About this trial
The goal of the study is to evaluate the effectiveness of an online eight-week mindful parenting program for parents of adolescents with special needs and its impact on parents' wellbeing and behaviors of their adolescents with SEN(s).
Researchers will randomize the participants into the immediate intervention group (to start the intervention soon after recruitment) and the waitlist control group (to start the intervention after the immediate intervention group) so as to compare the changes between the two groups.
The participants will join the 8-week mindful parenting intervention and one follow-up session. They will be asked to fill in the questionnaires at baseline, after the 8-week intervention, and at the follow-up sessions. Training sessions will be audio-taped and transcripted. The conversation during the zoom classes and participants' sharing on their subjective experience related to mindfulness practices will be analysed.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
with one adolescent child with special educational need(s)
being the major caregiver for the adolescent for at least one year
Cantonese speaker
Disqualifiers
schizophrenia-spectrum disorder
bipolar disorder
substance abuse
developmental disabilities
Trial design
Parallel
Treatments tested in this trial
8-week mindful parenting program
BehavioralThe current study adopts the Mindful Parenting program developed by Prof Susan Bögels (Bögels \& Restifo, 2013), which is an application of mindfulness-based intervention which aims to improve parenting by reducing parents' own stress levels, decreasing parental automatic reactivity, increasing open and unbiased attitudes towards children, and decreasing inter-generational dysfunctional parenting (Bögels et al., 2014). The program consists of eight consecutive weeks of parent groups and one follow-up session two months after the last session. Each parent group will include 15-20 participants. The original Mindful Parenting Program will last for around 3 hours for each session, with the longest practice of 40 minutes. Considering parents recruited in the study may have a higher risk of psychiatric conditions than the general population, each session of mindful parenting group will be reduced to 2 to 2.5 hours with the longest mindfulness practice of 30 minutes (Baer et al., 2019).
Treatment groups
Trial outcomes
Primary outcomes
Parental Stress
Parental Stress Scale is an 18-item self-report measure in which parents respond to statements about their typical relationship with their child. For each statement, respondents rate their level of agreement on a 5-point Likert scale (1- strongly disagree, 2 - disagree, 3- undecided, 4 - agree, and 5 -strongly agree).Higher scores reflect more parental stress. The possible range of the PSS is 18 (low stress) to 90 (high stress).
Mindfulness in Parenting
The 31-item Chinese version of the Interpersonal Mindfulness in Parenting Scale (IM-P) will be used to evaluate parents' mindfulness on four aspects, including compassion for the child, nonjudgmental acceptance in parenting, emotional awareness, and listening with full attention. A total sum will be calculated to indicate mindfulness in parenting with a higher score implying better outcome (minimum value=31; maximum value=155).
Parents' Expressed Emotion
Family Questionnaire (FQ) is used to evaluate the parents' level of expressed emotion, including criticism and over-involvement. FQ is a 20-item parent self-rated questionnaire with four possible answers ranging from "never/very rarely" to "very often." A total score will be calculated with a higher score indicating a a higher level of expressed emotion (minimum value=20; maximum value=80).
Children's behaviors
The 25-item Chinese version of the Strength and Difficulties Questionnaire (SDQ) will be used to assess the externalising and internalising problems of adolescents. It comprises five subscales, ranging from emotional problems, conduct problems, hyperactivity, peer problems and prosocial behaviours in adolescents. Each item is rated on a Likert scale from 0 (not true) to 2 (certainly true). A total difficulties score will be calculated with a higher score implying more difficult behaviors by summing scores from all the items except the prosocial scale (minimum value=0; maximum value=40).
Secondary outcomes
General Mindfulness Awareness
To assess the general mindfulness awareness in parents, the short 15-item version of the Five Facet Mindfulness Questionnaire (FFMQ-15) will be used. A total sum will be calculated to indicate trait mindfulness with a higher score implying better outcome (minimum value=15; maximum value=75).
Decentering
Decentering is measured using the Experiences Questionnaire, an 11-item self-report scale that assesses the construct of decentering or disidentification with content of negative thinking. A total sum will be calculated to indicate level of decentering with a higher score implying better outcome (minimum value=5; maximum value=55).
Parenting Skills
Alabama Parenting Questionnaire-short version is a 9-item self-rated questionnaire used to measures three factors in parenting: positive parenting, inconsistent discipline and poor supervision. Items are scored from 1 (never) to 5 (always). A higher score in subscale of positive parenting (minimum value=3; maximum value=15) indicates a better outcome while a higher score in subscales of inconsistent discipline and poor supervision (minimum value=3; maximum value=15) indicate worse outcomes.
Other outcomes
Subjective experiences with mindful parenting
Training sessions will be audio-taped and transcripted. The conversation during the zoom classes and participants' sharing on their subjective experience related to mindfulness practices will be analysed.
Sponsors and contacts
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