Effects of Triple P parenting intervention on child health outcomes for childhood asthma and eczema: Randomised controlled trial

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Morawska, Alina
Mitchell, Amy E
Burgess, Scott
Fraser, Jennifer
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2016
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Abstract

Childhood chronic health conditions have considerable impact on children. We aimed to test the efficacy of a brief, group-based parenting intervention for improving illness-related child behaviour problems, parents' self-efficacy, quality of life, parents' competence with treatment, and symptom severity. A 2 (intervention vs. care as usual) by 3 (baseline, post-intervention, 6-month follow-up) design was used, with random group assignment. Participants were 107 parents of 2- to 10-year-old children with asthma and/or eczema. Parents completed self-report questionnaires, symptom diaries, and home observations were completed. The intervention comprised two 2-h group discussions based on Triple P. Parents in the intervention group reported (i) fewer eczema-related, but not asthma-related, child behaviour problems; (ii) improved self-efficacy for managing eczema, but not asthma; (iii) better quality of life for parent and family, but not child; (iv) no change in parental treatment competence; (v) reduced symptom severity, particularly for children prescribed corticosteroid-based treatments. Results demonstrate the potential for brief parenting interventions to improve childhood chronic illness management, child health outcomes, and family wellbeing. Effects were stronger for eczema-specific outcomes compared to asthma-specific outcomes. Effects on symptom severity are very promising, and further research examining effects on objective disease severity and treatment adherence is warranted. Australia New Zealand clinical trials registration: ACTRN12611000558921.

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Behaviour Research and Therapy

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83

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© 2016 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.

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Psychology

Cognitive and computational psychology

Social Sciences

Psychology, Clinical

Parenting

Behavioural family intervention

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Morawska, A; Mitchell, AE; Burgess, S; Fraser, J, Effects of Triple P parenting intervention on child health outcomes for childhood asthma and eczema: Randomised controlled trial, Behaviour Research and Therapy, 2016, 83, pp. 35-44

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