Resilience Training Intervention: Its Effect on Parental Acceptance/Rejection and Burden of Children With Down Syndrome
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: resilience training intervention.
- Who it may be relevant to
- Registry conditions: Down Syndrome. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This research will test whether a resilience training program can help parents of children with Down syndrome feel more accepting of their child and experience less caregiving burden. Parents who care for a child with Down syndrome often face stress and emotional challenges. Building psychological resilience-the ability to adapt and recover from stress-may improve how parents cope and relate to their children. The study will include about 50 parents of children with Down syndrome. Participants will be randomly assigned to one of two groups: Experimental group: Receives the resilience training program. Control group: Receives usual care. Study phases Before the program: Parents complete questionnaires that measure their resilience, their acceptance or rejection of their child, and their caregiving burden. During the program: Parents in the experimental group attend a structured resilience training program based on their expressed needs. After the program: The same questionnaires are repeated immediately after the program and again at a follow-up to see if any changes last. The research hypothesis is that parents who take part in the resilience training will show higher acceptance, lower rejection, and reduced caregiving burden compared with parents who receive usual care. This study will provide evidence on whether resilience training is a helpful, practical, and safe way to support families raising a child with Down syndrome.
Detailed description
This quasi-experimental study will evaluate the effectiveness of a resilience training intervention on parental acceptance/rejection and caregiving burden among parents of children with Down syndrome.
Design
A non-randomized, controlled, pretest-posttest, repeated-measures design will be used. Approximately 50 parents will be allocated into an experimental group and a control group, based on availability and willingness to participate. Measurements will be taken at baseline, immediately post-intervention, and at follow-up.
Study Phases
Phase 1 - Needs assessment and program development
Assess baseline resilience, parental acceptance/rejection, and caregiving burden.
Develop and implement a tailored resilience training intervention based on identified needs.
Phase 2 - Evaluation
Evaluate the intervention's effect on parental acceptance/rejection.
Evaluate the intervention's effect on parental caregiving burden.
Intervention
The experimental group will receive a structured resilience training program designed to enhance coping skills, positive reframing, and stress management. The control group will continue with usual care during the same period.
Sample Size and Power
The required sample size was calculated a priori using G\*Power 3.1.9.7 for a repeated-measures ANOVA (within-between interaction) with two groups and three time points.
Assuming a medium effect size (Cohen's f = 0.25), α = 0.05, power = 0.95, correlation among repeated measures = 0.50, and nonsphericity correction ε = 1.0, the analysis indicated 44 participants (22 per group).
To account for about 10% attrition, 50 participants (25 per group) will be recruited.
Expected Outcome
It is hypothesized that the resilience training will increase parental acceptance and reduce rejection and burden compared with usual care, despite the non-random allocation. Findings may guide family-centered mental-health programs for parents of children with Down syndrome.
Interventions
- Behavioral resilience training intervention
A structured resilience training program delivered to parents of children with Down syndrome. The program consists of sessions designed to improve psychological resilience, enhance parental acceptance, and reduce caregiving burden. Training methods may include group discussions, skill-building exercises, and home practice tasks.
Primary outcome measures
- Parental Acceptance-Rejection scale [Time frame: Baseline (pre-intervention), immediately post-intervention, and 1-month follow-up]
Secondary outcome measures (2)
- Change in Caregiver Burden Score [Time frame: Baseline, immediately post-intervention, and 1-month follow-up]
- Change in Maternal Resilience [Time frame: Baseline, post-intervention, 1-month follow-up]
Eligibility criteria
Inclusion criteria
- Biological parent (mother or father) of a child (birth to 3 years old) diagnosed with Down syndrome.
- Age 18 years or older.
- Able to read and understand the study questionnaires and provide informed consent.
- Willing to attend all resilience training sessions (for the experimental group).
- parents who are not responsible for caring of any other patients in the family
Exclusion criteria
- Presence of severe mental illness (e.g., psychosis) or cognitive impairment that would hinder participation.
- Current enrollment in another structured psychological or parenting program aimed at resilience or acceptance.
- Any acute medical condition preventing attendance of the sessions.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
Egypt · 1 center
- Medical Research Centre of Excellence which is affiliated to National Research Centre (NRC — Cairo
Identifiers
NCT: NCT07306923 · 24.03.250