Introduction

Acquired brain injury (ABI) is a leading cause of disability among children. An increasing number of programs have emerged to involve family members as an integral component of post-ABI rehabilitation. This study aimed to conduct a systematic review and meta-analysis of such programs among children with ABI.

Methods

Following PRISMA guidelines, search among six databases (PsycINFO, PsycARTICLES, Scopus, Web of Science, PubMed, Cochrane CENTRAL) was conducted, followed by abstract/full-text screening and data extraction. Hedge's g was computed for effect sizes. The risk of bias was assessed using Cochrane guidelines. Meta-regression analyses were conducted on six moderators.

Results

A total of 32 studies (reported in 37 articles) were included in the qualitative analysis. Meta-analysis of 20 studies showed a positive small-to-medium effect of family-oriented interventions on child and parental outcomes but not on family functioning. Study design moderated the effect sizes of parent outcomes.

Conclusions

This study synthesized the latest empirical evidence of family-oriented rehabilitation programs for pediatric ABI across interventional strategies, study designs, and outcomes. The findings suggested an overall beneficial impact of such programs on both the pediatric patients and their caregivers.

中文翻译：

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家庭事务：针对获得性脑损伤儿童的家庭干预效果的系统回顾和荟萃分析

 介绍

获得性脑损伤（ABI）是儿童残疾的主要原因。越来越多的项目开始让家庭成员参与，作为 ABI 后康复的一个组成部分。本研究旨在对 ABI 儿童中的此类计划进行系统回顾和荟萃分析。

 方法

遵循 PRISMA 指南，在六个数据库（PsycINFO、PsycARTICLES、Scopus、Web of Science、PubMed、Cochrane CENTRAL）中进行检索，然后进行摘要/全文筛选和数据提取。 Hedge 的 g是根据效应大小计算的。使用 Cochrane 指南评估偏倚风险。对六位主持人进行了元回归分析。

 结果

定性分析共纳入 32 项研究（37 篇文章中报告）。对 20 项研究的荟萃分析显示，以家庭为导向的干预措施对儿童和父母的结局产生积极的中小影响，但对家庭功能没有影响。研究设计调节了父母结果的影响大小。

 结论

这项研究综合了以家庭为导向的儿科 ABI 康复计划的干预策略、研究设计和结果的最新经验证据。研究结果表明，此类计划对儿科患者及其护理人员产生了总体有益的影响。