5 | |
dcterms.source.startPage | e1249 | |
dcterms.source.endPage | e1257 | |
dcterms.source.issn | 0031-4005 | |
dcterms.source.title | Pediatrics | |
curtin.department | School of Occupational Therapy and Social Work | |
curtin.accessStatus | Open access via publisher |
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