Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial.

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Title: Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial.
Authors: Kirchhofer, Solveig M1,2 (AUTHOR), Fredriksen, Trude1,3 (AUTHOR), Orm, Stian3,4 (AUTHOR), Botta, Matteo1 (AUTHOR), Zahl, Erica1 (AUTHOR), Cogo-Moreira, Hugo5 (AUTHOR), Prentice, Caitlin M1 (AUTHOR), Vatne, Torun M1,6 (AUTHOR), Haukeland, Yngvild B7 (AUTHOR), Silverman, Wendy K8 (AUTHOR), Fjermestad, Krister W1,6 (AUTHOR)
Source: Journal of Pediatric Psychology. Jun2025, Vol. 50 Issue 6, p443-453. 11p.
Subject Terms: *Siblings, *Health promotion, *Chronic diseases, *Intellectual disabilities, Mental health, Randomized controlled trials, Therapeutics, Parent-child communication
Abstract: Objective We evaluated the effectiveness of SIBS, a preventive intervention for siblings and parents of children with chronic disorders (CDs). Methods This two-arm, unmasked cluster randomized controlled trial registered on ClinicalTrials.gov (NCT04056884), included 288 siblings (M age = 10.4 years, SD  = 1.9) and parents of children with CDs (mainly neurodevelopmental disorders) randomly assigned to intervention (k  = 34, n  = 137) or waitlist control (k  = 35, n  = 151) groups. Eligible siblings were aged 8–16 years and had a sibling diagnosed with a CD. SIBS is manual-based and was delivered as five sessions over 2 weeks in primary care and hospital settings across Norway. Three sessions are separate for siblings and parents, and two are integrated sibling–parent dialogues. The primary outcome was sibling mental health, rated by siblings, parents, and teachers. The secondary outcome was parent–child communication, rated by siblings and parents. Analyses included intention-to-treat (ITT) and complier average causal effects (CACE). Results Although not statistically significant, at 3-month follow-up, the intervention group showed fewer mental health problems (ITT: sibling-rated d  = −0.16, 95% CI [−0.49, 0.17]; parent-rated d  = −0.10, 95% CI [−0.48, 0.12]; teacher-rated d  = −0.18, 95% CI [−0.50, 0.29]) and higher-quality parent–child communication (ITT: sibling-rated d  = 0.21, 95% CI [−0.10, 0.52]; parent-rated d  = 0.24, 95% CI [−0.07, 0.55]) compared to waitlist. Conclusions The SIBS intervention demonstrated small, consistent positive effects on sibling mental health and parent–child communication. This suggests SIBS is a promising preventive program for siblings of children with CDs. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial.
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  Data: <searchLink fieldCode="AR" term="%22Kirchhofer%2C+Solveig+M%22">Kirchhofer, Solveig M</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fredriksen%2C+Trude%22">Fredriksen, Trude</searchLink><relatesTo>1,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Orm%2C+Stian%22">Orm, Stian</searchLink><relatesTo>3,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Botta%2C+Matteo%22">Botta, Matteo</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zahl%2C+Erica%22">Zahl, Erica</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cogo-Moreira%2C+Hugo%22">Cogo-Moreira, Hugo</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Prentice%2C+Caitlin+M%22">Prentice, Caitlin M</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vatne%2C+Torun+M%22">Vatne, Torun M</searchLink><relatesTo>1,6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haukeland%2C+Yngvild+B%22">Haukeland, Yngvild B</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silverman%2C+Wendy+K%22">Silverman, Wendy K</searchLink><relatesTo>8</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fjermestad%2C+Krister+W%22">Fjermestad, Krister W</searchLink><relatesTo>1,6</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Jun2025, Vol. 50 Issue 6, p443-453. 11p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Siblings%22">Siblings</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br />*<searchLink fieldCode="DE" term="%22Chronic+diseases%22">Chronic diseases</searchLink><br />*<searchLink fieldCode="DE" term="%22Intellectual+disabilities%22">Intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Parent-child+communication%22">Parent-child communication</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective We evaluated the effectiveness of SIBS, a preventive intervention for siblings and parents of children with chronic disorders (CDs). Methods This two-arm, unmasked cluster randomized controlled trial registered on ClinicalTrials.gov (NCT04056884), included 288 siblings (M age = 10.4 years, SD  = 1.9) and parents of children with CDs (mainly neurodevelopmental disorders) randomly assigned to intervention (k  = 34, n  = 137) or waitlist control (k  = 35, n  = 151) groups. Eligible siblings were aged 8–16 years and had a sibling diagnosed with a CD. SIBS is manual-based and was delivered as five sessions over 2 weeks in primary care and hospital settings across Norway. Three sessions are separate for siblings and parents, and two are integrated sibling–parent dialogues. The primary outcome was sibling mental health, rated by siblings, parents, and teachers. The secondary outcome was parent–child communication, rated by siblings and parents. Analyses included intention-to-treat (ITT) and complier average causal effects (CACE). Results Although not statistically significant, at 3-month follow-up, the intervention group showed fewer mental health problems (ITT: sibling-rated d  = −0.16, 95% CI [−0.49, 0.17]; parent-rated d  = −0.10, 95% CI [−0.48, 0.12]; teacher-rated d  = −0.18, 95% CI [−0.50, 0.29]) and higher-quality parent–child communication (ITT: sibling-rated d  = 0.21, 95% CI [−0.10, 0.52]; parent-rated d  = 0.24, 95% CI [−0.07, 0.55]) compared to waitlist. Conclusions The SIBS intervention demonstrated small, consistent positive effects on sibling mental health and parent–child communication. This suggests SIBS is a promising preventive program for siblings of children with CDs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1093/jpepsy/jsaf021
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 443
    Subjects:
      – SubjectFull: Siblings
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Chronic diseases
        Type: general
      – SubjectFull: Intellectual disabilities
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Therapeutics
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      – SubjectFull: Parent-child communication
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      – TitleFull: Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial.
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              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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