Randomized Clinical Trial Comparing Dialogical Family Guidance with Ordinary Clinical Treatment for Families with a Child with Neurodevelopmental Disorders
Autor: | Diana Cavonius-Rintahaka, Mervi Roos, Christopher Gillberg, Eva Billstedt, Anna Liisa Aho |
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Přispěvatelé: | Tampere University, Health Sciences, Lastenpsykiatria, HUS Children and Adolescents |
Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
YOUNG-CHILDREN
Effects PARENT EDUCATION STRESS DEFICIT HYPERACTIVITY DISORDER ATTENTION-DEFICIT/HYPERACTIVITY DISORDER 515 Psychology Family health MOTHERS Neurodevelopmental disorders 3112 Neurosciences AUTISM SPECTRUM DISORDERS 3124 Neurology and psychiatry Social support 3141 Health care science Family functioning 3123 Gynaecology and paediatrics Dialogical Family Guidance ADHD HEALTH Psychology (miscellaneous) 316 Nursing Social Sciences (miscellaneous) |
ISSN: | 0489-2992 |
Popis: | Objectives Previous studies have highlighted the need to offer targeted interventions to strengthen the wellbeing of family members in families with children with neurodevelopmental disorders (NDD). Interventions for this target group require research and development. The purpose of this study was to test a new family intervention: Dialogical Family Guidance (DFG). Methods Families of children with NDD were randomized into an intervention group that was delivered DFG and a comparison group provided with ordinary clinical treatment. The Family Functioning, Family Health and Social Support (FAFHES) and the DFG instrument were used to collect data at baseline and after 3 months. Repeated measure analysis of variance (ANOVA) was used as an analytical strategy. Results There was a significant within-subjects effect of time on family health and social support, indicating that family health and social support increased in both groups over time. There was also a significant between-subjects effect of group and interaction between time and group on social support, indicating that social support increased more in the intervention group than in the control group. Managing in daily life and the relationship between parents were associated with family functioning and family health. Conclusion DFG can strengthen parental experiences of social support. Managing in daily life, relationship between parents, practical guidance, psychoeducation, dialogue, and receiving positive feedback on parenting were strengthening factors during DFG. However, the results of this study must be considered as only preliminary, as they relate only to parental perceptions of the intervention effects. Trial registration ClinicalTrials.gov NCT04892992 (retrospectively registered). |
Databáze: | OpenAIRE |
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