Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income Setting
As a lifelong condition, intellectual disability (ID) remains a public health priority. Parents caring for children with ID experience serious challenges to their wellbeing, including depression, anxiety, stress and health-related quality of life. Integrated parenting interventions, which have been...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/6/913 |
| _version_ | 1797595498976116736 |
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| author | Nasim Chaudhry Rabia Sattar Tayyeba Kiran Ming Wai Wan Mina Husain Sobia Hidayatullah Bushra Ali Nadia Shafique Zamir Suhag Qamar Saeed Shazia Maqbool Nusrat Husain |
| author_facet | Nasim Chaudhry Rabia Sattar Tayyeba Kiran Ming Wai Wan Mina Husain Sobia Hidayatullah Bushra Ali Nadia Shafique Zamir Suhag Qamar Saeed Shazia Maqbool Nusrat Husain |
| author_sort | Nasim Chaudhry |
| collection | DOAJ |
| description | As a lifelong condition, intellectual disability (ID) remains a public health priority. Parents caring for children with ID experience serious challenges to their wellbeing, including depression, anxiety, stress and health-related quality of life. Integrated parenting interventions, which have been well evidenced for depressed mothers, may also effectively support depressed parents with a child with ID in low-resource settings such as Pakistan, and in turn optimise child outcomes. We conducted a mixed-method rater-blind feasibility randomised controlled trial, which assessed the feasibility and acceptability of the Learning Through Play in My Own Way Plus (LTP-IMOW Plus) intervention. Mothers who screened positive for depression (n = 26) with a young child (age 3–6 years) with ID were recruited from two low-resource community settings. Participants in the intervention arm (n = 13) received 12 group sessions of LTP-IMOW Plus and others (n = 13) received routine care. The intervention was feasible and acceptable with 100% retention and 100% session attendance. The intervention improved depression, anxiety, parenting stress and child socialisation score outcomes relative to the routine care arm. The framework utilised to analyse the qualitative interviews with seven participants at pre-intervention identified a range of struggles experienced by the mothers, and at post-intervention, found improved knowledge of child development and practices, improved mother–child relationships, recommendations for the intervention and perceived practical barriers and facilitators. The findings highlight the prospects for a clinical and cost-effective trial of an integrated parenting intervention to manage long-term parental mental health needs and improve child outcomes. |
| first_indexed | 2024-03-11T02:38:22Z |
| format | Article |
| id | doaj.art-f6009d19064d4864b21b2da63df4ca77 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T02:38:22Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-f6009d19064d4864b21b2da63df4ca772023-11-18T09:48:58ZengMDPI AGChildren2227-90672023-05-0110691310.3390/children10060913Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income SettingNasim Chaudhry0Rabia Sattar1Tayyeba Kiran2Ming Wai Wan3Mina Husain4Sobia Hidayatullah5Bushra Ali6Nadia Shafique7Zamir Suhag8Qamar Saeed9Shazia Maqbool10Nusrat Husain11Pakistan Institute of Living and Learning, Karachi 75600, PakistanPakistan Institute of Living and Learning, Karachi 75600, PakistanPakistan Institute of Living and Learning, Karachi 75600, PakistanDivision of Psychology and Mental Health, University of Manchester, Manchester M13 9PL, UKDepartment of Psychiatry, University of Toronto, Toronto, ON M5S IR8, CanadaPakistan Institute of Living and Learning, Karachi 75600, PakistanPakistan Institute of Living and Learning, Karachi 75600, PakistanDepartment of Psychology, Foundation University Islamabad, Rawalpindi 44000, PakistanTVI-Trust for Vaccines and Immunization, Head Office, Suite No 301, Al-Sehat Centre, Rafiqui Shaheed Road, Karachi 74000, PakistanSchool of Public Health, Dow University of Health Sciences DUHS, Karachi 74200, PakistanDepartment of Developmental-Behavioral Pediatrics, The Children’s Hospital, (UC HS-CH), University of Child Health Sciences, Lahore 54600, PakistanDivision of Psychology and Mental Health, University of Manchester, Manchester M13 9PL, UKAs a lifelong condition, intellectual disability (ID) remains a public health priority. Parents caring for children with ID experience serious challenges to their wellbeing, including depression, anxiety, stress and health-related quality of life. Integrated parenting interventions, which have been well evidenced for depressed mothers, may also effectively support depressed parents with a child with ID in low-resource settings such as Pakistan, and in turn optimise child outcomes. We conducted a mixed-method rater-blind feasibility randomised controlled trial, which assessed the feasibility and acceptability of the Learning Through Play in My Own Way Plus (LTP-IMOW Plus) intervention. Mothers who screened positive for depression (n = 26) with a young child (age 3–6 years) with ID were recruited from two low-resource community settings. Participants in the intervention arm (n = 13) received 12 group sessions of LTP-IMOW Plus and others (n = 13) received routine care. The intervention was feasible and acceptable with 100% retention and 100% session attendance. The intervention improved depression, anxiety, parenting stress and child socialisation score outcomes relative to the routine care arm. The framework utilised to analyse the qualitative interviews with seven participants at pre-intervention identified a range of struggles experienced by the mothers, and at post-intervention, found improved knowledge of child development and practices, improved mother–child relationships, recommendations for the intervention and perceived practical barriers and facilitators. The findings highlight the prospects for a clinical and cost-effective trial of an integrated parenting intervention to manage long-term parental mental health needs and improve child outcomes.https://www.mdpi.com/2227-9067/10/6/913depressionintellectual disabilityparenting stressparenting traininglearning through playfeasibility trial |
| spellingShingle | Nasim Chaudhry Rabia Sattar Tayyeba Kiran Ming Wai Wan Mina Husain Sobia Hidayatullah Bushra Ali Nadia Shafique Zamir Suhag Qamar Saeed Shazia Maqbool Nusrat Husain Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income Setting Children depression intellectual disability parenting stress parenting training learning through play feasibility trial |
| title | Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income Setting |
| title_full | Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income Setting |
| title_fullStr | Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income Setting |
| title_full_unstemmed | Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income Setting |
| title_short | Supporting Depressed Mothers of Young Children with Intellectual Disability: Feasibility of an Integrated Parenting Intervention in a Low-Income Setting |
| title_sort | supporting depressed mothers of young children with intellectual disability feasibility of an integrated parenting intervention in a low income setting |
| topic | depression intellectual disability parenting stress parenting training learning through play feasibility trial |
| url | https://www.mdpi.com/2227-9067/10/6/913 |
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