Lauren K Williams1, Maria C McCarthy2, Kylie Burke3, Vicki Anderson4, Nicole Rinehart5. 1. Murdoch Childrens Research Institute, Flemington Road, Parkville, Victoria, 3052, Australia; School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia. Electronic address: Lauren.Williams@mcri.edu.au. 2. Murdoch Childrens Research Institute, Flemington Road, Parkville, Victoria, 3052, Australia; Royal Children's Hospital, Flemington Road, Parkville, Victoria, 3052, Australia. 3. Murdoch Childrens Research Institute, Flemington Road, Parkville, Victoria, 3052, Australia; Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, Queensland, 4072, Australia. 4. Murdoch Childrens Research Institute, Flemington Road, Parkville, Victoria, 3052, Australia; Royal Children's Hospital, Flemington Road, Parkville, Victoria, 3052, Australia; Department of Pediatrics, University of Melbourne, Flemington Road, Parkville, Victoria, 3052, Australia; School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria, 3125, Australia. 5. Murdoch Childrens Research Institute, Flemington Road, Parkville, Victoria, 3052, Australia; School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria, 3125, Australia.
Abstract
PURPOSE: Child emotional and behavioral problems constitute significant sequelae of acute lymphoblastic leukemia (ALL) treatment. The aims of this study were to a) examine the feasibility, acceptability and satisfaction of a parenting intervention amongst parents of children with ALL and b) explore whether participation in a parenting intervention shows promise for improvements in child behavior. METHODS:12 parents with a child aged between 2 and 8 years receiving maintenance phase treatment for ALL participated in a phase 2 randomized controlled trial comparing eight weeks of group online participation in Triple P: Positive Parenting Program with no intervention. RESULTS: The number of eligible parents who completed the intervention was low (31.6%). Main reasons for non-consent or dropout were program time commitment too high or content not relevant. For parents who completed the intervention, satisfaction and acceptability was high. Parents reported the intervention as highly relevant and topical, feasible, helpful and a positive experience. Results indicated a non-significant trend towards improved total child behavioral and emotional difficulties following the intervention. Qualitative results indicated that intervention group parents reported improvements in parenting skills and competence, and decreased child behavioral problems. CONCLUSIONS: These pilot data highlight the difficulties of engaging and retaining parents in an 8-week parenting intervention in this context. For parents who completed the intervention, results indicated high feasibility, acceptability and satisfaction. Suggestions for further research and intervention modifications are provided to enhance uptake and strengthen efforts to assist parents in addressing child behavioral and emotional challenges during ALL treatment.
RCT Entities:
PURPOSE:Child emotional and behavioral problems constitute significant sequelae of acute lymphoblastic leukemia (ALL) treatment. The aims of this study were to a) examine the feasibility, acceptability and satisfaction of a parenting intervention amongst parents of children with ALL and b) explore whether participation in a parenting intervention shows promise for improvements in child behavior. METHODS: 12 parents with a child aged between 2 and 8 years receiving maintenance phase treatment for ALL participated in a phase 2 randomized controlled trial comparing eight weeks of group online participation in Triple P: Positive Parenting Program with no intervention. RESULTS: The number of eligible parents who completed the intervention was low (31.6%). Main reasons for non-consent or dropout were program time commitment too high or content not relevant. For parents who completed the intervention, satisfaction and acceptability was high. Parents reported the intervention as highly relevant and topical, feasible, helpful and a positive experience. Results indicated a non-significant trend towards improved total child behavioral and emotional difficulties following the intervention. Qualitative results indicated that intervention group parents reported improvements in parenting skills and competence, and decreased child behavioral problems. CONCLUSIONS: These pilot data highlight the difficulties of engaging and retaining parents in an 8-week parenting intervention in this context. For parents who completed the intervention, results indicated high feasibility, acceptability and satisfaction. Suggestions for further research and intervention modifications are provided to enhance uptake and strengthen efforts to assist parents in addressing child behavioral and emotional challenges during ALL treatment.
Authors: Brett D Thombs; Linda Kwakkenbos; Marie-Eve Carrier; Angelica Bourgeault; Lydia Tao; Sami Harb; Maria Gagarine; Danielle Rice; Laura Bustamante; Kelsey Ellis; Delaney Duchek; Yin Wu; Parash Mani Bhandari; Dipika Neupane; Andrea Carboni-Jiménez; Richard S Henry; Ankur Krishnan; Ying Sun; Brooke Levis; Chen He; Kimberly A Turner; Andrea Benedetti; Nicole Culos-Reed; Ghassan El-Baalbaki; Shannon Hebblethwaite; Susan J Bartlett; Laura Dyas; Scott Patten; John Varga Journal: J Psychosom Res Date: 2020-05-14 Impact factor: 3.006
Authors: Siân A McLean; Anna T Booth; Alexandra Schnabel; Bradley J Wright; Felicity L Painter; Jennifer E McIntosh Journal: Clin Child Fam Psychol Rev Date: 2021-01-25
Authors: Brett D Thombs; Laura Dyas; Mia Pépin; Kylene Aguila; Marie-Eve Carrier; Lydia Tao; Sami Harb; Vanessa L Malcarne; Ghassan El-Baalbaki; Sandra Peláez; Maureen Sauve; Marie Hudson; Robert W Platt Journal: BMJ Open Date: 2019-11-11 Impact factor: 2.692