This systematic review summarises the parenting intervention literature for parents of children who have a sibling with a chronic health condition, and evaluates intervention efficacy for improving parent (parenting skills, parenting efficacy) and child (emotional and behavioural adjustment, condition knowledge, quality of life) outcomes. Electronic databases were searched to identify relevant papers published in English from inception until May 2020. Reference lists of eligible papers were further searched for relevant articles. Six papers (two controlled trials, four uncontrolled trials) evaluating four separate intervention programs met inclusion criteria. All included parent- and child-focused intervention components. Results showed an overall trend for pre- to post-intervention improvement in children’s behavioural and emotional adjustment and health condition knowledge. Few studies examined effects on parent outcomes, and there was no evidence of change on these measures. Overall, results suggest that parenting interventions may help to improve siblings’ emotional and behavioural adjustment and condition knowledge; however, all of the interventions combined parent- and child-directed intervention components, making it difficult to determine which intervention elements drive change. Further research is needed to test mechanisms by which parenting interventions may improve outcomes for siblings of children with chronic health conditions, and to establish the efficacy of this approach.

本系统综述总结了针对患有慢性健康状况的兄弟姐妹的父母的育儿干预文献，并评估了改善父母（育儿技能、育儿效能）和儿童（情绪和行为调整、病情知识、生活质量）的干预效果) 结果。搜索电子数据库以识别从开始到 2020 年 5 月以英文发表的相关论文。进一步搜索符合条件的论文的参考文献列表以获取相关文章。评估四个独立干预计划的六篇论文（两项对照试验，四项非对照试验）符合纳入标准。所有都包括以父母和儿童为中心的干预措施。结果表明，干预前后儿童的行为和情绪调整以及健康状况知识的改善总体趋势。很少有研究检查对父母结果的影响，并且没有证据表明这些措施发生了变化。总体而言，结果表明育儿干预可能有助于改善兄弟姐妹的情绪和行为调整以及条件知识；然而，所有的干预措施都结合了父母和儿童指导的干预措施，因此很难确定哪些干预措施推动了变革。需要进一步的研究来测试育儿干预可以改善患有慢性健康状况的儿童的兄弟姐妹的结果的机制，并确定这种方法的有效性。并且没有证据表明这些措施发生了变化。总体而言，结果表明育儿干预可能有助于改善兄弟姐妹的情绪和行为调整以及状况知识；然而，所有的干预措施都结合了父母和儿童指导的干预措施，因此很难确定哪些干预措施推动了变革。需要进一步的研究来测试育儿干预可以改善患有慢性健康状况的儿童的兄弟姐妹的结果的机制，并确定这种方法的有效性。并且没有证据表明这些措施发生了变化。总体而言，结果表明育儿干预可能有助于改善兄弟姐妹的情绪和行为调整以及状况知识；然而，所有的干预措施都结合了父母和儿童指导的干预措施，因此很难确定哪些干预措施推动了变革。需要进一步的研究来测试育儿干预可以改善患有慢性健康状况的儿童的兄弟姐妹的结果的机制，并确定这种方法的有效性。所有干预措施都结合了父母和儿童指导的干预措施，因此很难确定哪些干预措施会推动变革。需要进一步研究来测试育儿干预可以改善患有慢性健康状况的儿童的兄弟姐妹的结果的机制，并确定这种方法的有效性。所有干预措施都结合了父母和儿童指导的干预措施，因此很难确定哪些干预措施会推动变革。需要进一步的研究来测试育儿干预可以改善患有慢性健康状况的儿童的兄弟姐妹的结果的机制，并确定这种方法的有效性。