Parents of children with disabilities: A systematic review of parenting interventions and self-efficacy

Background: An increasing body of empirical evidence suggests that early intervention has positive outcomes for parents of children with neurodevelopmental disabilities. Parental self-efficacy has been used as an outcome measure in some empirical studies; however, there is a lack of evidence of the...

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Main Authors: Ameer S.J. Hohlfeld, Michal Harty, Mark E. Engel
Format: Article
Language:English
Published: AOSIS 2018-10-01
Series:African Journal of Disability
Subjects:
Online Access:https://ajod.org/index.php/ajod/article/view/437
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author Ameer S.J. Hohlfeld
Michal Harty
Mark E. Engel
author_facet Ameer S.J. Hohlfeld
Michal Harty
Mark E. Engel
author_sort Ameer S.J. Hohlfeld
collection DOAJ
description Background: An increasing body of empirical evidence suggests that early intervention has positive outcomes for parents of children with neurodevelopmental disabilities. Parental self-efficacy has been used as an outcome measure in some empirical studies; however, there is a lack of evidence of the impact of parent training programmes on parenting self-efficacy beliefs. Objectives: This systematic review sought to assess the effectiveness of parenting interventions to increase parental self-efficacy levels in parents of young children with neurodevelopmental disabilities. Method: We conducted a broad literature search, which included grey literature, such as dissertations and unpublished conference presentations, to identify all relevant prospective studies reporting on our study objective. Articles were selected for inclusion using predefined criteria and data were extracted onto a purposely designed data extraction form. Twenty-five articles met our search criteria. We extracted parenting self-efficacy scores before, and on, completion of parenting interventions and performed a meta-analysis using standardised mean difference. We also conducted a risk of bias assessment for all the included studies. Results: Parent training programmes resulted in a statistically significant increase in parental self-efficacy levels (standardised mean difference, 0.60 [95% confidence interval {CI}, 0.38–0.83]; I2, 74%) relative to baseline measurements. Parents of children younger than 5 years demonstrated the highest increase in levels of parental self-efficacy after parenting interventions. Furthermore, this review showed that psychologists and other healthcare practitioners are successfully able to implement training programmes that enhance parenting self-efficacy. Conclusion: Parent training programmes are effective in increasing parental self-efficacy in parents of children with neurodevelopmental disabilities.
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spelling doaj.art-1bd727bd4ee146b097c54f0a5a2a7d6a2022-12-22T02:56:47ZengAOSISAfrican Journal of Disability2223-91702226-72202018-10-0170e1e1210.4102/ajod.v7i0.437157Parents of children with disabilities: A systematic review of parenting interventions and self-efficacyAmeer S.J. Hohlfeld0Michal Harty1Mark E. Engel2Cochrane South Africa, South African Medical Research CouncilDepartment of Health and Rehabilitation Sciences, University of Cape TownDepartment of Medicine, University of Cape TownBackground: An increasing body of empirical evidence suggests that early intervention has positive outcomes for parents of children with neurodevelopmental disabilities. Parental self-efficacy has been used as an outcome measure in some empirical studies; however, there is a lack of evidence of the impact of parent training programmes on parenting self-efficacy beliefs. Objectives: This systematic review sought to assess the effectiveness of parenting interventions to increase parental self-efficacy levels in parents of young children with neurodevelopmental disabilities. Method: We conducted a broad literature search, which included grey literature, such as dissertations and unpublished conference presentations, to identify all relevant prospective studies reporting on our study objective. Articles were selected for inclusion using predefined criteria and data were extracted onto a purposely designed data extraction form. Twenty-five articles met our search criteria. We extracted parenting self-efficacy scores before, and on, completion of parenting interventions and performed a meta-analysis using standardised mean difference. We also conducted a risk of bias assessment for all the included studies. Results: Parent training programmes resulted in a statistically significant increase in parental self-efficacy levels (standardised mean difference, 0.60 [95% confidence interval {CI}, 0.38–0.83]; I2, 74%) relative to baseline measurements. Parents of children younger than 5 years demonstrated the highest increase in levels of parental self-efficacy after parenting interventions. Furthermore, this review showed that psychologists and other healthcare practitioners are successfully able to implement training programmes that enhance parenting self-efficacy. Conclusion: Parent training programmes are effective in increasing parental self-efficacy in parents of children with neurodevelopmental disabilities.https://ajod.org/index.php/ajod/article/view/437ChildNeurodevelopmental DisabilitiesParentsParenting interventionsSelf-efficacySystematic Review
spellingShingle Ameer S.J. Hohlfeld
Michal Harty
Mark E. Engel
Parents of children with disabilities: A systematic review of parenting interventions and self-efficacy
African Journal of Disability
Child
Neurodevelopmental Disabilities
Parents
Parenting interventions
Self-efficacy
Systematic Review
title Parents of children with disabilities: A systematic review of parenting interventions and self-efficacy
title_full Parents of children with disabilities: A systematic review of parenting interventions and self-efficacy
title_fullStr Parents of children with disabilities: A systematic review of parenting interventions and self-efficacy
title_full_unstemmed Parents of children with disabilities: A systematic review of parenting interventions and self-efficacy
title_short Parents of children with disabilities: A systematic review of parenting interventions and self-efficacy
title_sort parents of children with disabilities a systematic review of parenting interventions and self efficacy
topic Child
Neurodevelopmental Disabilities
Parents
Parenting interventions
Self-efficacy
Systematic Review
url https://ajod.org/index.php/ajod/article/view/437
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AT michalharty parentsofchildrenwithdisabilitiesasystematicreviewofparentinginterventionsandselfefficacy
AT markeengel parentsofchildrenwithdisabilitiesasystematicreviewofparentinginterventionsandselfefficacy