Effectiveness of Occupational Performance Coaching (OPC) on the Mental Health in Mothers of Children with Cerebral Palsy

Document Type : Original article

Authors

1 PhD, Assistant Professor of Occupational Therapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran

2 Lecturer, Department of Speech Therapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran

3 BSc Student in Occupational Therapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran

4 Assistant Professor of Occupational Therapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran

5 Assistant Professor of Physical Therapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Background and Aims: Cerebral palsy leads to many physical and functional limitations in the daily living of the children, which results in the child becoming dependent on parents and especially the mother. For this reason, mothers of these children spend a lot of time caring for their children. According to the evidence, mothers of these children experience higher levels of stress, anxiety, and depression compared with mothers of typically developing children. This amount of stress may reduce quality of life in these mothers. The aim of the present study was to examine the effect of occupational performance coaching as one of the interventions in order to improve mental health in mothers of children with cerebral palsy.
Materials and Methods: In the current study with pretest-posttest design and a control group, 30 mothers of children with cerebral palsy wererandomly assigned to intervention or control groups. The short form of Depression, Anxiety, and Stress Scale (DASS-21), COPM questionnaire, Gross Motor Function Classification Scale (GMFCS), and SPARCLE Form were used for data collection. Data were analyzed using independent t-test and Mann-Whitney test in SPSS, version 22.
Results: The results of data analysis showed that after performing occupational performance coaching, mothers had significantly lower levels of stress, anxiety, and depression in the post-test scores as compared with their pre-test scores.
Conclusion: According to our results, ooccupational performance coaching can be used as an effective intervention to improve the mental health in mothers of children with cerebral palsy and to reduce their level of stress, anxiety, and depression along with other approaches.

Keywords

Main Subjects


1.             O'Brien JC, Kuhaneck H. Occupational Therapy for Children and Adolescents. 8 ed2019.##
2.             Appleton RE, Gupta R. Cerebral palsy: not always what it seems. Arch Dis Child. 2019;104(8):809-14. ##
 
3.             McGuire DO, a LHT, b MY-A, a NFD, Christensen DL. Prevalence of cerebral palsy, intellectual disability, hearing loss, and blindness, National Health Interview Survey, 2009–2016. Disability and Health Journal. 2019;12(3):443-51##
4.             Garip Y, Ozel S, Tuncer OB, Kilinc G, Seckin F, Arasil T. Fatigue in the mothers of children with cerebral palsy. Disability and Rehabilitation. 2017;39(8):757-62. ##
5.             Park E-Y, Nam S-J. Time burden of caring and depression among parents of individuals with cerebral palsy. Disability and Rehabilitation. 2019;41(13):1508-13. ##
6.             Marashipour SM, Mirzakhany N, Rezaee M, Shafiee Z, Baghban AA. Effect of Consulting Package of Time on Increasing Leisure Time and Satisfaction of Time Management in Mothers of Children with Cerebral Palsy. Journal of Rehabilitation Medicine. 2018;7(4):107-15.[In Persian]. ##
7.             Ketelaar M, Volman MJM, Gorter JW, Vermeer A. Stress in parents of children with cerebral palsy: what sources of stress are we talking about? Child Care Health Dev. 2008;34(6):825-9. ##
8.             Barroso NE, Mendez L, Graziano PA, Bagner DM. Parenting Stress through the Lens of Different Clinical Groups: a Systematic Review & Meta-Analysis. J Abnorm Child Psychol. 2018;46(3):449-61. ##
9.             Wang Y, Huang Z, Kong F. Parenting stress and life satisfaction in mothers of children with cerebral palsy: The mediating effect of social support. J Health Psychol. 2020;25(3):416-25. ##
10.          Wang Y,  LT,  LG,  ESH. Family dysfunction and Adolescents' anxiety and depression: A multiple mediation model. Journal of Applied Developmental Psychology. 2020. ##
11.          Kanter JW, Busch AM, Weeks CE, Landes SJ. The nature of clinical depression: symptoms, syndromes, and behavior analysis. Behav Anal. 2008;31(1):1-21. ##
12.          Freidl EK, Stroeh OM, Elkins RM, Steinberg E, Albano AM, Rynn M. Assessment and Treatment of Anxiety Among Children and Adolescents. The Journal of Lifelong Learning in Psychiatry. 2017; 15:144–156. ##
13.          Naeem F, Arif S, Asghar A, Mahmood Z. Psychosocial Stressors, Burnout And Mental Health Problems In Caregivers Of Children With Cerebral Palsy. Journal of Postgraduate Medical Institute. 2018;32(Vol 32 No 4 (2018)). ##
14.          Yılmaz H, Erkin G, Nalbant L. Depression and anxiety levels in mothers of children with cerebral palsy: A controlled study. European journal of physical and rehabilitation medicine. 2013;49. ##
15.          Kaydok E, Solum S, Cinaroglu NS. Comparison of the caregiver burden of the mothers of children with cerebral palsy and healthy children. Medicine Science International Medical Journal. 2020. ##
16.          Ramanandi V, Rao B. Comparison of Stress Levels in the Parents of Children with Cerebral Palsy and Parents of Normal Children in Vadodara Region of Gujarat. International Journal of Physiotherapy. 2015;2:421. ##
17.          Diwan S, Chovatiya H, Diwan J. Depression and quality of life in mothers of children with cerebral palsy. NJIRM. 2011;35(15.53):81-90. ##
18.          Ono K, Kanayama Y, Tsuchiya K, Iwata M, Yabuwaki K. Development and validation of the Measure of Supporting Co-occupation for family caregivers. British Journal of Occupational Therapy. 2018;8(10):571-81. ##
19.          Dalvand H, Hosseini SA, Rassafiani M, Samadi SA, Khankeh HR, Kelly G. Co-occupations: The caregiving challenges of mothers of children with cerebral palsy. British Journal of Occupational Therapy. 2015;Vol. 78(7) 450–459. ##
20.          Kahjoogh MA, Kessler D, Hosseini SA, Rassafiani M, Akbarfahimi N, Khankeh HR, et al. Randomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy. British Journal of Occupational Therapy. 2018;4, page(s): 213-219( April 1, 2019). ##
21.          Dykens EM, Fisher MH, Taylor JL, Lambert W, Miodrag N. Reducing distress in mothers of children with autism and other disabilities: a randomized trial. Pediatrics. 2014;134(2):e454-e63. ##
22.          Merkes M. Mindfulness-based stress reduction for people with chronic diseases. Aust J Prim Health. 2010;16(3):200-10. ##
23.          Jennabadi H. Survey on Effectiveness of Cognitive Behavioral Stress Management On mental health on the mother of Children with Developmental disorders, Disruptive behavior disorders and cerebral pales. RJMS. 2016;23(148):80-8.[In Persian]. ##
24.          Ahmadi Kahjoogh M, Kessler D, Rassafiani M, Hosseini sa, Khankeh HR, Akbarfahimi N. Occupational performance coaching for mothers of children with cerebral palsy: A case report. International Journal of Therapy and Rehabilitation. 2017;24:218-22. ##
25.          Lamarre J, Egan M, Kessler D, Sauvé-Schenk K. Occupational Performance Coaching in Assisted Living. Physical & Occupational Therapy In Geriatrics. 2020;38(1):1-17. ##
26.          Kessler D, Graham F. The use of coaching in occupational therapy: an integrative review. Aust Occup Ther J. 2015;62(3):160-76. ##
27.          Kessler D, Egan M, Dubouloz CJ, McEwen S, Graham FP. Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. Am J Occup Ther. 2017;71(3):7103190020p1-p7. ##28.           Brown TA, Chorpita BF, Korotitsch W, Barlow DH. Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther. 1997;35(1):79-89. ##
29.          Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005;44(Pt 2):227-39. ##
30.          Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013;4:863. ##
31.          Atashi N, Aboutalebi S, Heidari M, Hosseini SA. Reliability of the Persian Version of Canadian Occupational Performance Measure for Iranian Elderly Population. Iranian-Rehabilitation-Journal. 2010;8(2):26-30. ##
32.          Dehghan L, Dalvand H, Pourshahbaz A, Samadi SA. Designing Supplement Form of the Canadian Occupational Performance Measure: Item Analysis and Suggestions for Refinement. USWR. 2014;15(1):21-8. ##
33.          Dehghan L, Abdolvahab M, Bagheri H, Dalvand H, Faghih zade S. Inter rater reliability of Persian version of Gross Motor Function Classification System Expanded and Revised in patients with cerebral palsy. Daneshvar. 2011;18(6):37-44. ##
34.          Riahi A, Rassafiani M, Binesh M. The Cross-Cultural Validation and Test-Retest and Inter-Rater Reliability of the Persian Translation of Parent Version of the Gross Motor Function Classification System for Children with Cerebral Palsy. USWR. 2013;13(0):25-30. ##
35.          Park ES, Rha DW, Park JH, Park DH, Sim EG. Relation among the gross motor function, manual performance and upper limb functional measures in children with spastic cerebral palsy. Yonsei Med J. 2013;54(2):516-22. ##
36.          Adams D, Rose J, Jackson N, Karakatsani E, Oliver C. Coping Strategies in Mothers of Children with Intellectual Disabilities Showing Multiple Forms of Challenging Behaviour: Associations with Maternal Mental Health. Behavioural and Cognitive Psychotherapy. 2018;46(3):257-75. ##
37.          Agazzi H, Tan S, Ogg J, Armstrong K, Kirby R. Does Parent-Child Interaction Therapy Reduce Maternal Stress, Anxiety, and Depression Among Mothers of Children with Autism Spectrum Disorder? Child & Family Behavior Therapy. 2017;39:1-21. ##
38.          Azizi A, Fatehizade M, Ahmadi A, Jazayeri R. Effect of child-parent relationship therapy on parenting stress and empowerment of parents with children with Attention Deficit / Hyperactivity Disorder. Family Counseling and Psychotherapy. 2018;8(1):27-46.[In Persian]. ##
39.          Lunsky Y, P. Hastings R, Weiss JA, M. Palucka A, Hutton S, White K. Comparative Effects of Mindfulness and Support and Information Group Interventions for Parents of Adults with Autism Spectrum Disorder and Other Developmental Disabilities. Journal of Autism and Developmental Disorders. 2017;47(6):1769-79. ##
40.          Ahmann E. Interventions for ADHD in Children And Teens: A Focus on ADHD Coaching. Pediatric Nursing. 2017;43(3). ##
41.          Tully C, Shneider C, Monaghan M, Hilliard ME, Streisand R. Peer Coaching Interventions for Parents of Children with Type 1 Diabetes. Current Diabetes Reports. 2017;17(6):39. ##
42.          Erlandsson L-K. The Redesigning Daily Occupations (ReDO)-Program: Supporting Women With Stress-Related Disorders to Return to Work—Knowledge Base, Structure, and Content. Occupational Therapy in Mental Health. 2013;29(1):85-101. ##
43.          Tennant C. Work-related stress and depressive disorders. J Psychosom Res. 2001;51(5):697-704. ##
Volume 10, Issue 1
March and April 2021
Pages 113-123
  • Receive Date: 05 April 2020
  • Revise Date: 21 May 2020
  • Accept Date: 27 May 2020
  • First Publish Date: 21 March 2021