The Effect of Tidal Model-Based Psychiatric Nursing Approach on Mothers of Children With Autism Spectrum Disorder

NCT05871931 | Completed DMC

• 1 other identifier: MERSINU-ZYD-01
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to examine the effect of Tidal Model-based psychiatric nursing approach on internalized stigma and psychological well-being in mothers of children diagnosed with ASD.

Conditions

Autism Spectrum Disorder

Keywords

autism spectrum disorder; Tidal Model; internalized stigma; psychological well-being; Psychiatric nursing

Outcome Measures

Primary Outcomes (1)

• Parents Internalized Stigma of Mental Illness Scale (PISMI)

  The Internalized Stigma of Mental Illnesses Scale (ISMI) was developed by Boyd-Ritsher et al. (2003), and adapted into Turkish by Ersoy and Varan (2007). Then, by Dikeç et al. (2019) based on ISMI, the scale items were adapted to the parents of individuals with mental illness, and Turkish validity reliability was established. The scale consists of 29 items. The scale includes "alienation (item: 1,5,8,16,17,21)", "confirmation of stereotypes (item: 26,10,18,19,23,29)", "perceived discrimination (item: 3.15)". ,22,25,28)", "social withdrawal (item: 4,9,11,12,13,20)", "resistance to stigma (item: 7,14,24,26,27)" It has five subscales. The items in the scale are answered as "strongly disagree" (1 point), "disagree" (2 points), "agree" (3 points), "strongly agree" (4 points). The scale total score ranges from 29 to 116 and there is no scale cutoff score. A high score from the scale indicates that the internalized stigma of the person is more severe in the negative direction.

  Basseline and 8 weeks

Secondary Outcomes (1)

• Psychological Well-Being Scale (PWS)

  Basseline and 8 weeks

Study Arms (2)

Tidal Model-based Psychiatric Nursing

EXPERIMENTAL

The intervention group will receive an eight-session Tidal Model-based psychiatric nursing approach. The sessions are planned to take place once a week over an 8-week period. All sessions will be conducted face-to-face.

Other: Tidal Model-based psychiatric nursing approach

No Intervention: Control Group

NO INTERVENTION

No intervention will be applied to the mothers in the control group.

Interventions

Tidal Model-based psychiatric nursing approach OTHER

The intervention group will receive an eight-session Tidal Model-based psychiatric nursing approach. The sessions will take place once a week over an 8-week period. All sessions will be conducted face-to-face. The content of the interview plan, consisting of a total of 8 interviews, is as follows: The first interview was 'Meeting and Pretesting', the second interview was 'Creating a Personal Safety Plan, Making a Holistic Assessment', the third interview was 'Recognizing Emotions, Emotion Management and Communication Skills', the fourth interview was 'Coping Skills', and the fifth interview was 'Self Perception', The sixth interview consisted of 'Strengthening Socialisation', the seventh interview consisted of 'Planning for the Future' and the eighth interview consisted of 'Defining the achievements that will accompany him/her in the next voyages of exploration, ending the relationship between the captain and the lifeguard and making a process evaluation'.

Tidal Model-based Psychiatric Nursing

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having a child diagnosed with ASD who is studying at Karaköprü Special Education and Practice School in Şanlıurfa.
• Those who agree to participate in the research
• No previous diagnosis of mental illness
• years of age or older
• Knowing how to read and write
• The mother who does not have problems in terms of hearing, speaking and understanding that will prevent communication in the interviews.

You may not qualify if:

• Under 18 years of age
• Those who have problems in hearing, speaking and understanding that will prevent communication in the interviews
• Mother with any previous diagnosis of mental illness
• Having previously undergone similar intervention
• Having a child with multiple disabilities.

Sponsors & Collaborators

• Mersin University: lead

Study Sites (1)

Karaköprü Special Education Practice I. Level School

Sanliurfa, Karaköprü, 63320, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Autism Spectrum Disorder; Psychological Well-Being

Condition Hierarchy (Ancestors)

Child Development Disorders, Pervasive; Neurodevelopmental Disorders; Mental Disorders; Personal Satisfaction; Behavior

Study Officials

• Zahide Gül YAZGI DEMİR, PhD Candidate

  Harran University Vocational School of Health Services

  PRINCIPAL INVESTIGATOR

• Mualla YILMAZ, Professor

  Mersin University, Faculty of Nursing

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Due to the nature of the study, researcher (ZGYD) and participant blinding cannot be performed because the mothers participating in the study know which group they belong to. Upon completion of the study, the data will be transferred to a computer environment and an independent statistician will analyse the data without knowing which group is the intervention group and which is the control group, and the findings will be reported.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 9, 2023
• First Posted: May 23, 2023
• Study Start: May 5, 2023
• Primary Completion: December 12, 2023
• Study Completion: December 12, 2023
• Last Updated: September 8, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)