Resourcefulness Intervention Efficacy for Parent Caregivers of Technology-Dependent Children: A Randomized Trial

Author:

Toly Valerie Boebel1ORCID,Zauszniewski Jaclene A.1ORCID,Yu Jiao2ORCID,Sattar Abdus3,Rusincovitch Bethany1ORCID,Musil Carol M.1ORCID

Affiliation:

1. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA

2. Institute for Social Research and Data Innovation, University of Minnesota, Minneapolis, MN, USA

3. Department of Population and Quantitative Health Science, School of Medicine, Case Western Reserve University, Cleveland, OH, USA

Abstract

Parent caregivers of children who require lifesaving technology (e.g., mechanical ventilation, feeding tubes) must maintain a high level of vigilance 24/7. A two-arm randomized controlled trial tested the efficacy of a resourcefulness intervention on parents’ mental/physical health and family functioning at four time points over six months. Participants ( n = 93) cared for their technology-dependent children <18 years at home. The intervention arm received teaching on social (help-seeking), personal (self-help) resourcefulness skills; access to the intervention video and skill application video-vignettes; four weeks of skills reinforcement using daily logs; four weekly phone contacts; and booster sessions at two- and four-month postenrollment. The attention control arm received phone contact at identical time points plus the current standard of care. Statistically significant improvement was noted; fewer depressive cognitions and improved physical health for the intervention participants than attention control participants over time after controlling for covariates. The findings support the resourcefulness intervention efficacy.

Funder

national institute of nursing research

Clinical and Translational Science Collaborative

national institutes of health

national center for advancing translational sciences

Clinical and Translational Science Award

Publisher

SAGE Publications

Subject

General Nursing

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