在患有喘和多动症同时出现的儿童中接受和承诺的基于治疗的育儿计划:随机临床试验
Yuen Yu Chong1, Wai Tong Chien1, Kenneth P Fung2
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
JAMA pediatrics
|June 2, 2025
概括
这项研究发现,基于接受和承诺治疗的育儿计划 (ACT-PAM) 显著减少了医疗保健访问,并改善了儿童的喘控制和ADHD症状. ACT-PAM提供了一种整体方法来管理伴随性喘和多动症.
科学领域:
- 儿科肺病学 儿科肺病学
- 儿童精神病学 儿童精神病学
- 行为健康 行为健康
背景情况:
- 在儿童中同时出现的喘和多动症会带来独特的护理挑战,并增加医疗保健利用率.
- 需要采取整体干预措施,以解决儿科患者同时管理这两种疾病的复杂性.
研究的目的:
- 评估基于接受和承诺治疗的家长计划 (ACT-PAM) 对喘和多动症儿童及其父母健康结果的12个月疗效.
- 评估ACT-PAM对医疗保健使用,喘控制,多动症症状,父母心理不灵活性和自我效能的影响.
主要方法:
- 一项评估者盲目的随机临床试验招募了118名患有喘和并发性多动性多动症儿童的父母.
- 参与者被随机分配,接受ACT-PAM加标准喘护理 (TAU) 或单独TAU.
- 干预涉及六次ACT-PAM小组会议,重点关注接受,正念,以价值观为基础的育儿和喘管理.
主要成果:
- 与TAU单独相比,ACT-PAM加TAU显著减少了非预定的喘恶化医疗保健访问 (aMD -0.8次访问).
- 喘控制 (C-ACT得分) 显著改善 (aMD 4.4),家长评级的ADHD症状 (SWAN得分) 减少 (aMD -0.5).
- 在ACT-PAM组中,父母的心理不灵活性降低 (aMD -10.0),喘管理的自我有效性增加 (aMD 0.8).
结论:
- ACT-PAM是一种有效的干预措施,用于管理伴随性ADHD的儿科喘.
- 该计划在医疗保健使用,喘控制,多动症症状严重程度和父母福祉方面取得了显著改善.
- 这项研究强调了ACT-PAM在为面临这些双重诊断的家庭提供综合方法方面的相关性.
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