Attrition in Mindfulness Trials for Caregivers of Children with Neurodevelopmental Disorders: A Meta-Analysis
Date
2022
Authors
Schiller, Vanessa
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Thesis
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Abstract
Purpose: Mindfulness-based interventions have shown promise for improving mental health outcomes for caregivers of children with neurodevelopmental disorders Variable attrition rates have, however, been noted in intervention studies. The current review consolidates these findings. Methods: Thirteen controlled studies, comprising a pooled sample of 529 caregivers, were identified from the Embase, PsycINFO and PubMed databases. Risk of bias was assessed using the National Institutes of Health tool for quality assessment of controlled intervention studies. A pooled, weighted attrition rate and heterogeneity were calculated using random effects modelling. The potential moderating effects of participant type (parentonly vs. parent and child) and program duration were additionally examined. Results: Most studies provided moderate to good methodological detail. The pooled, weighted attrition rate was 13%. This result was moderated by participant type, but not program duration. Conclusion: Mindful parenting programs, tailored to the parenting context, appear to be a viable treatment option for these caregivers. Retention may be improved by involving children in parallel mindfulness-based interventions, though more research is needed to confirm the benefits of dual parent and child programs. Keywords: caregiver, neurodevelopmental disorder, randomised controlled trials, mindfulness, attrition
School/Discipline
School of Psychology
Dissertation Note
Thesis (Master of Psychology (Clinical)) -- University of Adelaide, School of Psychology, 2022
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