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. |
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| 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.) | |
| Database: | Education Research Complete |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 186810926 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial. – Name: Author Label: Authors Group: Au 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) – Name: TitleSource Label: Source Group: Src 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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| RecordInfo | BibRecord: 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 Type: general – SubjectFull: Parent-child communication Type: general Titles: – TitleFull: Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Kirchhofer, Solveig M – PersonEntity: Name: NameFull: Fredriksen, Trude – PersonEntity: Name: NameFull: Orm, Stian – PersonEntity: Name: NameFull: Botta, Matteo – PersonEntity: Name: NameFull: Zahl, Erica – PersonEntity: Name: NameFull: Cogo-Moreira, Hugo – PersonEntity: Name: NameFull: Prentice, Caitlin M – PersonEntity: Name: NameFull: Vatne, Torun M – PersonEntity: Name: NameFull: Haukeland, Yngvild B – PersonEntity: Name: NameFull: Silverman, Wendy K – PersonEntity: Name: NameFull: Fjermestad, Krister W IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 01468693 Numbering: – Type: volume Value: 50 – Type: issue Value: 6 Titles: – TitleFull: Journal of Pediatric Psychology Type: main |
| ResultId | 1 |