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The effectiveness of interventions to improve psychosocial outcomes in parents of children with appearance-affecting health conditions: A systematic review

Costa, Bruna; Thornton, Maia; Guest, Ella; Meyrick, Jane; Williamson, Heidi

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Authors

Ella Guest Ella.Guest@uwe.ac.uk
Occasional Associate Lecturer - HAS HSS

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Jane Meyrick Jane.Meyrick@uwe.ac.uk
Senior Lecturer in Health Psychology

Heidi Williamson Heidi3.Williamson@uwe.ac.uk
Associate Professor in Applied Health Research



Abstract

Background: Although many cope well, the impact of supporting a child with an Appearance-Affecting Health Condition (AAHC) can place a significant demand on parents. As such, it is vital that families have access to appropriate psychosocial support to reduce any potential difficulties. Although previous reviews have explored the effectiveness of psychosocial interventions for parents of Children and Young People (CYP) with general health conditions, the evidence of effectiveness remains limited. Further, little is known about the effectiveness of such interventions specifically among parents of CYP with AAHCs. This review aimed to identify and assess the evidence of effectiveness of psychosocial interventions among parents of CYP with AAHCs. Methods: Database searches were conducted using MEDLINE, PsychARTICLES, PsychINFO, CINAHL Plus, the British Nursing Database and the Cochrane Library. Results were reviewed against the inclusion criteria and data were extracted. Methodological quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool, and a narrative synthesis was conducted. Results: Fifteen studies, evaluating 10 interventions, were included and overall seven interventions were found to be effective (effect sizes and methodological quality varied). Conclusions: This review finds moderate to strong evidence of effectiveness of the Triple P Positive Parenting Program, the Early Family Intervention Program and general parent education/training interventions. These findings offer useful insights relating to the delivery of current support, as well as for the development of future parent and family interventions. Finally, recommendations for future intervention evaluation studies in this area are made.

Citation

Costa, B., Thornton, M., Guest, E., Meyrick, J., & Williamson, H. (2021). The effectiveness of interventions to improve psychosocial outcomes in parents of children with appearance-affecting health conditions: A systematic review. Child: Care, Health and Development, 47(1), 15-30. https://doi.org/10.1111/cch.12805

Journal Article Type Review
Acceptance Date Aug 23, 2020
Online Publication Date Sep 2, 2020
Publication Date Jan 1, 2021
Deposit Date Sep 7, 2020
Publicly Available Date Sep 3, 2021
Journal Child: Care, Health and Development
Print ISSN 0305-1862
Electronic ISSN 1365-2214
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 47
Issue 1
Pages 15-30
DOI https://doi.org/10.1111/cch.12805
Keywords systematic review; interventions; parents; appearance; visible difference; health
Public URL https://uwe-repository.worktribe.com/output/6663976
Additional Information Received: 2019-12-21; Accepted: 2020-08-23; Published: 2020-09-02

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Copyright Statement
This is the peer reviewed version of the following article: Costa, B, Thornton, M, Guest, E, Meyrick, J, Williamson, H. The effectiveness of interventions to improve psychosocial outcomes in parents of children with appearance‐affecting health conditions: a systematic review. Child Care Health Dev. 2020., which has been published in final form at https://doi.org/10.1111/cch.12805 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.








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