Whittingham Koa, Sheffield Jeanie, Boyd Roslyn N
Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
School of Psychology, The University of Queensland, Brisbane, Queensland, Australia.
BMJ Open. 2016 Oct 19;6(10):e012807. doi: 10.1136/bmjopen-2016-012807.
Cerebral palsy (CP) impacts on the entire family in a manner that is long-term, complex and multifactorial. In addition, the quality of the parent-child relationship impacts on many and varied child outcomes, making the provision of easily accessible and evidence-based support to parents of children with CP a priority. This paper reports the protocol of a randomised controlled trial of an innovative and translatable online intervention, parenting acceptance and commitment therapy (PACT), for families of children with CP. We predict that participating in the PACT programme will be associated with improvements in the parent-child relationship, in child functioning and in adjustment and quality of life for both parent and child.
We aim to recruit 66 parents of children (2-10 years old) diagnosed with CP to this study. Families will be randomly assigned to two groups: wait-list control and PACT. PACT is a parenting intervention grounded in acceptance and commitment therapy (ACT) and developed into an online course 'PARENT101 Parenting with Purpose' using the edX platform. All participants will be offered PACT before completion of the study. Assessments will take place at baseline, following completion of PACT and at 6-month follow-up (retention) and will focus on the parent-child relationship, parent and child adjustment and parent and child quality of life. Analysis will follow standard methods for randomised controlled trials using general linear models, specifically analysis of variance or analysis of covariance.
Ethics approvals have been obtained through the Children's Health Queensland Hospital and Health Service Human Research Ethics Committee (HREC/15/QRCH/115) and The University of Queensland (2015001743). If efficacy is demonstrated, then the PARENT101 course has the potential to be disseminated widely in an accessible manner and at minimal cost. Further, the PACT framework may provide a blueprint for similar online courses with parents in a full range of contexts.
ACTRN12616000351415; Pre-results.
脑瘫（CP）以长期、复杂且多因素的方式影响整个家庭。此外，亲子关系的质量会对诸多不同的儿童结局产生影响，这使得为脑瘫患儿家长提供易于获取且基于证据的支持成为当务之急。本文报告了一项针对脑瘫患儿家庭的创新性且可转化的在线干预——养育接纳与承诺疗法（PACT）的随机对照试验方案。我们预测，参与PACT项目将与亲子关系的改善、儿童功能的提升以及父母和儿童的适应能力与生活质量的提高相关联。
我们旨在招募66名被诊断为脑瘫的儿童（2至10岁）的家长参与本研究。家庭将被随机分为两组：等待名单对照组和PACT组。PACT是一种基于接纳与承诺疗法（ACT）的养育干预措施，并利用edX平台开发成在线课程“PARENT101 有目标的养育”。在研究完成前，所有参与者都将获得PACT。评估将在基线、PACT完成后以及6个月随访（留存率）时进行，重点关注亲子关系、父母和儿童的适应情况以及父母和儿童的生活质量。分析将采用随机对照试验的标准方法，使用一般线性模型，具体为方差分析或协方差分析。
已通过昆士兰儿童健康医院及卫生服务机构人类研究伦理委员会（HREC/15/QRCH/115）和昆士兰大学（2015001743）获得伦理批准。如果证明了其有效性，那么PARENT101课程有可能以易于获取且成本最低的方式广泛传播。此外，PACT框架可能为在各种背景下与家长开展类似在线课程提供蓝图。
ACTRN12616000351415；预结果。
