Report from a multi-institutional randomized clinical trial examining computer-assisted problem-solving skills training for English- and Spanish-speaking mothers of children with newly diagnosed cancer
Martha A Askins, Olle Jane Z Sahler, Sandra A Sherman, Diane L Fairclough, Robert W Butler, Ernest R Katz, Michael J Dolgin, James W Varni, Robert B Noll, Sean Phipps, Martha A Askins, Olle Jane Z Sahler, Sandra A Sherman, Diane L Fairclough, Robert W Butler, Ernest R Katz, Michael J Dolgin, James W Varni, Robert B Noll, Sean Phipps
Abstract
Objectives: To evaluate the feasibility and efficacy of a handheld personal digital assistant (PDA)-based supplement for maternal Problem-Solving Skills Training (PSST) and to explore Spanish-speaking mothers' experiences with it.
Methods: Mothers (n = 197) of children with newly diagnosed cancer were randomized to traditional PSST or PSST + PDA 8-week programs. Participants completed the Social Problem-Solving Inventory-Revised, Beck Depression Inventory-II, Profile of Mood States, and Impact of Event Scale-Revised pre-, post-treatment, and 3 months after completion of the intervention. Mothers also rated optimism, logic, and confidence in the intervention and technology.
Results: Both groups demonstrated significant positive change over time on all psychosocial measures. No between-group differences emerged. Despite technological "glitches," mothers expressed moderately high optimism, appreciation for logic, and confidence in both interventions and rated the PDA-based program favorably. Technology appealed to all Spanish-speaking mothers, with younger mothers showing greater proficiency.
Conclusions: Well-designed, supported technology holds promise for enhancing psychological interventions.
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Source: PubMed