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Evid Based Nurs 1:43 doi:10.1136/ebn.1.2.43
  • Treatment

Review: some psychosocial interventions can help children and families cope with chronic conditions

Interventions evaluated in randomised trials which showed positive results

Type of intervention Target population Improved outcomes
Health education in schools
Focus: self management, parent involvement, self efficacy Children (8–11 y) with asthma Self management, self efficacy, child's influence on parents
Health education
Focus: illness mechanisms, relaxation training, contingency coping exercises Children (6–14 y) with asthma and their parents Behaviour
Focus: peer learning, knowledge of illness, decision making, parent support Children (7–14 y) with epilepsy Self competence
Focus: acknowledge loss of normal child, family functioning assessment, decision making, social support Children (7–14 y) with epilepsy and their families Anxiety
Focus: social skills, cognitive problem solving, assertiveness training, how to handle teasing Children (5–13 y) with cancer and their parents Behaviour, social support, social competence
Focus: parent counselling, crisis intervention, disease management, coping skills Families of children (4–16 y) with mixed diagnoses Adjustment
Home care programme
Focus: health education, coordination of care, family responsibility for management and decision making, support, advocacy Children (0–10 y) with mixed diagnoses and their families Adjustment, personal adjustment and role skills, psychiatric symptoms, maternal satisfaction

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