Social Support for Mothers of Mentally Ill Children

对精神病儿童母亲的社会支持

• 批准号: 7120192
• 负责人: KATHLEEN M SCHARER
• 金额: $ 25.28万
• 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 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7120192
• 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）：此资助申请是为了响应国家护理研究所的计划公告# PA-00-138，远程医疗干预，以改善临床护理。建议的远程保健护理干预措施有可能改善母亲的心理功能，降低医疗保健利用率。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的压力，应对和情绪的母亲，年龄5至12岁的严重精神疾病的儿童，谁已经住院，并从精神科出院的有效性。本研究的第二个目的是测试父母应对方式、情绪和感知压力的变化对儿童精神障碍患者与医疗保健提供者进行计划外或紧急接触的数量的影响。本研究的理论模型以Lazarus的压力和应对概念为基础，包括儿童的疾病作为前因，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，异步聊天的公告板，每周聊天室，并能够电子邮件的护士在他们的孩子的单位工作。PI将担任基于网络的社会支持干预的护士监查员。使用实验设计，180名受试者将被随机分配到3组之一：干预，电话关注或标准护理。将招募225名母亲来管理自然减员。网络干预和电话社会支持将持续6个月。将根据15人一组进行分组随机化，以确保一组父母始终使用网站干预。将在基线、干预完成后6个月和9个月时使用标准化工具。将使用多变量统计分析数据。 研究结果将提供数据，以改善患有精神疾病的儿童住院时母亲和家庭的心理健康，并减少紧急医疗保健的使用。美国精神病学协会报告说，1200万美国儿童患有某种形式的精神疾病。当儿童因精神疾病需要住院时，他们会受到严重的干扰。幼儿的严重精神疾病往往导致母亲在孩子的一生中处于压力时期。反过来，压力大的母亲会对孩子的功能产生负面影响。如果干预是成功的，这将是相对容易实施的最有效的方法提供社会支持，因为大多数医院有儿童精神科单位有一个网站，社会支持的内容可以链接到和电话传递的社会支持也可以提供单位的工作人员。

项目成果

A comparison of two types of social support for mothers of mentally ill children.

对精神病儿童母亲的两种社会支持的比较。

• DOI: 10.1111/j.1744-6171.2009.00177.x
• 发表时间: 2009
• 期刊: Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
• 作者: Scharer,Kathleen;Colon,Eileen;Moneyham,Linda;Hussey,Jim;Tavakoli,Abbas;Shugart,Margaret
• 通讯作者: Shugart,Margaret