Efficacy of a new parent and school-supported intervention after moderate and severe childhood traumatic brain injury

Rev Neurol. 2019 Jun 1;68(11):445-452. doi: 10.33588/rn.6811.2018346.
[Article in Spanish, English]

Abstract

Introduction: Traumatic brain injury is a common cause of acquired disability during childhood. Early interventions focusing on parenting practices may prove effective at reducing negative child outcomes.

Aim: To determine the efficacy of a new counselling program aimed at parents and schools compared to a control group.

Patients and methods: The main study sample was obtained from a paediatric hospital. The final sample consisted of 42 children aged between 6 and 16 years old.

Results: Comparing with normative data, pre-post comparisons between groups showed a significant improvement in the parent group with respect to the control group.

Conclusions: The superiority of the parental intervention group over those of the control group was not only statistically significant, but also clinically substantial and meaningful. The results of this study suggest that children with moderate to severe traumatic brain injury can benefit from an intensive supported family treatment.

Title: Eficacia de una nueva intervencion de apoyo a padres y escuelas despues de un traumatismo craneoencefalico moderado o grave.

Introduccion. El traumatismo craneoencefalico es una causa habitual de discapacidad adquirida durante la infancia. Las intervenciones tempranas que se centran en la participacion de los padres pueden resultar efectivas para reducir las disfunciones del niño. Objetivo. Determinar la eficacia de un nuevo programa de asesoramiento dirigido a padres y escuelas en comparacion con un grupo control. Pacientes y metodos. La muestra principal del estudio se obtuvo de un hospital pediatrico. La muestra final consistio en 42 niños de 6 a 16 años. Resultados. Comparando con los datos normativos, las comparaciones pre y post intragrupos mostraron una mejora significativa en el grupo de intervencion parental con respecto al grupo control. Conclusiones. La superioridad del grupo de intervencion parental sobre el grupo control no solo fue estadisticamente significativa, sino tambien clinicamente sustancial y relevante. Los resultados del estudio sugieren que los niños con traumatismo craneoencefalico moderado o grave pueden beneficiarse de un tratamiento familiar intensivo de apoyo.

MeSH terms

  • Adolescent
  • Behavior Therapy
  • Brain Damage, Chronic / etiology
  • Brain Damage, Chronic / rehabilitation
  • Brain Injuries, Traumatic / epidemiology
  • Brain Injuries, Traumatic / rehabilitation*
  • Child
  • Child Behavior Disorders / etiology
  • Child Behavior Disorders / rehabilitation
  • Cognition Disorders / etiology
  • Cognition Disorders / rehabilitation
  • Counseling*
  • Education, Special
  • Female
  • Humans
  • Male
  • Parent-Child Relations
  • Parenting
  • Parents / education*
  • Patient Education as Topic* / organization & administration
  • Program Evaluation
  • Schools*
  • Spain / epidemiology
  • Teacher Training / organization & administration*