Effectiveness of Positive Psychotherapy on Mental Wellbeing Among Caregivers of Cerebral Palsy Children

Cerebral Palsy Clinical Trial

Official title:

Effectiveness of Positive Psychotherapy on Mental Wellbeing, Sense of Coherence, Social Support and Difficulties Among Caregivers of Cerebral Palsy Children

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05613595
• Other study ID #: 60-FSS/PHDPSY/F18
• Status: Recruiting
• Phase: N/A
• Start date: November 11, 2021
• Est. completion date: August 31, 2023

Study information

• Verified date: November 2022
• Source: International Islamic University, Islamabad
• Contact: Saima Waqar, PhD
• Phone: 00923334771117
• Email: samiwaqar23[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Central idea of the proposed research proposal is first to translate adapt and validate the Caregiver Difficulties Scale & Positive Psychotherapy sessions based manual into Urdu language then secondly, assessment of burnout, burden, depression, mental wellbeing, sense of coherence and social support among caregivers of Cerebral palsy children and finally measuring the effectiveness of Positive Psychotherapy for treating mental health issues of caregivers of Cerebral Palsy children. This research proposal will provide an Urdu language based standardized positive psycho therapeutic based intervention to mental health practitioners for treating mental health issues of caregivers of cerebral palsy children in sociocultural context of Pakistan. In Pakistan earlier conducted researches mainly focused on assessment of mental health issues of caregivers of cerebral palsy children, however present research will not only assess the sample regarding their mental health issues, but in addition it will also contribute in provision of psychometrically sound Urdu language based positive Psychotherapy. Positive Psychotherapy focuses on positive emotions and personal strengths instead of ruminating over weaknesses.

Description:

Cerebral palsy (CP) is a congenital neurodevelopmental disorder, due to non-progressive disability it prolongs throughout ages. Mental health of the caregivers of CP children is affected due to prolong treatment of the child. Keeping in mind the long term multiple disability in cerebral palsy much focus in earlier researches were given to the rehabilitation of the child and less attention is given to address the mental health issues of caregivers of cerebral palsy children. The current study is based on identifying the mental health issues like depression, caregiver burden and burnout among caregivers of CP children and how sense of coherence and social support have impact on the mental wellbeing of caregivers of CP children. After measuring the level of mental health issues of care givers of cerebral palsy children, the present study also aimed at rehabilitation of the caregivers of cerebral palsy children with the help of positive psychotherapy in rehabilitation unit. The positive psychotherapy based interventions will be translated and adapted in Urdu language for the present study. According to the literature review no such positive psychotherapy based techniques used on caregivers of CP Children in Pakistan. Positive Psychotherapy is selected as an interventional therapy in the present study and for the first time it has been planned for this sample in Pakistan. Core focus of positive psychotherapy is to move away the client from negative aspect of life and focus them towards the positive aspects of life. If positive psychotherapy treatment is effective as compared to traditional treatment approach it will be cost effective and will reduce caregiver burden, depression and burnout.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 20
• Est. completion date: August 31, 2023
• Est. primary completion date: January 12, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 50 Years

Eligibility

Inclusion Criteria:

• Only those participants will be included who would have moderate to high score on caregiver burden, depression & burnout and lower score in wellbeing, social support & sense of coherence. Interventions will be given to the caregivers having moderate level of burnout & depression. Inclusion Criteria
• Caregiver will be someone who takes the primary responsibility for caregiving a child with CP.
• Only caregivers of Diagnosed CP child
• Caregivers having only 1 CP child in the family
• Educational status of the care giver will be matric and above.
• Age of CP child under 10 years Exclusion Criteria:• Caregivers with any severe diagnosed Psychiatric illness (psychosis & depressive Illness) will not be added in the present study.
• More than 1 CP child in the family
• Caregivers who are Uneducated will not be added in the present study.

Related Conditions & MeSH terms

• Caregiver Burden
• Cerebral Palsy
• Mental Health Issue

Intervention

Behavioral:
• Positive Psychotherapy
Positive Psychotherapy is an effective treatment for many mental disorders and depression is primary empirical target. Its primary goal is to build positive emotion, engagement, and meaning in life that will alleviate depression and other mental health disorders. Thus PPT may offer a new way to treat and prevent mental health issues. Interventions sessions included, Session Records Session One: Positive Introduction and Gratitude Journal Session Two: Character Strengths and Signature Strengths Session Three: Practical Wisdom , Session Four: A Better Version of Me , Session Five: Open and Closed Memories, Session Six: Forgiveness Session Seven: Maximizing versus Satisficing, Session Eight: Gratitude ,Session Nine: Hope and Optimism, Session Ten: Posttraumatic Growth, Session Eleven: Slowness and Savoring, Session Twelve: Positive Relationships, Session Thirteen: Positive Communication, Session Fourteen: Altruism , Session Fifteen: Meaning and Purpose
• Counseling Group
Caregivers in control group only regular counseling will be provided (psychoeducation). it will be based upon the insight of cerebral palsy and training based on Adaptive skill functioning of the CP child of the caregivers

Locations

Country	Name	City	State
Pakistan	National Institute of Rehabilitation Medicine	Islamabad

Sponsors (1)

Lead Sponsor	Collaborator
International Islamic University, Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Parental Burnout Assessment	a 23- item self-report questionnaire for assessment of Burn Out	baseline and 8th week
Primary	Change in Depression Anxiety Stress Scale	DASS is a self-report 21 items based questionnaire designed to measure depression, anxiety and stress	baseline and 8th week
Primary	Change in Caregiver Difficulties Scale	a self-administered questionnaire measure the caregiver burden	baseline and 8th week
Primary	Change in Sense of Coherence	Measured by the orientation of life scale, It contains 13 items	baseline and 8th week
Primary	Change in wellbeing Positive Psychotherapy Inventory	self-report inventory having 25 items.it assess level of mental wellbeing,	baseline and 8th week
Primary	Change Multidimensional Scale of Perceived Social Support	Social support is measured across three domains; friends, family and significant others. The responses reflect participant's perception of support from each of these three sources	baseline and 8th week