Parenting Intervention Combined With Acceptance and Commitment Therapy: A Trial With Families of Children With Cerebral Palsy

Whittingham, Koa; Sanders, Matthew R.; McKinlay, Lynne; Boyd, Roslyn N.

doi:10.1093/jpepsy/jsv118

Cited by 113Family and Disability Support ResearchCerebral Palsy and Movement DisordersMindfulness and Compassion Interventions

Parenting Intervention Combined With Acceptance and Commitment Therapy: A Trial With Families of Children With Cerebral Palsy

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Whittingham, Koa, Sanders, Matthew R., McKinlay, Lynne, Boyd, Roslyn N.·2016·Journal of Pediatric Psychology

DOI 10.1093/jpepsy/jsv118PMC PMC4888113

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Abstract

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 children (64.2% male; mean age 5.3 ± 3.0 years) with cerebral palsy participated in a randomized controlled trial with three groups: wait-list control, SSTP, and SSTP + ACT. This article details the secondary outcomes. RESULTS: In comparison with wait-list, the SSTP + ACT group showed increased functional performance and quality of life as well as decreased parental psychological symptoms. No differences were found for parental confidence. No differences were found between SSTP and wait-list or between SSTP and SSTP + ACT. CONCLUSIONS: ACT-integrated parenting intervention may be an effective way to target child functioning, quality of life, and parental adjustment.

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An increase in attrition rate from around 9% at immediate post-intervention to over 50% at six-month follow-up for the intervention group was observed in one included study with the longest follow-up (Whittingham et al. 2016).
“An increase in attrition rate from around 9% at immediate post-intervention timepoint to over 50% at the six-month follow-up for the intervention group was observed in one of the included studies which conducted the longest follow-up time period (Whittingham et al. 2016).”
From The Effect of Mindfulness-Based and Acceptance Commitment Therapy-Based Interventions to Improve the Mental Well-Being Among Parents of Children with Developmental Disabilities: A Systematic Review and Meta-Analysis. (2022) · cites this paper as Whittingham et al. 2016
The Preliminary Analysis and Assumption Testing section reports less than 10% missing data at postintervention and significant attrition at six months. The Statistical Analysis section reports 11 of 23 originally allocated SSTP + ACT families completing follow-up, consistent with over 50% attrition in that group. But the paper does not identify the postintervention missing-data figure as an approximately 9% attrition rate for that intervention group. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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].”
From Roles of Parental Psychological Flexibility, Self-Compassion, and Self-Efficacy in Affecting Mental Health and Quality of Life in Parents of Children with Eczema (2023) · cites this paper as [42]
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Whittingham et al. (2016) and Zody (2018) found no statistically significant increases in stress, anxiety, and depression scores in their intervention groups at six-month and three-month follow-up, respectively, compared to post-intervention.
“Both Whittingham et al. (2016) and Zody (2018) reported that their respective intervention groups did not show any statistically significant increase in stress, anxiety, and depression scores at the six-month and the three-month follow-up respectively, compared to post-intervention.”
From The Effect of Mindfulness-Based and Acceptance Commitment Therapy-Based Interventions to Improve the Mental Well-Being Among Parents of Children with Developmental Disabilities: A Systematic Review and Meta-Analysis. (2022) · cites this paper as Whittingham et al. 2016

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Authors: Whittingham, K., Sanders, M. R., McKinlay, L., & Boyd, R. N.
Affiliations: The University of Queensland (AU)
Children's Health Queensland Hospital and Health Service (AU)
ORCID: Whittingham, Koa
Sanders, Matthew R.
McKinlay, Lynne
Boyd, Roslyn N.
Venue: Journal of Pediatric Psychology
Publisher: Oxford University Press (OUP)
Published: 2015-12-24
Volume: 41
Issue: 5
Pages: 531-542
ISSN: 0146-8693 (ISSN-L)
1465-735X
DOI: 10.1093/jpepsy/jsv118
PMC: PMC4888113
OpenAlex: W2211745475
Cited by: 113
References: 38
Citations by year: 2026: 7 · 2025: 10 · 2024: 11 · 2023: 17 · 2022: 10 · 2021: 18 · 2020: 18 · 2019: 12 · 2018: 4 · 2017: 4 · 2016: 2
FWCI: 4.13
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Pediatric Psychology (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
eSpace (Curtin University) (submittedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: Medical Research Council
National Health and Medical Research Council (1037220, 631712)
Topics: Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Keywords: cerebral palsy, parenting support, Stepping Stones Triple P, acceptance and commitment therapy, combined psychotherapy, parental adjustment, child functioning, quality of life, parental confidence, mothers of children with disabilities
MeSH terms: Emotional Adjustment, Cerebral Palsy, Child, Child, Preschool, Education, Nonprofessional, Female, Follow-Up Studies, Humans, Male, Parent-Child Relations, Parents, Quality of Life, Parenting, Acceptance and Commitment Therapy

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Parenting Intervention Combined With Acceptance and Commitment Therapy: A Trial With Families of Children With Cerebral Palsy

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