title: A school-based self-management program for youth with chronic health conditions and their parents.
abstract: The Self-Management Program was a school-based intervention for 65 school-aged children with a chronic health condition and their parents. Through the peer group process, a cognitive-behavioural intervention was used to promote the child's self-management of the stresses associated with the chronic condition. Groups were also held to support parents in helping the child to use the newly acquired self-management strategies. A pre- and post-test waiting control group design examined treatment effects on therapeutic adherence, child self-responsibility, and child self-efficacy. Children in the intervention group, in comparison to those in the control group, showed significantly higher therapeutic adherence and more self-responsibility in the management of the health condition. By two months, the improvements in self-responsibility had begun to fade as reported by the children, but remained significant as reported by the parents. No significant differences were found on the self-efficacy measure. Goal attainment, child and parent learning, and consumer satisfaction were also found to be evident.
authors.affiliation: Department of Psychosocial and Community Health, School of Nursing, University of Washington, Seattle, USA.
authors.forename: D
authors.initials: D
authors.lastname: Magyary
authors.forename: P
authors.initials: P
authors.lastname: Brandt
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents; D012572:School Health Services / Q000458:organization & administration*; D012648:Self Care / Q000379:methods*; D013315:Stress, Psychological / Q000517:prevention & control