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Abstract

Parent caregivers of children who require lifesaving technology (e.g., mechanical ventilation, feeding tubes) must maintain a high level of vigilance 24/7. A two-arm randomized controlled trial tested the efficacy of a resourcefulness intervention on parents’ mental/physical health and family functioning at four time points over six months. Participants (n = 93) cared for their technology-dependent children <18 years at home. The intervention arm received teaching on social (help-seeking), personal (self-help) resourcefulness skills; access to the intervention video and skill application video-vignettes; four weeks of skills reinforcement using daily logs; four weekly phone contacts; and booster sessions at two- and four-month postenrollment. The attention control arm received phone contact at identical time points plus the current standard of care. Statistically significant improvement was noted; fewer depressive cognitions and improved physical health for the intervention participants than attention control participants over time after controlling for covariates. The findings support the resourcefulness intervention efficacy.

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Article first published online: December 29, 2021
Issue published: March 2022

Keywords

  1. technology-dependent children
  2. resourcefulness
  3. intervention
  4. mental/physical health
  5. family caregivers
  6. parents
  7. family functioning

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© The Author(s) 2021.
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PubMed: 34965784

Authors

Affiliations

Valerie Boebel Toly
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
Jaclene A. Zauszniewski
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
Jiao Yu
Institute for Social Research and Data Innovation, University of Minnesota, Minneapolis, MN, USA
Abdus Sattar
Department of Population and Quantitative Health Science, School of Medicine, Case Western Reserve University, Cleveland, OH, USA
Bethany Rusincovitch
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
Carol M. Musil
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA

Notes

Valerie Boebel Toly, Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH 44106, USA. Email: [email protected]

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