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CBCT for Parents of Children With Autism

29 janvier 2020 mis à jour par: Samuel Fernandez-Carriba, Emory University

Cognitively Based Compassion Training for Parents of Children With Autism Spectrum Disorders

The purpose of this study is to determine if caregivers of children with a developmental delay experience a decrease in stress by participating in a meditation/cognitive training protocol.

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

A pilot-test, eight week, Cognitive Based Compassion Training (CBCT) program for caregivers of children with developmental delays that is comprised of eight two-hour weekly long sessions with a certified instructor followed by a twenty minute long meditation session. Sessions will focus on developing attention and stability of mind through focused attention training; cultivating insight into the nature of mental experience; cultivating self-compassion; developing equanimity; developing appreciation and gratitude; developing affection and empathy; realizing aspirational compassion; and realizing active compassion.

Type d'étude

Interventionnel

Inscription (Réel)

29

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • États-Unis
    • Georgia
      • Atlanta, Georgia, États-Unis, 30322
        • Children's Healthcare of Atlanta
      • Atlanta, Georgia, États-Unis, 30322
        • Emory University

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant
  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Caregiver of child(ren) with developmental delay (including parents, grandparents, other extended family, family friends, and providers)
  • Spend significant amount of time (more than 10 hours/week) with children with special needs.

Exclusion Criteria:

  • Started to use any psychotropic medication within one year.
  • Had any changes in any psychotropic medication doses taken within one year.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Soins de soutien
  • Répartition: N / A
  • Modèle interventionnel: Affectation à un seul groupe
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Caregiver of Child With Autism Spectrum Disorder
Caregivers attending eight weekly sessions of Cognitive Based Compassion Training Sessions and Meditation.
Comportemental: Cognitive Based Compassion Training Session: Developing Attention and Stability of Mind
Completed at Week 1. Initial meditation exercises will be described and practiced to train attention skills (on breath) and create mental stability.
Comportemental: Cognitive Based Compassion Training Session: Cultivating Insight into the Nature of Mental Experience
Completed at Week 2. Exercises to develop mindfulness will continue in order to promote mental stability and clarity.
Comportemental: Cognitive Based Compassion Training Session: Self-compassion
Completed at Week 3: Techniques to analyze mental processes are introduced.
Comportemental: Cognitive Based Compassion Training Session: Cultivating Equanimity
Completed at Week 4. Further analysis of mental processes.
Comportemental: Cognitive Based Compassion Training Session: Developing Appreciation and Gratitude for Others
Completed at Week 5. A reflection of all the things that bring us well-being are provided by or dependent upon other beings is encouraged.
Comportemental: Cognitive Based Compassion Training Session: Developing Affection and Empathy
Completed at Week 6. The following concepts are presented and carefully considered: (1) cooperation and solidarity is essential for our survival and flourishing, as we are all extremely vulnerable and need each other; (2) hate and selfishness only cause suffering to others and ourselves and can only be prevented by cultivating sincere affection for others.
Comportemental: Cognitive Based Compassion Training Session: Realizing Wishing and Aspiring Compassion
Completed at Week 7. Participants are invited to deepen their reflection on the reasons for gratitude, empathy, and affection for others, and see how they lead to feelings of compassion, or the wish for others to be free from suffering.
Comportemental: Cognitive Based Compassion Training Session: Realizing Active Compassion
Completed at Week 8. The strategies used until this point will be reviewed in order to move from the wish for others to be free of suffering, toward the sense that we want to and must take steps to relieve their suffering.
Comportemental: Meditation Session
20 minute session completed weekly after the Cognitive Training Session

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change in Aberrant Behavior Checklist (ABC) Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
Designed to assess behavior problems in children with developmental difficulties and it consists of 58 items grouped in five subscales (irritability, social withdrawal, stereotypic behaviors, hyperactivity, and inappropriate behavior). The irritability subscale comprises of 15 statements that have been used as an index of Autism Spectrum Disorder-specific disability.
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Change in Parenting Stress Index/Short Form (PSI/SF) Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
A 36-item measure designed to evaluate the magnitude of stress in caregiver-child relationships. All items have a 5-point response scale (roughly, Strongly Agree, Agree, Not Sure, Disagree, Strongly Disagree) and yield a Total Stress score from three scales: Parental Distress, Parent-Child Dysfunctional Interaction, and Difficult Child.
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
Change in Perceived Stress Scale (PSS) Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
An instrument to measure non-specific appraised stress which correlates with biological markers like cortisol, immune markers, and depression. It consists of 14 items rated on a 5 point scale (from never to very often) that refer to feelings and thoughts over the past month.
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
Change in Acceptance and Action Questionnaire (AAQ) Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
A list of 10 statements rated from 1 (never true) to 7 (always true) measures psychological acceptance or assent to the reality of a situation (e.g., "it's okay if I remember something unpleasant").
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
Change in Interpersonal Reactivity Index (IRI) Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
A self-report questionnaire of 28 items answered on a 5-point scale ranging from "Does not describe me well" to "Describes me very well". It is considered a measure of empathy as a multidimensional construct that can be factored in four first-order factors, corresponding to the four subscales of the IRI: Perspective Taking, Fantasy (or tendency to transpose into the feelings and actions of fictitious characters in books and movies), Empathic Concern (interpersonal sympathy and concern), and Personal Distress (interpersonal distress).
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
Change in Mindful Attention Awareness Scale (MAAS) Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
A questionnaire to measure attentiveness and mindfulness as a trait and it includes 15 items with answers on a 6-point scale (from "almost always" to "almost never").
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
Change in Behavior Rating Inventory of Executive Function- Adult Version (BRIEF-A) Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
A self-report assessment of executive function behaviors for adults aged 18-90. It contains 86 items in two validity scales and eight clinical scales that form two indexes: a) Behavioral Regulation (four scales: inhibit, shift, emotional control, and self-monitor) and b) Metacognition (five scales: initiate, working memory, plan/organize, organization of materials, and monitor), as well as a Global Executive Composite score.
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
Change in Parenting Sense of Competence Scale Score
Délai: Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)
A 16 item questionnaire (on a 6 point scale ranging from strongly agree to strongly disagree), it includes a section on Satisfaction, with nine questions that examine the parents' anxiety, motivation and frustration, and an Efficacy scale, with 7 questions covering parents' sense of competence, capability levels, and problem-solving abilities in their parenting role.
Baseline, Completion of Treatment (up to eight weeks), Follow-Up (up to three months post-participation)

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Emory University

Les enquêteurs

  • Chercheur principal: Samuel Fernandez-Carriba, PhD, Emory University Assistant Professor

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 juin 2014

Achèvement primaire (Réel)

11 février 2016

Achèvement de l'étude (Réel)

11 février 2016

Dates d'inscription aux études

Première soumission

9 octobre 2015

Première soumission répondant aux critères de contrôle qualité

9 octobre 2015

Première publication (Estimation)

14 octobre 2015

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

31 janvier 2020

Dernière mise à jour soumise répondant aux critères de contrôle qualité

29 janvier 2020

Dernière vérification

1 janvier 2020

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • IRB00074454

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