An Exploration of Health Behaviors in a Mind-Body Resilience Intervention for Parents of Children with Developmental Disabilities.
An Exploration of Health Behaviors in a Mind-Body Resilience Intervention for Parents of Children with Developmental Disabilities.
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DOI：
10.1097/dbp.0000000000000813
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发表时间：
2020-08
期刊：
影响因子：
--
通讯作者：
Park ER
中科院分区：
文献类型：
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作者：
Millstein RA;Lindly OJ;Luberto CM;Perez GK;Schwartz GN;Kuhlthau K;Park ER
有特殊需要的儿童的父母，如学习和注意力障碍（LAD）和自闭症谱系障碍（ASD），患压力相关疾病的风险很高。养育子女的要求可能会与自我照顾行为的时间竞争，如身体活动，健康饮食和充足的睡眠。目的是描述这一未充分研究的人群的健康行为，并评估弹性干预后的变化。这是一项针对LAD（n = 52）和ASD（n = 47）儿童父母的随机对照试点虚拟身心弹性干预（压力管理和弹性训练：放松反应弹性计划）试验的次要数据分析。父母在8周干预前后完成了关于他们每周身体活动，饮食行为，睡眠时间和疲劳的自我报告问卷。计算描述性统计量和干预前后效应量（Cohen’s d）。两组父母在基线时的健康行为水平均低于最佳水平，但ASD父母的健康行为低于LAD父母。左前降支父母在体力活动方面改善更多，在干预后随访时符合建议的百分比（d = 0.71）高于ASD父母（d = 0.01）。两组的饮食行为都显示出较小的效应量改善。虽然两组的睡眠持续时间仅以小或中等效应量改善，但ASD父母在干预后认为他们的疲劳程度较低（d = 0.81）。参与虚拟复原力干预的有特殊需要儿童的父母表现出次优的健康行为。有必要对健康行为进行有针对性的干预，以促进这些高压力人群的复原力。
Parents of children with special needs such as learning and attentional disabilities (LADs) and autism spectrum disorder (ASD) are at high risk for stress-related disorders. The demands of parenting may compete with time for self-care behaviors such as physical activity, healthy eating, and adequate sleep. The objective was to describe health behaviors among this understudied population and assess the changes after a resilience intervention. This was a secondary data analysis of a randomized controlled pilot virtual mind-body resilience intervention (Stress Management and Resiliency Training: A Relaxation Response Resiliency Program) trial for parents of children with LADs (n = 52) and ASD (n = 47). Parents completed self-report questionnaires about their weekly physical activity, eating behaviors, sleep duration, and fatigue before and after the 8-week intervention. Descriptive statistics and pre-post intervention effect sizes (Cohen’s d) were calculated. Both parent groups reported suboptimal levels of health behaviors at baseline, but ASD parents reported lower health behaviors than LAD parents. LAD parents improved more on physical activity, with a higher percentage meeting recommendations at postintervention follow-up (d = 0.71) than ASD parents (d = 0.01). Eating behaviors showed small effect size improvements for both groups. Although sleep duration improved only with small or medium effect sizes for both groups, ASD parents rated their fatigue lower after the intervention (d = 0.81). Parents of children with special needs who participated in a virtual resilience intervention demonstrated suboptimal health behaviors. There is a need for targeted interventions for health behaviors that can promote resilience in these high-stress populations.