Effects of a WeChat-based parent-child creative art therapy for mothers of children with autism spectrum disorder: A pilot randomized controlled trial

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-05-01 DOI:10.1016/j.pedn.2025.03.021

Hao Lin BA , Jing Zeng MD , Qingxiang Zheng MD , Longsheng Huang PhD , Guihua Liu PhD , Xiaojuan Zhou BA , Mingyu Song BA , Shengbin Guo BA

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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.

查看原文本刊更多论文

基于微信的亲子创意艺术疗法对自闭症谱系障碍患儿母亲的影响：一项随机对照试验

目的：本研究旨在评估基于微信的亲子创意艺术治疗（PCCAT）项目对自闭症谱系障碍（ASD）儿童母亲的亲子关系和心理健康的影响。设计与方法：采用两组随机对照试验。从2022年8月到2023年3月，在一所特殊培训学校招募了68名亲子对并进行了随访。他们被随机分配到干预组（n = 34）和对照组（n = 34），前者接受基于微信的PCCAT加在线家访，后者只接受在线家访。在基线、12周（T1）和24周（T2）随访时，采用亲子关系量表（C-PRS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）和创伤后成长量表（PTGI）评估结果。结果：60对完成了24周的治疗方案。线性混合模型分析显示，C-PRS、SAS、SDS和PTGI评分存在显著的group×time交互效应（p < 90%的参与依从性）。结论：基于微信的PCCAT项目有效改善了亲子关系，减少了母亲的焦虑和抑郁，促进了创伤后成长。实践意义：这种护士主导的干预证明了融入ASD家庭管理协议的可行性。该计划的数字交付格式表明，在可比较的平台上具有潜在的适应性，保证在更广泛的临床环境中实施。试验注册：中国临床试验注册中心，ChiCTR2200062598。报名日期：13/08/2022。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

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.