The Efficacy of WeChat-Based Parenting Training on the Psychological Well-being of Mothers With Children With Autism During the COVID-19 Pandemic: Quasi-Experimental Study.
The Efficacy of WeChat-Based Parenting Training on the Psychological Well-being of Mothers With Children With Autism During the COVID-19 Pandemic: Quasi-Experimental Study.
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DOI：
10.2196/23917
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发表时间：
2021-02-10
影响因子：
5.2
通讯作者：
Hu R
中科院分区：
文献类型：
--
作者：
Liu G;Wang S;Liao J;Ou P;Huang L;Xie N;He Y;Lin J;He HG;Hu R
2019冠状病毒病疫情期间，中国大部分地区的特殊教育学校于2020年1月底至6月初关闭。学校教育的突然中断和大流行病本身使家长感到焦虑，甚至恐慌。基于移动的育儿技能教育已被证明是改善自闭症儿童母亲心理健康的有效方法。然而，在COVID-19大流行的背景下，它是否能改善母亲的心理状态是一个亟待研究的课题。本研究旨在评估基于微信的育儿培训对自闭症儿童母亲的焦虑、抑郁、育儿压力和希望的有效性，以及该计划在COVID-19大流行期间的可行性。这是一个准实验性的试验。2020年1月，共招募了125名患有自闭症学龄前儿童的母亲。参与者被分配到对照组（n = 60），其中他们接受常规护理，或干预组（n = 65），其中他们接受12周基于微信的育儿培训加常规护理，根据他们的喜好。焦虑，抑郁，父母的压力，希望，满意度，并坚持干预在三个时间点：基线（T0），干预后（T1），和20周的后续行动（T2）。共有109名母亲完成了T1评估，104名母亲完成了T2评估。线性混合模型分析结果显示，干预对焦虑（F = 14.219，P <.001）、抑郁（F = 26.563，P <.001）、父母压力（F = 68.572，P <.001）和希望（F = 197.608，P <.001）的组×时间交互作用效应具有统计学显著性。在所有干预组的母亲中，90.4%（48.8/54）的母亲表示非常满意基于微信的育儿培训。总的来说，40.0%（26/65）的人每周记录他们在家庭训练中的进步，61.5%（40/65）的人在所有20周的时间里记录他们的进步超过80%。基于微信的育儿培训是可以接受的，似乎是减少焦虑、抑郁和育儿压力的有效方法，也是在全球COVID-19大流行期间增加自闭症儿童母亲希望的有效方法。未来的研究需要更严格的设计和更长的随访时间来进一步检测基于微信的育儿培训的有效性。中国临床试验注册中心ChiCTR 2000031772; www.example.com项目= 52165
During the COVID-19 pandemic, special education schools for children in most areas of China were closed between the end of January and the beginning of June in 2020. The sudden interruption in schooling and the pandemic itself caused parents to be anxious and even to panic. Mobile-based parenting skills education has been demonstrated to be an effective method for improving the psychological well-being of mothers with children with autism. However, whether it can improve the psychological states of mothers in the context of the COVID-19 pandemic is a subject that should be urgently investigated. The aim of this study is to evaluate the efficacy of WeChat-based parenting training on anxiety, depression, parenting stress, and hope in mothers with children with autism, as well as the feasibility of the program during the COVID-19 pandemic. This was a quasi-experimental trial. A total of 125 mothers with preschool children with autism were recruited in January 2020. The participants were assigned to the control group (n=60), in which they received routine care, or the intervention group (n=65), in which they received the 12-week WeChat-based parenting training plus routine care, according to their preferences. Anxiety, depression, parenting stress, hope, satisfaction, and adherence to the intervention were measured at three timepoints: baseline (T0), postintervention (T1), and a 20-week follow-up (T2). In total, 109 mothers completed the T1 assessment and 104 mothers completed the T2 assessment. The results of the linear mixed model analysis showed statistically significant group × time interaction effects for the intervention on anxiety (F=14.219, P<.001), depression (F=26.563, P<.001), parenting stress (F=68.572, P<.001), and hope (F=197.608, P<.001). Of all mothers in the intervention group, 90.4% (48.8/54) reported that they were extremely satisfied with the WeChat-based parenting training. In total, 40.0% (26/65) logged their progress in home training each week and 61.5% (40/65) logged their progress more than 80% of the time for all 20 weeks. The WeChat-based parenting training is acceptable and appears to be an effective approach for reducing anxiety, depression, and parenting stress, as well as increasing hope in mothers with children with autism during the global COVID-19 pandemic. Future studies with rigorous designs and longer follow-up periods are needed to further detect the effectiveness of the WeChat-based parenting training. Chinese Clinical Trial Registry ChiCTR2000031772; http://www.chictr.org.cn/showproj.aspx?proj=52165
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3.9
作者：
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通讯作者：
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DOI：
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