Resiliency Intervention for Siblings of Children With Autism Spectrum Disorder: A Randomized Pilot Trial.
BACKGROUND /OBJECTIVES: Neurotypical siblings (NT siblings) of children with autism spectrum disorder (ASD) are at elevated risk for emotional distress and adjustment problems. Resiliency is the ability to cope and adapt with ongoing stressors. We conducted a randomized waitlist-controlled pilot tri...
| Publicado en: | Academic Pediatrics Vol. 23; no. 6; pp. 1187 - 1196 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Aug2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174993152&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174993152 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Aug2023 vid: 23 iid: 6 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 174993152 174993152 174993152 10.1016/j.acap.2022.11.011 174993152 ppf: 1187 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Resiliency Intervention for Siblings of Children With Autism Spectrum Disorder: A Randomized Pilot Trial. aug: au: Kuhlthau, Karen A. Traeger, Lara Luberto, Christina M. Perez, Giselle K. Goshe, Brett M. Fell, Lucy Iannuzzi, Dorothea Park, Elyse R. affil: Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Mass sug: subj: Autism Spectrum Disorder Therapy Internet-Based Intervention Methods Children with Disabilities Psychosocial Factors Siblings Psychosocial Factors Hardiness Evaluation Adaptation, Psychological Evaluation Psychological Distress Evaluation Treatment Outcomes Human Male Female Adolescence Randomized Controlled Trials Random Assignment Pilot Studies T-Tests Sociodemographic Factors Videoconferencing Coping Evaluation Scales Descriptive Statistics Adolescent: 13-18 years Male Female ab: BACKGROUND /OBJECTIVES: Neurotypical siblings (NT siblings) of children with autism spectrum disorder (ASD) are at elevated risk for emotional distress and adjustment problems. Resiliency is the ability to cope and adapt with ongoing stressors. We conducted a randomized waitlist-controlled pilot trial to examine the feasibility, acceptability, and preliminary efficacy of an adapted virtual mind-body resiliency group intervention for teen NT siblings of children with ASD. METHODS: We modified the Stress Management and Resiliency Training-Relaxation Response Resiliency Program for NT siblings of children with ASD (SibChat).We randomly assigned teens (aged 14-17) to immediate intervention (IG) versus waitlist control (WLC). The intervention included eight 60-minute weekly video conference group sessions. We assessed feasibility (enrollment, attendance, and retention) and acceptability (post treatment survey andweekly relaxation response practice).We explored group differences in pre-post change scores for 1) stress coping (Measure of Current Status-A) and 2) resiliency (Current Experiences Scale) using independent samples t tests and effect size calculations. RESULTS: We enrolled 83% of screened eligible teens. A total of 90% IG and 75% WLC participants attended at least 6/8 sessions. Among IG participants who completed the post treatment survey, 79% reported practicing relaxation response exercises at least "a few times a week". Comparing change in baseline to time 1, the IG showed better relative changes than the WLC group in stress coping (d = 0.60) and resiliency (d = 0.24). CONCLUSIONS: Our pilot trial showed promising feasibility, acceptability, and preliminary efficacy of SibChat on at least one of the 2 primary outcomes supporting further testing of the SibChat intervention. CLINICAL TRIAL REGISTRATION: US National Library of Medicine. Registration number: NCT04369417. https://clinical trials.gov/ct2/show/NCT04369417. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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