TY - JOUR
T1 - A Randomized Controlled Trial of Interventions to Promote Adjustment in Children With Congenital Heart Disease Entering School and Their Families
AU - Mccusker, Christopher G.
AU - Doherty, Nicola N.
AU - Molloy, Bernadette
AU - Rooney, Nichola
AU - Mulholland, Connor
AU - Sands, Andrew
AU - Craig, Brian
AU - Stewart, Moira
AU - Casey, Frank
PY - 2012/11/1
Y1 - 2012/11/1
N2 - Objective To report on a randomized controlled trial of psychological interventions to promote adjustment in children with congenital heart disease and their families. Method Following baseline assessment, 90 children (aged 4–5 years) and their families were randomly assigned to an Intervention or Control group before entering school. 68 (76%) were retained at 10-month follow-up. Results Gains were observed on measures of maternal mental health and family functioning. Although no differences were found on measures of child behavior at home or school, children in the intervention group were perceived as “sick” less often by their mother and missed fewer days from school. A regression model, using baseline measures as predictors, highlighted the importance of maternal mental health, worry and child neurodevelopmental functioning for child behavioral outcomes almost a year later. Conclusions The intervention promoted clinically significant gains for the child and family. The program is of generalizable significance.
AB - Objective To report on a randomized controlled trial of psychological interventions to promote adjustment in children with congenital heart disease and their families. Method Following baseline assessment, 90 children (aged 4–5 years) and their families were randomly assigned to an Intervention or Control group before entering school. 68 (76%) were retained at 10-month follow-up. Results Gains were observed on measures of maternal mental health and family functioning. Although no differences were found on measures of child behavior at home or school, children in the intervention group were perceived as “sick” less often by their mother and missed fewer days from school. A regression model, using baseline measures as predictors, highlighted the importance of maternal mental health, worry and child neurodevelopmental functioning for child behavioral outcomes almost a year later. Conclusions The intervention promoted clinically significant gains for the child and family. The program is of generalizable significance.
KW - child and family adjustment
KW - congenital heart disease
KW - psychological interventions
U2 - 10.1093/jpepsy/jss092
DO - 10.1093/jpepsy/jss092
M3 - Article
SN - 0146-8693
VL - 37
SP - 1089
EP - 1103
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 10
ER -