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Completed

NCT Number: NCT06629974

The Effects of an Empowerment Program for Parents of Children With Autism

This study aims to evaluate the effectiveness of an empowerment program that includes both parent training and motivational interviewing for parents of children with autism, supporting their competence in the care of their children.

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Key information

Conditions

Autism Autism Spectrum Disorder Autistic Disorder Behavior Behavioral Symptoms Caregiver Burden Child Development Disorders, Pervasive Empowerment Mental Disorders Motivational Interviewing Neurodevelopmental Disorders Parenting Social Behavior Stress, Psychological

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Manisa Celal Bayar University

Manisa, 45000, Turkey (Türkiye)

About this study

This study was conducted to evaluate the effectiveness of an empowerment program for parents of children with autism to support their competence in caring for their children. This randomized controlled study was conducted in Manisa city center/Turkey, in 2022. A total of 69 parents (intervention: 34, control: 35) were included in this unblinded, two-group randomized controlled interventional study. A parent empowerment program, including four parental training sessions and two motivational interview sessions, were applied to the parents in the intervention group. The Parental Self-Efficacy Scale, Zarit Care Burden Scale, Perceived Stress Scale, and Family Empowerment Scale were used to evaluate the effectiveness of the empowerment program.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Inclusion criteria were having a child diagnosed with ASD between the ages of 6 and 14, being literate, and volunteering to participate in the study.

Exclusion criteria

  • Having a child with a concomitant disability or disease (e.g., epilepsy, attention deficit, and hyperactivity disorder, other physical or mental disabilities), previous participation in an education program with similar content, or parents who did not participate in at least two-thirds of the empowerment training program or did not attend all motivational interview sessions were excluded from the study, and their data were not included in the analysis.

Treatment and study plan

Parental empowerment program

Behavioral

The empowerment program consisted of two parts: the empowerment training program for parents and motivational interviews.

The empowerment training program was prepared to enable parents to carry out the care process more effectively in areas where parents have difficulties caring for their children with autism. Within the scope of the empowerment training program, parents were trained on the importance of play and communication, problems and management in the field of nutrition, sleep problems and management, safety and protection from accidents, and problems and management in the field of self-care.

Ten days after the empowerment training program, two face-to-face motivational interviews were conducted with each participant in the intervention group. Each participant had a one-week break between the first and second motivational interviews. Each motivational interview session lasted approximately 25-30 minutes.

Primary outcomes

  1. The parental self-efficacy scale scores

    Time frame: Three months

    The scale was developed by Guimond et al. (2005) to measure the self-efficacy of parents of children with disabilities regarding parenting skills (Guimond et al., 2005). The Turkish adaptation of the scale was first made by Diken (2007) and then by Cavkaytar et al. (2014) (Cavkaytar et al., 2014; Diken, 2007). The Parental Self-Efficacy Scale is a seven-point Likert-type rating scale consisting of 17 items. The lowest and highest values that can be taken from the scale are 17 and 119. Higher scores indicate higher self-efficacy perceptions. The Cronbach Alpha internal consistency coefficient value of the scale was calculated as 0.95 (Cavkaytar et al., 2014). The Cronbach's Alpha internal consistency coefficient value of the scale in this study is 0.96.

  2. The zarit care burden scale scores

    Time frame: Three months

    The Zarit Care Burden Scale was developed by Zarit et al. in 1980 and adapted to Turkish by Inci and Erdem (2006). The scale is a 22-item, five-point Likert-type scale used to evaluate the stress experienced by caregivers of individuals in need of care. A minimum score of 0 and a maximum score of 88 can be obtained from the scale. The higher the score obtained from the scale, the higher the care burden felt. The Cronbach's Alpha internal consistency coefficient value of the scale was found to be 0.75 in the original study (Inci and Erdem, 2006; Zarit et al., 1980) and 0.89 in this study.

  3. The perceived stress scale scores

    Time frame: Three months

    The Perceived Stress Scale was developed by Cohen et al. (1983) and adapted into Turkish by Eskin et al. This 14-item, five-point Likert-type scale has two sub-dimensions: inadequate self-efficacy perception and stress/discomfort perception. Higher scores indicate higher levels of perceived stress. The Cronbach's alpha internal consistency coefficient for the entire scale was 0.90, with the sub-dimensions scoring 0.86 and 0.83, respectively (Cohen et al., 1983; Eskin et al., 2013). In this study, the Cronbach's alpha internal consistency coefficient was found to be 0.75 for the overall scale and 0.73 and 0.75 for the sub-dimensions, respectively.

  4. The family empowerment scale scores

    Time frame: Three months

    The Family Empowerment Scale, developed by Singh et al. (1995) and adapted into Turkish by Karakul et al. (2018), consists of 34 questions and three sub-dimensions, rated on a four-point Likert scale. Higher scores indicate stronger family empowerment. The Cronbach's alpha internal consistency coefficient for the entire scale was 0.89. The sub-dimensions had the following Cronbach's alpha values: 0.79 for the Family subdimension, 0.83 for the Service system subdimension, and 0.79 for the Community/Political sub-dimension (Karakul et al., 2018; Singh et al., 1995). In this study, Cronbach's alpha coefficient was 0.79 for the overall scale, 0,83 for the family dimension, 0,89 for the services sub-dimension and 0,85 the community/political sub-dimension.

Sponsors and collaborators

Lead sponsor

Manisa Celal Bayar University

Other

Registry information

Official study title

The Effects of an Empowerment Program for Parents of Children With Autism: A Randomised Controlled Trial

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Oct 8, 2024
Registry last updated
Oct 8, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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