Non-randomized Controlled Pilot Study of a Health Promotion Program for Mothers of Children in the Ultra-orthodox Community: Examining Feasibility
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Change in maternal ADHD Knowledge as measured by the ADHD Knowledge Questionnaire (Bussing, 2014)
研究概览
简要总结
The goal of this study is to evaluate the feasibility and effectiveness of a health promotion intervention for Ultra-Orthodox Jewish mothers of children with ADHD.
This study will examine the impact of a culturally tailored group-based intervention aimed at reducing stress, enhancing health, and improving the well-being of mothers.
The main questions this study aims to answer are:
- Is the intervention feasible for mothers to participate?
- Does the intervention improve maternal knowledge about ADHD and reduce stigma?
- Does it help reduce maternal stress and enhance self-care practices?
Participants include:
Mothers: Ultra-Orthodox Jewish mothers with a child (ages 6-12) diagnosed with ADHD and no other major health conditions in the family (other than ADHD).
Educators: School educators with at least 5 years of experience teaching children with ADHD in the Ultra-Orthodox community.
What participation involves:
Mothers will attend six weekly teletherapy group sessions, with 6-8 mothers per group. They will complete questionnaires before and after the intervention (approximately 30 minutes each) and participate in a 90-minute remote focus group to provide feedback on the program.
Educators will attend a single teletherapy group session (90 minutes) during the program (session 5) and participate in a 90-minute remote interview to provide feedback on the program.
详细描述
After providing informed consent, mothers will complete questionnaires which will take approximately 30 minutes before beginning the program. Mothers will then be assigned non-randomly to the intervention or control group. Mothers assigned to the control group will receive the intervention after the completion of the first intervention group (delayed).
The six sessions of the intervention will be teletherapy and each session will be one and a half hours in length. Each group will consist of 6-8 mothers per group.
Inclusion criteria included mothers who identify as ultra-orthodox Jewish, have a child between the ages of 6-12 years old who have been diagnosed with ADHD by a licensed medical professional, and who do not have any other medical diagnosis.
The topics discussed in the intervention will include: Awareness/knowledge regarding ADHD and its biological origins, Identifying resources and optimal treatment for ADHD for the child and the mother, Strategies for child ADHD management in the school, and the legitimacy and importance of maternal self-care.
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
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •mothers of children with ADHD aged 6- 12 years old
- •Mothers who identify as ultra-orthodox Jews
- •Child diagnosis was by a licensed medical professional
排除标准
- •Child medical diagnosis other than ADHD
结局指标
主要结局
Change in maternal ADHD Knowledge as measured by the ADHD Knowledge Questionnaire (Bussing, 2014)
时间窗: from enrollment until the end of the six week sessions of the intervention
The summary knowledge score is composed of the sum of 5 variables: 1. Ever heard of ADHD (no =0; yes= 1) 2. Recency of information (0= heard months to years ago or never; 1= heard days to weeks ago) 3. Self-rated knowledge amount (0= knows little to nothing; 1 =knows some or a lot) 4. Number of information sources used (0= none or one; 1 = two or more sources cited) 5. Attribution of ADHD to sugar in the diet (0= probably or definitely true; 1 =probably or definitely false). Knowledge scores can range from 0 to 5 ('0' indicating the least amount of knowledge), and were normally distributed (mean =2.6, SD =1.6, median =3)
Change in maternal ADHD stigma as measured by the ADHD Stigma Scale
时间窗: from enrollment until the end of the six week sessions of the intervention
The questions ask about some of the experiences, feelings, and opinions people with ADHD might have and how they are treated. Each item is rated on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3-agree; 4=strongly agree), with higher scores indicating higher stigma perceptions. The overall stigma score is composed of the sum of all 26 items
Change in maternal stress as measured by the Parental Stress Items
时间窗: from enrollment until the end of the six week sessions of the intervention
Parenting Stress Items measures parental stress, by asking parents to consider how "tense" or "frustrated" they feel about parenting their children. Includes 11 items scored on a four-point scale (1¼not at all to 4¼very much so), yielding scores ranging from 11-44, with higher scores indicating greater levels of parenting stress.
Change in maternal participation in health promoting activities as measured by the Health Promoting Activities Scale
时间窗: from enrollment until the end of the six week sessions of the intervention
Health Promoting Activities Scale (HPAS) is an eight-item measure that assesses frequency of participation in social, emotional, physical, and spiritual leisure activities on a seven-point scale (1=never to 7=once or more every day). Scores range from 8 to 56, with higher scores indicating more frequent participation
次要结局
未报告次要终点
研究者
Adina Maeir
Professor
Hebrew University of Jerusalem