Feasibility Trial of Learning Through Play (LTP) in My Own Way Plus CBT A Parent-Based Intervention for Depressed Mothers With ID Children
To Investigate the Feasibility and Acceptability of an Innovative, Intervention 'LTP in My in my Own Way Plus' With Depressed Mothers of Children With Intellectual Disability (DS) .
Lead Sponsor: Pakistan Institute of Living and Learning
|Source||Pakistan Institute of Living and Learning|
Aim of the study is to evaluate the acceptability and feasibility of LTP in My Own Way Plus with depressed mothers of ID children.
Having a child with a chronic medical problem or an intellectual disability increases anxiety and depression in parents. There is some growing evidence that families of ID children are able to meet the challenges. The purpose of the present study is to adapt LTP in my own way plus to test its acceptability and determine if it improves mothers knowledge about their child development and reduce their level of distress.
The study has two phases: quantitative phase and qualitative phase. Quantitative phase: A single blind randomised controlled trial in school settings in Karachi Pakistan.
1. Help mothers cope better with their depression.
2. Teach mothers play activities that will stimulate their children's development and improve mother-child interaction.
Qualitative Phase: This will help to determine acceptability of the intervention and identify perceived mechanisms of change and any barriers and facilitators to LTP in my own Plus intervention. In-depth digitally recorded interviews and focus groups will be conducted with the parents and teachers to understand their beliefs, views, and feelings about caring for ID children.
|Start Date||March 15, 2019|
|Completion Date||December 2020|
|Primary Completion Date||December 2020|
Intervention Type: Behavioral
Intervention Name: LTP in My Own Way Plus
Description: LTP in My Own Way Plus is a 12-session integrated intervention-Learning through Play in My Own Way Plus Cognitive Behaviour Therapy (CBT). LTP in My Own Way is the extension of the parent education program called 'Learning Through Play' developed by Toronto Public Health (1993) revised by The Hincks-Dellcrest Centre (2000). LTP aims for the healthy growth of young children (birth to 6 years) using the stages of development incorporating Piaget's theory of cognitive development and Bowlby's theory of attachment. The objective of this program is to strengthen parent-child attachment by encouraging parental involvement and teaching parents how to use play activities to enhance their children's development. Second component of intervention is CBT adapted from Jeanne Miranda manual (Group CBT for Depression, group leaders guide book-2006) focusing on the three areas: thoughts and your mood, activities and your mood, people interaction and your mood.
Arm Group Label: Intervention
Inclusion Criteria: - Mothers of ID children aged 3 to 6 years, screened positive for depression - Ability to complete a baseline assessment - Ability to communicate in Urdu or English Exclusion Criteria: - Have a diagnosed serious medical or psychiatric condition - Mothers of children with other medical illness - Temporary residents unlikely to be available for follow-up
- Mothers of ID children aged 3 to 6 years, screened positive for depression
- Ability to complete a baseline assessment
- Ability to communicate in Urdu or English
- Have a diagnosed serious medical or psychiatric condition
- Mothers of children with other medical illness
- Temporary residents unlikely to be available for follow-up
Minimum Age: 18 Years
Maximum Age: 45 Years
Healthy Volunteers: Accepts Healthy Volunteers
Last Name: Ameer B Khoso, Mphil
Email: [email protected]
|Has Expanded Access||No|
|Number Of Arms||2|
Type: Active Comparator
Description: Participants in this arm will receive 12 sessions of LTP in My Own Way Plus interventions.
Label: Treatment as Usual
Type: No Intervention
Description: Participants in this arm will be getting their usual treatment
|Study Design Info||
Intervention Model: Parallel Assignment
Primary Purpose: Health Services Research
Masking: Single (Outcomes Assessor)
Masking Description: Researchers doing outcome assessments will be kept blind to treatment allocations