Emotional and Behavioral Disorders in Children and Adolescents
Conditions
Keywords
Pilot trial, Emotional and behavioral disorder, Child and adolescent, Psychoeducation, China, Psychosocial intervention, Caregiver
Brief summary
The goal of this waitlist-controlled randomized pilot trial is to premilinariliy learn if the CPG-CA internvention, a group psychoeducational intervention for family caregivers of children and adolescents with emotional and behavioral disorders, works to relieve caregiver burden among family caregivers of children and adolescents with emotional and behavioral disorders in China. It will also learn about the acceptability of the CPG-CA intervention. The main questions it aims to answer are: Does the CPG-CA intervention relieve caregiver burden among family caregivers of children and adolescents with emotional and behavioral disorders in China? Is the CPG-CA intervention acceptable to family caregivers of children and adolescents with emotional and behavioral disorders in China? Researchers will compare the CPG-CA intervention to care-as-usual to see if the CPG-CA internvention works to relieve caregiver burden among family caregivers of children and adolescents with emotional and behavioral disorders in China. Participants will receive the CPG-CA intervention or care-as-usual for 12 weeks.
Detailed description
In China, most children and adolescents with emotional and behavioral disorders (E/BDs) are living with families. With an extreme scarcity of child and adolescent mental health care resources in China, the primary caregiving responsibility for children and adolescents with E/BDs is laid on families. However, caregiving for children and adolescents with E/BDs could be challenging, and family caregivers of children and adolescents with E/BDs often describe their caregiving experiences as exhausting and burdensome. To date, very few interventions in China have been designed to relieve caregiver burden among family caregivers of children and adolescents with E/BDs. Therefore, this study aims to conduct a randomized, wait-list controlled pilot trial to preliminarily evaluate the feasibility and effectiveness of the CPG-CA intervention, a group psychoeducational intervention for family caregivers of children and adolescents with E/BDs, in reducing caregiver burden among family caregivers of children and adolescents with E/BDs in China. This pilot trial will lay the groundwork for a major trial that will be conducted in future studies.
Interventions
BEHAVIORALCaregiver Psychoeducation Group for Children and Adolescents with Emotional and Behavioral Disorders (CPG-CA)
The CPG-CA intervention is a group psychoeducational internvention for family caregivers of children and adolescents with E/BDs in China. It will consist of 10 to 15 family caregivers of children and adolescents with E/BDs, meeting once a week for 1.5 to 2 hours per session, for a total of 12 sessions over a 3-month period. The sessions will cover the following themes: (1) knowledge about child and adolescent emotional and behavioral disorders; (2) coping skills for common emotional and behavioral problems in children and adolescents; (3) problem-solving skills; (4) communication skills with children and adolescents; (5) positive parenting techniques; and (6) self-care techniques. A variety of facilitation techniques will be used in the intervention, including didactic teaching, group discussion, role-playing, and homework assignment.
Sponsors
Shanghai Mental Health Center
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This study will be a waitlist-controlled randomized pilot trial.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Family caregivers of children and adolescents under the age of 18 with emotional and behavioral disorders; 2. The child or adolescent must have a confirmed diagnosis of an emotional or behavioral disorder, including: emotional and behavioral disorders with onset usually occurring in childhood and adolescence, mood disorders, depressive disorders, bipolar disorder, anxiety disorders, attention-deficit/hyperactivity disorder (ADHD), conduct disorder, oppositional defiant disorder, obsessive-compulsive disorder (OCD), eating disorders, schizophrenia, and addictive disorders; 3. Providing care for a child or adolescent with an emotional or behavioral disorder for at least three months; 4. Aged 18 or older; 5. Able to provide informed consent.
Exclusion criteria
1. Caregivers of children and adolescents with neurodevelopmental disorders (e.g., autism, intellectual disability); 2. Paid caregivers; 3. Caregivers with severe physical illnesses or mental disorders; 4. Caregivers under the age of 18; 5. Those unable to provide informed consent; 6. Caregivers who are simultaneously participating in other support groups for family caregivers of children and adolescents with emotional and behavioral disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver burden | Baseline (T0) and 3 months (T1) | Participants' caregiver burden will be assessed using the Zarit Burden Interview (ZBI). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver burden | Baseline (T0) and 6 months (T2) | Participants' caregiver burden will be assessed using the Zarit Burden Interview (ZBI). |
| Depression | Baseline (T0) and 3 months (T1) | Participants' depression will be assessed using the Patient Health Questionnaire (PHQ). |
| Anxiety | Baseline (T0) and 3 months (T1) | Participants' anxiety will be assessed using the Generalized Anxiety Disorder Scale (GAD). |
| Illness perception | Baseline (T0) and 3 months (T1) | Participants' illness perception will be assessed using the Brief Illness Perception Questionnaire (BIPQ). |
| Coping style | Baseline (T0) and 3 months (T1) | Participants' coping style will be assessed using the Simplified Coping Style Questionnaire (SCSQ). |
| Positive caregiving experiences | Baseline (T0) and 3 months (T1) | Participants' positive caregiving experiences will be assessed using the Positive Aspect of Caregiving scale (PAC). |
| Feeling of hope | Baseline (T0) and 3 months (T1) | Participants' feeling of hope will be assessed using the Herth Hope Index (HHI). |
| Feeling of mastery | Baseline (T0) and 3 months (T1) | Participants' feeling of mastery will be assessed using the Pearlin Mastery Scale (PMS). |
| Self-stigma | Baseline (T0) and 3 months (T1) | Participants' self-stigma will be assessed using the stigma sub-scale of the Experiences of Caregiving Inventory (ECI). |
| Social support | Baseline (T0) and 3 months (T1) | Participants' social support will be assessed using the Oslo Social Support Scale (OSSS). |
Countries
China
Contacts
Primary ContactHao Yao, MD, MPH
Outcome results
None listed