Ignite Creation Date:
2024-05-06 @ 2:11 AM
Last Modification Date:
2024-10-26 @ 11:14 AM
Study NCT ID:
NCT01981070
Status:
COMPLETED
Last Update Posted:
2016-06-07
First Post:
2013-10-24
Brief Title:
Parent Supports Intervention Project
Sponsor:
Centre for Addiction and Mental Health
Organization:
Centre for Addiction and Mental Health
Study Overview
Official Title:
Parent Supports Intervention Project for Parents of Adults With Developmental Disabilities
Status:
COMPLETED
Status Verified Date:
2016-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to evaluate the impact of two community based interventions for parents of adults with intellectual or developmental disabilities IDD who are requesting services
The two interventions will include
1 Support and Information Intervention - provides parents with support and information about services for their sons and daughters
2 Mindfulness Intervention - empowers parents through teaching them mindfulness skills
We hypothesize that
1 Parents in both types of interventions will report benefits reductions in psychological distress maintained at follow-up
2 Parents in mindfulness intervention group will report improvements in mindful parenting self compassion positive gain empowerment and reduced burden Parents in support and information intervention group will report improvements in empowerment positive gain and reduced burden
3 Parents in mindfulness intervention group will show greater improvements by 3 months follow-up than parents in the support and information group
The two interventions will include
1 Support and Information Intervention - provides parents with support and information about services for their sons and daughters
2 Mindfulness Intervention - empowers parents through teaching them mindfulness skills
We hypothesize that
1 Parents in both types of interventions will report benefits reductions in psychological distress maintained at follow-up
2 Parents in mindfulness intervention group will report improvements in mindful parenting self compassion positive gain empowerment and reduced burden Parents in support and information intervention group will report improvements in empowerment positive gain and reduced burden
3 Parents in mindfulness intervention group will show greater improvements by 3 months follow-up than parents in the support and information group
Detailed Description:
Parents report many positive dimensions of raising a child with IDD yet at the same time being a parent to an individual with IDD is associated with increased stress and poorer psychological wellbeing Through the MAPS see wwwmapsresearchca program we have been studying the experience of parents of adults with IDD to better understand what contributes to their difficulties and factors associated with their wellbeing This research combined with our recent systematic review on the experience of parents needing services highlights the need for psychological supports to empower parents and to enhance their ability to care for their children With the appropriate psychological supports parents may be able to support their sonsdaughters for longer It is crucial that we invest in researching interventions and promising practices that may enhance the capacity of parents However limited research has considered what types of support make a difference in parental well-being
Parent empowerment mindfulness and psychological acceptance are key psychological variables related to positive parent outcomes including the ability to more effectively care for others Parent empowerment refers to active attempts to change situations through the application of knowledge and skill Empowerment is possible when parents feel more familiar with services and more able to advocate and plan for their child Person directed planning orientation to services practical tips and planning are all helpful for empowerment Psychological acceptance is a process that involves embracing current difficulties without actively attempting to directly change them thus facilitating positive action in line with an individuals or familys values Such acceptance can be particularly helpful for parents when stressful events cannot be immediately resolved or addressed
Mindfulness is related to psychological acceptance and is defined as the awareness that emerges through paying attention on purpose in the present moment nonjudgementally to the unfolding of experience moment by moment These latter processes may help parents preserve their emotional energy and reduce those thoughts attitudes and judgments that can interfere with addressing their needs and the needs of their child In this way we expect that increasing psychological acceptance and mindfulness will facilitate parental and family empowerment Mindfulness is an innovative support that shows particular promise because it may serve to strengthen parent capacity to care in times of stress may fundamentally alter how parents spend time with their children and it may help to make parents more effective advocates for their children There is an emerging evidence base demonstrating the benefits of mindfulness and acceptance based interventions for a host of medical and psychological issues Recent attention has been paid to teaching mindfulness to caregivers to help them with caregiving Studies have included caregivers of patients with cancer adults with dementia youth with behavioural difficulties and most recently children with IDD
Preliminary research from the UK and the US has demonstrated the benefits that mindfulness based interventions have on parent ability to care for their young children and youth with IDD Singh and colleagues published case series teaching parents of children with IDD the philosophy and practice of mindfulness These papers demonstrated that with 12 training sessions parents reported decreases in child behaviour problems and increased parenting satisfaction Blackledge and Hayes applied Acceptance and Commitment Therapy to a group of 20 parents of youth with autism and demonstrated significant improvement in general distress depression and maternal acceptance immediately following the therapy as well as 3 months later
Most recently Dykens and colleagues demonstrated improved mood and reductions in in a cohort of 287 parents of children with IDD participating in Mindfulness Based Stress Reduction in Tennessee compared to parents participating in a Positive Psychology Support Program Neece and colleagues reported similar improvements in a group of 100 parents with preschool age children with IDD in California Most impressive in both studies was the high attendance rate of parents attributed in part to onsite childcare A similar group using a modification of Mindfulness Based Cognitive Therapy MBCT developed by team member Zindel Segal and colleagues is currently being evaluated in Wales by team member Richard Hastings and colleagues
We will evaluate the impact of two community based interventions for parents of adults with IDD who are requesting services The first intervention is considered current best practice active control which will offer parents support and information about services to enhance parent empowerment support and information for parents This will be compared to an intervention that will target both parent empowerment and psychological acceptancemindfulness by blending parent support with mindfulness training mindfulness intervention for parents The idea of adding a psychological intervention to a more practical intervention has been explored in mindfulness research previously and also in the parent training literature more generally We will compare this intervention to an active control so that we can determine the unique contribution of the mindfulness component of the intervention
Parent empowerment mindfulness and psychological acceptance are key psychological variables related to positive parent outcomes including the ability to more effectively care for others Parent empowerment refers to active attempts to change situations through the application of knowledge and skill Empowerment is possible when parents feel more familiar with services and more able to advocate and plan for their child Person directed planning orientation to services practical tips and planning are all helpful for empowerment Psychological acceptance is a process that involves embracing current difficulties without actively attempting to directly change them thus facilitating positive action in line with an individuals or familys values Such acceptance can be particularly helpful for parents when stressful events cannot be immediately resolved or addressed
Mindfulness is related to psychological acceptance and is defined as the awareness that emerges through paying attention on purpose in the present moment nonjudgementally to the unfolding of experience moment by moment These latter processes may help parents preserve their emotional energy and reduce those thoughts attitudes and judgments that can interfere with addressing their needs and the needs of their child In this way we expect that increasing psychological acceptance and mindfulness will facilitate parental and family empowerment Mindfulness is an innovative support that shows particular promise because it may serve to strengthen parent capacity to care in times of stress may fundamentally alter how parents spend time with their children and it may help to make parents more effective advocates for their children There is an emerging evidence base demonstrating the benefits of mindfulness and acceptance based interventions for a host of medical and psychological issues Recent attention has been paid to teaching mindfulness to caregivers to help them with caregiving Studies have included caregivers of patients with cancer adults with dementia youth with behavioural difficulties and most recently children with IDD
Preliminary research from the UK and the US has demonstrated the benefits that mindfulness based interventions have on parent ability to care for their young children and youth with IDD Singh and colleagues published case series teaching parents of children with IDD the philosophy and practice of mindfulness These papers demonstrated that with 12 training sessions parents reported decreases in child behaviour problems and increased parenting satisfaction Blackledge and Hayes applied Acceptance and Commitment Therapy to a group of 20 parents of youth with autism and demonstrated significant improvement in general distress depression and maternal acceptance immediately following the therapy as well as 3 months later
Most recently Dykens and colleagues demonstrated improved mood and reductions in in a cohort of 287 parents of children with IDD participating in Mindfulness Based Stress Reduction in Tennessee compared to parents participating in a Positive Psychology Support Program Neece and colleagues reported similar improvements in a group of 100 parents with preschool age children with IDD in California Most impressive in both studies was the high attendance rate of parents attributed in part to onsite childcare A similar group using a modification of Mindfulness Based Cognitive Therapy MBCT developed by team member Zindel Segal and colleagues is currently being evaluated in Wales by team member Richard Hastings and colleagues
We will evaluate the impact of two community based interventions for parents of adults with IDD who are requesting services The first intervention is considered current best practice active control which will offer parents support and information about services to enhance parent empowerment support and information for parents This will be compared to an intervention that will target both parent empowerment and psychological acceptancemindfulness by blending parent support with mindfulness training mindfulness intervention for parents The idea of adding a psychological intervention to a more practical intervention has been explored in mindfulness research previously and also in the parent training literature more generally We will compare this intervention to an active control so that we can determine the unique contribution of the mindfulness component of the intervention
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None