Bourke-Taylor Helen M, Leo Monica, Tirlea Loredana
Occupational Therapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Peninsula Campus, Building G, Level 4, McMahons Road, Frankston, VIC, 3199, Australia.
Faculty of Health, Arts, and Design, Swinburne University of Technology, PO Box 218, Hawthorn, 3122, Australia.
J Autism Dev Disord. 2025 Apr;55(4):1465-1480. doi: 10.1007/s10803-024-06287-5. Epub 2024 Mar 23.
Mothers of children with disabilities can experience compromised health. Targeted interventions require investigation to determine effectiveness. Healthy Mothers Healthy Families (HMHF) is a health, wellbeing and empowerment program that addresses mothers need to protect, and or, recover their own health due to caregiving impacts. This study compared the effectiveness of HMHF e-workshops online compared to no intervention. The HMHF e-workshops were delivered to 290 mothers across the 2020-2022 Covid-19 pandemic and 172 participated in research. The HMHF e-workshops included 3 online 2- hour workshops facilitated by credentialled peer-facilitators, closed online group chat, e-workbook and online learning package. Participants in both groups completed surveys pre and post the workshops (or control) over 8-10 weeks. Mothers who participated in HMHF significantly increased health help seeking behaviours (p < .001), and improved mental health and health behaviors over time: health behavior (p < .001), positive wellbeing (p < .004) and depression (p < .001) and stress symptoms (p = .005). Compared to controls, HMHF e-workshop participants significantly improved health behaviours (p < .001) and self-reported symptoms of depression (p = .002) and stress (p = .005) over 8-10 weeks. E-workshops were accessible and effective for mothers of children with high care needs and family responsibilities across the COVID-19 pandemic. Compared to no intervention, the HMHF intervention was more effective for improving healthy behaviours and mental health.
残疾儿童的母亲可能会出现健康问题。需要对有针对性的干预措施进行调查以确定其有效性。“健康母亲,健康家庭”(HMHF)是一项促进健康、幸福和赋权的项目,旨在解决母亲因照顾孩子而需要保护和/或恢复自身健康的需求。本研究比较了HMHF在线电子工作坊与无干预措施的效果。在2020 - 2022年新冠疫情期间,HMHF电子工作坊面向290名母亲开展,其中172名参与了研究。HMHF电子工作坊包括由具有资质的同伴 facilitators 主持的3次在线2小时工作坊、封闭的在线群组聊天、电子工作簿和在线学习包。两组参与者在8 - 10周内完成了工作坊(或对照)前后的调查。参与HMHF的母亲显著增加了寻求健康帮助的行为(p < .001),并且随着时间的推移,心理健康和健康行为得到改善:健康行为(p < .001)、积极幸福感(p < .004)、抑郁(p < .001)和压力症状(p = .005)。与对照组相比,HMHF电子工作坊的参与者在8 - 10周内显著改善了健康行为(p < .001)以及自我报告的抑郁症状(p = .002)和压力(p = .005)。在新冠疫情期间,电子工作坊对于有高护理需求孩子且承担家庭责任的母亲来说是可及且有效的。与无干预措施相比,HMHF干预措施在改善健康行为和心理健康方面更有效。