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Improving Outcomes for Families of Children with CP with a Parenting Intervention combined with Acceptance and Commitment Therapy PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Improving Outcomes for Families of Children with CP with a Parenting Intervention combined with Acceptance and Commitment Therapy" by Whittingham K , Sanders, M.R. McKinlay, L. & Boyd R.N..
This medical PowerPoint presentation talks about supporting parents of children with cerebral palsy by combining parenting intervention with acceptance and commitment therapy (ACT).
Cerebral palsy is a neurological condition that affects movement and posture, and can also impact other areas of development such as communication and cognition. Parenting a child with cerebral palsy can be challenging, as the child may require additional support and accommodations to participate fully in daily activities.
One approach to supporting parents of children with cerebral palsy is to combine parenting intervention with acceptance and commitment therapy (ACT). Parenting intervention can provide parents with specific strategies and techniques for managing their childs behavior and promoting their development. ACT can help parents develop psychological flexibility and acceptance of the challenges they face as caregivers, while also promoting values-based action and behavior change.
ACT can help parents develop acceptance and mindfulness skills that can help them cope with the stress and challenges of parenting a child with cerebral palsy. ACT can also help parents identify their core values and take action in line with those values, even in the face of difficult circumstances.
Overall, a combination of parenting intervention and ACT can be a helpful approach for supporting parents of children with cerebral palsy. By providing specific strategies for managing their childs behavior and promoting their development, as well as promoting acceptance and psychological flexibility, parents can improve their own well-being and their childs outcomes.

Tags : cerebral palsy, acceptance and commitment therapy, Child Neurology, Child Neurology PowerPoint presentation, Neurology PowerPoint presentation

Published on : Mar 21, 2023 | Views : 1276 | Downloads : 0

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Slide 1-

Improving Outcomes for Families of Children with CP with a Parenting Intervention combined with Acceptance and Commitment Therapy Whittingham K , Sanders, M.R. McKinlay, L. & Boyd R.N. Koa Whittingham Email: koawhittingham@uq.edu.au Twitter: @WhittinghamKoa Blog: Parenting from the Heart www.koawhittingham.com/blog/
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Cerebral Palsy 2-2.5 of every 1000 live born children permanent disorders of the development of movement and posture attributed to non-progressive disturbances in the developing foetal or infant brain
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Cerebral Palsy 1 in 4 has a behavioural disorder (Novak, Hines, Goldsmith, & Barclay, 2012) 7 in 10 preschoolers show significant delay in social milestones with continued social difficulties at school age (Parkes et al., 2009; Whittingham, Fahey, Rawicki, & Boyd, 2010)
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Paucity of research: no RCTs
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Parents of children with CP Increased burden of care Ongoing grief (chronic sorrow) 5 times more likely to be experiencing very high stress (Parkes, Caravale, Marcelli, Franco, & Colver, 2011) 4 times more likely to have elevated anxiety symptoms (Barlow, Cullen-Powell, & Cheshire, 2006; Lach et al., 2009). 5 times more likely to have moderate depressive symptoms (Barlow, Cullen-Powell, & Cheshire, 2006; Lach et al., 2009).
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Could ACT be beneficial?
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Experiential avoidance: a significant, unique predictor Experiential Avoidance: 17.47% psychological symptoms 8.24% parenting burden 13.76% grief symptoms Child Behaviour: 3.35% psychological symptoms 6.55% parenting burden
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Needed: RCTs of ‘third-wave’ parenting interventions
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It’s time… for a trial First RCT of parenting intervention for the CP population Test, via an RCT, the additive benefits of ACT above and beyond parenting intervention Registered with: Australian New Zealand Clinical Trials Registry (00336291) Ethics approvals: Queensland Children’s Health Services Human Research Ethics Committee (HREC/09/QRCH/125) The University of Queensland Behavioural and Social Sciences Ethical Review Committee (2009001871) Cerebral Palsy League Research Ethics Committee (CPLQ-2010/11/1033).
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Primary and secondary outcomes Primary outcomes: child behaviour problems (ECBI & SDQ) dysfunctional parenting styles (Parenting Scale) Secondary outcomes: child functional performance (PEDI) child quality of life (CP-QOL) parental psychological symptoms (DASS) experiential avoidance (AAQ-adapted parenting disability) Parenting confidence (CP Daily Tasks Checklist) Experienced parenting burden(CP Daily Tasks Checklist) Parental attitude to child’s emotions (Parent beliefs about negative emotions questionnaire)
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Recruited parents of children (2-12) with Cerebral Palsy (all severity levels) from across QLD. Recruitment via QCPRRC database, Cerebral Palsy League, Queensland Cerebral Palsy Register and Queensland Cerebral Palsy Health Service
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80 participants (13 failed to proceed) 22 SSTP 23 SSTP + ACT 22 WL Follow up nearly finished!
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Key Sample Characteristics
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Results Analysis: ANCOVA comparing three groups at post with preintervention scores as covariate and linear contrasts Significant differences were found for child behaviour, child quality of life, child functional performance, dysfunctional parenting style and parental psychological symptoms No significant differences were found in experiential avoidance, parental confidence, experienced parenting burden or parental attitude to child emotions
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Summary of Significant Results
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Child Behaviour: ECBI Intensity
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Child Behaviour: ECBI Problem
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Child Emotional Symptoms: SDQ
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Child Hyperactivity: SDQ
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Child Functional Performance Mobility: PEDI Mobility
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Child Quality of Life: CP-QOL Social Wellbeing and Acceptance
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Child Quality of Life: CP-QOL Feelings about Functioning
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Child Quality of Life: CP-QOL Family Health
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Parenting Style: Overreactivity
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Parenting Style: Verbosity
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Parent Psychological symptoms: DASS Depression
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Parent Psychological symptoms: DASS Stress
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What does it mean? Stepping Stones Triple P + ACT is an effective intervention for child behaviour problems and dysfunctional parenting styles in the CP population Results are suggestive of an additive effect of ACT, above and beyond parenting interventions
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Parenting and ACT: Future Directions Greater sample sizes Integration: build ACT into parenting intervention Web-based delivery Better measurement IRAP Quality of Life Parent-child relationship
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Thank-you This research was supported by an NHMRC Postdoctoral fellowship Cerebral Palsy League, Queensland Cerebral Palsy Register and Queensland Cerebral Palsy Health Service assisted in recruitment Felicity Brown, Catherine Mak and Diana Wee assisted in intervention delivery The biggest thanks goes to the awesome parents who took time out of their busy lives to participate in my research and meet their own parenting goals! Connect with me Email: koawhittingham@uq.edu.au Twitter: @WhittinghamKoa Blog: Parenting from the Heart www.koawhittingham/blog/