A family retreat as a comprehensive intervention for children with arthritis and their families.
OBJECTIVE
Family resources and coping skills are important to adaptation to pediatric chronic illness. Psychological and educational interventions have been found to enhance the coping skills of children with juvenile rheumatic disease (JRD) and their families. We examined the efficacy of a 3-day family retreat as a multidisciplinary, comprehensive treatment.


METHODS
Children with JRD and their caregivers completed questionnaires assessing the children's behavioral and emotional functioning, pain, strain on caregivers' work and leisure activities, and caregivers' psychological distress before and 6 months after the family retreat. Principal caregivers were both parents for 16 children, mothers only for 10 children, and an aunt for 1 child.


RESULTS
Improvements were found in children's emotional functioning, strain on caregivers' work, and strain on caregivers' leisure activities. Reductions in reported pain were not consistently revealed.


CONCLUSIONS
Family retreats are an efficacious, multidisciplinary approach to helping families of children with JRD cope with the disease and its manifestations. Importantly, retreats offer a comprehensive intervention package that might not be available to families on an individual basis.
Hagglund
K J
KJ
Doyle
N M
NM
Clay
D L
DL
Frank
R G
RG
Johnson
J C
JC
Pressly
T A
TA
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001171:Arthritis, Juvenile / Q000523:psychology*; D017028:Caregivers / Q000193:education* / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003191:Comprehensive Health Care / Q000458:organization & administration*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010353:Patient Education as Topic; D015397:Program Evaluation; D011795:Surveys and Questionnaires