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Group-based parent training programme for children with neurological conditions: a feasibility study.

Nimmi Parikh1, Alexandra Faulkner2, Maria Hadji-Michael3

  • 1Great Ormond Street Hospital for Children, London, UK nimmi.parikh@gosh.nhs.uk.

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|October 28, 2023
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Summary

This study found a 6-week parent training program feasible and effective for children with neurological conditions. The program improved child behavior and parental well-being, with high attendance rates for both face-to-face and remote options.

Keywords:
Child Health ServicesMental healthNeurologyPaediatricsPsychology

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Area of Science:

  • Child Psychology
  • Neurodevelopmental Disorders
  • Parenting Interventions

Background:

  • Children with neurological conditions often exhibit challenging behaviors impacting families.
  • Evidence-based parent training is crucial for managing these behaviors and supporting child development.
  • Accessible delivery formats (face-to-face and remote) are needed to improve program reach.

Purpose of the Study:

  • To assess the feasibility of a group-based parent training program for caregivers of children with neurological conditions.
  • To evaluate the program's effectiveness in improving child behavior and parental well-being.
  • To compare outcomes between face-to-face and remote delivery formats.

Main Methods:

  • A 6-week evidence-based behavioral parenting program was delivered to parents of 31 children with neurological conditions.
  • Feasibility was measured by attendance rates (face-to-face: 80%, remote: 79%).
  • Effectiveness was assessed using parent-reported measures of child behavior (e.g., Strengths and Difficulties Questionnaire) and parental well-being (e.g., Parental Sense of Competence), with pre- and post-intervention analyses.

Main Results:

  • The program demonstrated feasibility with high attendance rates across both delivery formats.
  • Statistically significant improvements were observed in child behavior (p=0.014), quality of life (p<0.001), goal-based outcomes (p<0.001), parental self-efficacy (p<0.001), and reduced parental anxiety (p=0.030).
  • Medium to large effect sizes indicated meaningful improvements in most child behavior and parental well-being measures.

Conclusions:

  • The group parenting intervention is a feasible and effective approach for parents of children with heterogeneous neurological conditions and challenging behaviors.
  • The program positively impacts both child behavior and parental psychological well-being.
  • Both face-to-face and remote delivery methods are acceptable and effective, offering flexibility for families.