The effect of a web-based acceptance and commitment therapy intervention on the caregiving burden of mothers of children with chronic conditions: A randomized controlled trial

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-06-20 DOI:10.1016/j.pedn.2025.06.024

Marziyeh Mirzalou , Fatemeh Ebrahimpour , Fariba Zarani , Malihe Nasiri

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引用次数: 0

Abstract

Purpose

This study aimed to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) in reducing caregiving burden among mothers of children with chronic conditions.

Design and methods

A clinical trial with a pre-test and post-test design was conducted, including 60 mothers of children with chronic conditions selected through convenience sampling. Participants were randomly assigned to intervention and control groups. The intervention group completed a six-session asynchronous web-based ACT program, delivered weekly via videos, while the control group received no intervention. Data on caregiving burden were collected before and after the intervention and analyzed for effectiveness.

Results

The ACT intervention significantly reduced caregiving burden among mothers in the intervention group (P < 0.05), while the caregiving burden in the control group increased over the study period.

Conclusion

Acceptance and Commitment Therapy is an effective intervention for reducing caregiving burden in mothers of children with chronic conditions.

Practice implications

The findings support the integration of ACT into nursing practices to achieve family-centered care and improve outcomes for caregivers.

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基于网络的接受与承诺治疗干预对慢性病患儿母亲照顾负担的影响：一项随机对照试验

目的本研究旨在评估接受与承诺治疗（ACT）在减轻慢性病患儿母亲照顾负担中的效果。设计与方法采用方便抽样的方法，选取60名患有慢性疾病儿童的母亲，采用前测和后测设计进行临床试验。参与者被随机分配到干预组和对照组。干预组完成了一个为期六次的基于网络的异步ACT项目，每周通过视频进行授课，而对照组则没有接受任何干预。收集干预前后护理负担数据，并对干预效果进行分析。结果ACT干预显著减轻了干预组母亲的照料负担(P <；0.05)，对照组的照顾负担随研究时间的增加而增加。结论接受承诺治疗是减轻慢性病患儿母亲照顾负担的有效干预措施。实践意义研究结果支持将ACT整合到护理实践中，以实现以家庭为中心的护理，并改善护理人员的结果。

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.