Effects of a WeChat-based parent-child creative art therapy for mothers of children with autism spectrum disorder: A pilot randomized controlled trial.
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引用次数: 0
Abstract
Purpose: This study was conducted to evaluate the efficacy of a WeChat-based parent-child creative art therapy (PCCAT) program on child-parent relationships and psychological well-being in mothers of children with autism spectrum disorder (ASD).
Design and methods: A two-arm randomized controlled trial was employed. Sixty-eight child-parent dyads were recruited and followed up in a special training school from August 2022 to March 2023. They were randomly assigned to either the intervention group (n = 34) receiving WeChat-based PCCAT plus online home visits or control group (n = 34) receiving online home visits alone. Outcomes were assessed using the Child-Parent Relationship Scale (C-PRS), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Posttraumatic Growth Inventory (PTGI) at baseline, 12-week (T1), and 24-week (T2) follow-ups.
Results: Sixty dyads completed the 24-week protocol. Linear mixed model analyses revealed significant group×time interaction effects for C-PRS, SAS, SDS, and PTGI scores (p < 0.001). Pairwise comparisons demonstrated significantly lower anxiety (SAS) and depression (SDS) scores, alongside higher parent-child relationship (C-PRS) and posttraumatic growth (PTGI) scores in the intervention group versus controls (all p < 0.05). Participant satisfaction data indicated 86.6 % of mothers reported extremely satisfaction with the program, with 93.3 % of dyads maintaining >90 % participation adherence.
Conclusion: The WeChat-based PCCAT program effectively improved parent-child relationships, reduced maternal anxiety and depression, and enhanced posttraumatic growth.
Practice implications: This nurse-led intervention demonstrates feasibility for integration into ASD family management protocols. The program's digital delivery format suggests potential adaptability across comparable platforms, warranting implementation in broader clinical contexts.
Trial registration: Chinese Clinical Trials Registry, ChiCTR2200062598. Registration date: 13/08/2022.
期刊介绍：
Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS)
The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief.
Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
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