跳至主要内容
临床试验/NCT07124091
NCT07124091招募中不适用

The Effect of a Micro-Appreciation Intervention (Three-Things Journal Application) on Caregiver Burden, Family Functioning, and Happiness Levels for Mothers of Children With Autism Spectrum Disorder

Cukurova University1 个研究点 分布在 1 个国家目标入组 126 人开始时间: 2025年5月30日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
126
试验地点
1
主要终点
Change in Happiness Levels as Measured by the Oxford Happiness Questionnaire - Short Form (OHQ-SF)

研究概览

简要总结

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder in which individuals experience significant difficulties in social interaction, communication, and repetitive behaviors. Families of children with ASD, especially mothers, face a high level of physical, emotional, and psychological caregiving burden while trying to adapt to their children's developmental needs. Constant caregiving responsibilities increase the risk of burnout, stress, and depression in mothers, while also negatively impacting family functioning and life satisfaction. Mothers of children with ASD require greater emotional resilience, self-regulation, and social support than those in traditional parenting roles.

In this context, interventions that support psychological well-being offer important strategies that can help mothers cope with the burden of care. In recent years, positive psychology-based interventions have been shown to positively contribute to individuals' mental health and are effective in increasing subjective well-being. Positive psychology approaches help individuals recognize and focus on the positive aspects of their lives, reducing stress levels and increasing psychological resilience. One such approach, micro-appreciation interventions, aims to increase individuals' positive emotional experiences by consciously focusing on small but significant positive events they encounter in their daily lives. Micro-appreciation interventions change individuals' perceptual frameworks, encouraging them to focus on positive moments instead of negative experiences. Such interventions stand out as an effective method for reducing the psychological and physiological effects of stress, increasing positive emotions, and improving overall life satisfaction.

One micro-appreciation intervention, the "Three Things Journal," is a simple yet effective strategy that involves individuals writing down three positive events they appreciate in their lives each day. Research has shown that this practice is effective in increasing individuals' awareness of positive experiences, reducing levels of depression and anxiety, and increasing subjective well-being. Regularly experiencing positive emotions strengthens individuals' ability to cope with challenges and increases their psychological resilience and optimism. Especially for individuals under intense stress, such small but regular practices can yield greater psychological benefits in the long term.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
Female
接受健康志愿者
是

入选标准

  • •Age 18 years or older
  • •Willing to participate in the study
  • •Able to read and understand Turkish
  • •Being a mother of a child with special needs

排除标准

  • •Younger than 18 years
  • •Unwilling to participate in the study
  • •Unable to read or understand Turkish
  • •Not having a child with special needs

研究组 & 干预措施

Positive Event Writing Intervention Group

Experimental

Mothers in this group will be asked to write down three positive events each day for four weeks as part of a positive psychology journaling intervention.

干预措施: Positive Event Writing Intervention (Behavioral)

Control Group

No Intervention

Mothers in the control group will not receive any intervention.

结局指标

主要结局

Change in Happiness Levels as Measured by the Oxford Happiness Questionnaire - Short Form (OHQ-SF)

时间窗: Baseline and Week 5

The Oxford Happiness Questionnaire - Short Form (OHQ-SF) is a 7-item scale used to assess individual levels of happiness. Each item is rated on a Likert scale. Total scores range from 0 to 28, with higher scores indicating greater happiness. The Turkish adaptation was validated by Doğan and Çötok (2011) with a reliability coefficient (Cronbach's alpha) of .74 and test-retest reliability of .85.

Change in Caregiver Burden as Measured by the Zarit Burden Interview (ZBI)

时间窗: Baseline and Week 5

The Zarit Burden Interview (ZBI) is a 22-item self-report instrument assessing perceived burden among caregivers. Each item is scored from 0 ("Never") to 4 ("Nearly Always") using a 5-point Likert scale. The total score ranges from 0 to 88, with higher scores indicating greater caregiver burden. The Turkish version was validated by İnci and Erdem (2007), with a Cronbach's alpha of .90.

Change in Family Functioning as Measured by the Family APGAR Scale

时间窗: Baseline and Week 5

The Family APGAR Scale is a 5-item measure of satisfaction with family functioning across five dimensions: adaptability, partnership, growth, affection, and resolve. Each item is rated on a 3-point scale from 0 ("Rarely") to 2 ("Almost always"). Total scores range from 0 to 10, with higher scores indicating greater satisfaction with family functioning. Scores between 0-3 suggest low satisfaction, 4-6 moderate satisfaction, and 7-10 high satisfaction. The Turkish version was validated by Özcan et al. (2011), with a Cronbach's alpha of .793.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

MÜJDE KERKEZ

Assist. Prof. Dr

Cukurova University

研究点 (1)

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