A Single Case Experimental Design Study of an Online Mindful-parenting Intervention for Parents of Children Living With a Visible Difference
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Parenting Stress (unique to each participant)
研究概览
简要总结
Some parents of children living with a visible difference can experience heightened stress due to the associated challenges of this. Parent's views of the child's visible difference and their responses to the child are important. Mindful parenting approaches have been found to reduce stress or distress for parents of children with disabilities, physical health problems and skin conditions.
This study will be completed with a small number of participants (around six to 12). Participants will be parents or carers of a child living with a visible difference aged four to 16 years, who are experiencing stress. Parents or carers will complete an online mindful parenting intervention (called Two Hearts) including video content, audio files and a workbook, over six weeks. Over the twelve-week study period participants will also provide the following information which will be compared over time:
- Complete four group support sessions during the intervention via videoconferencing
- Complete questionnaires at four timepoints
- Provide information about their use of the intervention materials and home practice weekly
- Answer two questions daily via text message about parenting stress levels We hope to learn about the initial effects of the mindful parenting programme for parents or carers of children living with a visible difference. We also hope to learn whether parents or carers find completing an online programme possible and practical. Finally, we hope to learn what parents' or carers' views are of the online programme and whether this type of intervention in online format would be helpful for other parents or carers.
详细描述
Aims
- To investigate the feasibility, acceptability, and initial effects of an online mindful parenting intervention for parents of children living with a visible difference.
- To investigate whether the intervention reduces parenting stress.
- To investigate whether completion of the intervention results in increased levels of mindful parenting.
- To investigate whether completion of the mindful parenting intervention has an impact upon child wellbeing.
- To investigate the feasibility of an online mindful parenting intervention for parents of children living with a visible difference, including adherence to the intervention, attrition, and participant perceptions of the acceptability of the intervention.
Hypotheses
- Completion of the intervention will result in changes in idiographic measures of parental stress. Namely, an improvement in the positive target and a reduction in the negative target. These improvements will be maintained on follow up.
- Completion of the intervention will result in reductions of parental stress on standardised assessment measures. These improvements will be maintained on follow up.
- Completion of the intervention will result in an improvement in child wellbeing on standardised assessment measures. These improvements will be maintained on follow up.
- Completion of the intervention will increase levels of mindful parenting as measured using a standardised assessment measure. These improvements will be maintained on follow up.
- Increased levels of mindful parenting will be associated with improved outcomes on idiographic and standardised assessment measures.
Methodology Design This study will adopt an A-B-A2 single case experimental design . Phase A will consist of a two-week baseline period. Phase B will be the six-week intervention. Phase A2 will be a four-week follow up period and an exit interview. The main outcome variable will be general parenting stress and parenting stress associated with the child's visible difference, measured idiographically via daily text messages. Secondary outcome variables will comprise standardised assessment measures of mindful parenting, parenting stress and parent reported child wellbeing. Feasibility of the online intervention will be assessed through recording of practical issues such as access to online content, participant adherence to the intervention (including home practice) and participant retention. Acceptability of the intervention will be assessed via participant evaluations of the workbook, online content, home practice and intervention overall through weekly feedback and the exit interview.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parents aged over 16 years, of children aged between four (4)-16 years living with a visible difference
- •All types and aetiologies of child visible differences including any scarring, condition, disability, or mark that affects a person's appearance, with confirmation via self-report
- •Parent experiencing self-reported stress associated with the child's visible difference
- •Able to communicate in verbal and written English
- •Access to a computer/tablet with an active internet connection
排除标准
- •Parent currently accessing psychological therapy for their own wellbeing, including parenting programmes
- •Parent experiencing active thoughts of suicide or self-injury
- •Parent experienced a psychotic episode or engaged in deliberate self-injury over the past year
- •Parent commenced medications for mood in the last two months
- •Parent previously accessed a mindful parenting intervention
- •Child currently in an acute phase following a physical injury
- •Only one parent or carer per household can take part
结局指标
主要结局
Parenting Stress (unique to each participant)
时间窗: Day 84
Parents will identify two targets for desired change around parenting stress related to the child's visible difference. It is intended that participants will identify one target area for improvement (positive target) and one for reduction (negative target). Questions will be rated on a scale of 0 (not at all) to 100 (extremely). Idiographic measures will be completed via text message. Text messages will be sent via a secure online provider (PageOne's Janet txt). Example targets include: be more present in interactions with my child and be grumpy or respond abruptly with my child less.
次要结局
- Parenting Stress Index 4th Edition Short Form(Follow up (week 12))
- Interpersonal Mindfulness in Parenting scale(Follow up (week 12))
- Strengths and Difficulties questionnaire (SDQ)(Follow up (week 12))