Article Text

Download PDFPDF
Support by another mother and a child-life specialist decreased anxiety in mothers of children with chronic illnesses

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 QUESTION: In families of children with chronic illnesses, does a support intervention decrease maternal anxiety and depression?


Randomised (allocation unconcealed*), blinded (data collectors),* controlled trial with 1 year of follow up.


11 specialty clinics and 5 general paediatric clinics in Baltimore, Maryland, USA.


161 mothers of children who were 7 to 11 years of age; did not have mental retardation; and were diagnosed with diabetes, sickle cell anaemia, cystic fibrosis, or moderate-to-severe asthma (daily medication, wheezing 2 to 3 times weekly, and ≥ 1 hospital or emergency department visit in the previous 6 months). 86% of families were followed.


Families were allocated to a support intervention called Family-to-Family Network (n=86) or to a control group (n=75). Each family in the support intervention group was assigned to a 2 person intervention team: an experienced network mother and a child-life specialist. The network …

View Full Text


  • Source of funding: US Maternal and Child Health Bureau.

  • For correspondence: Dr H T Ireys, Mathematica Policy Research Inc., 600 Maryland Avenue Southwest, Suite 550, Washington, DC 20024-2512, USA. hIreys{at}