
@article{ref1,
title="Preventing internalising problems in preschoolers with chronic physical health conditions",
journal="Journal of child health care",
year="2021",
author="Brown, Amy and Noone, Kate and Rapee, Ronald M. and Kangas, Maria and Anderson, Vicki and Bayer, Jordana K.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="This pilot study aimed to explore the suitability of a preventative intervention for internalising problems in young children with chronic physical health conditions. The pilot study focused on a subsample of 27 children with chronic physical health conditions within a population-level randomised controlled trial of the Cool Little Kids parenting programme. The Cool Little Kids parenting programme aims to prevent the development of internalising problems in inhibited (shy/anxious) preschool children by educating parents to reduce young children's avoidant coping styles and manage their anxiety/distress. The wider trial recruited 545 temperamentally inhibited preschool children. Measures included child health/development concerns and internalising symptoms at baseline, feedback on Cool Little Kids post-intervention and child internalising problems at one- and two-year longitudinal follow-up. At baseline, inhibited children with and without chronic physical health conditions had levels of internalising symptoms above the normative mean. At post-intervention, parents of children with chronic physical health conditions gave feedback that Cool Little Kids was helpful for managing their child's emotional distress. At follow-up, significantly fewer intervention than control children with chronic physical health conditions had specific phobia after 1 year (25% vs 70%) and specific fear symptoms after 2 years (mean 9.57 vs 16.89). As the pilot findings are promising, a further trial of Cool Little Kids in a physical health treatment service with a larger sample of children with chronic physical illness diagnoses would be worthwhile.<p /> <p>Language: en</p>",
language="en",
issn="1367-4935",
doi="10.1177/13674935211013192",
url="http://dx.doi.org/10.1177/13674935211013192"
}