Actively Recruiting
Effectiveness of Acceptance and Commitment Therapy Versus Active Controls in Improving Psychological Functions of Parents and Children With Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial
Led by The Hong Kong Polytechnic University · Updated on 2024-02-28
336
Participants Needed
1
Research Sites
156 weeks
Total Duration
On this page
Sponsors
T
The Hong Kong Polytechnic University
Lead Sponsor
T
The University of Hong Kong
Collaborating Sponsor
AI-Summary
What this Trial Is About
Systematic reviews revealed that Acceptance and Commitment Therapy (ACT) for parents had medium-to-large effect sizes in improving parental depression/anxiety (d \> 0.50), dysfunctional parenting styles (ds = 0.61-0.77), and small-to-large effect sizes in improving children's behavioral and emotional problems (ds = 0.25-0.84) in children/teenagers with various chronic diseases. A recent randomized controlled trial (RCT) showed that a web-based ACT program involving a coach providing semi-structured written feedback was significantly better than waitlist controls in improving the self-reported depression, anxiety, burnout, and psychological flexibility skills in parents of children/teenagers with chronic conditions (e.g., type 1 diabetes) up to 4 months post-treatment. The investigator's RCT also found that 4 weekly sessions of group-based ACT plus asthma education was significantly better than asthma education alone in improving parental psychological function (i.e., stress, anxiety, guilt, worries, sorrow, anger, and psychological flexibility), and participants' children's asthma symptoms at 6-month follow-up. The investigator's path analysis showed that ACT improved parental psychological flexibility, which mediated the decrease in parental distress and childhood asthma symptoms. These findings support that ACT for parents not only improves parental psychological flexibility and psychological controls, but also enhances social/emotional functioning of children/teenagers with different problems (e.g., chronic pain). Given the busy schedule of schoolchildren in Hong Kong and the promising results of ACT in improving the psychosocial well-being of both parents and teenagers, providing ACT to parents of teenagers with adolescent idiopathic scoliosis (AIS) may be a "killing two birds with one stone" solution to benefit both parents and teenagers. The current study will investigate this possibility.
CONDITIONS
Official Title
Effectiveness of Acceptance and Commitment Therapy Versus Active Controls in Improving Psychological Functions of Parents and Children With Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Parent or guardian aged between 25 and 60 years mainly responsible for caring for a child with adolescent idiopathic scoliosis
- Parent or guardian has at least mild anxiety (General Anxiety Disorder Scale > 5) or mild depressive symptoms (Patient Health Questionnaire > 5)
- Parent or guardian lives with a child aged between 10 and 17 years
- Child has an orthopedist's diagnosis of adolescent idiopathic scoliosis with major curve Cobb angle > 10º
- Child is managed conservatively or scheduled for surgery more than six months later
- Both parent and child reside in Hong Kong for at least another six months
- Both parent and child can read and understand Chinese
- Both parent and child can be contacted by phone or email and have internet access on their own devices
You will not qualify if you...
- Parent or child has psychological disorders or behavioral problems requiring regular psychological or psychiatric treatments
- Child has had surgeries unrelated to adolescent idiopathic scoliosis
- Child has other types of scoliosis or congenital diseases
AI-Screening
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Trial Site Locations
Total: 1 location
1
The Hong Kong Polytechnic University
Hong Kong, Hong Kong
Actively Recruiting
Research Team
A
Arnold Wong, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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