[논문]Implementing a Mental Health Care Program and Home-Based Training for Mothers of Children With Autism Spectrum Disorder in an Urban Population in Bangladesh: Protocol for a Feasibility Assessment Study

Naheed, Aliya; Koly, Kamrun Nahar; Uddin Ahmed, Helal; Akhter, Shaheen; Uddin, MM Jalal; Smith Fawzi, Mary C; Chandir, Subhash; Mannan, Muzharul; Hossain, Saima; Nelson, Charles; Munir, Kerim

doi:10.2196/resprot.8260

Implementing a Mental Health Care Program and Home-Based Training for Mothers of Children With Autism Spectrum Disorder in an Urban Population in Bangladesh: Protocol for a Feasibility Assessment Study 원문보기

JMIR research protocols, v.6 no.12, 2017년, pp.e251 -

Naheed, Aliya (Initiative for Non-Communicable Diseases Health Systems and Population Studies Division International Centre for Diarrhoeal Disease Research, Bangladesh Dhaka Bangladesh) , Koly, Kamrun Nahar (Initiative for Non-Communicable Diseases Health Systems and Population Studies Division International Centre for Diarrhoeal Disease Research, Bangladesh Dhaka Bangladesh) , Uddin Ahmed, Helal (National Institute of Mental Health, Bangladesh Dhaka Bangladesh) , Akhter, Shaheen (Institute for Paediatric Neurodisorder & Autism Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh) , Uddin, MM Jalal (National Institute of Neurosciences & Hospital Dhaka Bangladesh) , Smith Fawzi, Mary C (Global Health and Social Medicine Harvard Medical School Cambridge, MA United States) , Chandir, Subhash (Center for Global Health Delivery-Dubai Harvard Medical School Dubai United Arab Emirates) , Mannan, Muzharul (Ins) , Hossain, Saima , Nelson, Charles , Munir, Kerim

Abstract ▼ AI-Helper

BackgroundMothers of children with autism spectrum disorder (ASD) have reported a higher level of depression than mothers of children with other neurodevelopmental disorders in both developed and developing countries. Mothers are the lifetime caregivers of children with ASD, and a high burden of depression can negatively impact their ability to provide care. However, access to mental health services in primary care is limited, given the scarcity of qualified providers in Bangladesh.ObjectiveWe aim to pilot the feasibility of integrating mental health services for the mothers of children with ASD attending schools offering ASD care and improve skills of mothers for child care through a home-based training program.MethodsThe study will be conducted in two selected schools in Dhaka in Bangladesh that have been offering services for ASD for more than 10 years. A female psychologist will be deployed at the schools to offer nonpharmacological services for all mothers having a depressive episode. Referral for pharmacological treatment will be made at the discretion of supervising psychiatrists. An ASD special educator will provide training to the mothers for enhancing their child care skills at home on a monthly basis. The proposed intervention package will be implemented over a period of 4-6 months, and the feasibility of the intervention will be assessed through a pre- and postintervention evaluation by obtaining the perspectives of various stakeholders involved in the implementation of mental health services and maternal training. The primary outcome will include assessment of acceptability, adaptability, demand, practicality, implementation, and integration of the package intervention in the school settings. The secondary outcomes will include assessment of: 1) the prevalence of maternal depression; 2) children’s behavioral, social, and communication skills; and 3) the intervention participation costs incurred by institutions and families.ResultsBetween February and March 2017, 188 mothers of children with ASD were screened for depression following a written informed consent. Based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), the Structured Clinical Interview for the DSM-IV (SCID-1) was administered to 66 mothers. In-depth interviews were conducted with 10 mothers and 8 various stakeholders. Between January-June 2017, the team finalized a draft psychosocial counseling module and a maternal training module. Between April-May 2017, mental health services were provided by psychologists to 41 mothers who attended the counseling centers at each school. Three special educators have been trained in June 2017 to initiate training of the participating mothers.ConclusionsThis is the first study of a mental health intervention for mothers of children with ASD to reduce their burden of depression and improve the outcomes of their children. The findings will inform the provision of services for children with ASD and their mothers in Bangladesh and similar settings.

주제어

참고문헌 (36)

1 Ferrari AJ Charlson FJ Norman RE Patten SB Freedman G Murray CJL Vos T Whiteford HA Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010 PLoS Med 2013 11 10 11 e1001547 10.1371/journal.pmed.1001547 24223526 PMEDICINE-D-13-01260 --> PMC3818162 --> 24223526

상세보기
2 Patel V Rodrigues M DeSouza N Gender, poverty, and postnatal depression: a study of mothers in Goa, India Am J Psychiatry 2002 1 159 1 43 7 10.1176/appi.ajp.159.1.43 11772688 11772688

상세보기
3 Rahman A Iqbal Z Harrington R Life events, social support and depression in childbirth: perspectives from a rural community in the developing world Psychol Med 2003 10 33 7 1161 7 14580070 14580070

상세보기
4 Kabir Z Nasreen HE Edhborg M Intimate partner violence and its association with maternal depressive symptoms 6-8 months after childbirth in rural Bangladesh Glob Health Action 2014 7 24725 10.3402/gha.v7.24725 25226416 24725 --> PMC4165043 --> 25226416

상세보기
5 Fisher J Cabral MM Patel V Rahman A Tran T Holton S Holmes W Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review Bull World Health Organ 2012 2 01 90 2 139G 49G 10.2471/BLT.11.091850 22423165 BLT.11.091850 --> PMC3302553 -->

상세보기
6 Kessler RC Bromet EJ The epidemiology of depression across cultures Annu Rev Public Health 2013 34 119 38 10.1146/annurev-publhealth-031912-114409 23514317 PMC4100461 --> 23514317

상세보기
7 Baxter AJ Brugha TS Erskine HE Scheurer RW Vos T Scott JG The epidemiology and global burden of autism spectrum disorders Psychol Med 2015 2 45 3 601 13 10.1017/S003329171400172X 25108395 S003329171400172X --> 25108395

상세보기
8 Rice CE Rosanoff M Dawson G Durkin MS Croen LA Singer A Yeargin-Allsopp M Evaluating changes in the prevalence of the autism spectrum disorders (ASDs) Public Health Rev 2012 34 2 1 22 26236074 PMC4520794 --> 26236074
9 Wing L Potter D The epidemiology of autistic spectrum disorders: is the prevalence rising? Ment Retard Dev Disabil Res Rev 2002 8 3 151 61 10.1002/mrdd.10029 12216059 12216059

상세보기
10 Sun X Allison C A review of the prevalence of autism spectrum disorder in Asia Res Autism Spectr Disord 2010 4 4 2 156 67 10.1016/j.rasd.2009.10.003

상세보기
11 Weitlauf AS Vehorn AC Taylor JL Warren ZE Relationship satisfaction, parenting stress, and depression in mothers of children with autism Autism 2014 2 18 2 194 8 10.1177/1362361312458039 22987895 1362361312458039 --> 22987895

상세보기
12 Dardas L Ahmad MM Quality of life among parents of children with autistic disorder: a sample from the Arab world Res Dev Disabil 2014 2 35 2 278 87 10.1016/j.ridd.2013.10.029 24316492 S0891-4222(13)00473-3 --> 24316492

상세보기
13 Kuhlthau K Payakachat N Delahaye J Hurson J Pyne JM Kovacs E Tilford JM Quality of life for parents of children with autism spectrum disorders Res Autism Spectr Disord 2014 10 8 10 1339 50 10.1016/j.rasd.2014.07.002

상세보기
14 Hsmdghs 2013 8 2017-12-05 Survey of autism and neurodevelopmental disorders http://www.hsmdghs-bd.org/Survey%20of%20Autism%20and%20Neuro-developmental%20Disorders_Autism%20Survey.pdf
15 Naheed A Maternal depression of children with autism and quality of life 2015 9 02 Dhaka ICDDRB
16 The Independent 2015 9 02 2017-12-05 Research for autism by ICDDR'B http://www.theindependentbd.com/printversion/details/12908
17 Dunn ME Burbine T Bowers CA Tantleff-Dunn S Moderators of stress in parents of children with autism Community Ment Health J 2001 2 37 1 39 52 11300666 11300666
18 Siman-Tov A Kaniel S Stress and personal resource as predictors of the adjustment of parents to autistic children: a multivariate model J Autism Dev Disord 2011 7 41 7 879 90 10.1007/s10803-010-1112-x 20872059 20872059

상세보기
19 Blake J Rubenstein E Tsai PC Rahman H Rieth SR Ali H Lee LC Lessons learned while developing, adapting and implementing a pilot parent-mediated behavioural intervention for children with autism spectrum disorder in rural Bangladesh Autism 2017 7 21 5 611 21 10.1177/1362361316683890 28366007 28366007

상세보기
20 Rahman S PFDA 2014 2017-12-05 PFDA-vocational training center http://pfda-vtc.org/
21 Hosain G Chatterjee N Ara N Islam T Prevalence, pattern and determinants of mental disorders in rural Bangladesh Public Health 2007 1 121 1 18 24 10.1016/j.puhe.2006.06.018 17055545 S0033-3506(06)00222-8 --> 17055545

상세보기
22 CRI 2016 1 01 2017-11-29 Global autism movement and Bangladesh http://cri.org.bd/2014/09/03/global-autism-movement-and-bangladesh/
23 Hossain A Autism-swacbd 2016 2017-12-05 Society for the welfare of the autistic children http://www.autism-swacbd.org/
24 Mamun J Swidbd 1977 2017-12-05 SWID-Bangladesh http://www.autism-swacbd.org/
25 Hossain J NISE 2008 2017-12-05 Final report of the 28th Asia-Pacific international seminar on Education for individuals with special needs, Yokohama, Japan https://www.nise.go.jp/cms/resources/content/385/d-279.pdf
26 Hoque ME Khan JA Hossain SS Gazi R Rashid H Koehlmoos TP Walker DG A systematic review of economic evaluations of health and health-related interventions in Bangladesh Cost Eff Resour Alloc 2011 7 20 9 12 10.1186/1478-7547-9-12 21771343 1478-7547-9-12 --> PMC3158529 --> 21771343

상세보기
27 Jacobs B Ir P Bigdeli M Annear PL Van DW Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries Health Policy Plan 2012 7 27 4 288 300 10.1093/heapol/czr038 21565939 czr038 --> 21565939

상세보기
28 Molla AA Chi C Who pays for healthcare in Bangladesh? An analysis of progressivity in health systems financing Int J Equity Health 2017 9 06 16 1 167 10.1186/s12939-017-0654-3 28874198 10.1186/s12939-017-0654-3 --> PMC5586060 --> 28874198

상세보기
29 Uddin M Rahman M Development of a scale of depression for use in Bangladesh Bangladesh psychological Studies 2005 15 25 44
30 Alam S Kabir S Aktar R Reliability and validity of autistic diagnostic check list in Bangladesh Int Jour of Psychol and Psychia 2016 4 1 2 10 10.5958/2320-6233.2016.00001.8
31 Bowen DJ Kreuter M Spring B Cofta-Woerpel L Linnan L Weiner D Bakken S Kaplan CP Squiers L Fabrizio C Fernandez M How we design feasibility studies Am J Prev Med 2009 5 36 5 452 7 10.1016/j.amepre.2009.02.002 19362699 S0749-3797(09)00096-8 --> PMC2859314 --> 19362699

상세보기
32 Bowen DJ Kreuter M Spring B Cofta-Woerpel L Linnan L Weiner D Bakken S Kaplan CP Squiers L Fabrizio C Fernandez M How we design feasibility studies Am J Prev Med 2009 5 36 5 452 7 10.1016/j.amepre.2009.02.002 19362699 S0749-3797(09)00096-8 --> PMC2859314 --> 19362699

상세보기
33 Gaglio B Shoup JA Glasgow RE The RE-AIM framework: a systematic review of use over time Am J Public Health 2013 6 103 6 e38 46 10.2105/AJPH.2013.301299 23597377 PMC3698732 -->

상세보기
34 Kroenke K Spitzer RL Williams JB The PHQ-9: validity of a brief depression severity measure J Gen Intern Med 2001 9 16 9 606 13 11556941 jgi01114 --> PMC1495268 --> 11556941

상세보기
35 Kroenke K Spitzer RL Williams JB The patient health questionnaire-2: validity of a two-item depression screener Med Care 2003 11 41 11 1284 92 10.1097/01.MLR.0000093487.78664.3C 14583691 14583691

상세보기
36 Spitzer RL Williams JB Gibbon M First MB The structured clinical interview for DSM-III-R (SCID). I: history, rationale, and description Arch Gen Psychiatry 1992 8 49 8 624 9 1637252 1637252

상세보기

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Implementing a Mental Health Care Program and Home-Based Training for Mothers of Children With Autism Spectrum Disorder in an Urban Population in Bangladesh: Protocol for a Feasibility Assessment Study 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (36)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트