📄 Research Article
PSEJ Vol. 13, No. 4 (2025)
PARENTAL ADAPTATION AFTER DIAGNOSIS: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS OF BEHAVIORAL INTERVENTION EFFECTIVENESS
Gentian Ardit Shehu
Faculty of Social Sciences University of Tirana, Albania
Probability Statistics and Econometric Journal,
Vol. 13, No. 4 (2025),
pp. 10-30 |
DOI: https://doi.org/10.5281/zenodo.20123536
Open Access
Peer Reviewed
Research Article
Abstract
This systematic review and network meta-analysis aimed to synthesize existing evidence on parental transition processes from diagnosis to active intervention, examine the effectiveness of behavioral interventions in supporting this transition, and identify key factors that influence parental adaptation and engagement. A comprehensive systematic search was conducted across multiple databases (PsycINFO, MEDLINE, Web of Science, Cochrane, CINAHL, and SocINDEX) for studies published between 2015 and 2025. Results reveal that twenty-eight studies involving 5,312 participants met inclusion criteria. The analysis revealed that parental transition follows a predictable pattern involving initial shock and grief, information seeking, intervention selection, and adaptation phases. Parent-mediated interventions demonstrated the highest effectiveness (d = 0.65, 95% CI: 0.45-0.85), followed by early intervention programs (d = 0.61, 95% CI: 0.41-0.81) and behavioral interventions (d = 0.58, 95% CI: 0.38-0.78). Key facilitating factors included positive communication with healthcare providers, supportive therapeutic relationships, collaborative care approaches, and early access to interventions. Primary barriers included disorder complexity, inefficient team coordination, lack of information, and social stigma. Cultural factors and family values significantly influenced the transition process. In conclusion, the transition from diagnosis to active intervention is a complex, multifaceted process that requires comprehensive support systems. Parent-mediated interventions and early intervention programs show the strongest evidence for facilitating positive transitions. Healthcare providers play a crucial role in supporting families through this transition by providing clear communication, coordinated care, and early access to evidence-based interventions. Future research should focus on developing culturally sensitive interventions and addressing systemic barriers to care access.
Keywords:
["parental transition","behavioral interventions","neurodevelopmental disorders","network metaanalysis","parent-mediated interventions"]
📑 How to Cite This Article
APA 7th Edition:
Gentian Ardit Shehu (2025). PARENTAL ADAPTATION AFTER DIAGNOSIS: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS OF BEHAVIORAL INTERVENTION EFFECTIVENESS. Probability Statistics and Econometric Journal, 13(4), 10-30. https://doi.org/https://doi.org/10.5281/zenodo.20123536
Gentian Ardit Shehu (2025). PARENTAL ADAPTATION AFTER DIAGNOSIS: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS OF BEHAVIORAL INTERVENTION EFFECTIVENESS. Probability Statistics and Econometric Journal, 13(4), 10-30. https://doi.org/https://doi.org/10.5281/zenodo.20123536
Vancouver Style:
Gentian Ardit Shehu. PARENTAL ADAPTATION AFTER DIAGNOSIS: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS OF BEHAVIORAL INTERVENTION EFFECTIVENESS. Probab. Stat. Econom. J.. 2025;13(4):10-30. DOI: https://doi.org/10.5281/zenodo.20123536
Gentian Ardit Shehu. PARENTAL ADAPTATION AFTER DIAGNOSIS: A SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS OF BEHAVIORAL INTERVENTION EFFECTIVENESS. Probab. Stat. Econom. J.. 2025;13(4):10-30. DOI: https://doi.org/10.5281/zenodo.20123536
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