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Interventions for Reducing Parenting Stress in Families With Pediatric Conditions: An Integrative Review
Nadya Golfenshtein1, Einav Srulovici2, Janet A Deatrick3
1University of Pennsylvania School of Nursing, Philadelphia, USA ng2801@gmail.com.
Insights
Parenting stress interventions effectively reduce immediate stress in families with children facing health conditions. However, most interventions do not show lasting improvements in parenting stress over time.
Area of Science:
- Pediatric Nursing
- Family Psychology
- Health Intervention Research
Background:
- Parenting stress is elevated in families with children experiencing serious acute or chronic health conditions.
- This increased stress can lead to adverse family outcomes.
- Parenting stress reduction interventions are commonly implemented.
Purpose of the Study:
- To review and categorize interventions aimed at reducing parenting stress in pediatric populations.
- To evaluate the types, components, and outcomes of these interventions.
- To identify gaps and suggest future directions for intervention research.
Main Methods:
- Systematic literature search identifying 26 experimental and quasi-experimental studies.
- Quality assessment using the Downs and Black's checklist by expert nursing researchers.
- Categorization of interventions based on their core components.
Main Results:
- Interventions were grouped into four categories: supporting/cognitive (3), empowerment/skill development (18), condition-targeted (9), and parent-child relationship focused (5).
- A majority of interventions (23 studies) successfully reduced immediate parenting stress levels.
- Few interventions demonstrated sustained long-term reductions in parenting stress.
Conclusions:
- While many interventions alleviate acute parenting stress, long-term stress reduction remains a challenge.
- Future interventions should prioritize sustained impact and address the specific needs of families across various pediatric conditions.
- Tailoring interventions to long-term family needs is crucial for effective parenting stress management.
Abstract:
Parenting stress increases in the presence of serious-acute or chronic pediatric health conditions, potentially triggering negative outcomes for families. Parenting stress reduction interventions have been widely disseminated. The current review describes the types, components, and outcomes of these interventions in diverse pediatric populations. A systematic literature search yielded 26 experimental and quasi-experimental studies describing such interventions. Quality assessment was conducted by two doctorally prepared nursing researchers using the Downs and Black's checklist for randomized and nonrandomized studies of health care interventions. Interventions were categorized as follows: interventions with supporting and cognitive components (n = 3), interventions with empowerment and skill development components (n = 18), interventions targeted to children's condition (n = 9), and interventions focusing on the parent-child relationship (n = 5). Most interventions reduced immediate parenting stress levels (n = 23), but failed to demonstrate long-term gains. Future family interventions should target long-term parenting stress, while focusing on specific family needs across pediatric conditions.
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