Department of Social Work, The Hospital for Sick Children, Toronto, Ontario, Canada.
Department of Psychology, The Hospital for Sick Children, Toronto, Ontario, Canada.
BMJ Open. 2022 Jul 8;12(7):e060461. doi: 10.1136/bmjopen-2021-060461.
Mothers are often the primary caregivers for children requiring heart transplantation. Given that a mother's ability to successfully cope with the demands of her caregiving role may be predictive of positive familial psychosocial outcomes, it is critical that maternal coping is assessed and supported in paediatric healthcare. Mindfulness-based programmes are proposed as one intervention that may enhance quality of life, improve distress tolerance and coping and reduce social isolation in caregiving populations. This pilot study aims to investigate: (1) the implementation success of a mindfulness-based retreat (MBR), and (2) the effectiveness of a MBR at improving quality of life, distress tolerance, coping and perceived social support for mothers of paediatric heart transplant recipients.
A convergent parallel, mixed-method design is proposed for this pilot, exploratory study. Twenty mothers will participate in this pilot MBR held at a resort in Ontario, Canada. Quantitative data will be obtained using five standardised instruments completed at three time points: (T1) 24-hours prior to the intervention, (T2) immediately on completion of the intervention, and (T3) three months post-intervention. Qualitative data will be collected from all participants both through semi-structured focus groups at T2 and individual telephone interviews at T3. Focus groups and individual interviews will be transcribed verbatim for thematic analysis. Quantitative and qualitative data will be merged and compared during interpretation to ensure that the intervention implementation and effectiveness of the MBR retreat are described with comprehensive accuracy. The primary outcomes will be feasibility in relation to implementation effectiveness and participants' perception of social support for efficacy of the MBR intervention.
This study received Institutional Research Ethics Board approval from The Hospital for Sick Children (Number: 1000064719). Informed consent will be obtained prior to participant enrolment. Findings will be disseminated via conference presentations and submitted for publication in a peer-reviewed journal.
母亲通常是需要心脏移植的儿童的主要照顾者。鉴于母亲成功应对照顾角色需求的能力可能是积极家庭心理社会结果的预测因素，因此评估和支持儿科医疗保健中的母亲应对能力至关重要。基于正念的计划被提议作为一种干预措施，可能会提高生活质量，改善痛苦耐受力和应对能力，并减少照顾人群的社会孤立。这项初步研究旨在调查：（1）基于正念的静修（MBR）的实施成功，以及（2）MBR 对改善生活质量、痛苦耐受力、应对和感知社会支持对儿科心脏移植受者母亲的有效性。
拟议采用会聚平行混合方法设计进行这项初步探索性研究。20 名母亲将参加在加拿大安大略省度假胜地举行的这项初步 MBR。将使用五项标准仪器在三个时间点获得定量数据：（T1）干预前 24 小时，（T2）干预完成时，以及（T3）干预后三个月。将通过半结构式焦点小组在 T2 和个人电话访谈在 T3 从所有参与者收集定性数据。将对焦点小组和个人访谈进行逐字转录，进行主题分析。将合并定量和定性数据，并在解释过程中进行比较，以确保全面准确地描述 MBR 静修的实施效果和参与者对 MBR 干预效果的感知。主要结果将是与实施效果相关的可行性以及参与者对 MBR 干预效果的社会支持感知。
这项研究获得了 SickKids 医院机构研究伦理委员会的批准（编号：1000064719）。在参与者注册之前将获得知情同意。研究结果将通过会议演讲传播，并提交给同行评审期刊发表。
