Investigating the Effects of Mindfulness-Based Self-Compassion Training Given to Parents of Children with Cerebral Palsy on Parents' Self-Efficacy, Caregiver Burden, and Emotion Regulation

The purpose of this observational study is to learn the effects of Mindfulness-Based Self-Compassion Training given to parents of children with Cerebral Palsy. The main question it aims to answer is:

-Is Mindfulness-Based Self-Compassion Training effective on parents' caregiver burden, self-efficacy, and emotion regulation? Parents who receive self-compassion training will answer survey questions before and after the training.

Study Overview

• Status: Active, not recruiting
• Conditions: It is Planned to Provide Self-compassion Training to Parents of Children with Cerebral Palsy
• Intervention / Treatment: Behavioral: Mindfulness based self-compassion training

• Study Type: Observational
• Enrollment (Estimated): 60

Contacts and Locations

Study Locations

• Turkey
  • Siirt, Turkey, 56100
    • Special Education and Rehabilitation Centers

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

The universe of the study consists of Special Education and Rehabilitation Centers in Siirt province. There are a total of 3000 patients registered in Special Education and Rehabilitation Centers. The number of children with cerebral palsy is 252. The parents of children who meet the inclusion criteria will be included in the sample of the study.

Description

Inclusion Criteria(For parents):

• Having a child diagnosed with cerebral palsy between the ages of 1-18,
• Being literate,
• Not having communication problems,
• Being between the ages of 18-65.

Inclusion Criteria(For childs):

• Having been diagnosed with Cerebral Palsy,
• Being registered in a special education and rehabilitation center.

Exclusion Criteria:

• Caring for other dependents (elderly, disabled, etc.),
• Having a mental illness (major depression, psychosis, etc.),
• Having communication problems,
• Not continuing education.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Self-compassion training will be given to the experimental group; Awareness-based self-compassion training will be provided to parents of children with cerebral palsy.	Behavioral: Mindfulness based self-compassion training; Self-compassion training is a program that aims to help individuals develop a kind, understanding and tolerant approach towards themselves. In this training, individuals learn to be more compassionate towards themselves and to share. This training can help manage negative emotional states such as stress, anxiety and stress and can lead to a healthier internal balance. When combined with mindfulness techniques, self-compassion training allows individuals to accept the moment and develop a more compassionate approach towards themselves. It is thought that this training will be applied to the experimental group to develop parents' feelings of self-compassion and positively affect the parameters of caregiver burden, self-efficacy and emotion regulation designed in the study.
The control group will not receive self-compassion training; A control group of parents of children with cerebral palsy who were not given mindfulness-based self-compassion training

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
A personal information form will be filled out regarding the descriptive information of the parents in the experimental and control groups. (Personal information form)	The diagnostic form to be used in collecting research data was created by the researcher in line with the relevant literature. The Personal Information Form includes questions to determine the socio-demographic status of the parents.	Day 1 and up to study completion, average 9 weeks".
A self-efficacy scale will be applied to determine the self-efficacy levels of parents. (Parent self-efficacy scale)	This scale, developed by Guimond et al. and adapted to Turkish by Diken, is an assessment tool for measuring mothers' and fathers' perceptions of self-efficacy in parenting. The scale consists of 17 items in total and is based on a seven-point Likert-type rating system. Parents respond to statements indicating their perceptions of self-efficacy by marking the appropriate option from the following: (1) "Strongly Disagree", (2) "Disagree", (3) "Partially Disagree", (4) "Undecided", (5) "Partially Agree", (6) "Agree", (7) "Strongly Agree". The lowest and highest scores that can be obtained from this scale are 17 and 119, respectively. As the score increases, the positive increase in parents' perceptions of self-efficacy becomes more apparent.	Day 1 and up to study completion, average 9 weeks
With this scale, the care burden of parents will be evaluated. (Zarit caregiver load scale)	The Zarit Caregiver Burden Scale was initially developed in 1980 to assess the difficulties faced by caregivers of patients with dementia. Later, the scale was also used to evaluate the challenges faced by caregivers of individuals with schizophrenia. The Turkish version of the scale was translated by Özlü and colleagues, and a validity and reliability study was conducted with the relatives of patients with schizophrenia. The Turkish version consists of 19 items and is structured around five sub-dimensions: psychological distress, disruption of personal life, irritability and restriction, social relationship deterioration, financial burden, and dependency. These sub-dimensions help to assess the various difficulties experienced by caregivers in more detail. The scale is rated on a Likert-type scale with responses ranging from "never," "rarely," "sometimes," "often," to "almost always," with scores ranging from 1 to 5. The Zarit Caregiver Burden Scale is very useful in determining th	Day 1 and up to study completion, average 9 weeks
In the study, the Cognitive Emotion Regulation Scale will be used to determine parents' emotion regulation. (Cognitive Emotion Regulation Scale)	This scale was developed to measure the emotion regulation skills of adults. A statistically significant relationship (r=-572) was obtained between the Cognitive Emotion Regulation Scale and the Negative Emotion Scale. Cronbach Alpha, item-total, item-remaining, item discrimination and test-retest methods were used within the scope of reliability studies. It was observed that the item-total correlation values of the scale varied between '.188' and '.468', and the item-remaining correlation values varied between '.104' and '.392'. As a result of the item discrimination analysis, it was concluded that each item had a high discrimination feature. The scale has nine sub-dimensions. These are: Self-blame; Acceptance; Focus on thought; Positive refocusing; Refocusing on plan; Positive reconsideration; Putting into perspective; Catastrophizing; Blaming others	Day 1 and up to study completion, average 9 weeks

Collaborators and Investigators

• Sponsor: Ataturk University
• Collaborators: Atatürk University Scientific Research Projects Coordination Unit
• Investigators: Principal Investigator: Suheyla Yurt, PhD Student, Siirt University; Study Director: Sibel ASİ KARAKAŞ, Professor, Atatürk University

Publications and helpful links

General Publications

• Prest KR, Borek AJ, Boylan AR. Play-based groups for children with cerebral palsy and their parents: A qualitative interview study about the impact on mothers' well-being. Child Care Health Dev. 2022 Jul;48(4):578-587. doi: 10.1111/cch.12962. Epub 2022 Feb 1.
• van der Kemp J, Ketelaar M, Rentinck ICM, Sommers-Spijkerman MPJ, Benders MJNL, Gorter JW. Exploring Parents' Experiences and Needs During Disclosure of a Cerebral Palsy Diagnosis of Their Young Child: A Scoping Review. Child Care Health Dev. 2024 Nov;50(6):e13327. doi: 10.1111/cch.13327.
• Schuling R, Huijbers MJ, van Ravesteijn H, Donders R, Cillessen L, Kuyken W, Speckens AEM. Recovery from recurrent depression: Randomized controlled trial of the efficacy of mindfulness-based compassionate living compared with treatment-as-usual on depressive symptoms and its consolidation at longer term follow-up. J Affect Disord. 2020 Aug 1;273:265-273. doi: 10.1016/j.jad.2020.03.182. Epub 2020 May 4.

Study record dates

Study Major Dates

• Study Start (Actual): December 15, 2024
• Primary Completion (Estimated): April 1, 2025
• Study Completion (Estimated): May 8, 2025

Study Registration Dates

• First Submitted: February 24, 2025
• First Submitted That Met QC Criteria: February 26, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: February 26, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: education; cerebral palsy; parent; emotional regulation; care burden; self compassion; mındfulness
• Additional Relevant MeSH Terms: Neurologic Manifestations; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Behavioral Symptoms; Brain Damage, Chronic; Stress, Psychological; Caregiver Burden; Cerebral Palsy; Paralysis
• Other Study ID Numbers: B.30.2.ATA.0.01.00/436

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No