title: Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial.
abstract: OBJECTIVE
  To evaluate the efficacy of a behavioural family intervention, Stepping Stones Triple P (SSTP), combined with an Acceptance and Commitment Therapy (ACT) workshop in improving parent, family and couple outcomes following paediatric acquired brain injury (ABI).
  
  
  METHODS
  Fifty-nine parents (90% mothers) of children (mean age 7 years; 35 males, 24 females) with ABI.
  
  
  METHODS
  Participants were randomly assigned to a treatment (10-week group SSTP and ACT program) or a care-as-usual (CAU) control condition (10 weeks). Those in the CAU condition received the treatment after the waitlist period.
  
  
  RESULTS
  Self-report measures of parent psychological distress, parent psychological flexibility, parenting confidence, family functioning, and couple relationship, assessed at: pre-intervention, post-intervention, and 6-months post-intervention.
  
  
  RESULTS
  Post-intervention, the treatment group showed significant, small to medium improvements relative to the CAU group (at the p < .05 level) on parent psychological distress, parent psychological flexibility, parent confidence in managing behaviours, family adjustment,and number of disagreements between parents. Most improvements were maintained at 6-months.
  
  
  CONCLUSIONS
  Parent skills training and ACT may be efficacious in improving parent, family, and couple outcomes in families of children with an ABI.
authors.affiliation: The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Australia; Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia; Queensland Children's Medical Research Institute, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia. Electronic address: felicity.brown@uqconnect.edu.au.
authors.forename: Felicity L
authors.initials: FL
authors.lastname: Brown
authors.affiliation: Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia; The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Australia.
authors.forename: Koa
authors.initials: K
authors.lastname: Whittingham
authors.affiliation: Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia.
authors.forename: Roslyn N
authors.initials: RN
authors.lastname: Boyd
authors.affiliation: Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, Australia; Queensland Paediatric Rehabilitation Service, Royal Children's Hospital, Brisbane, Australia.
authors.forename: Lynne
authors.initials: L
authors.lastname: McKinlay
authors.affiliation: The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Australia.
authors.forename: Kate
authors.initials: K
authors.lastname: Sofronoff
mesh_terms: D064869:Acceptance and Commitment Therapy / Q000379:methods*; D001521:Behavior Therapy / Q000379:methods*; D001930:Brain Injuries / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D002648:Child; D002652:Child Behavior / Q000523:psychology; D002675:Child, Preschool; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology; D013315:Stress, Psychological / Q000628:therapy
keywords: Acceptance and Commitment Therapy; Acquired brain injury; Behavioural family intervention; Parenting; Randomised controlled trial