Inoue Masahiko, Yamaguchi Honami, Nakatani Keita, Nishimoto Ayano, Namiki Kei, Kuroda Satori, Tran Thi Viet Ha, Dinh Nguyen Trang Thu
Graduate School of Medical Sciences, Tottori University, Yonago 683-8503, Japan.
Office for Promotion of Base Hospitals for Children's Psychological Treatment, Tottori University, Yonago 683-8503, Japan.
Yonago Acta Med. 2024 Aug 8;67(3):213-224. doi: 10.33160/yam.2024.08.008. eCollection 2024 Aug.
Parent training (PT) programs have been implemented for neurodevelopmental disorders such as autism spectrum disorder (ASD) in recent years. However, in Southeast Asia, the diffusion of rehabilitation programs for children with ASD and that of PT as a parental support measure has been slow.
This study assessed the effectiveness of an online PT program that was developed in Japan and remotely delivered to Vietnamese parents of children with ASD residing in Vietnam. Sixteen parents of Vietnamese children with ASD participated in seven online Tottori University-style PT sessions. The online PT was conducted in real-time from Japan, considering the two-hour time difference between countries. Lectures and exercises were presented in Vietnamese with PowerPoint materials. Japanese staff provided explanations in Japanese, which were then simultaneously translated by a Vietnamese interpreter. Attendance, completion of homework assignments, and the number of statements on Zoom and social media were tallied. A pre-post-test design was employed to measure changes in parents' mental health factors and children's behavior. A post-intervention questionnaire was administered to assess participant's acceptance of PT.
The findings showed that attendance and task completion rates were considerably high. The study found that the mental health scores of parents significantly improved after participating in online parenting training compared to before. However, there were no statistically significant improvements found in children's behavior. The study also confirmed high satisfaction with the cross-country online parenting training.
This study confirmed that TUPT, developed in Japan and implemented as an online PT for parents of children with ASD living in Vietnam, was effective in improving parental mental health. The program acceptability questionnaire also showed positive results. This study is the first step in the evaluation and dissemination of Internet-based, cross-country parent training for parental support in Asia.
近年来，针对自闭症谱系障碍（ASD）等神经发育障碍实施了家长培训（PT）项目。然而，在东南亚，针对自闭症谱系障碍儿童的康复项目以及作为家长支持措施的家长培训的推广一直很缓慢。
本研究评估了一个在日本开发并远程提供给居住在越南的自闭症谱系障碍儿童家长的在线家长培训项目的效果。16名越南自闭症谱系障碍儿童的家长参加了七次鸟取大学式的在线家长培训课程。考虑到两国两小时的时差，在线家长培训从日本实时进行。讲座和练习以越南语通过PowerPoint材料呈现。日本工作人员用日语进行解释，然后由越南口译员同步翻译。统计出勤情况、作业完成情况以及在Zoom和社交媒体上的发言数量。采用前后测试设计来衡量家长心理健康因素和儿童行为的变化。干预后发放问卷以评估参与者对家长培训的接受程度。
研究结果表明，出勤率和任务完成率相当高。研究发现，与参加在线家长培训之前相比，家长的心理健康得分在参加后有显著提高。然而，儿童行为方面没有发现统计学上的显著改善。研究还证实了对跨国在线家长培训的高度满意度。
本研究证实，在日本开发并作为在线家长培训项目实施于居住在越南的自闭症谱系障碍儿童家长的鸟取大学家长培训（TUPT），在改善家长心理健康方面是有效的。项目可接受性问卷也显示出积极的结果。本研究是评估和推广基于互联网的跨国家长培训以在亚洲提供家长支持的第一步。
