Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial
Abstract
Objective To evaluate the efficacy of a behavioural family intervention, Stepping Stones Triple P (SSTP), combined with an Acceptance and Commitment Therapy (ACT) workshop in improving parent, family and couple outcomes following paediatric acquired brain injury (ABI).Participants and setting Fifty-nine parents (90% mothers) of children (mean age 7 years; 35 males, 24 females) with ABI.Intervention Participants were randomly assigned to a treatment (10-week group SSTP and ACT program) or a care-as-usual (CAU) control condition (10 weeks). Those in the CAU condition received the treatment after the waitlist period.Outcomes Self-report measures of parent psychological distress, parent psychological flexibility, parenting confidence, family functioning, and couple relationship, assessed at: pre-intervention, post-intervention, and 6-months post-intervention.Results Post-intervention, the treatment group showed significant, small to medium improvements relative to the CAU group (at the p < .05 level) on parent psychological distress, parent psychological flexibility, parent confidence in managing behaviours, family adjustment,and number of disagreements between parents. Most improvements were maintained at 6-months.Conclusions Parent skills training and ACT may be efficacious in improving parent, family, and couple outcomes in families of children with an ABI.
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An increasing number of studies support the role of parental psychological flexibility in fostering better mental health outcomes and HRQoL of parents, as well as other health outcomes of their children diagnosed with various chronic conditions.
“An increasing number of studies have supported the role of parental psychological flexibility in fostering better mental health outcomes and HRQoL of parents, as well as other health outcomes of their children diagnosed with various chronic conditions, such as autism spectrum disorders [39,40], acquired brain injuries [41], and cerebral palsy [42].”
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- Authors
- Brown, F. L., Whittingham, K., Boyd, R. N., McKinlay, L., & Sofronoff, K.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Brown, Felicity L.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 73
- Pages
- 58-66
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1670438112
- Cited by
- 101
- References
- 39
- Citations by year
- 2026: 3 · 2025: 12 · 2024: 10 · 2023: 12 · 2022: 10 · 2021: 15 · 2020: 12 · 2019: 15 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 1 · 2012: 1
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- eSpace (Curtin University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- pediatric acquired brain injury, Stepping Stones Triple P, acceptance and commitment therapy, family intervention, parent training, psychological flexibility, parental confidence, family functioning, couple relationships, pediatric brain injury
- MeSH terms
- Behavior Therapy, Brain Injuries, Child, Child Behavior, Child, Preschool, Family Characteristics, Female, Humans, Male, Parent-Child Relations, Parents, Stress, Psychological, Parenting, Caregivers, Acceptance and Commitment Therapy
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