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Guided Self-help Teletherapy for Behavioural Difficulties in Children with Epilepsy

Sophie Bennett1,2, Isobel Heyman3,4, Sophia Varadkar3,4

  • 1UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, UK. Sophie.bennett.10@ucl.ac.uk.

Journal of Clinical Psychology in Medical Settings
|March 19, 2021
PubMed

Insights

Guided self-help teletherapy effectively addressed behavioral difficulties in a child with epilepsy and complex needs. This approach, delivered in a pediatric setting, improved quality of life and reduced behavioral challenges for the family.

Area of Science:

  • Pediatric Psychology
  • Child Neurology
  • Telehealth Interventions

Background:

  • Behavioral difficulties significantly impact children with chronic illnesses and their families.
  • These challenges are often overlooked due to fragmented physical and mental health services.
  • Epilepsy and complex needs present unique management hurdles for affected children.

Purpose of the Study:

  • To describe the content and outcomes of guided self-help teletherapy for behavioral issues in a child with epilepsy.
  • To evaluate the effectiveness of an evidence-based behavioral parenting protocol delivered via teletherapy.
  • To assess the feasibility of integrating teletherapy within a pediatric hospital setting.

Main Methods:

  • A case study approach was employed, focusing on a child with epilepsy and complex needs.
  • Guided self-help teletherapy utilized an evidence-based behavioral parenting protocol.
  • Progress was monitored via weekly ratings of behavioral difficulties and family goals, alongside validated mental health and quality of life measures.

Main Results:

  • Significant progress was observed towards the family's self-identified goals.
  • Weekly ratings indicated a reduction in behavioral difficulties.
  • Validated measures showed improvements in mental health and quality of life post-intervention.

Conclusions:

  • Guided self-help teletherapy delivered within a pediatric setting can effectively address unmet needs for behavioral support.
  • This approach offers a viable solution for managing behavioral difficulties in children with chronic conditions like epilepsy.
  • Teletherapy integration within pediatric care holds promise for improving patient and family outcomes.

Keywords:
BehaviourEpilepsyMental healthPaediatricsSelf-help

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