Parent caregivers of children who require lifesaving medical technology (e.g., mechanical ventilation, feeding tubes) must constantly maintain vigilance. Poor physical and psychological health can negatively impact their ability to do so. A two-arm randomized controlled trial was conducted with 197 parent caregivers of technology-dependent children (aged < 18 years) to test the efficacy of Resourcefulness Training, a cognitive-behavioral intervention that teaches social (help-seeking) and personal (self-help) resourcefulness skills, in improving key outcomes including mental health-related quality of life (HRQOL), depressive cognitions and symptoms, perceived and physiological chronic stress, burden, and physical HRQOL at five-time points. Mixed-effects models using the intent-to-treat principle indicated statistically significant improvement with intervention participants at six and/or nine months postintervention for depressive cognitions, perceived stress, and physical HRQOL, controlling for covariates. Study findings support the efficacy of Resourcefulness Training to significantly decrease perceived stress and improve psychological/physical outcomes with these vulnerable caregivers.

中文翻译：

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足智多谋干预措施对增强在家照顾技术依赖儿童的父母身心健康的功效：随机对照试验

需要救生医疗技术（例如机械通气、饲管）的儿童的家长照顾者必须始终保持警惕。身体和心理健康状况不佳会对他们这样做的能力产生负面影响。一项双臂随机对照试验对 197 名技术依赖型儿童（年龄 < 18 岁）的家长照顾者进行了测试，以测试资源训练的有效性，资源训练是一种认知行为干预措施，教授社交（寻求帮助）和个人（自我认知）能力。帮助）足智多谋的技能，以改善关键结果，包括心理健康相关的生活质量（HRQOL）、抑郁认知和症状、感知和生理慢性压力、负担和五个时间点的身体HRQOL。使用意向治疗原则的混合效应模型表明，在控制协变量的情况下，干预参与者在干预后六个月和/或九个月的抑郁认知、感知压力和身体 HRQOL 方面有统计显着改善。研究结果支持足智多谋培训的功效，可以显着减少这些弱势护理人员的感知压力并改善心理/身体结果。