Table 7.
Psychological therapies for parents of children and adolescents with cancer
| Psychological therapies for parents of children and adolescents with cancer | ||||||
|---|---|---|---|---|---|---|
| Patient or population: Parents of children with cancer Settings: Community Intervention: Psychological therapies | ||||||
| Outcomes | Probable outcome with control | Probable outcome with intervention | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments |
| Parenting behaviour post-treatment (low scores indicate less adverse behaviour ratings) | The mean parent behaviour post-treatment in the intervention groups was 0.2 standard deviations lower (0.36 to 0.04 lower) | SMD −0.2 (−0.36 to −0.04) | 836 (5 studies) |
⊕○○○ very low1,2,3 |
||
| Parenting behaviour at follow-up (low scores indicate less adverse behaviour ratings) | The mean parent behaviour at follow-up in the intervention groups was 0.12 standard deviations lower (0.29 lower to 0. 05 higher) | SMD −0.12 (−0. 29 to 0.05) | 789 (5 studies) |
⊕○○○ very low1,2,3 |
||
| Parent mental health post-treatment (high scores indicate poor mental health) | The mean parent mental health post-treatment in the intervention groups was 0.22 standard deviations lower (0.46 lower to 0. 01 higher) | SMD −0.22 (−0. 46 to 0.01) | 1010 (9 studies) |
⊕○○○ very low1,2,4 |
||
| Parent mental health at follow-up (high scores indicate poor mental health) | The mean parent mental health at follow-up in the intervention groups was 0.18 standard deviations lower (0.32 to 0.04 lower) | SMD −0.18 (−0. 32 to −0.04) | 819 (6 studies) |
⊕○○○ very low1,2,3 |
||
| SMD: Standardised mean difference | ||||||
| GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. | ||||||
1
Majority of studies included in outcome have unclear or high risk of bias
2
Majority of studies did not have an active comparator
3
A significant proportion of studies did not report outcomes in published paper
4
Heterogeneity I2 > 45%