{"title":"自闭症儿童父母授权计划的有效性：随机对照试验","authors":"Damla Şahin Büyük, Dilek Özmen","doi":"10.1111/cch.70148","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Parents of children with autism often face significant stress, low self-efficacy, and caregiver burden in meeting their children's complex needs. This study evaluated the effectiveness of a parent empowerment program combining parental training and motivational interviewing to support caregivers of children with autism in Türkiye.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A total of 69 parents (interventio<i>n</i> = 34, control = 35) participated in this unblinded, two-group randomized controlled study, which was conducted between September 2020 and May 2022. A parent empowerment program, including four parental training sessions and two motivational interview sessions, was applied to the parents in the intervention group. The Parental Self-Efficacy Scale, Zarit Care Burden Scale, Perceived Stress Scale and Family Empowerment Scale were used to evaluate the effectiveness of the empowerment program. Standard practice was performed for the control group.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Parents in the intervention group showed significantly greater improvements than those in the control group in self-efficacy (<i>t</i> = 5.340, <i>p</i> < 0.001), perceived stress (<i>t</i> = −4.636, <i>p</i> < 0.001) and family empowerment (<i>t</i> = 2.745, <i>p</i> = 0.008). No significant difference was observed between the groups in caregiver burden (<i>p</i> = 0.086).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This study reveals that using a parent empowerment program that includes motivational interviews along with training interventions is effective in empowering parents to manage their children's care, reducing stress, and supporting them to acquire effective parenting skills by increasing self-efficacy. Future research should explore designs that assess the independent and combined effects of motivational interviews and parent training programmes in randomised controlled trials.</p>\n \n <p>The study was registered at ClinicalTrials.gov (https://clinicaltrials.gov/) under the registration number NCT06629974 on October 8, 2024.</p>\n </section>\n </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70148","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of a Parent Empowerment Program for Parents of Children with Autism: A Randomized Controlled Trial\",\"authors\":\"Damla Şahin Büyük, Dilek Özmen\",\"doi\":\"10.1111/cch.70148\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Parents of children with autism often face significant stress, low self-efficacy, and caregiver burden in meeting their children's complex needs. This study evaluated the effectiveness of a parent empowerment program combining parental training and motivational interviewing to support caregivers of children with autism in Türkiye.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A total of 69 parents (interventio<i>n</i> = 34, control = 35) participated in this unblinded, two-group randomized controlled study, which was conducted between September 2020 and May 2022. A parent empowerment program, including four parental training sessions and two motivational interview sessions, was applied to the parents in the intervention group. The Parental Self-Efficacy Scale, Zarit Care Burden Scale, Perceived Stress Scale and Family Empowerment Scale were used to evaluate the effectiveness of the empowerment program. Standard practice was performed for the control group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Parents in the intervention group showed significantly greater improvements than those in the control group in self-efficacy (<i>t</i> = 5.340, <i>p</i> < 0.001), perceived stress (<i>t</i> = −4.636, <i>p</i> < 0.001) and family empowerment (<i>t</i> = 2.745, <i>p</i> = 0.008). No significant difference was observed between the groups in caregiver burden (<i>p</i> = 0.086).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>This study reveals that using a parent empowerment program that includes motivational interviews along with training interventions is effective in empowering parents to manage their children's care, reducing stress, and supporting them to acquire effective parenting skills by increasing self-efficacy. Future research should explore designs that assess the independent and combined effects of motivational interviews and parent training programmes in randomised controlled trials.</p>\\n \\n <p>The study was registered at ClinicalTrials.gov (https://clinicaltrials.gov/) under the registration number NCT06629974 on October 8, 2024.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55262,\"journal\":{\"name\":\"Child Care Health and Development\",\"volume\":\"51 5\",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-08-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70148\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child Care Health and Development\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/cch.70148\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Care Health and Development","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cch.70148","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
摘要
自闭症儿童的父母在满足孩子的复杂需求时往往面临着巨大的压力、低的自我效能感和照顾者的负担。本研究评估了一项家长授权计划的有效性，该计划结合了家长培训和动机访谈，以支持 rkiye自闭症儿童的照顾者。方法于2020年9月至2022年5月对69名家长（干预组34名，对照组35名）进行非盲、两组随机对照研究。对干预组的家长实施了一项家长赋权计划，包括四次家长培训和两次动机访谈。采用父母自我效能感量表、Zarit照顾负担量表、感知压力量表和家庭赋权量表评估赋权计划的有效性。对照组采用标准做法。结果干预组家长在自我效能感（t = 5.340, p < 0.001）、压力感知（t = - 4.636, p < 0.001）和家庭赋权（t = 2.745, p = 0.008）方面均显著优于对照组。两组间照顾者负担差异无统计学意义（p = 0.086）。本研究表明，运用父母赋权计划，包括动机访谈和培训干预，可以有效地授权父母管理孩子的照顾，减轻压力，并支持他们通过提高自我效能来获得有效的育儿技能。未来的研究应该探索在随机对照试验中评估动机访谈和父母培训计划的独立和联合效果的设计。该研究于2024年10月8日在ClinicalTrials.gov （https://clinicaltrials.gov/）注册，注册号为NCT06629974。
Effectiveness of a Parent Empowerment Program for Parents of Children with Autism: A Randomized Controlled Trial
Background
Parents of children with autism often face significant stress, low self-efficacy, and caregiver burden in meeting their children's complex needs. This study evaluated the effectiveness of a parent empowerment program combining parental training and motivational interviewing to support caregivers of children with autism in Türkiye.
Methods
A total of 69 parents (intervention = 34, control = 35) participated in this unblinded, two-group randomized controlled study, which was conducted between September 2020 and May 2022. A parent empowerment program, including four parental training sessions and two motivational interview sessions, was applied to the parents in the intervention group. The Parental Self-Efficacy Scale, Zarit Care Burden Scale, Perceived Stress Scale and Family Empowerment Scale were used to evaluate the effectiveness of the empowerment program. Standard practice was performed for the control group.
Results
Parents in the intervention group showed significantly greater improvements than those in the control group in self-efficacy (t = 5.340, p < 0.001), perceived stress (t = −4.636, p < 0.001) and family empowerment (t = 2.745, p = 0.008). No significant difference was observed between the groups in caregiver burden (p = 0.086).
Conclusion
This study reveals that using a parent empowerment program that includes motivational interviews along with training interventions is effective in empowering parents to manage their children's care, reducing stress, and supporting them to acquire effective parenting skills by increasing self-efficacy. Future research should explore designs that assess the independent and combined effects of motivational interviews and parent training programmes in randomised controlled trials.
The study was registered at ClinicalTrials.gov (https://clinicaltrials.gov/) under the registration number NCT06629974 on October 8, 2024.
期刊介绍：
Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
