Ana Pardo-Salamanca, Soledad Gómez, Cristina Santamarina, Gemma Pastor, Carmen Berenguer
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引用次数: 0
Abstract
Background
Neurodevelopmental disorders like autism and ADHD may disrupt family and child functioning. Although well-established psychosocial treatment programs exist, access to these interventions remains limited for many families. This randomized controlled trial (RCT) primarily evaluates the effectiveness of an online psychosocial program (INPSYD) in improving parental domains (stress, coping, and social support). The secondary aim is to assess its effects on children's domains, including behavior, executive functioning, sleep, and family dynamics.
Methods
This study employed a two-arm, mixed-methods RCT design involving families of children diagnosed with autism or ADHD (mean age 9.28 ± 1.6; 81.1% males), (clinicaltrials.gov, NCT06303791). Participants were randomized to either the intervention group or the active control group (a structured, non-therapeutic intervention). Outcomes were collected at baseline (before randomization), at 12 weeks post-randomization, and at 6 months follow-up after randomization.
Results
A total of 82 participants were randomized in February 2024 (42 to the intervention group and 40 to the active control group). At post-intervention, participants in the intervention group scored statistically significantly better than those in the control group on measures of parenting stress (p < .01, = .29), coping skills (p < .01, = .24), and perceived social support (p = .025, = .10). Between-group comparisons also revealed statistically significant differences favoring the intervention group in child social functioning, executive functioning, and family dynamics. No statistically significant between-group differences were found for sleep problems or learning behavior. These between-group effects were maintained at the follow-up assessment.
Conclusion
The results of this study indicate that the INPSYD parenting program is effective for improving parenting stress, coping skills and children's executive functioning and social-behavioral outcomes in our sample.
背景：像自闭症和多动症这样的神经发育障碍可能会破坏家庭和儿童的功能。虽然存在完善的社会心理治疗方案，但许多家庭获得这些干预措施的机会仍然有限。本随机对照试验（RCT）主要评估在线心理社会项目（INPSYD）在改善父母领域（压力、应对和社会支持）方面的有效性。第二个目的是评估它对儿童领域的影响，包括行为、执行功能、睡眠和家庭动态。方法：本研究采用双臂、混合方法的随机对照试验设计，纳入诊断为自闭症或ADHD儿童的家庭（平均年龄9.28±1.6；81.1岁）% males), (clinicaltrials.gov, NCT06303791). Participants were randomized to either the intervention group or the active control group (a structured, non-therapeutic intervention). Outcomes were collected at baseline (before randomization), at 12 weeks post-randomization, and at 6 months follow-up after randomization.Results: A total of 82 participants were randomized in February 2024 (42 to the intervention group and 40 to the active control group). At post-intervention, participants in the intervention group scored statistically significantly better than those in the control group on measures of parenting stress (p η p 2 $$ {\eta}_{\mathrm{p}}^2 $$ = .29), coping skills (p η p 2 $$ {\eta}_{\mathrm{p}}^2 $$ = .24), and perceived social support (p = .025, η p 2 $$ {\eta}_{\mathrm{p}}^2 $$ = .10). Between-group comparisons also revealed statistically significant differences favoring the intervention group in child social functioning, executive functioning, and family dynamics. No statistically significant between-group differences were found for sleep problems or learning behavior. These between-group effects were maintained at the follow-up assessment.Conclusion: The results of this study indicate that the INPSYD parenting program is effective for improving parenting stress, coping skills and children's executive functioning and social-behavioral outcomes in our sample.
期刊介绍：
Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.
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