Cochrane · systematic review · CD010618
Peer support interventions for parents and carers of children with complex needs
Sartore, G-M, Pourliakas, A, Lagioia, V · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 37.5%Ungraded 2 · 12.5%Very low 7 · 43.8%Low 1 · 6.3%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Peer support compared to usual care for parents and carers of children with complex needs
Population: parents and carers of children with complex needs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Psychological distress Measures: ‐ Parenting Stress Index (PSI‐SF) ‐ Psychiatric Symptom Index (PSI) ‐ PSI anxiety sub‐scale ‐ State anxiety inventory ‐ Center for Epidemological Studies Depression Scale (CES‐D) ‐ Profile of Mood State Inventory (... Peer support vs usual care | no estimate extracted | 8 studies · 864 participants | Very low Downgraded: risk of bias |
Confidence and self‐efficacy Measures: ‐ Parent Asthma Management Self‐efficacy Scale (PAMSES) (higher score = greater self‐efficacy) ‐ Caregiving Mastery Scale (CMS) (higher score = higher mastery) ‐ Parent Perception Questionnaire (higher score ... Peer support vs usual care | no estimate extracted | 8 studies · 542 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Perception of coping Measures: ‐ Caregiver Strain Questionnaire (CGSQ) (higher score = more strain) ‐ Parent Coping Efficacy Scale (higher score = better coping) Timing of Peer support vs usual care | no estimate extracted | 3 studies · 293 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Quality of life Measures: ‐ Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLQ) ‐ Beach Centre Family Quality of Life Scale (higher scores = better quality of life) Timing of Peer support vs usual care | no estimate extracted | 2 studies · 143 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Family functioning Measures: ‐ Family Empowerment Scale (FES) (higher score = less impact) ‐ Impact on Family Questionnaire (higher score = more impact) Timing of Peer support vs usual care | no estimate extracted | 4 studies · 272 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Perceived social support Measures: ‐ Irey's Social Support Inventory ‐ Multidimensional Scale of Perceived Social Support ‐ Arizona Social Support Scale ‐ MOS Social Support scale (higher scores = more support) Timing of Peer support vs usual care | no estimate extracted | 4 studies · 191 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Confidence and skill at navigating medical services Measures: ‐ Vanderbilt Mental Health Services Efficacy Questionnaire (VMHSEQ) ‐ Family Empowerment Scale (service system sub‐scale) (higher score = more confidence and skill) Timing of Peer support vs usual care | no estimate extracted | 4 studies · 304 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events Peer support vs usual care | no estimate extracted | NR | No studies |
Peer support compared to alternative interventions for parents and carers of children with complex needs
Population: parents and carers of children with complex needs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Psychological distress Measures: ‐ Parenting Stress Index (PSI‐SF) ‐ State‐Trait Anxiety Inventory (STAI) Peer support vs alternative interventions | no estimate extracted | 2 studies · 95 participants | Very low Downgraded: risk of bias, imprecision |
Confidence and self‐efficacy Peer support vs alternative interventions | no estimate extracted | 20 participants | Ungraded |
Quality of life Peer support vs alternative interventions | no estimate extracted | NR | No studies |
Perception of coping Peer support vs alternative interventions | no estimate extracted | NR | No studies |
Family functioning Peer support vs alternative interventions | no estimate extracted | 81 participants | Ungraded |
Perceived social support Peer support vs alternative interventions | no estimate extracted | NR | No studies |
Confidence and skill at navigating medical services Peer support vs alternative interventions | no estimate extracted | NR | No studies |
Adverse events Peer support vs alternative interventions | no estimate extracted | NR | No studies |