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A Randomized Controlled Trial of Telehealth Mindful Parenting Training on Executive Function in Autistic Children and Their Parents
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- 자료유형학위논문
- 저자명Vanessa Zhou
- 학회/출판사/기관명Seattle Pacific University
- 출판년도2023
- 언어영어
- 학술지명/학위논문주기Doctor of Philosophy
- 발행사항
- ISBN/ISSN
- 소개/요약This randomized controlled trial study explored the effect of telehealth mindful parenting group intervention on executive function in autistic children and their parents. Participants included 83 caregivers (29-54 years) of autistic children (5-18 years) in the United States who were randomized into either the immediate (n = 40) or waitlist-control group (n = 43). Of the participants randomized, 55 caregivers (immediate = 33; waitlist = 22) followed the protocol and were included in the primary analysis. Caregivers in the sample (mean age of 42.97 years) were mostly white (73%), married (76%), female (80%), biological mothers (67%), from Washington state (62%), and in opposite-sex relationships (62%). Children in the sample were predominantly white (71%) males (73%) with a mean age of 10.18 years. Wilcoxon rank sum test were conducted to compare executive function and mental health outcomes between immediate and waitlist-control groups. Wilcoxon signed rank tests were conducted on pairwise comparisons between baseline and post-treatment as well as baseline and follow-up parent and child executive function scores. Results showed that the immediate group demonstrated higher parent-reported child executive function change scores (W = 2178, p < .001, d = .46) but no group differences in self-reported parent executive function change scores (W = 1628, p = .375, d = 0.06) at post treatment. Secondary analyses showed that parent and child executive function improved at post treatment and 2-month follow up, compared to baseline, across the pooled sample. Further, parents in the immediate treatment group showed greater improvement in emotion regulation, mindful parenting, general mindfulness, compassion, self-compassion and also greater decrease in depression, anxiety, parenting stress, and general stress compared to the waitlist group at post treatment. No group difference on overall life satisfaction was found. This was the first investigation to explore the impact of telehealth mindful parenting group training on executive function in autistic children and their parents. It offers evidence for the benefits of mindful parenting intervention delivered virtually for parents of children with autism on child executive function and parental psychological health. Future research should focus on exploring the underlying mechanisms by which mindful parenting training influences child executive function.
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