Stress, Psychological
Conditions
Keywords
Mindfulness-based stress reduction, parental stress, Attention-Deficit Hyperactivity Disorder ADHD, parent
Brief summary
The study aimed at comparing the effects of 8-week MBSR programme intervention group with usual care group in reducing parental stress and improving quality of life of parents of children with ADHD in Chinese culture.
Detailed description
This study aimed at comparing the effects of 8-week mindfulness-based stress reduction (MBSR) intervention with usual care in improving the parental stress, quality of life, and the feasibility and acceptability of MBSR of parents of children with Attention Deficit Hyperactivity Disorder (ADHD) in Chinese context after the coronavirus disease pandemic. This study was designed as a pilot randomised controlled trial with single-blind repeated measures. By using convenience sampling, 36 parents of children with ADHD were recruited from the Parent Resource Centre of The Salvation Army (Centre), a Non-government Organization in Hong Kong, between July to August 2022. Centre staff invited parents of children aged 3-12 diagnosed with ADHD who can communicate and understand Cantonese to participate. Parents who had physical or severe intellectual disabilities, mental disorders or received any form of psychological intervention or psychiatric services were excluded from this study. All eligible parents were randomized to either the intervention group (n=18) or the usual care group (control) (n=18). Parents assigned to the intervention group received the MBSR programme and usual services from the Centre. MBSR had eight weekly sessions of 2.5 hours each, plus a whole day retreat in small groups between session 6 and 7. The usual care group remained with usual support from the Centre, with interest activities such as cooking classes or calligraphy classes, but without any other form of intervention during this period.
Interventions
BEHAVIORALMindfulness-based Stress Reduction
An 8-week Mindfulness-based stress reduction training programme
Sponsors
The Salvation Army, Hong Kong and Macau Command
The Hong Kong Polytechnic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
MBSR intervention
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* parents who have a child aged 3-12 with a confirmed diagnosis of ADHD with or without medications * able to communicate and understand Cantonese
Exclusion criteria
* having physical disabilities or severe intellectual impairments * any forms of mental disorders * receiving any other form of psychological intervention, behavioural treatment, or psychiatric services
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-report of parental stress | immediate after intervention | self-report of parental stress as measured by Parental Stress Scale (score range from 1-90. The higher the score, the higher the stress level) |
| self-report perceived stress | immediate after intervention | self-report perceived stress as measured by Perceived Stress Scale (score range from 0-56. The higher the score, the higher the stress level) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| self-report mindfulness in parenting | At one month after intervention | Parental self-reports of adopting mindful parenting strategies as measured by Interpersonal mindfulness in Parenting (Score range from 1-155. The higher score means adopted more mindful in parenting) |
| Parent reports of children's ADHD behaviors in the past 6 months | At one month after intervention | parent reports of children's ADHD symptoms by using the Strengths and Weakness of ADHD symptoms and normal behavior rating scales (score range from +3 far below average to -3 far above average) |
| self-report quality of life | At one month after intervention | self-report to access perception of quality of life in four domains including physical, psychological, social relationships and general health (score range from 0 - 100. A higher score indicated a better quality of life) |
Countries
Hong Kong
Outcome results
None listed