Parents
Conditions
Keywords
Parenting, Psychological flexibility, Third-wave therapies, Web-based intervention, Emotion regulation
Brief summary
This project aims to validate a web-based clinical intervention for families with children suffering neurodevelopmental or behavioral disorders to promote psychological flexibility and emotion regulation strategies in parents.
Detailed description
Family context, and specifically parents' educational styles (PE) can act as a protective or risk factor for the maintenance and development of various disorders in childhood. When the child is diagnosed of a disease, disorder or difficulty, parents can develop a series of beliefs that will mediate their PEs, their barriers and their emotional repertoire. It can worsen the family climate, lead to maladaptive behaviors, and finally, lead to difficulties in adherence to treatment due to possible avoidance patterns. Several studies indicate that these patterns are mediated by a regulation of dysfunctional emotions in parents by not tolerating the discomfort caused by the suffering of their children. This project aims to validate a web-based clinical intervention for families with children suffering neurodevelopmental or behavioral disorders to promote psychological flexibility and emotion regulation strategies in parents. Clinical intervention is focused in improving emotion regulation and positive parenting strategies using third-wave/contextual therapies. The intervention consist in 6 sessions with a duration of 1.5 hours. This study compare a a face-to-face parenting intervention group with a web-based parenting intervention. The first hypothesis is that both parental interventions will improve the educational styles, emotional competencies and well-being of parents in pos-test and 3-month follow up assessment. Second, web-based intervention will be more efficient in comparison with face-to-face intervention.
Interventions
BEHAVIORALWeb parenting intervention
Parents participate in the self-delivered web-based parenting intervention for 6 modules. Treatment includes abilities of psychological flexibility (to be open, aware and active), emotion regulation, and positive parenting strategies.
BEHAVIORALGroup parenting intervention
Parents participate in face-to-face a weekly 2-hour group for 4 sessions. Treatment includes abilities of psychological flexibility (to be open, aware and active), emotion regulation, and positive parenting strategies.
Sponsors
Universitat Jaume I
Universidad de Almeria
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
A. Be a parent/guardian of a child between 0 and 12 years old. B. Be a parent/guardian of a child who obtains a limit score on any of the scales of the Difficulties and Capabilities Questionnaire (SDQ). C. Obtain a high score in parental inflexibility / emotional distress through the Parental Acceptance Questionnaire in any of its subscales. D. Parents/guardians have a device that provides access to the web-based intervention. E. They agree to participate in the study by signing the informed consent
Exclusion criteria
A. The parent/guardian is in a process of separation or negligent parenting, this aspect will be assessed from a clinical trial in the initial interview. B. The parent/guardian has serious psychological or substance use problems or disorders that may hinder their participation in the study. C. The parent/guardian presents Spanish comprehension barriers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difficulties Emotion Regulation Scale (DERS: Hervás & Jódar, 2008) | Change from baseline at immediately after the intervention, and at 3 months | To assess the emotional regulation of parents. It consists of 28 items that make up 5 dimensions of emotional deregulation: lack of control, rejection, interference, neglect and confusion. The reliability index (Cronbach's alpha) is between .87 and .93 |
| Parental Acceptance Questionnaire (Flujas-Contreras, García-Palacios, & Gómez, 2018) | Change from baseline at immediately after the intervention, and at 3 months | To assess Measures psychological flexibility in parents regarding the interaction with their children through 3 dimensions: open, aware and active. Spanish version has internal consistency of .82 |
| Parental Stress Scale (PSS; Alonso-Arbiol y Balluerka, 2007) | Change from baseline at immediately after the intervention, and at 3 months | To assess the level of parental stress. It consists of 20 items that evaluate positive and negative experiences. The scale has a reliability of .77 and .76 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Strength and Difficulties Questionnaire, (SDQ; Gómez-Beneyto et al., 2012) | Change from baseline at immediately after the intervention, and at 3 months | In order to evaluate the effects of the intervention on the behavior of the children, behavioral changes in difficulties, emotional symptoms, behavioral problems, hyperactivity problems, problems with partners and prosocial actions |
| Satisfaction with Life Scale (SWLS; Atienza, Pons, Balaguer, & García-Merita, 2000) | Change from baseline at immediately after the intervention months, and at 3 months | to assess the overall satisfaction of parents as a one-dimensional construct, it consists of 5 items that are answered on a Likert scale of 1 to 7; the Spanish version has provided reliability indexes of .84 |
Other
| Measure | Time frame | Description |
|---|---|---|
| Client Satisfaction Questionnaire (Hidalgo y cols., 2013) | Immediately after the intervention | It consists of 8 items on a 4-point Likert scale that assesses satisfaction in a one-dimensional way |
| Parental coping and mood | Change from baseline at immediately after the intervention | The current mood and the perception of coping capacity will be assessed pre and post session through two questions that measure mood by means of visual scale of faces (Likert of 5 points) and coping by Likert scale of 5 points |
Countries
Spain
Contacts
Primary ContactJuan M. Flujas-Contreras, MD
Backup ContactInmaculada Gomez, Prf.
Outcome results
None listed