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Online ACT Matrix Parent Training for Japanese-Speaking Mothers with Distress in the United States
Journal of Child and Family Studies ( IF 2.784 ) Pub Date : 2022-11-02 , DOI: 10.1007/s10826-022-02477-w
Yukie Kurumiya 1 , Yors Garcia 2 , Annette K Griffith 1 , Thomas G Szabo 3
Affiliation  

Cultural stigma, shame, self-concealment, and language and socio-economic barriers often keep Asian immigrant parents and children away from mental and behavioral services in the United States. Research shows that increased levels of parent distress suggest a negative impact on parenting practices and correlate child-maltreatment. Therefore, this study aimed to test one functionally contextual strategy to address such issues. The current study evaluated the effects of an online Acceptance and Commitment Training (ACT) Matrix for Japanese-speaking mothers living the United States. A nonconcurrent multiple baseline single-subject design across four mothers was used to assess the effect of ACT Matrix on value-driven behaviors, parental engagement (session attendance and daily assignment completion), parental distress, and psychological flexibility. The study consisted of a baseline, treatment (three ACT Matrix treatment sessions adapted from the six-step protocol), maintenance, and follow-up phases. A visual analysis reporting level, trend, variability, immediacy of change and overlap was used to identify a functional relation between the treatment and observable overt behaviors of value-driven behaviors and daily assignment completion. In addition, a non-overlap of all pairs was used to measure effect sizes for these behaviors. For psychological flexibility and parental distress, we used the reliable change index to assess whether clinically significant improvement occurred or not. The results revealed that the online ACT Matrix parent training program was effective in improving all four dependent variables. Mothers reported that the training was culturally sensitive, effective, and acceptable. The details of findings and the implications for future research as preventive science are discussed.



中文翻译:

在线 ACT Matrix 家长培训,面向在美国遭遇困境的说日语的母亲

文化耻辱、羞耻感、自我隐瞒以及语言和社会经济障碍常常使亚裔移民的父母和孩子远离美国的心理和行为服务。研究表明,父母痛苦程度的增加表明对养育方式产生负面影响,并与虐待儿童有关。因此,本研究旨在测试一种功能性情境策略来解决此类问题。当前的研究评估了在线接受和承诺培训 (ACT) 矩阵对居住在美国的说日语的母亲的影响。使用跨四名母亲的非同时多基线单一主题设计来评估 ACT 矩阵对价值驱动行为、父母参与(会议出勤和每日作业完成)、父母痛苦和心理灵活性的影响。该研究包括基线、治疗(根据六步方案改编的三个 ACT 矩阵治疗疗程)、维持和后续阶段。可视化分析报告水平、趋势、可变性、变化的即时性和重叠被用于确定治疗和可观察到的价值驱动行为的明显行为与日常任务完成之间的功能关系。此外,所有对的非重叠用于测量这些行为的影响大小。对于心理灵活性和父母痛苦,我们使用可靠的变化指数来评估是否发生了临床上显着的改善。结果表明,在线 ACT 矩阵家长培训计划可有效改善所有四个因变量。母亲们报告说培训具有文化敏感性、有效、并且可以接受。讨论了调查结果的细节和对未来研究作为预防科学的影响。

更新日期:2022-11-04
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