Social Support for Mothers of Mentally Ill Children

对精神病儿童母亲的社会支持

• 批准号: 6951541
• 负责人: KATHLEEN M SCHARER
• 金额: $ 38.32万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6951541
• 关键词: Internet; behavioral /social science research tag; child mental disorders; child rearing; clinical research; coping; emotions; human subject; human therapy evaluation; information dissemination; injury /disease stressor; middle childhood (6-11); mother child interaction; nursing intervention; psychological stressor; social support network; stress; telemedicine

DESCRIPTION (provided by applicant): This grant application is being submitted in response to the National Institute Nursing Research's Program Announcement # PA-00-138, Telehealth Interventions to Improve Clinical Nursing Care. The proposed telehealth nursing interventions have the potential to improve the psychological functioning of mothers and decrease health care utilization. The primary aim of this study is to test and compare the effectiveness of a web-based social support intervention and a telephone social support intervention on stress, coping, and mood for mothers of seriously mentally ill children, ages 5 through 12, who have been hospitalized and discharged from a psychiatric unit. A secondary aim of the study is to test the effects of changes in parental coping, mood, and perceived stress on the number of unscheduled or emergency contacts with health care providers for the child's mental disorder. The theoretical model girding the study is based on Lazarus' concept of stress and coping and includes the child's illness as an antecedent, social support, perceived stress, coping and mood states. The web-based intervention consists of informational pages, a bulletin board for asynchronous chatting, a weekly chat room, and the ability to E-mail a nurse working on their child's unit. The PI will serve as nurse monitor for the web-based social support intervention. Using an experimental design, 180 subjects will be randomly assigned to one of 3 groups: intervention, telephone attention or standard care. 225 mothers will be enrolled to manage attrition. The web-based intervention and telephone social support will last for 6 months. Group randomization will be used, based on groups of 15, to ensure a cohort of parents are using the web site intervention at all times. Standardized instruments will be administered at baseline, 6 months after the intervention is completed, and 9 months. Data will be analyzed using multivariate statistics. Results of the study will provide data to improve the psychological health of mothers and families when a child with a mental illness is hospitalized as well as to decrease emergency health care use. The American Psychiatric Association reports that 12 million American children suffer from some form of mental illness. When children need to be hospitalized for mental illness, they are seriously disturbed. The serious mental illness of a young child often results in periods of stress for mothers throughout the child's life. In turn, mothers who are stressed can negatively affect the child's functioning. If the intervention is successful, it would be relatively easy to implement the most effect method of providing social support since most hospitals that have child psychiatry units have a web site to which the social support content could be linked and phone delivered social support could also be provided by unit staff.

描述（由申请人提供）：根据国家护理研究所项目公告# PA-00-138，远程医疗干预以改善临床护理，本资助申请正在提交。提出的远程保健护理干预措施有可能改善母亲的心理功能，减少医疗保健的利用。本研究的主要目的是测试和比较基于网络的社会支持干预和电话社会支持干预在压力、应对和情绪方面的有效性，这些干预针对5至12岁的严重精神疾病儿童的母亲，这些儿童曾住院并从精神科出院。该研究的第二个目的是测试父母应对、情绪和感知压力的变化对因儿童精神障碍而与卫生保健提供者进行计划外或紧急接触的次数的影响。本研究的理论模型基于拉撒路的压力和应对概念，包括儿童疾病作为前因由、社会支持、感知压力、应对和情绪状态。基于网络的干预包括信息页面、用于异步聊天的公告板、每周一次的聊天室，以及给在孩子所在病房工作的护士发电子邮件的能力。PI将担任基于网络的社会支持干预的护士监督员。采用实验设计，180名受试者将被随机分配到3组：干预组、电话注意组或标准护理组。225名母亲将被招募，以管理人员流失。网络干预和电话社会支持将持续6个月。将采用分组随机法，以15人为一组，以确保一组家长在任何时候都在使用网站干预。标准化工具将在基线、干预完成后6个月和9个月时使用。数据将使用多元统计进行分析。