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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 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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Metadata
- 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
- 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 › Clinical Neurology › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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