Quality of Life
Conditions
Keywords
Quality of life, Health-related quality of life, Children, cognitive behavioral therapy, group cognitive behavioral therapy, parental wellbeing
Brief summary
This study examines the immediate and long-term effectiveness of a group cognitive behavioral therapy intervention (GCBT) in improving health-related quality of life (HRQOL) in children treated for mixed psychiatric disorders in naturalistic child psychiatric outpatient settings. The effects of a treatment-as-usual condition (TAU) is also examined. Further, the study aims to explore the associations among children´s HRQOL dimensions and parental well-being, and how GCBT may influence these associations.
Detailed description
The effectiveness of GCBT and TAU at the different time points are measured using nonparametric tests, such as Friedman tests and Wilcoxon tests. The associations among children´s HRQOL dimensions and parental well-being variables at different time points are explored using a network analysis approach.
Interventions
BEHAVIORALFriends program
A GCBT intervention comprising ten weekly 60-minute sessions followed by two booster sessions
BEHAVIORALTAU
Individually tailored and delivered specialized child psychiatric care
Sponsors
Helsinki University Central Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* child psychiatric outpatient care * sufficient skills to participate in group sessions
Exclusion criteria
* child psychiatric inpatient care * acute suicidality * excessive physical aggression
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in self-and parent-rated health-related quality of life after the group cognitive behavior therapy (GCBT) intervention | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up | Children´s health-related quality of life measured using the KINDL-R measure, total scores range from 0-100 with higher scores indicating better health-related quality of life |
| Changes in self-and parent-rated health-related quality of life after treatment as usual (TAU) | Before and after TAU (duration circa 3.2 months) | Children´s health-related quality of life measured using the KINDL-R measure, total scores range from 0-100 with higher scores indicating better health-related quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Associations among children´s health-related quality of life and parental well-being dimensions | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up | Children´s health-related quality of life measured using the KINDL-R measure, total scores range from 0-100 with higher scores indicating better health-related quality of life |
| Associations among children´s HRQOL and parental well-being dimensions (parental psychological distress) | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up | Parental psychological distress measured using five items of the 12-item General Health Questionnaire. The sum of the items range from 5-20 with higher scores indicating greater psychological distress |
| Associations among children´s HRQOL and parental well-being dimensions (parental sleep disturbance) | Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up | Parental sleep disturbance measured using the four- item Jenkins Sleep Questionnaire. Scores range from 0-20 with higher scores indicating greater sleep disturbance |
Outcome results
None listed