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基于互联网的接受与承诺疗法方案“幸福妈妈”促进幸福感:一项随机对照试验方案。

Internet-based acceptance and commitment therapy programme 'Happiness Mom' for well-being: a protocol for a randomised controlled trial.

机构信息

Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan.

School of Health Innovation, Kanagawa University of Human Services, Kanagawa, Japan.

出版信息

BMJ Open. 2021 Feb 26;11(2):e042167. doi: 10.1136/bmjopen-2020-042167.

Abstract

INTRODUCTION

This randomised controlled trial (RCT) aims to examine the effects of an internet-delivered acceptance and commitment therapy (iACT) programme ('Happiness Mom') on the psychological well-being of working mothers.

METHODS AND ANALYSIS

The target population of the RCT will be employed mothers with at least one preschool child. Participants who fulfil the study's eligibility criteria will be randomly assigned either to an iACT intervention group (n=200) or to a wait-list control group (n=200). Participants in the intervention groups will be asked to complete the programme within 12 weeks of the baseline survey. The intervention programme contains eight modules based on ACT. Primary outcomes are six components of psychological well-being, based on Ryff's theory. Secondary outcomes are intention to leave their job, work engagement, work performance, sick leave days, psychological distress, euthymia, positive emotions, job and life satisfaction, social support and parental burn-out.

ETHICS AND DISSEMINATION

Ethical approval for this study has been obtained from the Research Ethics Review Board of Graduate School of Medicine, the University of Tokyo (No. 2019134NI). If the intervention programmes are found to be significantly beneficial, the programmes can be made available for all working mothers with preschool children in Japan.

DISCUSSION

This study will contribute to the development of an internet-based self-care programme that is effective, feasible, low cost and accessible to improve the well-being of working mothers.

TRIAL REGISTRATION NUMBER

UMIN000039918.

摘要

简介

本随机对照试验(RCT)旨在检验互联网提供的接受与承诺疗法(iACT)方案(“快乐妈妈”)对在职母亲心理健康的影响。

方法与分析

RCT 的目标人群将是有至少一名学龄前儿童的在职母亲。符合研究入选标准的参与者将被随机分配到 iACT 干预组(n=200)或等待名单对照组(n=200)。干预组的参与者将被要求在基线调查后的 12 周内完成该方案。干预方案包含基于 ACT 的八个模块。主要结局指标是基于 Ryff 理论的六个心理幸福感组成部分。次要结局指标是离职意向、工作投入、工作绩效、病假天数、心理困扰、心境稳定、积极情绪、工作和生活满意度、社会支持和父母倦怠。

伦理与传播

本研究已获得东京大学研究生院医学研究伦理审查委员会的伦理批准(No. 2019134NI)。如果干预方案被发现具有显著的益处,可以为日本所有有学龄前儿童的在职母亲提供这些方案。

讨论

本研究将有助于开发一种基于互联网的自我保健方案,该方案有效、可行、成本低且易于获得,以改善在职母亲的幸福感。

试验注册号

UMIN000039918。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e21b/7919564/172f06425182/bmjopen-2020-042167f01.jpg

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