为在儿科医院就诊的年轻人的兄弟姐妹设立心理健康救助中心的可行性、可接受性和初步有效性。

IF 1.3 4区 医学 Q3 NURSING Journal of Child Health Care Pub Date : 2023-10-18 DOI:10.1177/13674935231206895
Sophie D Bennett, Natalia Rojas, Matteo Catanzano, Anna Roach, Brian Cf Ching, Anna E Coughtrey, Isobel Heyman, Holan Liang, Lucy Project Team, Roz Shafran
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引用次数: 0

摘要

患有长期疾病(LTCs)的儿童的兄弟姐妹可能会显著提高心理健康需求,但这些需求往往被忽视。一项务实的单臂可行性试点评估了儿科医院设立临时收容中心的可行性、可接受性和初步有效性,该中心旨在满足LTCs患者、其护理人员和兄弟姐妹的心理健康需求。临时收容中心接受了自我转诊,并补充了提供一系列干预措施的现有规定,包括路标、诊断评估和/或指导性自助。本文报告了该兄弟姐妹中心的可行性、可接受性和初步结果。18名2-17岁的兄弟姐妹使用了该中心。16名父母在基线和基线后6个月完成了优势和困难问卷,10名完成问卷的父母在两个时间点报告了PedsQL。初步有效性结果表明,这些兄弟姐妹的心理健康症状减少,影响范围大(得分减少3.44,95%CI[1.25,5.63],d=0.84),对生活质量影响小,得分从中位数69.91,95%CI[53.57,91.67]增加到中位数80.44,95%CI[67.39,89.13],r=0.11。88%的父母对其兄弟姐妹子女的这一规定感到满意。这项研究强调了评估兄弟姐妹情绪和行为困难的可行性和价值,并为他们提供可获得、有效和可接受的干预。
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Feasibility, acceptability and preliminary effectiveness of a mental health drop-in centre for the siblings of young people attending a paediatric hospital.

Siblings of children with long-term conditions (LTCs) can have significantly elevated mental health needs, but these are often overlooked. A pragmatic single-arm feasibility pilot assessed feasibility, acceptability and preliminary effectiveness of a drop-in centre in a paediatric hospital addressing mental health needs of patients with LTCs, their carers and siblings. The drop-in centre accepted self-referral and supplemented existing provision offering a suite of interventions, including signposting, diagnostic assessments and/or guided self-help. This paper reports on feasibility, acceptability and preliminary outcomes of this centre for siblings. Eighteen siblings aged 2-17 used the centre. Sixteen of their parents completed the Strengths and Difficulties Questionnaires at baseline and 6 months post-baseline, and ten completed parent-reported PedsQL across two time points. Preliminary effectiveness results demonstrated a decrease in mental health symptoms with large effect size (score reduction of 3.44, 95% CI [1.25, 5.63], d = 0.84) and small effect on quality of life, with scores increasing from a median of 69.91, 95% CI [53.57, 91.67], to a median of 80.44, 95% CI [67.39, 89.13], r = 0.11 for these siblings. 88% of parents were satisfied with this provision for their sibling child. This study highlights the feasibility and value of assessing siblings for emotional and behavioural difficulties and providing them with an accessible, effective and acceptable intervention.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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