Improvements seen in parental, pediatric, and family psychosocial outcomes; more efficient for parents of children aged 10 years or younger<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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TUESDAY, Jan. 2, 2024 (HealthDay News) — For parents of children with chronic health conditions (CHCs), problem-solving skills training (PSST) is associated with improvement in parental, pediatric, and family psychosocial outcomes, according to a review published online Jan. 2 in JAMA Pediatrics<\/em>.<\/p>\n Tianji Zhou, Ph.D., from the Xiangya School of Nursing at Central South University in Changsha, China, and colleagues conducted a systematic review of randomized clinical trials (RCTs) to examine the associations of PSST for parents of children with CHCs with parental, pediatric, and family psychosocial outcomes. Twenty-three RCTs involving 3,141 parents were included in the systematic review; 21 were eligible for meta-analysis.<\/p>\n The researchers found that PSST was significantly associated with improvements in parental outcomes, including problem-solving skills, depression, distress, posttraumatic stress, parenting stress, and quality of life (QOL; standardized mean differences [SMDs], 0.43, \u00e2\u0088\u00920.45, \u00e2\u0088\u00920.61, \u00e2\u0088\u00920.39, \u00e2\u0088\u00920.62, and 0.45, respectively). PSST was associated with better QOL and fewer mental problems for children (SMD, 0.76 and \u00e2\u0088\u00920.51, respectively) and with less parent-child conflict (SMD, \u00e2\u0088\u00920.38). PSST was more efficient for parents of children aged 10 years or younger or who were newly diagnosed with a CHC in subgroup analysis. PSST delivered online was associated with significant improvements in most outcomes.<\/p>\n “Our findings on children- and intervention-level characteristics may guide the design and delivery of future PSST by presenting information on factors associated with effectiveness,” the authors write.<\/p>\n