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Healthy Parent Carers: feasibility randomised controlled trial of a peer-led group-based health promotion intervention for parent carers of disabled children
Pilot and Feasibility Studies ( IF 1.5 ) Pub Date : 2021-07-23 , DOI: 10.1186/s40814-021-00881-5
Gretchen Bjornstad 1, 2 , Beth Cuffe-Fuller 1 , Obioha C Ukoumunne 2 , Mary Fredlund 1, 2 , Annabel McDonald 1 , Kath Wilkinson 1 , Jenny Lloyd 2, 3 , Annie Hawton 2, 4 , Vashti Berry 2 , Mark Tarrant 2 , Aleksandra Borek 5 , Katharine Fitzpatrick 1 , Annette Gillett 1 , Shelley Rhodes 6 , Stuart Logan 1, 2 , Christopher Morris 1, 2
Affiliation  

Parent carers of children with special educational needs or disability are at higher risk of poor mental and physical health. The need for a tailored, peer-led group programme was raised by parent carers, who co-developed the Healthy Parent Carers programme with researchers. This study aimed to test the feasibility of programme delivery in community settings, and the feasibility and acceptability of a randomised controlled trial design. Participants were individually randomised with concealed allocation to a structured group programme and access to online resources (intervention), or access to the online resources only (control). Measures of wellbeing and secondary and economic outcomes were collected before randomisation, immediately post-intervention, and 6 months post-intervention. Descriptive statistics on recruitment and attrition, demographics, attendance, and fidelity of intervention delivery were analysed with feedback on the acceptability of the trial design. One hundred and ninety-three parent carers expressed an interest in taking part. Ninety-two participants recruited from across six sites were randomised (47 intervention, 45 control). Lead and assistant facilitators were trained and delivered the group sessions. Sixteen (34%) participants in the intervention arm did not attend any sessions, and attendance varied across sites and sessions. One participant withdrew post-randomisation, and 83 (90%) participants completed outcome measures at the six-month follow-up. The study demonstrated that it was feasible to deliver the programme in community settings. The number of parent carers who expressed interest signifies the need for such a programme and the feasibility of recruiting to a definitive trial. Loss to follow-up was low. Further research is needed to explore ways to reduce barriers to participation in person and assess the feasibility and acceptability of programme content and delivery for more ethnically diverse groups, and potentially using interpreters. Given the Covid-19 pandemic and delivery format feedback, there is also a need to investigate remote or blended delivery strategies. Although the results indicate that a definitive trial is feasible, programme impact would be strengthened through exploration of these uncertainties. ISRCTN, ISRCTN15144652 , registered on 25 October 2018, ClinicalTrials.gov , NCT03705221 , registered on 15 October 2018.

中文翻译:

健康的家长照顾者:针对残疾儿童家长照顾者的同伴主导的基于小组的健康促进干预的可行性随机对照试验

有特殊教育需要或残疾儿童的父母照顾者面临更高的身心健康状况不佳的风险。家长照顾者提出了对量身定制的、同伴领导的小组计划的需求,他们与研究人员共同开发了健康家长照顾者计划。本研究旨在测试在社区环境中实施项目的可行性,以及随机对照试验设计的可行性和可接受性。参与者被单独随机分配到结构化的小组计划和访问在线资源(干预)或仅访问在线资源(控制)的隐藏分配。在随机化前、干预后立即和干预后 6 个月收集幸福感和次要和经济结果的测量。招聘和自然减员的描述性统计,对人口统计学、出席率和干预提供的保真度进行了分析,并提供了对试验设计可接受性的反馈。一百九十三名家长照顾者表示有兴趣参与。从六个地点招募的 92 名参与者被随机分配(47 名干预,45 名对照)。领导和助理协调员接受了培训并提供了小组会议。干预组的 16 名 (34%) 参与者没有参加任何课程,并且出席人数因站点和课程而异。一名参与者在随机分组后退出,83 名(90%)参与者在六个月的随访中完成了结果测量。该研究表明,在社区环境中实施该计划是可行的。表示有兴趣的父母照顾者的数量表明对此类计划的需求以及招募到最终试验的可行性。失访率很低。需要进一步研究以探索减少亲自参与障碍的方法,并评估项目内容的可行性和可接受性,以及为更多种族多样化的群体提供服务,并可能使用口译员。鉴于 Covid-19 大流行和交付格式反馈,还需要调查远程或混合交付策略。尽管结果表明最终试验是可行的,但通过探索这些不确定性将加强计划的影响。ISRCTN,ISRCTN15144652,2018年10月25日注册,ClinicalTrials.gov,NCT03705221,2018年10月15日注册。失访率很低。需要进一步研究以探索减少亲自参与障碍的方法,并评估项目内容的可行性和可接受性,以及为更多种族多样化的群体提供服务,并可能使用口译员。鉴于 Covid-19 大流行和交付格式反馈,还需要调查远程或混合交付策略。尽管结果表明最终试验是可行的,但通过探索这些不确定性将加强计划的影响。ISRCTN,ISRCTN15144652,2018年10月25日注册,ClinicalTrials.gov,NCT03705221,2018年10月15日注册。失访率很低。需要进一步研究以探索减少亲自参与障碍的方法,并评估项目内容的可行性和可接受性,以及为更多种族多样化的群体提供服务,并可能使用口译员。鉴于 Covid-19 大流行和交付格式反馈,还需要调查远程或混合交付策略。尽管结果表明最终试验是可行的,但通过探索这些不确定性将加强计划的影响。ISRCTN,ISRCTN15144652,2018年10月25日注册,ClinicalTrials.gov,NCT03705221,2018年10月15日注册。需要进一步研究以探索减少亲自参与障碍的方法,并评估项目内容的可行性和可接受性,以及为更多种族多样化的群体提供服务,并可能使用口译员。鉴于 Covid-19 大流行和交付格式反馈,还需要调查远程或混合交付策略。尽管结果表明最终试验是可行的,但通过探索这些不确定性将加强计划的影响。ISRCTN,ISRCTN15144652,2018年10月25日注册,ClinicalTrials.gov,NCT03705221,2018年10月15日注册。需要进一步研究以探索减少亲自参与障碍的方法,并评估项目内容的可行性和可接受性,以及为更多种族多样化的群体提供服务,并可能使用口译员。鉴于 Covid-19 大流行和交付格式反馈,还需要调查远程或混合交付策略。尽管结果表明最终试验是可行的,但通过探索这些不确定性将加强计划的影响。ISRCTN,ISRCTN15144652,2018年10月25日注册,ClinicalTrials.gov,NCT03705221,2018年10月15日注册。尽管结果表明最终试验是可行的,但通过探索这些不确定性将加强计划的影响。ISRCTN,ISRCTN15144652,2018年10月25日注册,ClinicalTrials.gov,NCT03705221,2018年10月15日注册。尽管结果表明最终试验是可行的,但通过探索这些不确定性将加强计划的影响。ISRCTN,ISRCTN15144652,2018年10月25日注册,ClinicalTrials.gov,NCT03705221,2018年10月15日注册。
更新日期:2021-07-23
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