Impact of Parental Perfectionistic Cognitions Self-compassion Intervention Effects on Shame in Child Health Context

NCT03504605 | Completed

• 1 other identifier: 155657
• Study Type: interventional
• Target: 344
• Locations: 1 country
• Sites: 1

Brief Summary

Parents of children with long-term health conditions (LTCs) can experience shame related to parenting. Whilst self-compassion interventions (SCIs) can reduce parental shame, this has not been studied with parents of children with LTCs. Perfectionistic cognitions may also moderate the effects of SCIs. This study will test an online SCI with parents of children with type 1 diabetes, epilepsy or asthma. Parents will complete online questionnaires pre- and post a SCI/control intervention. Hypotheses will be tested using analysis of covariance and moderation analysis. Findings will enhance knowledge of vulnerability factors to distress for parents of children with LTCs, and inform interventions.

Conditions

Diabetes Mellitus, Type 1; Epilepsy; Asthma; Shame; Self-Compassion; Stress; Perfectionistic Cognitions

Outcome Measures

Primary Outcomes (3)

• Self-compassion Scale

  Outcome measure to assess trait self-compassion, which is defined as a trait in which people are mindful to emotions and respond towards themself with kindness and with a sense of common humanity, through difficulties, or following perceived failure/ personal shortcomings

  Change from baseline trait self-compassion through to study completion (anticipated one week).

• PANAS-X

  Outcome measure to assess shame, defined as a self-conscious emotion, distinct from guilt as it is constructed of negative evaluation directed towards the self (as opposed to behaviours).

  Change from baseline shame through to study completion (anticipated one week).

• Self-compassion items

  An adapted outcome measure to assess state self-compassion, defined as self-compassion that can change in the moment.

  Change from baseline state self-compassion through to study completion (anticipated one week).

Other Outcomes (2)

• Perfectionistic cognitions Inventory

  Change from baseline perfectionistic cognitions through to study completion (anticipated one week).

• Pediatric Inventory for Parents

  Change from baseline parental stress through to study completion (anticipated one week).

Study Arms (2)

Self-compassion intervention

EXPERIMENTAL

Participants will be asked to recall and write (in an online text-box) about a parenting event during which they felt shame. They will then receive the online self-compassion intervention as detailed in Sirois, Bögels and Emerson (in revision). This involves parents in the experimental condition being given a validated set of instructions asking them to reflect on the event and write self-compassionate responses (see intervention).

Other: Online self-compassion intervention

Control

NO INTERVENTION

Participants will be asked to recall and write (in an online text-box) about a parenting event during which they felt shame. Those in the control condition will be asked to re-read the account of the event and make notes about factual information (e.g. time of day, who was there, etc.). It should be noted that if the SCI is found to reduce state shame and increase state self-compassion, it will be offered to participants in the control group.

Interventions

Online self-compassion intervention OTHER

Parents are asked to write in an online text box about a parenting event in which they felt shame. They are then given a validated set of instructions asking them to reflect on the event and write self-compassionate responses.

Self-compassion intervention

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Parents (mothers and fathers, biological or non-biological) with a child under 18 years and living with them)
• Parents with children with a medical diagnosis of Type 1 diabetes mellitus, asthma, or epilepsy.

You may not qualify if:

• Parents and / or children who are currently receiving or who have engaged in therapy for stress related issues, with regards to the child's diagnosis.
• Parents who don't have access to a computer.
• Parents who have difficulties with reading.
• Parents who aren't fluent in English.

Sponsors & Collaborators

• University of Sheffield: lead
• Sheffield Children's NHS Foundation Trust: collaborator
• Alder Hey Children's Hospital NHS Foundation Trust: collaborator
• Chesterfield Royal NHS Foundation Trust: collaborator

Study Sites (1)

Sheffield Childrens Hospital

Sheffield, United Kingdom

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 1; Epilepsy; Asthma

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Autoimmune Diseases; Immune System Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity

Study Officials

• Catherine Lilley

  University of Sheffield

  PRINCIPAL INVESTIGATOR

• Georgina Rowse

  University of Sheffield

  STUDY DIRECTOR

• Fuschia Sirois

  University of Sheffield

  STUDY DIRECTOR

• Amrit Sinha

  University of Sheffield

  STUDY DIRECTOR

• Kirsteen Meheran

  University of Sheffield

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 6, 2018
• First Posted: April 20, 2018
• Study Start: August 15, 2018
• Primary Completion: January 23, 2019
• Study Completion: July 25, 2019
• Last Updated: July 26, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)