Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor | Faculty of Health and Social Sciences | en_US |
| dc.contributor.advisor | Mak, Yim Wah (SN) | en_US |
| dc.creator | Law, Tsui Yuk | - |
| dc.identifier.uri | https://theses.lib.polyu.edu.hk/handle/200/13547 | - |
| dc.language | English | en_US |
| dc.publisher | Hong Kong Polytechnic University | en_US |
| dc.rights | All rights reserved | en_US |
| dc.title | The effectiveness of mindfulness-based stress reduction (MBSR) programme for parents of children with ADHD : a pilot randomized controlled trial | en_US |
| dcterms.abstract | Background | en_US |
| dcterms.abstract | The mindfulness-based Stress Reduction (MBSR) programme is an evidence-based intervention supported by extensive research reporting its effectiveness in reducing stress, anxiety and depression and promoting well-being. However, it has not been evaluated among Chinese parents of children with Attention Deficit Hyperactivity Disorder (ADHD). This specific group of parents is considered to be the highest risk group for parental stress, especially in Chinese culture. Therefore, this study aims to evaluate the effectiveness of MBSR programme as an intervention in reducing parental stress and enhancing the quality of life among parents of ADHD children in a Chinese context. | en_US |
| dcterms.abstract | Objectives | en_US |
| dcterms.abstract | The aim of this study was to examine the effectiveness of an 8-week MBSR programme, consisting of 2.5-hour sessions and a full-day silent retreat, in reducing parental stress compared to the usual care group. The outcomes were measured immediately and one month after the intervention. In addition, it also explored the enhancement of quality of life, any changes in parenting style and children's behaviours (inattention, hyperactivity or impulsivity) and determine whether implementation of MBSR programme is feasible in the Chinese population. | en_US |
| dcterms.abstract | Methods and design | en_US |
| dcterms.abstract | This study was designed as a pilot randomised controlled trial with single-blind repeated measures. | en_US |
| dcterms.abstract | Participants | en_US |
| dcterms.abstract | Using convenience sampling, 36 parents of children with ADHD were recruited from the Parent Resource Centre of a Non-government Organization in Hong Kong between July to August 2022. Centre staff invited parents of children aged 3-12 diagnosed with ADHD who can communicate and understand Cantonese to participate. Parents who had physical or severe intellectual disabilities, mental disorders or received any form of psychological intervention or psychiatric services were excluded from this study. All eligible parents were randomized to either the intervention group (n=18) or the usual care group (control) (n=18). | en_US |
| dcterms.abstract | Interventions | en_US |
| dcterms.abstract | Parents assigned to the intervention group received the MBSR programme. It had eight weekly sessions of 2.5 hours each, plus a whole day retreat in small groups between session 6 and 7. The usual care group remained with usual support from the Centre, with interest activities such as cooking classes or calligraphy classes, but without any other form of intervention during this period. | en_US |
| dcterms.abstract | Outcome measures | en_US |
| dcterms.abstract | The primary outcome measures used the Self-perceived Stress Scale (PSS) and the Parenting Stress Scale (ParSS) to measure the stress level. Secondary outcome measures included the World Health Organization Quality of Life - BREF (WHOQOL-BREF), which measures the parents' quality of life, the Interpersonal Mindfulness in Parenting Scale (IM-P) to assess if there were improvement in parenting styles like adopting mindful parenting, and the Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviours Questionnaire (SWAN) to assess if there were any changes in children's behaviours after the intervention. Outcomes in both groups were assessed at baseline, immediately after the 8-week intervention and 1 month after the intervention. | en_US |
| dcterms.abstract | Results | en_US |
| dcterms.abstract | There were no statistically significant differences in demographic characteristics and in outcome measures between the two groups at the baseline using the independent t tests or Chi-square tests. Results of repeated measures ANOVA revealed significant difference in self-perceived stress reduction between groups (p < 0.001, ES = 0.192). The results showed that the mean score of the intervention group decreased from 29.44 before intervention to 25.50 (p < 0.001) immediately after intervention, and further dropped to 24.72 (p < 0.05) at one month after intervention. For the usual care group, the corresponding results at the two post-intervention time points compared with baseline were not significantly different, the mean scores of self-perceived stress at the three time points were 26.78, 27.61 and 27.06 respectively. In addition to parental stress, by using the ParSS, results showed that the score of the intervention group fell from 74.50 before intervention, to 68.94 (p < 0.001) immediately after intervention, and further decreased to 67.50 (p < 0.05) at one month after intervention. For the usual care group, the results showed no significant difference at these two time points. The average scores were 73.39, 73.78 and 73.89 respectively. These reports showed statistically significant improvements in stress reduction and parental stress reduction in the intervention group. | en_US |
| dcterms.abstract | For the secondary outcome, by using the IM-P scale, results showed that the p value among three time points was < 0.001, which presented statistical significance of the interaction effect (F = 51.26, p <0.001). It showed that there was significant enhancement in mindful parenting in the intervention group. | en_US |
| dcterms.abstract | Quality of life in psychological, social and environmental domains also significantly improved in the intervention group (p < 0.001, 0.05 and 0.001 respectively). However, there were no statistically significant changes in ADHD symptoms in children. Regarding the feasibility of the study, the centre staff invited 90 eligible members to participate in this study. 36 members were ultimately recruited. All 36 participants fully completed the MBSR programme and assessments. Most participants in the intervention group reported that the intervention helped reduce stress and they were willing to stay on this mindfulness-based programme in the future. All participants responded that they would recommend this type of programme to others friends. | en_US |
| dcterms.abstract | In relation to parental perception on changes in their children's behaviours, the result indicated that there was no statistically significant change before and after the intervention in total scores or in terms of inattention and hyperactivity in both groups. | en_US |
| dcterms.abstract | Conclusion | en_US |
| dcterms.abstract | The study has found that the MBSR programme was effective in reducing parental stress and enhancing the parents' quality of life. The results showed that parents adopted a more mindful-way in parenting. This pilot study achieved positive results, with all the participants in the intervention group benefiting from the MBSR programme, particularly with regard to stress reduction. The findings also suggest that MBSR is feasible and acceptable to the parents of children with ADHD in Chinese culture. | en_US |
| dcterms.extent | xvi, 195 pages : color illustrations | en_US |
| dcterms.isPartOf | PolyU Electronic Theses | en_US |
| dcterms.issued | 2024 | en_US |
| dcterms.educationalLevel | DHSc | en_US |
| dcterms.educationalLevel | All Doctorate | en_US |
| dcterms.accessRights | restricted access | en_US |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 7997.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 17.55 MB | Adobe PDF | View/Open |
Copyright Undertaking
As a bona fide Library user, I declare that:
- I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
- I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
- I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.
Please use this identifier to cite or link to this item:
https://theses.lib.polyu.edu.hk/handle/200/13547