Supporting parents of children with chronic conditions : a randomized controlled trial of web-based and self-help ACT interventions
Lappalainen, P., Pakkala, I., Strömmer, J., Sairanen, E., Kaipainen, K., & Lappalainen, R. (2021). Supporting parents of children with chronic conditions : a randomized controlled trial of web-based and self-help ACT interventions. Internet Interventions, 24, Article 100382. https://doi.org/10.1016/j.invent.2021.100382
Published inInternet Interventions
© 2021 The Authors. Published by Elsevier B.V.
Objective Many parents of children with chronic conditions and developmental disabilities experience high rates of burnout and psychological distress. The aim of the current study was to examine the effects of two differently delivered interventions based on acceptance and commitment therapy (ACT) on symptoms of burnout, depression, quality of life, psychological flexibility, and mindfulness skills. Method A total of 110 parents of children aged 0.8 to 17 years with chronic conditions and developmental disabilities participated in a randomized controlled trial lasting 13 weeks with two intervention groups: (1) an iACT intervention, including three psychologist-led video conferencing sessions, and (2) a self-help ACT, which received self-help material: an ACT-based booklet with the possibility of using ACT-based online exercises. Results For the main outcome measure burnout, a similar decrease was found in both groups. The supported iACT intervention produced significantly larger improvements in depressive symptoms (d = 0.49), psychological flexibility (d = 0.64), and mindfulness (d = 0.55) compared to the self-help ACT intervention. For health-related quality of life, only the dimension of role limitations caused by emotional problems showed a significant difference in favor of the supported iACT (d = 0.58). Conclusions The results suggest that the iACT intervention including three video conferencing sessions with a psychologist produced broader improvements in parents' psychological well-being than the self-help ACT. Overall, Internet-delivered interventions and video conferencing technology may offer a feasible alternative to psychological support and self-care for parents of children with chronic conditions. Further research is needed to investigate the long-term effects of the current delivery models. ...
Publication in research information system
MetadataShow full item record
Related funder(s)Social Insurance Institution of Finland
Additional information about fundingFunding for this project was provided by the Social Insurance Institution of Finland (Kela), grant number 18/26/2018.
Showing items with similar title or keywords.
Cognitive behavioural therapy and mindfulness for stress and burnout : a waiting list controlled pilot study comparing treatments for parents of children with chronic conditions Anclair, Malin; Lappalainen, Raimo; Muotka, Joona; Hiltunen, Arto J. (Wiley-Blackwell Publishing Ltd.; Nordic College of Caring Science, 2018)Background Parents of children with chronic conditions often experience a crisis with serious mental health problems for themselves as a consequence. The healthcare focus is on the children; however, the parents often ...
Puolakanaho, Anne; Tolvanen, Asko; Kinnunen, Sanna M.; Lappalainen, Raimo (Elsevier BV, 2020)A novel eight-week program based on Acceptance and Commitment Therapy (ACT) principles was created to alleviate burnout-related ill-being and to enhance well-being. This randomized controlled trial investigated the ...
Sairanen, Essi; Lappalainen, Raimo; Lappalainen, Päivi; Hiltunen, Arto (Springer, 2022)The present study examined if an Acceptance and Commitment Therapy (ACT)–based online intervention for parents had indirect effects on their children’s quality of life mediated by changes in parental well-being, psychological ...
Effectiveness of a web-based acceptance and commitment therapy program for adolescent career preparation : A randomized controlled trial Kiuru, Noona; Puolakanaho, Anne; Lappalainen, Päivi; Keinonen, Katariina; Mauno, Saija; Muotka, Joona; Lappalainen, Raimo (Elsevier, 2021)Acceptance and commitment therapy (ACT) programs have rarely been used as tools for promoting adolescents' career preparation. This randomized controlled trial examined the possibility to promote the career preparation of ...
Kettunen, Anu; Tarkiainen, Juha (2015)The purpose of this study was to examine how a mindfulness- acceptance- and value-based intervention influences multidimensional well-being, and to find out if depression mediates or moderates that effect. 216 participants ...