The Effect of Tidal Model Based Psychiatric Nursing Approach Applied to Mothers of Children Diagnosed With Autism Spectrum Disorder on Internalized Stigma and Psychological Well-Being
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Autism Spectrum Disorder
- Sponsor
- Mersin University
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Parents Internalized Stigma of Mental Illness Scale (PISMI)
- Status
- Completed
- Last Updated
- 7 months ago
Overview
Brief Summary
The goal of this clinical trial is to examine the effect of Tidal Model-based psychiatric nursing approach on internalized stigma and psychological well-being in mothers of children diagnosed with ASD.
Detailed Description
The research will be conducted using a mixed research method that combines qualitative and quantitative research methods. The quantitative part of the research will be conducted using a pre-test-post-test randomised controlled experimental research design, while the qualitative part will be conducted using a phenomenological design. The study will be conducted with 34 mothers (intervention group = 17, control group = 17) who have children diagnosed with ASD. The intervention group will receive an eight-session Tidal Model-based psychiatric nursing approach. The sessions are planned to take place once a week over an 8-week period. All sessions will be conducted face-to-face. The first and eighth sessions are expected to last an average of 45-50 minutes, while the other sessions are expected to last an average of 70-75 minutes. Personal safety plans, holistic evaluation form , and records of one-on-one sessions will be kept for all sessions conducted. No intervention will be applied to the mothers in the control group. Posttests will be administered to mothers in the intervention group after the eighth interview. Data from the control group will be collected simultaneously with the intervention group. Qualitative data were collected with the metaphor question in the personal information form. The mothers were asked to say "My life story with my child with autism spectrum disorder is like ............. Because ................."" sentence was asked to complete.
Investigators
Zahide Gül YAZGI DEMİR
Principal Investigator
Mersin University
Eligibility Criteria
Inclusion Criteria
- •Having a child diagnosed with ASD who is studying at Karaköprü Special Education and Practice School in Şanlıurfa.
- •Those who agree to participate in the research
- •No previous diagnosis of mental illness
- •18 years of age or older
- •Knowing how to read and write
- •The mother who does not have problems in terms of hearing, speaking and understanding that will prevent communication in the interviews.
Exclusion Criteria
- •Under 18 years of age
- •Those who have problems in hearing, speaking and understanding that will prevent communication in the interviews
- •Mother with any previous diagnosis of mental illness
- •Having previously undergone similar intervention
- •Having a child with multiple disabilities.
Outcomes
Primary Outcomes
Parents Internalized Stigma of Mental Illness Scale (PISMI)
Time Frame: Basseline and 8 weeks
The Internalized Stigma of Mental Illnesses Scale (ISMI) was developed by Boyd-Ritsher et al. (2003), and adapted into Turkish by Ersoy and Varan (2007). Then, by Dikeç et al. (2019) based on ISMI, the scale items were adapted to the parents of individuals with mental illness, and Turkish validity reliability was established. The scale consists of 29 items. The scale includes "alienation (item: 1,5,8,16,17,21)", "confirmation of stereotypes (item: 26,10,18,19,23,29)", "perceived discrimination (item: 3.15)". ,22,25,28)", "social withdrawal (item: 4,9,11,12,13,20)", "resistance to stigma (item: 7,14,24,26,27)" It has five subscales. The items in the scale are answered as "strongly disagree" (1 point), "disagree" (2 points), "agree" (3 points), "strongly agree" (4 points). The scale total score ranges from 29 to 116 and there is no scale cutoff score. A high score from the scale indicates that the internalized stigma of the person is more severe in the negative direction.
Secondary Outcomes
- Psychological Well-Being Scale (PWS)(Basseline and 8 weeks)