آماده‌سازی و امکان‌سنجی مداخلۀ والدگری مبتنی بر تأمل برای مادران کودکان مبتلا به آسم

مقالات آماده انتشار

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روان‌شناسی بالینی، دانشکدۀ روان‌شناسی و علوم تربیتی، دانشگاه خوارزمی، تهران، ایران.

2 استاد، گروه روان‌شناسی بالینی، دانشکده روان‌شناسی و علوم تربیتی، دانشگاه خوارزمی، تهران، ایران.

3 مرکز تحقیقات ایمونولوژی آسم و آلرژی، دانشگاه علوم پزشکی تهران، تهران، ایران.

4 گروه روان‌شناسی بالینی، دانشکدۀ علوم تربیتی و روان‌شناسی، دانشگاه الزهرا، تهران، ایران.

چکیده

هدف پژوهش حاضر، انطباق‌یابی، بررسی روایی محتوا و امکان‌سنجی اجرای یک مداخلۀ روانی-آموزشی برای مادران کودکان مبتلا به آسم بود. از آنجا که این پژوهش تلاشی در جهت توسعۀ کاربرد مداخلات مبتنی بر ذهنی‌سازی بود، در مجموعۀ پژوهش‌های کاربردی طبقه‌بندی می‌شود. در مرحلۀ انطباق‌یابی، داده‌ها با استفاده از روش مروری جمع‌آوری شد. سپس روایی محتوای مداخله در قالب داده‌های کمی حاصل از ارزیابی پنل متخصصان مورد سنجش قرار گرفت. در اجرای مقدماتی این مطالعه نیز که در قالب طرحی تک‌آزمودنی اجرا شد، گروه نمونه در جلسات مداخلۀ روانی-آموزشی شرکت کردند و پیشرفت در اهداف آموزشی به‌صورت کمی سنجیده شد. در گام اول، محتوای مداخله با استفاده از ابزار سنجش شاخص روایی محتوا (CVI) مورد بررسی قرار گرفت. سپس با استفاده از ابزار سنجش پیامد مبتنی بر هدف (GBO) امکان عملی اجرای مداخله سنجیده شد. جامعۀ آماری شامل مادران کودکان مبتلا به آسم بود و نمونۀ پژوهش (شامل سه نفر از مادران) نیز در سال 1401 از میان مراجعه‌کنندگان به مرکز تحقیقات ایمونولوژی آسم و آلرژی (مرکز طبی کودکان دانشگاه علوم پزشکی تهران) به روش نمونه‌گیری دردسترس انتخاب شدند. براساس نتایج، مداخلۀ روانی-آموزشی مبتنی بر ذهنی‌سازی از روایی محتوای مناسبی برخوردار است. نتایج اجرای مقدماتی نیز فرضیۀ امکان‌سنجی اجرای این مداخله را تأیید کرد و نشان داد مداخلۀ مورد استفاده، مداخله‌ای مناسب در محیط روان‌شناسی سلامت است. اجرای این مداخله در سطحی وسیع‌تر و در قالب طرح‌های آزمایشی و استفاده از شاخص‌های سلامت به‌عنوان متغیر وابسته، پیشنهاد پژوهشگران برای پژوهش‌های آینده است.

کلیدواژه‌ها

عنوان مقاله [English]

Preparation and Feasibility Assessment of Reflective Parenting Intervention for Mothers of Asthmatic Children

نویسندگان [English]

  • Hadi Dadgar 1
  • Alireza Moradi 2
  • Mohammad Reza Fazlollahi 3
  • Mehdi Akbari 1
  • Mahtab Mollahosseini 4
1 Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran.
2 Professor, Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran.
3 Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
4 Department of Clinical Psychology, Faculty of Education and Psychology, Alzahra University, Tehran, Iran.
چکیده [English]

The current research aimed to adapt a psycho-educational intervention and assess its content validity and feasibility for mothers of asthmatic children. This research is classified as applied research, as it aims to create and implement interventions that are founded on mentalization. Data collection began during the adaptation phase of the intervention with an initial review, which was followed by an assessment of content validity through quantitative analysis based on expert panel evaluations. Three mothers of asthmatic children participated in psycho-educational sessions during the pilot phase, which employed a single-subject design. Quantitative metrics monitored progress toward educational objectives. The content of the intervention sessions was assessed by a panel of experts during the initial phase using content validity assessment. This assessment was conducted utilizing the Content Validity Index (CVI). Afterward, the Goal-Based Outcome measurement tool (GBO) was employed to assess the feasibility of implementing the intervention. Mothers of asthmatic infants comprised the statistical population. In 2022, the research sample was compiled by selecting three mothers from the referrals of the Immunology, Asthma and Allergy Research Institute, Children's Medical Center, Tehran University of Medical Science, using a convenience sampling technique. According to the results, mentalization-based psycho-educational intervention has a desirable content validity. The pilot implementation also confirmed the hypothesis of the feasibility of this intervention. The results indicate that mentalization-based psycho-educational intervention has the potential to be beneficial in the field of child health psychology. Researchers recommend that this intervention be implemented on a larger scale in future research, utilizing a wider range of health indices in experimental designs.

کلیدواژه‌ها [English]

  • Mentalization
  • Pediatric Psychology
  • Psycho-Educational Intervention

مراجع

دهقانی آرانی، ف. (1392). طراحی و آزمون اثربخشی یک مدل مداخلۀ دلبستگی محور بر بهبود شاخص‌های سلامت کودکان تحت مراقبت‌های پزشکی و مادران آنها. رسالۀ دکتری دانشکدۀ روان‌شناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران. https://noordoc.ir/thesis/55250
اگدن، جی. (1395). روان‌شناسی سلامت. محسن کچویی، تهران: نشر ارجمند.
حیدرنیا، م.، انتظاری، ع.، معین، م.، محرابی، ی.، و پورپاک، ز. (1386). شیوع علائم آسم در ایران بر اساس فراتحلیل مطالعات کشوری. پژوهش در پزشکی، 31(3)، 225-217. http://pejouhesh.sbmu.ac.ir/article-1-411-fa.html
فضل‌الهی ح.، نجمی، م.، معین، م.، کوشا، ا.، انصارین، خ.، نعمتی، ع.، موحدی، م.، مسجدی، م.، حیدرنژاد، ح.، پورانارکی، م.، فریدحسینی، ر.، و خانبابایی.، ق. (1394). راهنمای ملی آسم: دستورالعمل پیشگیری، تشخیص و درمان. تهران: مهر طوبی. لینک دسترسی
نادعلی، ح. (1394). طراحی و آزمون اثربخشی یک مدل مداخلۀ دلبستگی محور مادر-کودک بر افزایش ایمنی دلبستگی در کودکان: کاربست پتانسیل‌های وابسته به رویداد. رساله دکتری، دانشکدۀ روان‌شناسی و علوم تربیتی. دانشگاه تهران، تهران، ایران. https://ut.ac.ir/fa/thesis/37346/
References
Asen, E.; & Midgley, N. (2019). working with families. In A. Bateman & P. Fonagy (eds.) Handbook of mentalizing in mental health practice. (pp. 136-149). American Psychiatric Association Publishing: Washington, D.C., USA. Google Scholar
Banwell, E., Salhi, L., Hanley, T., & Facey‐Campbell, N. (2023). The use of goal‐based outcome measures in digital therapy with adults: What goals are set, and are they achieved? Counselling and Psychotherapy Research, 23(3), 770-780. https://doi.org/10.1002/capr.12584
Barakat, L. P., Kunin-Batson, A., & Kazak, A. E. (2003). Child health psychology. In A. M. Nezu, C. M. Nezu, & P. A. Geller (Eds.), Handbook of psychology: Health psychology, (Vol. 9, pp. 439–464). John Wiley & Sons, Inc. https://doi.org/10.1002/0471264385.wei0919
Bateman, A. W, & Fonagy, P. (2019). Borderline personality disorder. In A. W. Bateman, & P. Fonagy, (Eds.), Handbook of mentalizing in mental health practice, (pp. 273-288). American Psychiatric Association Publishing: Washington DC, USA. https://www.appi.org/Handbook_of_Mentalizing_in_Mental_Health_Practice_Second_Edition 
Bateman, A. W., & Fonagy, P. (2012). Handbook of mentalizing in mental health practice. American Psychiatric Publishing, Inc. https://psycnet.apa.org/record/2011-19854-000
Bleiberg, E., & Safier, E. (2019). Couples therapy. In A. Bateman & P. Fonagy (eds.) Handbook of mentalizing in mental health practice. (pp. 151-168). American Psychiatric Association Publishing: Washington, D.C., USA. Google Scholar
Burgess, S. W., Sly, P. D., Morawska, A., & Devadason, S. G. (2008). Assessing adherence and factors associated with adherence in young children with asthma. Respirology, 13(4), 559-563. https://doi.org/10.1111/j.1440-1843.2008.01292.x
Costa-Cordella, S., Luyten, P., Cohen, D., Mena, F., & Fonagy, P. (2021). Mentalizing in mothers and children with type 1 diabetes. Development and Psychopathology, 33(1), 216–225. https://doi.org/10.1017/S0954579419001706
Dehghani Arani, F. (2013). Development and assessment of the effectiveness of an attachment-based intervention model on health indices of inpatient children and their mothers, Faculty of Psychology and Educational Sciences, PhD dissertation in Psychology, University of Tehran (In Persian)
Ensink, K., Bégin, M., Normandin, L., & Fonagy, P. (2017). Parental reflective functioning as a moderator of child internalizing difficulties in the context of child sexual abuse. Psychiatry Research, 257, 361-366. https://doi.org/10.1016/j.psychres.2017.07.051
Escoffery, C., Lebow-Skelley, E., Haardoerfer, R., Boing, E., Udelson, H., Wood, R., Hartman, M., Fernandez, M., & Mullen, P. (2018). A systematic review of adaptations of evidence-based public health interventions globally. Implementation Science, 13, 125. https://doi.org/10.1186/s13012-018-0815-9
Escoffery, C., Lebow-Skelley, E., Udelson, H., Böing, E. A., Wood, R., Fernandez, M. E., & Mullen, P. D. (2019). A scoping study of frameworks for adapting public health evidence-based interventions. Translational Behavioral Medicine, 9(1), 1-10. https://doi.org/10.1093/tbm/ibx067
Fazlollahi, H., Najmi, M., Moin, M., Kosha, A., Ansareen, K., Nemati, A., Mohadi, M., …& Khanbabaei, Q. (2014). National asthma guidelines: Guidelines for prevention, diagnosis, and treatment. Tehran: Mehr Toubi. Link (In Persain)
Fonagy, P., & Bateman, A. W. (2005). Attachment theory and mentalization-oriented model of borderline personality disorder. In J. M. Oldham, A. E. Skodol, & D. S. Bender (Eds.), The American Psychiatric Publishing textbook of personality disorders (pp. 187–207). American Psychiatric Publishing, Inc. https://psycnet.apa.org/record/2005-05013-012
Fonagy, P., Cottrell, D., Phillips, J., Bevington, D., Glaser, D., & Allison, E. (2014). What works for whom? A critical review of treatments for children and adolescents (2nd ed.). The Guilford Press. Google Scholar
Fonagy, P., & Luyten, P. (2018). Attachment, mentalizing, and the self. In W. J. Livesley & R. Larstone (Eds.), Handbook of personality disorders: Theory, research, and treatment (2nd ed., pp. 123–140). The Guilford Press. https://psycnet.apa.org/record/2018-00745-007
Fonagy, P. (2018). Attachment theory and psychoanalysis. Routledge. https://doi.org/10.4324/9780429472060
Gottdiener, W. H., & Suh, J. J. (2015). Substance use disorders. In P. Luyten, L. C. Mayes, P. Fonagy, M. Target, & S. J. Blatt (Eds.), Handbook of psychodynamic approaches to psychopathology (pp. 216–233). The Guilford Press. https://psycnet.apa.org/record/2022-86108-009
Håkansson, U., Söderström, K., Watten, R., Skårderud, F., & Øie, M. G. (2018). Parental reflective functioning and executive functioning in mothers with substance use disorder. Attachment & Human Development, 20(2), 181-207. https://doi.org/10.1080/14616734.2017.1398764
Heidarnia, M. A, Entezari, A., Moein, M., Mehrabi, Y., & Pourpak, Z. (2007). Prevalence of asthma symptom in Iran: A meta-analysis. Research in Medicine, 31(3), 217-225. http://pejouhesh.sbmu.ac.ir/article-1-411-en.html (In Persian)
Jacob, J., Costa da Silva, L., Sefi, A., & Edbrooke-Childs, J. (2021). Online counselling and goal achievement: Exploring meaningful change and the types of goals progressed by young people. Counselling and Psychotherapy Research, 21(3), 502-513. https://doi.org/10.1002/capr.12363 
Juffer, F. E., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2008). Promoting positive parenting: An attachment-based intervention. Taylor & Francis Group/Lawrence Erlbaum Associates. Google Scholar
Kassam-Adams, N., Marsac, M. L., Kohser, K. L., Kenardy, J. A., March, S., & Winston, F. K. (2015). A new method for assessing content validity in model-based creation and iteration of eHealth interventions. Journal of Medical Internet Research, 17(4), e95. https://doi.org/10.2196/jmir.3811
Law, D., & Jacob, J. (2015). Goals and goals based outcomes (GBOs): Some useful information (Third Edition). London: CAMHS Press. https://www.corc.uk.net/media/1219/goalsandgbos-thirdedition.pdf
Law, D. (2019). The Goal-Based Outcome (GBO) Tool Guidance Notes. Retrieve from: ResearchGate
Law, E., Fisher, E., Eccleston, C., & Palermo, T. M. (2019). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 3(3), CD009660. https://doi.org/10.1002/14651858.CD009660.pub4
Luyten, P., Fonagy, P., Lemma, A., & Target, M. (2019). Depression. In A. W. Bateman & P. Fonagy (Eds.), Handbook of mentalizing in mental health practice (pp. 387–402). American Psychiatric Association.
Malberg, N. T. (2013). Mentalization based group interventions with chronically ill adolescents: An example of assimilative psychodynamic integration? Journal of Psychotherapy Integration, 23(1), 5-13. https://doi.org/10.1037/a0030268
Malberg, N. T. (2012). Thinking and feeling in the context of chronic illness: A mentalization-based group intervention with adolescents. In N. Midgley, & I. Vrouva, (Eds.), Minding the child: Mentalization-based interventions with children, young people and their families (pp. 147–162). London: Routledge. https://doi.org/10.4324/9780203123003
Malda Castillo, J., Browne, C., & Perez-Algorta, G. (2020). Examining the association between mentalizing and parental mental health in a sample of caregivers of children with asthma. Couple and Family Psychology: Research and Practice, 9(1), 33–44. http://dx.doi.org/10.1037/cfp0000132 
Marks, D. F., Murray, M., Evans, B., Willig, C., Sykes, C. M., & Woodall, C. (2018). Health psychology: Theory, research and practice (6nd Edition). London: SAGE Publications Ltd
McQuaid, E. L., Kopel, S. J., & Nassau, J. H. (2001). Behavioral adjustment in children with asthma: A meta-analysis. Journal of Developmental & Behavioral Pediatrics, 22(6), 430-439. https://doi.org/10.1097/00004703-200112000-00011
McQuaid, E. L., & Walders, N. (2003). Pediatric asthma. In M. C. Roberts (Ed.), Handbook of pediatric psychology (3rd ed., pp. 269–285). New York: Guildford Press
Midgley, N., Cirasola, A., Austerberry, C., Ranzato, E., West, G., Martin, P., Redfern, S., Cotmore, R., & Park, T. (2019a). Supporting foster carers to meet the needs of looked after children: A feasibility and pilot evaluation of the Reflective Fostering Programme. Developmental Child Welfare, 1(1), 41-60. https://doi.org/10.1177/2516103218817550
Midgley, N., Ensink, K., Lindqvist, K., Malberg, N., & Muller, N. (2017). Mentalization-based treatment for children: A time-limited approach. American Psychological Association. https://doi.org/10.1037/0000028-000
Midgley, N., Muller, N., Malberg, N., Lindqvist, K., & Ensink, K. (2019b). Children. In A. Bateman & p. Fonagy (eds.) Handbook of mentalizing in mental health practice (pp. 247-264). Washington, DC., USA: American Psychiatric Association Publishing. https://www.appi.org/Handbook_of_Mentalizing_in_Mental_Health_Practice_Second_Edition
Midgley, N., Sprecher, E. A., Cirasola, A., Redfern, S., Pursch, B., Smith, C., Douglas, S., & Martin, P. (2021). The reflective fostering programme: Evaluating the intervention co-delivered by social work professionals and foster carers. Journal of Children's Services, 16(2), 159–174. https://doi.org/10.1108/JCS-11-2020-0074
Morawska, A., Calam, R., & Fraser, J. (2015). Parenting interventions for childhood chronic illness: A review and recommendations for intervention design and delivery. Journal of Child Health Care, 19(1), 5-17. https://doi.org/10.1177/1367493513496664
Murray, M. (2014). Critical health psychology (2nd ed.). UK: Palgrave MacMillan. Google Scholar
Nadali, H. (2014). Development and assessment of the effectiveness of an attachment-based mother-child intervention model in increasing attachment security in children: An event-related potentials (Erp) study. PhD dissertation, Faculty of Psychology and Education. University of Tehran (In Persian).
Ogden, J. (2012). Health psychology, (5th ed). translated by Kachoue, M. (2016). Tehran: Arjmand Press (In Persian).
Ordway, M. R., Sadler, L. S., Dixon, J., Close, N., Mayes, L., & Slade, A. (2014). Lasting effects of an interdisciplinary home visiting program on child behavior: Preliminary follow-up results of a randomized trial. Journal of Pediatric Nursing, 29(1), 3-13. https://doi.org/10.1016/j.pedn.2013.04.006
Ordway, M. R., Webb, D., Sadler, L. S., & Slade, A. (2015). Parental reflective functioning: An approach to enhancing parent-child relationships in pediatric primary care. Journal of Pediatric Health Care, 29(4), 325-334. https://doi.org/10.1016/j.pedhc.2014.12.002
Ordway, M. R., Sadler, L. S., Holland, M. L., Slade, A., Close, N., & Mayes, L. C. (2018). A home visiting parenting program and child obesity: A randomized trial. Pediatrics, 141(2), e20171076. https://doi.org/10.1542/peds.2017-1076
Pajulo, M., Pyykkönen, N., Kalland, M., Sinkkonen, J., Helenius, H., Punamäki, R. L., & Suchman, N. (2012). Substance‐abusing mothers in residential treatment with their babies: Importance of pre‐and postnatal maternal reflective functioning. Infant Mental Health Journal, 33(1), 70-81. https://doi.org/10.1002/imhj.20342
Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459-467. https://doi.org/10.1002/nur.20199 
Redfern, S. (2019). Parenting and foster care. In A. Bateman, & P. Fonagy (Eds.). Handbook of mentalizing in mental health practice (Second edition, pp. 265-279). Washington DC: American Psychiatric Association. https://doi.org/10.1176/appi.books.9781615379019.lg16
Redfern, S., Cooper, A., & Cooper, A. (2015). Reflective Parenting: A Guide to Understanding What's Going on in Your Child's Mind (1st ed.). Routledge. https://doi.org/10.4324/9781315764108
Redfern, S., Wood, S., Lassri, D., Cirasola, A., West, G., Austerberry, C., Luyten, P., Fonagy, P., & Midgley, N. (2018). The reflective fostering programme: Background and development of a new approach. Adoption & Fostering, 42(3), 234-248. https://doi.org/10.1177/0308575918790434
Robinson, P., Skårderud, F., & Sommerfeldt, B. (2018). Hunger: Mentalization-based treatments for eating disorders. Springer. https://link.springer.com/book/10.1007/978-3-319-95121-8
Sadler, L. S., Slade, A., Close, N., Webb, D. L., Simpson, T., Fennie, K., & Mayes, L. C. (2013). Minding the baby: Enhancing reflectiveness to improve early health and relationship outcomes in an interdisciplinary home‐visiting program. Infant Mental Health Journal, 34(5), 391-405. https://doi.org/10.1002/imhj.21406
World Health Organization (2018). International classification of diseases for mortality and morbidity statistics (11th Revision). https://icd.who.int/browse/2025-01/mms/en
Wright, R. J., Cohen, R. T., & Cohen, S. (2005). The impact of stress on the development and expression of atopy. Current Opinion in Allergy and Clinical Immunology, 5(1), 23-29. https://doi.org/10.1097/00130832-200502000-00006
فصل‌نامه پژوهش‌های کاربردی روانشناختی

مقالات آماده انتشار، اصلاح شده برای چاپ
انتشار آنلاین از تاریخ 10 مهر 1404

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  • تاریخ دریافت: 29 آذر 1402
  • تاریخ بازنگری: 12 دی 1402
  • تاریخ پذیرش: 30 بهمن 1402
  • تاریخ اولین انتشار: 04 مرداد 1404
  • تاریخ انتشار: 10 مهر 1404

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