Acceptance and Commitment Therapy-based Intervention for Parents of a Child With Medical Complexity

Официальное название

Acceptance and Commitment Therapy-based Intervention to Decrease Psychological Symptoms and Increase Psychological Flexibility for Parents of a Child With Medical Complexity: a Pilot Randomization-controlled Trial.

Обзор

A pilot randomized controlled trial of an Acceptance and Commitment Therapy-based intervention will be conducted to decrease psychological symptoms, while increase psychological flexibility for parents of a child with medical complexity during their difficulties.

Подробное описание

Being a parent of the child with medical complexity poses enormous stress because CMC have a chronic complex health condition, which may result in premature death of the CMC. Psychological symptoms commonly experienced by the parents of a CMC. Having a CMC is an ongoing stressor including diagnosis, daily nursing care and symptom management, uncertainty of prognosis that can adequately fear the possibility of relapse. Therefore, seeking an intervention consisting of "Psychological flexibility" is crucial for these parents to manage their stress and difficult emotions more effectively. The ACT intervention help individuals concentrate more on their problems with positive attitude and take initiatives and workable actions to fix the problems associated from the caregiving activities. As a result, they will experience less stress when encountering difficulties and challenges and adapt more effectively. These individuals probably have the potential of natural recoveries from adverse events once the stressor is terminated.

Knowledge gap: A review of the literature reveals a paucity of studies on ACT for Chinese parents of the CMC to decrease their psychological symptoms while enhancing their psychological flexibility in local communities. To fill the knowledge gap, this proposal therefore endeavors to develop an ACT and test its preliminary effects and feasibility.

Вмешательства

• Поведенческое ACT-based intervention
  Parents in this group will receive two-hour weekly session with the question-and-answer session at the end. The contents of each session are as follows: (1) the first session consist of introductions of ACT, discussion on stress and struggles, and setting homework, (2) the second section includes role play, and the meaning of "value", (3) the third session involves introducing mindfulness of the breath exercise, debrief and homework on practicing mindfulness and (4) the last session includes int

Первичные конечные точки

• The Depression Anxiety Stress Scale (Chinese version) [Срок оценки: baseline, week 4]
• Psychological flexibility (Chinese version) [Срок оценки: baseline, week 4]

Критерии участия

Критерии включения

• parent of a child with medical complexity aged 1-18
• able to communicate in Chinese and read Chinese
• willing to participate in face-to-face activities

Критерии исключения

• a reported mental health disorder
• engaging in other psychosocial educational programs related to stress reduction
• inability to communicate in Cantonese

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Поддерживающая терапия

Центры проведения

Китай · 1 центр

• School of Nursing, The Hong Kong Polytechnic University — Гонконг

Гонконг · 1 центр

• School of Nursing The Hong Kong polytechnic university — Kowloon

Идентификаторы

NCT: NCT07033832 · PilotACT

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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