Parenting program versus telephone support for Mexican parents of children with acquired brain injury: A blind randomized controlled trial

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Abstract

Introduction

Acquired brain injury (ABI) during childhood typically causes behavior problems in the child and high levels of stress in the family. The aims of this study are: (1) to investigate the effectiveness and feasibility of a parenting intervention in improving behavior and self-regulation in Mexican children with ABI compared to telephone support; (2) to investigate the effectiveness and feasibility of a parenting intervention in improving parenting skills, parent self-efficacy and decreasing parental stress in parents of children with ABI compared to telephone support. Our secondary aims are (1) to explore the impact that parent characteristics have on the intervention outcomes; (2) to investigate if changes are maintained 3 months after the intervention.

Methods

The research design is a blind randomized controlled trial (RCT). Eligible participants include children with a diagnosis of ABI, between 6 and 12 years of age, and their parents. Sixty-six children and their parents will be randomly allocated to either a parenting program group or telephone support group. The parenting program involves six face-to-face weekly group sessions of 2.5 h each. Participants in the control group receive an information sheet with behavioral strategies, and six weekly phone calls, in which strategies to improve academic skills are provided. Children and their parents are evaluated by blind assessors before the intervention, immediately after the intervention and 3-months post-intervention.

Discussion

This study will be the first to evaluate the efficacy and feasibility of a parenting program for Mexican parents of children with ABI.

Trial identifier

ACTRN12617000360314.

Keywords

Brain injury
Children
Intervention
Rehabilitation
Behavior problems and self-regulation

Abbreviations

AARP
Abbreviated Acceptability Rating Profile-Parenting
ABI
Acquired brain injury
BRI
Behavior Regulation Index
BRIEF-A
The Behavior Rating Inventory of Executive Function Adult Self-report
BRIEF
The Behavior Rating Inventory of Executive Function parent form
CBCL
Child Behavior Checklist
CT
Computed Tomography
CG
Control group
DGT
Delayed gratification task
EC
Emotional control
ECBI
Eyberg Child Behavior Inventory
EFs
Executive functions
ERCL
Emotion Regulation Checklist
FBII
Family Burden Injury Interview
GCS
Glasgow Coma Scale
GEC
Global Executive Composite
IDB
Beck's Depression Inventory
IAST
Inventory Anxiety State Trait
Iskalti
Iskalti Centre of Psychological and Educational Support
MFFT
Matching Familiar Figure Test
MI
Metacognition Index
MRI
Magnetic resonance imaging
PS
Parenting scale
PSI
Parent stress index
PSOC
Parent sense of competence
RCT
Randomised controlled trial
SD
standard deviation
SESBI
Sutter-Eyberg Behavior Inventory
Signposts
Signposts for building better behaviour
SR
Self-Regulation
TEA-Ch 2
Test of Everyday Attention for Children Second Edition
TRF
Teacher report form

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