The Enhancing Connections Program: A Six-State Randomized Clinical Trial of a Cancer Parenting Program
The Enhancing Connections Program: A Six-State Randomized Clinical Trial of a Cancer Parenting Program
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DOI：
10.1037/a0038219
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发表时间：
2015-02-01
影响因子：
5.9
通讯作者：
Shands, Mary Ellen
中科院分区：
文献类型：
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作者：
Lewis, Frances Marcus;Brandt, Patricia A.;Shands, Mary Ellen
目的：本研究的目的是测试癌症养育计划的效果与乳腺癌养育子女的母亲，增强连接程序。主要目标是减少母亲的抑郁情绪和焦虑，提高养育质量，养育技巧和信心，并提高儿童的行为情绪调整母亲乳腺癌。方法：从6个州的医疗机构招募了176名在6个月内诊断为0期至III期乳腺癌的母亲及其8至12岁的孩子：华盛顿、加州、宾夕法尼亚、明尼苏达、亚利桑那和印第安纳州。在同意并获得基线测量后，研究参与者被随机分为实验组或对照组。实验组的母亲每隔两周接受一次5.1小时的教育咨询;对照组收到一本小册子和一个电话，内容是关于母亲癌症的沟通和支持。在2个月和12个月时评估结局。结果如下：与对照组相比，在2个月的实验母亲显着改善抑郁情绪和育儿技巧;实验儿童改善行为情绪调整：总的行为问题，外化问题，焦虑/抑郁情绪显着下降。在1年，实验组儿童仍然显着低于对照组的母亲和儿童报告的措施。干预未能显着影响父母的自我效能感或母亲的焦虑。结论：加强联系方案使特定领域的母亲和儿童受益，值得改进和进一步测试。
Objective: The purpose of this study was to test the efficacy of a cancer parenting program for child rearing mothers with breast cancer, the Enhancing Connections Program. Primary goals were to decrease maternal depressed mood and anxiety, improve parenting quality, parenting skills and confidence, and enhance the child's behavioral-emotional adjustment to maternal breast cancer. Method: A total of 176 mothers diagnosed within 6 months with Stage 0 to Stage III breast cancer and their 8- to 12-year-old child were recruited from medical providers in 6 states: Washington, California, Pennsylvania, Minnesota, Arizona, and Indiana. After consenting and obtaining baseline measures, study participants were randomized into experimental or control groups. Experimental mothers received 5, 1-hr educational counseling sessions at 2-week intervals; controls received a booklet and phone call on communicating and supporting their child about the mother's cancer. Outcomes were assessed at 2 and 12 months. Results: Compared to controls, at 2 months experimental mothers significantly improved on depressed mood and parenting skills; experimental children improved on behavioral-emotional adjustment: total behavior problems, externalizing problems, and anxiety/depressed mood significantly declined. At 1 year, experimental children remained significantly less depressed than controls on both mother-and child-reported measures. The intervention failed to significantly affect parenting self-efficacy or maternal anxiety. Conclusions: The Enhancing Connections Program benefitted mothers and children in specific areas and warrants refinement and further testing.