Parental Stress and Child Adherence to Treatment Plans: A Systematic Review and a Distance-Based Intervention Supporting Neuropsychological Recommendations for Children with a Neurodisability

Background: Adherence to treatment plans for children with chronic disorders is around 50%. Barriers to good adherence include parental factors such as parental stress, with parents of children with a chronic condition found to have higher levels of parental stress than parents of children without s...

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Bibliographic Details
Main Author Watts, Jessica
Format Dissertation
LanguageEnglish
Published ProQuest Dissertations & Theses 01.01.2019
Subjects
Chronic illnesses
Clinical psychology
Cystic fibrosis
Individual & family studies
Medicine
Parents & parenting
Psychology
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Summary:Background: Adherence to treatment plans for children with chronic disorders is around 50%. Barriers to good adherence include parental factors such as parental stress, with parents of children with a chronic condition found to have higher levels of parental stress than parents of children without such a condition. However, no review has assessed the relationship between parental stress and adherence irrespective of child diagnosis.Method: PRISMA-P guidelines were followed to ensure transparency. CINAHL, Medline, EMBASE and PsycINFO databases were searched using relevant terms from creation to July 2019. 1067 articles were identified and screened for eligibility, resulting in 14 studies being included.Results: Overall a negative relationship between parental stress and adherence was found, such that increased parental stress related to poorer adherence. Exceptions to this are discussed. Papers utilised varied measures for parental stress and adherence and assessed a number of different childhood disorders. Parental stress was found to be a multifaceted concept including aspects such as time pressures, emotional strain and financial difficulties.Conclusion: Parental stress is a possible target for interventions aiming to improve paediatric adherence. However, given the multifaceted nature of parental stress interventions may benefit from targeting particular aspects (e.g. alleviating financial pressures). Further, clinics could work towards routinely screening for parental stress and developing a clinical cut-off indicating high stress among parents whose child has a chronic illness. Future research directions include further consideration of additional factors identified within this review as also related to adherence (e.g. health beliefs, family conflict).
ISBN:9798379634551