Stepping Stones Triple P - Program for disabled children and their parents. Which therapy effects have an influence on patient-experienced clinical outcome?

作者：Hasmann R; Schaadt A K; Hampel O; Karpinski N; Holl R W; Petermann F^*

来源：Monatsschrift Kinderheilkunde, 2012, 160(2): 146-154.

DOI：10.1007/s00112-011-2549-5

• Rehabilitation
• Outcome quality
• Disabled children
• Developmental disorders
• Stepping Stones

Besides acquisition of characteristics of outcome quality in ascertaining the effectiveness of treatment, the question arises how the outcome quality is perceived subjectively by affected persons. Until now, studies for parent training or therapies that focus on rehabilitation of children and adolescents with disabilities have been lacking. Within the evaluation of the parent training Stepping Stones Triple P, the study presented here addresses subjective outcome quality, its relation to objective parameters of therapeutic success, as well as predictors of subjectively experienced therapy success. %26lt;br%26gt;Participants were parents (n=71) of children and adolescents (20 female) with disabilities or developmental disorders and comorbid behavioral problems aged between 2 and 20.5 years. %26lt;br%26gt;The correlation between subjective and objective parameters of outcome was conducted with stepwise regression analyses. %26lt;br%26gt;The results show a high subjectively perceived outcome quality and significant correlations with objective improvements. Important predictors in the regression models are self-esteem of the disabled child (stand. beta = 0.472-0.932) and reduction of depressive parental symptoms (stand. beta = 0.369-0.855). %26lt;br%26gt;In particular, positive changes in parental sense of competence and already exiguous alterations in child behavior seem to be important for therapy success from the point of view of parents.

• 出版日期2012-2