Cotter Elizabeth W, Sibinga Erica M S, Bean Melanie K, Corona Rosalie, Montero Diaz Luisa, Malloy Elizabeth J, Coelho Little Megan, Delgado Lorena, Flores-Saez Amanda, Sadel Jessie, Vazquez Maldonado Andrea, Kerrigan Deanna
Department of Health Studies, American University, USA.
Pediatrics, Johns Hopkins University School of Medicine, USA.
Contemp Clin Trials Commun. 2023 Jun 19;34:101171. doi: 10.1016/j.conctc.2023.101171. eCollection 2023 Aug.
Latina mothers' stress is associated with their children's health behaviors and risk for obesity; however, existing pediatric health promotion programs have not focused on maternal stress reduction.
Herein we describe a study design that will examine the acceptability and feasibility of Calma, Conversa, y Cría (CCC) a 6-week mindful parenting intervention designed to reduce stress. We present the results of qualitative research with Latina mothers and experts in Latinx health and mindfulness who provided culturally-relevant feedback on existing mindful parenting strategies to inform the development of CCC. Fifty Latina mothers of children ages 3-11 years will be randomly assigned to CCC or an enhanced usual care health education intervention. Acceptability will be assessed through participant satisfaction surveys and exit interviews. Feasibility will be determined through detailed tracking of recruitment, retention, and attendance rates. A signal regarding any group differences in maternal stress, health-related parenting practices, child diet, child physical activity, and child quality of life will be explored.
The development of interventions that can reduce maternal stress and risk for obesity in Latinx children is critical to significantly reduce negative health impacts in this underserved population. Our approach includes the identification of effective cultural adaptations that should improve the feasibility and acceptability of mindful parenting strategies in Latinx families, ideally reducing maternal stress and improving parenting behaviors related to child health. If successful, CCC will be examined in a larger efficacy trial involving the measurement of objective biomarkers of children's chronic disease risk.
拉丁裔母亲的压力与孩子的健康行为及肥胖风险相关；然而，现有的儿科健康促进项目尚未专注于减轻母亲的压力。
在此我们描述一项研究设计，该设计将检验“平静、交流与养育”（CCC）这一为期6周的旨在减轻压力的正念养育干预措施的可接受性和可行性。我们展示了对拉丁裔母亲以及拉丁裔健康与正念领域专家进行定性研究的结果，他们就现有的正念养育策略提供了与文化相关的反馈，以指导CCC的开发。50名3至11岁孩子的拉丁裔母亲将被随机分配至CCC组或强化常规护理健康教育干预组。可接受性将通过参与者满意度调查和退出访谈进行评估。可行性将通过对招募、留存和出勤率的详细跟踪来确定。将探究两组在母亲压力、与健康相关的养育行为、孩子饮食、孩子身体活动及孩子生活质量方面是否存在差异的迹象。
开发能够减轻拉丁裔儿童母亲压力和肥胖风险的干预措施对于显著减少这一服务不足人群的负面健康影响至关重要。我们的方法包括确定有效的文化适应性调整，这应能提高正念养育策略在拉丁裔家庭中的可行性和可接受性，理想情况下减轻母亲压力并改善与孩子健康相关的养育行为。如果成功，将在一项更大规模的疗效试验中对CCC进行检验，该试验将测量儿童慢性病风险的客观生物标志物。
