Efficacy of psychosocial group intervention for children with chronic illness and their parents
Abstract
OBJECTIVE: To investigate the efficacy of a cognitive-behavioral group intervention for children with chronic illnesses and to test the effect of an added parent component. METHODS: Children (n = 194) and their parents participated in a multicenter randomized clinical trial comparing a child-only intervention and a parent-child intervention to a wait-list control group. Primary outcomes were parent- and self-reported internalizing and externalizing problems; secondary outcomes were child disease-related coping skills (information seeking, relaxation, social competence, medical compliance, and positive thinking). Assessments took place at baseline and at 6- and 12-month follow-ups. Intention-to-treat mixed-model analyses were performed to test the difference in change in outcomes. RESULTS: The intervention had a positive effect on changes in parent-reported internalizing problems, child-reported externalizing problems, information seeking, social competence, and positive thinking. The additional effect of parental involvement was observed on parent-reported internalizing problems, child-reported externalizing problems, information seeking, and social competence. Illness severity and illness type did not moderate the effects. There were no intervention effects on child-reported internalizing problems, parent-reported externalizing problems, relaxation, or medical compliance. Of the families in the wait-list control group, 74% sought alternative psychological support during the intervention period. CONCLUSIONS: This RCT supports the efficacy of a protocol-based group intervention for children with chronic illnesses and their parents. Adding a parental component to the intervention contributed to the persistence of the effects. Future research should focus on moderating and mediating effects of the intervention.
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The Op Koers face-to-face intervention for children, adolescents and parents was proven to be effective.
“The intervention is partly based on the already existing Op Koers face-to-face intervention for children, adolescents and parents, which was proven to be effective (Scholten et al., 2013)”
From Online psychosocial group intervention for parents: Positive effects on anxiety and depression. (2021) · cites this paper as Scholten et al., 2013
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Paixão, C., Alvarenga, P., Barros, L., & Souza, E. L. (2021) · Análise Psicológica · doi:10.14417/ap.1766 · Cited by 2 · see citing works
Wellness coaches in intervention delivery: pediatric asthma as an example
Streisand, R. M., Waters, D., Fousheé, N., Shelef, D. Q., Herrera, N. A., & Teach, S. J. (2018) · Translational Behavioral Medicine · doi:10.1093/tbm/iby071 · Cited by 2 · see citing works
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Group Counseling for Children with Chronic Illness Is Effective
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Emotional Well-Being in Children with New- Onset Epilepsy
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Assessing and Enhancing Psychosocial Functioning
Coletti, D. J., & Kane, N. S. (2016) · Springer eBooks · doi:10.1007/978-3-319-43827-6_25
School-based subjective wellbeing intervention for adolescents
Colla, L. (2016)
Transition Times. Supporting the Child and Adolescent’s Transitions in Pediatric Condition
Ped, S. I. P. (2020) · Pediatric Reports · doi:10.4081/pr.2020.8758
Psychosocial challenges of childhood cancer survivorship
van Erp, L. M. E. (2022) · doi:10.33540/1519
Kaemmerer, M., Jeitani, C., Verwimp, C., Lahaye, M., & Luminet, O. (2023) · doi:10.31234/osf.io/xzcwh
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Assessing and Enhancing Psychosocial Functioning
Coletti, D. J., & Kane, N. S. (2024) · Springer eBooks · doi:10.1007/978-3-031-54281-7_55
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Beyond pediatric burns : a family perspective on the psychological consequences of burns in children
Bakker, A. (2013) · Utrecht University Repository (Utrecht University)
- Authors
- Scholten, L., Willemen, A. M., Last, B. F., Maurice-Stam, H., van Dijk, E. M., Ensink, E., Zandbelt, N., van der Hoop-Mooij, A., Schuengel, C., & Grootenhuis, M. A.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Amsterdam Public Health (NL)
- Psychosocial Department, Emma Children’s Hospital Academic Medical Center, Amsterdam, Netherlands;
- Department of Medical Psychology, Section of Pediatric Psychology, VU Medical Center, Amsterdam, Netherlands;
- Radboud University Medical Center (NL)
- De Kinderkliniek (NL)
- Admiraal de Ruijter Hospital, Goes, Netherlands
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2013-04-01
- Volume
- 131
- Issue
- 4
- Pages
- e1196-e1203
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2059664254
- Cited by
- 82
- References
- 31
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 2 · 2022: 4 · 2021: 7 · 2020: 13 · 2019: 9 · 2018: 4 · 2017: 5 · 2016: 12 · 2015: 6 · 2014: 8 · 2013: 4
- FWCI
- 30.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- VU Research Portal (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- psychosocial group intervention, cognitive-behavioral intervention, children with chronic illness, parental involvement, parent-child intervention, internalizing problems, externalizing problems, coping strategies, information seeking, social competence, medical compliance, positive thinking, disease severity
- MeSH terms
- Adaptation, Psychological, Adolescent, Child, Child Behavior Disorders, Chronic Disease, Female, Follow-Up Studies, Humans, Male, Parent-Child Relations, Psychotherapy, Group, Models, Statistical, Cognitive Behavioral Therapy, Treatment Outcome, Intention to Treat Analysis, Self Report
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