Study protocol: development and randomized controlled trial of a preventive blended care parenting intervention for parents with PTSD

BMC Psychiatry

Study Protocol

Matthijs Blankers¹  Catrin Finkenauer²  Laurien Meijer³  Kathleen Thomaes⁴  Jeannet Kramer⁵  Anouk de Gee⁵  Laura Shields-Zeeman⁵ 

[1] Arkin Mental Health Care, Amsterdam, the Netherlands;Trimbos Institute/Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands;Department of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands;Sinai Centrum / Arkin Mental Health Care, Laan van de Helende Meesters 2, 1186 AM, Amstelveen, The Netherlands;Department of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands;Sinai Centrum / Arkin Mental Health Care, Laan van de Helende Meesters 2, 1186 AM, Amstelveen, The Netherlands;Department of Psychiatry, Amsterdam University Medical Center, location VUmc, Amsterdam, the Netherlands;Trimbos Institute/Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands;

关键词: Post-traumatic stress disorder;    Trauma;    Parenting;    Children of parents with mental illness;    Intergenerational transmission of trauma;    Preventive intervention;    Randomized controlled trial;    Study protocol;   

DOI  :  10.1186/s12888-023-04548-8

 received in 2022-03-29, accepted in 2023-01-13,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundChildren of parents with post-traumatic stress disorder (PTSD) are at increased risk of adverse psychological outcomes. An important risk mechanism is impaired parental functioning, including negative parenting behavior, perceived incompetence, and lack of social support. Several parenting interventions for trauma-exposed parents and parents with psychiatric disorders exist, but none have specifically targeted parents with PTSD. Our objective is to evaluate the effectiveness of a blended care preventive parenting intervention for parents with PTSD.MethodsThe intervention was adapted from an existing online intervention, KopOpOuders Self-Help. In co-creation with parents with PTSD and partners, the intervention was adapted into KopOpOuders-PTSD, by adding PTSD-specific content and three in-person-sessions with a mental health prevention professional. Effectiveness will be tested in a randomized controlled trial among N = 142 parents being treated for PTSD at Arkin Mental Health Care (control condition: treatment as usual, n = 71; intervention condition: treatment as usual + intervention, n = 71). Online questionnaires at pretest, posttest, and three-month follow-up and ecological momentary assessment at pretest and posttest will be used. Intervention effects on primary (parenting behavior) and secondary outcomes (perceived parenting competence, parental social support, parenting stress, child overall psychological problems and PTSD symptoms) will be analyzed using generalized linear mixed modeling. We will also analyze possible moderation effects of parental PTSD symptoms at pretest on primary and secondary outcomes.DiscussionThis study protocol describes the randomized controlled trial of KopOpOuders-PTSD, a blended care preventive parenting intervention for parents with PTSD. Findings can contribute to understanding of the effectiveness of parenting support in clinical practice for PTSD.Trial registrationThis protocol (Version 1) was registered on 11-02-2022 at ClinicalTrials.gov under identification number NCT05237999.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 1