Creating Opportunities for Parent Empowerment (COPE): Program Effects on Young Critically Ill Children and Mothers

2.50
Hdl Handle:
http://hdl.handle.net/10755/152510
Type:
Presentation
Title:
Creating Opportunities for Parent Empowerment (COPE): Program Effects on Young Critically Ill Children and Mothers
Abstract:
Creating Opportunities for Parent Empowerment (COPE): Program Effects on Young Critically Ill Children and Mothers
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:Melnyk, Bernadette Mazurek, PhD, RN, CPNP, FAAN
P.I. Institution Name:University of Rochester
Title:associate dean for research
The purpose of this study was to evaluate the short- and long-term effects of a theoretically-driven reproducible intervention program (COPE) on the psychological and functional coping outcomes of critically ill young children and their mothers, up to 12 months following hospitalization. A multi-site randomized controlled trial was conducted with 174 mothers and their 2- to 7-year-old children who were unexpectedly admitted to the pediatric intensive care units of two children’s hospitals in Upstate New York and Pittsburgh, Pennsylvania. The experimental intervention (COPE) was a three-phase educational/behavioral intervention, driven by self-regulation and control theories. Maternal process and outcome variables included: parental beliefs about their critically ill children and role, negative mood state, state anxiety, stress related to the PICU, participation in their children’s care, parental role change, and PTSD symptoms. Child outcomes included measures of child adjustment, including internalizing and externalizing behaviors, and PTSD symptoms. Findings revealed that mothers in the COPE group, versus mothers in the control group, reported: (a) stronger beliefs regarding their hospitalized children’s responses and their parental role, (b) less stress on the parental stressor scale after transfer to the pediatric unit, (c) less anxiety and negative mood state, including depression, following hospitalization, and (d) fewer PTSD symptoms 12 months following hospitalization. Nurses, blind to study group, also rated the COPE mothers as more involved in their children’s physical and emotional care on the pediatric unit than control mothers. Six and 12-months following discharge from the hospital, children in the COPE group, in comparison to children in the control group, had: (a) fewer behavioral symptoms, (b) fewer externalizing problems, (c) fewer attention problems, (d) less hyperactivity, (e) less aggression, and (f) less depression.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCreating Opportunities for Parent Empowerment (COPE): Program Effects on Young Critically Ill Children and Mothersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152510-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Creating Opportunities for Parent Empowerment (COPE): Program Effects on Young Critically Ill Children and Mothers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Melnyk, Bernadette Mazurek, PhD, RN, CPNP, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Rochester</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">associate dean for research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Bernadette_Melnyk@urmc.rochester.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study was to evaluate the short- and long-term effects of a theoretically-driven reproducible intervention program (COPE) on the psychological and functional coping outcomes of critically ill young children and their mothers, up to 12 months following hospitalization. A multi-site randomized controlled trial was conducted with 174 mothers and their 2- to 7-year-old children who were unexpectedly admitted to the pediatric intensive care units of two children&rsquo;s hospitals in Upstate New York and Pittsburgh, Pennsylvania. The experimental intervention (COPE) was a three-phase educational/behavioral intervention, driven by self-regulation and control theories. Maternal process and outcome variables included: parental beliefs about their critically ill children and role, negative mood state, state anxiety, stress related to the PICU, participation in their children&rsquo;s care, parental role change, and PTSD symptoms. Child outcomes included measures of child adjustment, including internalizing and externalizing behaviors, and PTSD symptoms. Findings revealed that mothers in the COPE group, versus mothers in the control group, reported: (a) stronger beliefs regarding their hospitalized children&rsquo;s responses and their parental role, (b) less stress on the parental stressor scale after transfer to the pediatric unit, (c) less anxiety and negative mood state, including depression, following hospitalization, and (d) fewer PTSD symptoms 12 months following hospitalization. Nurses, blind to study group, also rated the COPE mothers as more involved in their children&rsquo;s physical and emotional care on the pediatric unit than control mothers. Six and 12-months following discharge from the hospital, children in the COPE group, in comparison to children in the control group, had: (a) fewer behavioral symptoms, (b) fewer externalizing problems, (c) fewer attention problems, (d) less hyperactivity, (e) less aggression, and (f) less depression.</td></tr></table>en_GB
dc.date.available2011-10-26T11:38:59Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T11:38:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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