Center for Injury Research and Prevention

Parent Coping Support Interventions During Acute Pediatric Hospitalizations: A Meta-Analysis.

TitleParent Coping Support Interventions During Acute Pediatric Hospitalizations: A Meta-Analysis.
Publication TypeJournal Article
Year of Publication2017
AuthorsDoupnik SK, Hill D, Palakshappa D, Worsley D, Bae H, Shaik A, Qiu MKefeng, Marsac ML, Feudtner C
JournalPediatrics
Date Published08/2017
Type of Articlejournal
ISSN1098-4275
Abstract

CONTEXT: Parents may experience psychological distress when a child is acutely hospitalized, which can negatively affect child outcomes. Interventions designed to support parents' coping have the potential to mitigate this distress.

OBJECTIVE: To describe interventions designed to provide coping support to parents of hospitalized children and conduct a meta-analysis of coping support intervention outcomes (parent anxiety, depression, and stress).

DATA SOURCES: We searched Pubmed, Embase, PsycINFO, Psychiatry Online, and Cumulative Index to Nursing and Allied Health Literature from 1985 to 2016 for English-language articles including the concepts "pediatric," "hospitalization," "parents," and "coping support intervention."

STUDY SELECTION: Two authors reviewed titles and abstracts to identify studies meeting inclusion criteria and reviewed full text if a determination was not possible using the title and abstract. References of studies meeting inclusion criteria were reviewed to identify additional articles for inclusion.

DATA EXTRACTION: Two authors abstracted data and assessed risk of bias by using a structured instrument.

RESULTS: Initial searches yielded 3450 abstracts for possible inclusion. Thirty-two studies met criteria for inclusion in the systematic review and 12 studies met criteria for inclusion in the meta-analysis. The most commonly measured outcomes were parent depression, anxiety, and stress symptoms. In meta-analysis, combined intervention effects significantly reduced parent anxiety and stress but not depression. Heterogeneity among included studies was high.

LIMITATIONS: Most included studies were conducted at single centers with small sample sizes.

CONCLUSIONS: Coping support interventions can alleviate parents' psychological distress during children's hospitalization. More evidence is needed to determine if such interventions benefit children.

DOI10.1542/peds.2016-4171
Alternate JournalPediatrics
PubMed ID28818837