Acceptability of a Virtual Mind-Body Intervention for Parents of Children With Autism or Learning Disabilities.
Acceptability of a Virtual Mind-Body Intervention for Parents of Children With Autism or Learning Disabilities.
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DOI：
10.1177/21649561211047804
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发表时间：
2021
影响因子：
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通讯作者：
Kuhlthau KA
中科院分区：
文献类型：
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作者：
Luberto CM;Perez GK;Finkelstein-Fox L;Millstein RA;Fell L;Chad-Friedman E;Park ER;Kuhlthau KA
患有学习/注意力障碍（LAD）和自闭症谱系障碍（ASD）的儿童的父母患慢性压力的风险较高。这些父母群体的压力类型和治疗需求各不相同。我们调整了我们的循证身心干预（SMART-3RP），通过视频会议提供给患有LAD和ASD的儿童的父母。我们的两个等待名单随机试点试验的初步结果表明，该计划是可行和有效的。为了深入了解可接受性，RCT的二次分析旨在（1）探索关于虚拟SMART-3RP的反馈，（2）比较LAD和ASD父母的反馈。参与者被随机分配至即刻或延迟SMART-3RP组（LAD和ASD的单独组），并在干预后完成反馈问卷（N = 33 LAD，N = 37 ASD; 93%女性，93%白色，法师= 45.52，SD = 6.50）。参与者报告说，干预措施有正确的会议次数（69%），会议持续时间（83%）和结构数量（83%）。他们在会议期间感到舒适（89%），并发现身心技能有帮助（89%）。父母组之间没有显著差异，除了更多ASD父母报告会话过长的趋势（22% ASD vs. 6% LAD，X2 = 5.67，p =0.06）。定性主题在父母之间是相似的，包括视频交付有一些技术挑战，但能够参与;小组支持和身心技能是有帮助的;需要进一步的SMART-3RP课程或治疗。LAD和ASD的父母发现一个同步的视频为基础的身心弹性计划是可以接受的。尽管存在技术限制，但在线交付非常令人满意，克服了参与障碍。
Parents of children with learning/attentional disabilities (LAD) and autism spectrum disorder (ASD) are at elevated risk for chronic stress. Types of stress and treatment needs differ between these parent groups. We adapted our evidence-based mind–body intervention (SMART-3RP) for parents of children with LAD and ASD, delivered via videoconferencing. Preliminary results from our two wait-list randomized pilot trials suggest the programs were feasible and efficacious. To gain an in-depth understanding of acceptability, the purpose of this secondary analysis from the RCTs is to (1) explore feedback regarding the virtual SMART-3RP and (2) compare feedback across LAD and ASD parents. Participants were randomized to immediate or delayed SMART-3RP (separate groups for LAD and ASD) and completed a feedback questionnaire post-intervention (N = 33 LAD, N = 37 ASD; 93% female, 93% white, Mage = 45.52, SD = 6.50). Participants reported the intervention had the right number of sessions (69%), session duration (83%), and amount of structure (83%). They felt comfortable during sessions (89%) and found mind–body skills helpful (89%). There were no significant differences between parent groups other than a trend for more ASD parents reporting sessions were too long (22% ASD vs. 6% LAD, X2 = 5.67, p =0.06). Qualitative themes were similar across parents and included that video delivery had some technical challenges but enabled participation; group support and mind–body skills were helpful; and further SMART-3RP sessions or therapy is needed. LAD and ASD parents found a synchronous video-based mind–body resiliency program acceptable. Technology limitations notwithstanding, online delivery was very satisfactory and overcame obstacles to participation.