Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis
Purpose: To evaluate the effectiveness of ACT-based interventions on improving the mental health of parents of children with SHCN compared to active/inactive controls and to investigate the characteristics/components of the effective interventions in the included studies. Methods: Eight databases we...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Comprehensive Psychiatry |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X23000639 |
| _version_ | 1827781819046559744 |
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| author | Sini Li Zengyu Chen Yijing Yong Jiao Xie Yamin Li |
| author_facet | Sini Li Zengyu Chen Yijing Yong Jiao Xie Yamin Li |
| author_sort | Sini Li |
| collection | DOAJ |
| description | Purpose: To evaluate the effectiveness of ACT-based interventions on improving the mental health of parents of children with SHCN compared to active/inactive controls and to investigate the characteristics/components of the effective interventions in the included studies. Methods: Eight databases were searched from inception to 14 February 2023. We included all randomized controlled trials (RCTs) of ACT-based interventions for parents of children with SHCN published in English or Chinese journals and dissertations reporting at least one parental mental health outcome postintervention. Results: Fourteen RCTs were included. The results indicated significant improvements of ACT-based interventions in the stress (Hedges' g = −0.36), depressive symptoms (g = −0.32), anxiety (g = −0.29), distress (g = −0.29), psychological flexibility (g = 0.51), mindful awareness/mindfulness abilities (g = 0.41), and confidence/self-efficacy (g = 0.30) of parents, as well as in the emotional and behavioural problems (EBP; g = −0.39) of their children with SHCN postintervention, with moderate to high certainty of evidence. Furthermore, the optimal components of ACT-based interventions, including the intervention approaches (ACT combined with another parenting technique/program), active participants (only involving parents), delivery mode (in-person) and format (group-based format), and desirable number of sessions (4–8 sessions), were identified to inform the design of future interventions/studies. Conclusion: This review highlights the positive effects of ACT-based interventions on mental health, psychological flexibility, mindful awareness/mindfulness abilities, and confidence/self-efficacy in parents and EBP in children with SHCN. Since group-based ACT combined with a parenting technique/program was identified as the optimal effective strategy, its effects could be further examined in larger-scale RCTs with parents and children with SHCN with diverse ethnic and sociodemographic characteristics. |
| first_indexed | 2024-03-11T15:24:18Z |
| format | Article |
| id | doaj.art-7ccaa4076f8e4a8f9c94e4ae0e34a41f |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-03-11T15:24:18Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-7ccaa4076f8e4a8f9c94e4ae0e34a41f2023-10-28T05:06:16ZengElsevierComprehensive Psychiatry0010-440X2023-11-01127152426Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysisSini Li0Zengyu Chen1Yijing Yong2Jiao Xie3Yamin Li4Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong KongThe Xiangya Nursing School, Central South University, Changsha, Hunan, ChinaCognition and Human Behaviour Key Laboratory of Hunan Province, Hunan Normal University, Changsha, Hunan, ChinaDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.; Corresponding author.Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; The Xiangya Nursing School, Central South University, Changsha, Hunan, China; Corresponding author at: The Second Xiangya Hospital, Central South University, Changsha, China.Purpose: To evaluate the effectiveness of ACT-based interventions on improving the mental health of parents of children with SHCN compared to active/inactive controls and to investigate the characteristics/components of the effective interventions in the included studies. Methods: Eight databases were searched from inception to 14 February 2023. We included all randomized controlled trials (RCTs) of ACT-based interventions for parents of children with SHCN published in English or Chinese journals and dissertations reporting at least one parental mental health outcome postintervention. Results: Fourteen RCTs were included. The results indicated significant improvements of ACT-based interventions in the stress (Hedges' g = −0.36), depressive symptoms (g = −0.32), anxiety (g = −0.29), distress (g = −0.29), psychological flexibility (g = 0.51), mindful awareness/mindfulness abilities (g = 0.41), and confidence/self-efficacy (g = 0.30) of parents, as well as in the emotional and behavioural problems (EBP; g = −0.39) of their children with SHCN postintervention, with moderate to high certainty of evidence. Furthermore, the optimal components of ACT-based interventions, including the intervention approaches (ACT combined with another parenting technique/program), active participants (only involving parents), delivery mode (in-person) and format (group-based format), and desirable number of sessions (4–8 sessions), were identified to inform the design of future interventions/studies. Conclusion: This review highlights the positive effects of ACT-based interventions on mental health, psychological flexibility, mindful awareness/mindfulness abilities, and confidence/self-efficacy in parents and EBP in children with SHCN. Since group-based ACT combined with a parenting technique/program was identified as the optimal effective strategy, its effects could be further examined in larger-scale RCTs with parents and children with SHCN with diverse ethnic and sociodemographic characteristics.http://www.sciencedirect.com/science/article/pii/S0010440X23000639Acceptance and Commitment TherapyParentsChildrenSpecial Health Care NeedsPsychological HealthSystematic Review |
| spellingShingle | Sini Li Zengyu Chen Yijing Yong Jiao Xie Yamin Li Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis Comprehensive Psychiatry Acceptance and Commitment Therapy Parents Children Special Health Care Needs Psychological Health Systematic Review |
| title | Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis |
| title_full | Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis |
| title_fullStr | Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis |
| title_full_unstemmed | Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis |
| title_short | Effectiveness of acceptance and commitment therapy-based interventions for improving the psychological health of parents of children with special health care needs: A systematic review and meta-analysis |
| title_sort | effectiveness of acceptance and commitment therapy based interventions for improving the psychological health of parents of children with special health care needs a systematic review and meta analysis |
| topic | Acceptance and Commitment Therapy Parents Children Special Health Care Needs Psychological Health Systematic Review |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X23000639 |
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