Effects of a Parental Training Program Using Group-based Acceptance and Commitment Therapy for Managing Children With Asthma: a Randomized Controlled Trial

Brief Summary

Detailed Description

One-tenth of children in worldwide are diagnosed with asthma and it is the leading cause for unplanned health care services utilization. Parents, as the primary caregivers, experience different level of psychological distress in taking care of their children with asthma. Some of them responded with avoidance-based coping, which results in poor asthma symptom management and monitoring. Acceptance and Commitment Therapy (ACT) is a contextual focused, behavioral therapy aiming at improving psychological flexibility, so that a person can be more opened up to engaging in value-driven behavior modification, thus attaining an optimal disease control. The benefits of ACT have been demonstrated on both parents and their children with chronic health conditions such as developmental disabilities, acquired brain injuries, chronic pain, cancer and mental disorders. To date, no ACT intervention has been conducted on examining its effects on training parents in managing their children with asthmatic conditions. This is the first study aims to examine the effects of a parental training program using group-based Acceptance and Commitment Therapy (ACT) in reducing the unplanned health care services utilization and asthmatic symptoms, among children with asthma. Parents of children diagnosed with asthma will either receive one session of pediatric asthma educational talk as usual practice in the study hospital, or in addition, four sessions of group-based ACT integrated with asthma education. If the group-based ACT is effective in reducing children's asthmatic symptoms and overall unplanned asthma-related health services utilization, it could lead to substantial health benefits in children with asthma and on parents with a reduction in psychological distress. In addition to cutting medical expenses, it could also contribute to the community health through the reduction in mortality and morbidity due to asthmatic attacks. Furthermore, information collected from this proposed study will open up an opportunity for exploring the potential of ACT-based intervention in managing other childhood chronic diseases.

Primary Outcomes

Secondary Outcomes

• Children's Days of Activities Affected by Asthma Symptoms Per Week Over the Past 4 Weeks(At 6 months after the intervention)
• Parents' Psychological Adjustment to Their Child's Asthma(At 6 months after the intervention)
• Children's Total Number of General Outpatient Clinic Visits Due to Asthma Attacks Over the Past 6 Months(At 6 months after the intervention)
• Children's Total Number of Private Practitioner's Clinic Visits Due to Asthma Attacks Over the Past 6 Months(At 6 months after the intervention)
• Children's Total Number of Hospital Admissions Due to Asthma Attacks Over the Past 6 Months(At 6 months after the intervention)
• Children's Number of Days of Hospital Stay Due to Asthma Attacks Over the Past 6 Months(At 6 months after the intervention)
• Children's Asthma Symptoms During Daytime Per Week Over the Past 4 Weeks(At 6 months after the intervention)
• Parents' Psychological Symptoms(At 6 months after the intervention)
• Children's Asthma Symptoms During Nighttime Per Week Over the Past 4 Weeks(At 6 months after the intervention)
• Children's Reliever Use Due to Asthma Symptoms Per Week Over the Past 4 Weeks(At 6 months after the intervention)
• Parents' Asthma Management Self-efficacy(At 6 months after the intervention)
• Parents' Psychological Flexibility(At 6 months after the intervention)
• Parents' Knowledge in Childhood Asthma Management(At 6 months after the intervention)
• Parents' Quality of Life(At 6 months after the intervention)