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Mindfulness-based Intervention and Young Children's Screen Time

Not Applicable
Not yet recruiting
Conditions
Screen Time Exposure
Registration Number
NCT07083661
Lead Sponsor
Hong Kong Metropolitan University
Brief Summary

This research proposal aims to explore the effectiveness of the mindfulness-based intervention (MBI) on reducing young children's screen time (ST) and caring parents' psychological and social issues in Hong Kong.

Detailed Description

The research design was a two-arm waitlist, randomised controlled study with a focus group interview with 60 participants. The intervention integrates the mindfulness-based component into a modified Hands-on Parent Empowerment-20 (HOPE-20) programme, and is named as MORE (i.e. Mindfulness-based intervention On parent empowerment in REducing children's screen time). The intervention consists of 6 weeks of MBI training, each lasting for 2 hours, led by an experienced certified mindfulness teacher. The intervention programme consists of three components: (1) skill part - 4 lessons talk about parenting skills (Praising, token system, response cost, planned ignorance, quiet zone); (2) skill part - 2 lessons talk about child-parent communication (building relationship, communication strategies); and (3) mindfulness part - mindfulness-based training. The primary outcomes are young children's ST and children's disruptive behaviour. Feasibility outcomes include recruitment rate, retention rate, and acceptability of the interventions. Secondary outcomes include parent-child relationships, parents' perceptions of their abilities to manage the demands of parenting, parental stress level, and social support adequacy. The proposal also includes plans for focus group interviews with participants to gather qualitative data. Analyses will include descriptive statistics, Pearson's chi-square test, Pearson's product-moment correlations, One-way ANOVA. A p-value \< 0.05 will be taken as the level of statistical significant. The 95% Confidence interval (CI) around the differences will be calculated. For qualitative data, the results will be analyzed descriptively and narratively. The proposal highlights the potential of MBI for reducing young children's ST, as well as improving children-parent relationships, enhancing the efficacy and satisfaction level of the parents, and reducing the stress level of the parents.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • parent-child dyads resident in Hong Kong;
  • child being between 2 and 6- year; and
  • child with normal intellectual ability.
Exclusion Criteria
  • children with major developmental problems, history of domestic violence, drug abuse, or mental illness in the family;
  • being unable to communicate and understand Cantonese as the intervention will be conducted in Cantonese; and
  • parent-child dyads previous participation in mindfulness-based training for less than 6 months.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Screen time exposure - frequencyBaseline, week 6, week 18

Children's screen time exposure including frequency will be record in terms of times per week

Screen time exposure - durationBaseline, week 6, week 18

Duration will be record in terms of minutes

Screen time exposure - nature and contentBaseline, week 6, week 18

Screen time exposure, nature, and content require the parent to provide the types and names of the shows watched by their young children.

Screen time exposure - viewing behaviorBaseline, week 6, week 18

The parents are required to provide the information on young children's viewing behavior, including singing, role play, discussing issues or discussing the films and shows by selecting from the questionnaire.

Change in parental stress levelBaseline, week 6, week 18

The Parenting Stress Index - short form. It is a 36-item 5-point Likert scale with three 12-item subscales. Each item is scored from 1 to 5 (1 = "strongly disagree", 5 = "strongly agree"). The lowest score is 36, and the highest score is 180. Higher scores indicated higher parenting stress, and the cutoff point is \>90.

Change in social support adquency levelBaseline, week 6, week 18

The Multidimensional Scale of Perceived Social Support Questionnaire is a 12-item questionnaire. Each item is scored from 1 to 7 (1 = "strongly disagree", 7 = "strongly agree"), the lowest score is 12 and the highest score is 84. A higher score defines higher social support from family, friends and significant others.

Secondary Outcome Measures
NameTimeMethod
Change in children disruptive behaviorBaseline, week 6, week 18

The Eyberg Child Behaviour Inventory is a 36-item questionnaire that consists of two subscales: the intensity scale and the problem scale. The intensity scale assesses the common child behavior problems frequency from 1 to 7 (1 = "never", 7 = "always"), and the problem scale assesses the extent to which the parents find the troublesome behavior in "yes" or "no". The lowest score is 36, and the highest score is 252. Higher scores indicate more child behavior problems.

Change in parent-child relationshipsBaseline, week 6, week 18

The Parenting Sense of Competence Scale is a 6-point Likert scale with 15-item. Each item is scored from 1 to 6 (1 = "strongly disagree", 6 = "strongly agree"), the lowest score is 15, and the highest score is 90. A higher score represents a better parent-child relationship

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