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Effectiveness of Positive Psychotherapy on Mental Wellbeing Among Caregivers of Cerebral Palsy Children

Not Applicable
Recruiting
Conditions
Mental Health Issue
Caregiver Burden
Cerebral Palsy
Interventions
Behavioral: Counseling Group
Behavioral: Positive Psychotherapy
Registration Number
NCT05613595
Lead Sponsor
International Islamic University, Islamabad
Brief Summary

The Central idea of the proposed research proposal is first to translate adapt and validate the Caregiver Difficulties Scale \& Positive Psychotherapy sessions based manual into Urdu language then secondly, assessment of burnout, burden, depression, mental wellbeing, sense of coherence and social support among caregivers of Cerebral palsy children and finally measuring the effectiveness of Positive Psychotherapy for treating mental health issues of caregivers of Cerebral Palsy children. This research proposal will provide an Urdu language based standardized positive psycho therapeutic based intervention to mental health practitioners for treating mental health issues of caregivers of cerebral palsy children in sociocultural context of Pakistan. In Pakistan earlier conducted researches mainly focused on assessment of mental health issues of caregivers of cerebral palsy children, however present research will not only assess the sample regarding their mental health issues, but in addition it will also contribute in provision of psychometrically sound Urdu language based positive Psychotherapy. Positive Psychotherapy focuses on positive emotions and personal strengths instead of ruminating over weaknesses.

Detailed Description

Cerebral palsy (CP) is a congenital neurodevelopmental disorder, due to non-progressive disability it prolongs throughout ages. Mental health of the caregivers of CP children is affected due to prolong treatment of the child. Keeping in mind the long term multiple disability in cerebral palsy much focus in earlier researches were given to the rehabilitation of the child and less attention is given to address the mental health issues of caregivers of cerebral palsy children. The current study is based on identifying the mental health issues like depression, caregiver burden and burnout among caregivers of CP children and how sense of coherence and social support have impact on the mental wellbeing of caregivers of CP children. After measuring the level of mental health issues of care givers of cerebral palsy children, the present study also aimed at rehabilitation of the caregivers of cerebral palsy children with the help of positive psychotherapy in rehabilitation unit. The positive psychotherapy based interventions will be translated and adapted in Urdu language for the present study. According to the literature review no such positive psychotherapy based techniques used on caregivers of CP Children in Pakistan. Positive Psychotherapy is selected as an interventional therapy in the present study and for the first time it has been planned for this sample in Pakistan. Core focus of positive psychotherapy is to move away the client from negative aspect of life and focus them towards the positive aspects of life. If positive psychotherapy treatment is effective as compared to traditional treatment approach it will be cost effective and will reduce caregiver burden, depression and burnout.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Only those participants will be included who would have moderate to high score on caregiver burden, depression & burnout and lower score in wellbeing, social support & sense of coherence.

Interventions will be given to the caregivers having moderate level of burnout & depression.

Inclusion Criteria

  • Caregiver will be someone who takes the primary responsibility for caregiving a child with CP.
  • Only caregivers of Diagnosed CP child
  • Caregivers having only 1 CP child in the family
  • Educational status of the care giver will be matric and above.
  • Age of CP child under 10 years
Exclusion Criteria

• Caregivers with any severe diagnosed Psychiatric illness (psychosis & depressive Illness) will not be added in the present study.

  • More than 1 CP child in the family
  • Caregivers who are Uneducated will not be added in the present study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Counseling GroupCounseling Group10 participants will be included in in control group (N=10), for control group caregivers will be given regular counseling as a part of treatment of their child (psychoeducation). Each session will be based upon individual session and duration of the session will be 40 minutes.
Positive Psychotherapy GroupPositive PsychotherapyIn this phase of the study, the caregivers of CP having moderate to high scores on mental health issues on three scales (Depression, Burnout \& Caregiver burden) will receive positive Psychotherapy sessions for a period of four months, divided over different weekly sessions. For Psychotherapy treatment group participants will be given both counseling as well as Positive psychotherapy based interventions. . Each session will be based upon individual session and duration of the session will be 40 minutes. Before starting every session feedback will be taken about the previous session and home based assignments will also be discussed
Primary Outcome Measures
NameTimeMethod
Change in Caregiver Difficulties Scalebaseline and 8th week

a self-administered questionnaire measure the caregiver burden

Change in Parental Burnout Assessmentbaseline and 8th week

a 23- item self-report questionnaire for assessment of Burn Out

Change in Depression Anxiety Stress Scalebaseline and 8th week

DASS is a self-report 21 items based questionnaire designed to measure depression, anxiety and stress

Change in Sense of Coherencebaseline and 8th week

Measured by the orientation of life scale, It contains 13 items

Change Multidimensional Scale of Perceived Social Supportbaseline and 8th week

Social support is measured across three domains; friends, family and significant others. The responses reflect participant's perception of support from each of these three sources

Change in wellbeing Positive Psychotherapy Inventorybaseline and 8th week

self-report inventory having 25 items.it assess level of mental wellbeing,

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

National Institute of Rehabilitation Medicine

🇵🇰

Islamabad, Pakistan

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