一项针对育儿压力较大母亲的基于网络的正念与慈悲育儿培训:正念时刻计划的初步随机对照试验结果

A Web-Based, Mindful, and Compassionate Parenting Training for Mothers Experiencing Parenting Stress: Results from a Pilot Randomized Controlled Trial of the Mindful Moment Program.

作者信息

Fernandes Daniela V, Monteiro Fabiana, Canavarro Maria C, Moreira Helena

机构信息

Faculty of Psychology and Educational Sciences, Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, University of Coimbra, Rua Do Colégio Novo, 3030-115 Coimbra, Portugal.

出版信息

Mindfulness (N Y). 2022;13(12):3091-3108. doi: 10.1007/s12671-022-02016-0. Epub 2022 Nov 10.

Abstract

OBJECTIVES

Mindful Moment is a self-guided, web-based, mindful, and compassionate parenting training for postpartum mothers who experience parenting stress. We aimed to assess Mindful Moment's feasibility, acceptability, and usability, and to gather preliminary evidence of its effectiveness in reducing parenting stress and outcomes such as mindful parenting, self-compassion, depressive symptoms, anxious symptoms, dispositional mindfulness, mother's perception of infant temperament, and mother-infant bonding.

METHODS

This pilot randomized controlled trial (RCT) was a two-arm trial and followed the CONSORT 2010, CONSORT-EHEALTH, and CONSORT-SPI 2018 extension guidelines. A total of 292 Portuguese mothers were randomly assigned to the intervention group ( = 146) or to the waiting list control group ( = 146) and completed baseline (T1) and postintervention (T2) self-reported assessments.

RESULTS

A total of 31 mothers (21.23%) completed the Mindful Moment intervention. Most mothers evaluated the program as good or excellent (90%), considered that Mindful Moment provided them the kind of help they expected or wanted (61%), were satisfied with the help provided by the program (74.6%), would recommend it to a friend in a similar situation (86.4%), and would use it again if needed (81.4%). Regarding the program's preliminary effectiveness, mothers in the intervention group presented a greater decrease in parenting stress, a greater increase in dispositional mindfulness, and a greater decrease in their perception of the difficult temperament of their infants from T1 to T2.

CONCLUSIONS

This study provides preliminary evidence of the Mindful Moment's effectiveness and suggests that it is a feasible and acceptable program for postpartum mothers experiencing parenting stress. Further research is needed to confirm these results in a larger RCT.

TRIAL REGISTRATION

ClinicalTrials.gov (NCT04892082).

摘要

目的

“正念时刻”是一项针对经历育儿压力的产后母亲的基于网络的、自我引导的、正念且富有同情心的育儿培训。我们旨在评估“正念时刻”的可行性、可接受性和可用性,并收集其在减轻育儿压力以及在诸如正念育儿、自我同情、抑郁症状、焦虑症状、特质正念、母亲对婴儿气质的感知和母婴联结等方面有效性的初步证据。

方法

这项试点随机对照试验(RCT)是双臂试验,遵循2010年CONSORT、CONSORT-EHEALTH和2018年CONSORT-SPI扩展指南。总共292名葡萄牙母亲被随机分配到干预组(n = 146)或等待列表对照组(n = 146),并完成基线(T1)和干预后(T2)的自我报告评估。

结果

共有31名母亲(21.23%)完成了“正念时刻”干预。大多数母亲将该项目评价为良好或优秀(90%),认为“正念时刻”为她们提供了她们期望或想要的那种帮助(61%),对该项目提供的帮助感到满意(74.6%),会向处于类似情况的朋友推荐它(86.4%),并且如果需要会再次使用它(81.4%)。关于该项目的初步有效性,从T1到T2,干预组的母亲在育儿压力方面有更大程度的降低,在特质正念方面有更大程度的增加,并且对婴儿难养气质的感知有更大程度的降低。

结论

本研究提供了“正念时刻”有效性的初步证据,并表明它对于经历育儿压力的产后母亲是一个可行且可接受的项目。需要进一步的研究在更大规模的随机对照试验中证实这些结果。

试验注册

ClinicalTrials.gov(NCT04892082)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a178/9649016/46e379ddfc20/12671_2022_2016_Fig1_HTML.jpg

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