Impact of Mental and Health Promotion on Parents Caring for Children with Cerebral Palsy in Ile-Ife, South-West, Nigeria

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DOI: 10.21522/TIJPH.2013.06.01.Art007

Authors : Ganiyu Abiodun Adedeji, Adegbenro, Caleb A

Abstract:

Background: Studies have shown the correlation between children’s physical disabilities and parental stress. The importance of the length of systemic therapy including stress management has also been emphasized in the literature. This study aims to explore the results of a holistic mental and health promotion intervention on parents caring for children with cerebral palsy.

Methods: Self-administered scales (Questionnaires) were employed to measure lifestyle variables, perceived stress, depression and anxiety, locus of control, and spirituality. Prior to commencement of the study, the informed consent of the participants were sought and obtained and ethical clearance was also obtained. A sample size of 80 participants was also calculated for the study. Stress management techniques were taught to the participants in the intervention group who also attended lectures on health behaviors. The control group were placed on normal existing protocol. Odd and even numbers of the participants’ birthdate was employed in allocating them to either the intervention or the control groups. The intervention group participated in the health promotion programs for a period of 8 weeks after the pretest measurements. The control group were only placed on the normal existing protocols after the pretest measurements. Both group participants underwent posttest measurements after the 8 week period. Chi-square test was used to determine any significance difference in terms of sociodemographic variables between the two groups. Independent t-test was employed to determine significantt difference between the two groups in relation to mean scores of psychosocial problems after intervention. Paired t-test was also used to determine any significant difference between mean scores of psychosocial problems before and after intervention in the intervention group. Statistical level of significance was set at P<0.05.

Results: The results of the independent t-test revealed that the null hypotheses in respect of the anxiety and depression subscales of Depression Anxiety Stress scale (DASS-21) and Perceived Stress Scale (PSS-14) were rejected. Significant difference was found after intervention between groups regarding the anxiety and depression subscales of DASS-21 (t = 4.75, p < 0.05) and Perceived Stress Scale PSS-14 (t = -2.76, P < 0.05). The results of the Chi-Square test showed no significant difference between the groups regarding the sociodemographic variables of the respondents in respect of the participants’ sex (X2 = 1.127, P > 0.05), participants’ number of children (X2 = 1.747, P > 0.05), participants’ level of education (X2 = 3.936, P > 0.05), participants’ religion (X2 = 0.464, P > 0.05) and participants’ ethnic groups (X2 = 3.387, P > 0.05). However the study found significant difference with respect to the participants’ marital status (X2 = 7.014, P < 0.05).

The paired samples t-test showed significant difference between the pre-test and post-test mean scores of the participants’ psychosocial problems with regards to the DASS-21 (t39 = 12.758, P < 0.05) and PSS-14 (t39 = 79.514, P < 0.05) in the intervention group.

Conclusion: The objectives of this study to reduce the levels of depression, stress and anxiety in parents caring for children with cerebral palsy in Ile-Ife, south-west, Nigeria was achieved. As a result of these achievements, the objective of improving the Quality Of Life (QOL) of the participants was also realized.

Keywords: Mental Promotion, Health Promotion, Cerebral Palsy, Parents, Children.

References:

[1]. Ali E., Julie J., Mindy J.K., Martin J.S., Molly E.Z. and Richard B.L. (2014). Validation of the Perceived Stress Scale in a community sample of older adults. Int J Geriatr Psychiatry, 29 (6), 645-652. Doi: 10. 1002/gps.4049.

[2]. April A. K., Dharani B., and Peters K. (2012). Impact of Locus of Control Expectancy on Level of Well-Being. Review of European Studies, 4, 124-137.

[3]. Crawford J.R and Henry J.D. (2003). The Depression Anxiety Stress Scales (DASS):    Normative data and latent structure in a large non-clinical sample. British Journal of Clinical Psychology, 42:11–131.

[4]. Donald K.A., Sandra P., Angelina K. and Bearden D. (2014). Pediatric Cerebral Palsy in Africa: A Systematic Review. Semin Pediatr Neurol, 30-35.

[5]. El-Tallawy H.N., Farghaly M.A., Shehata G.A., Rageh T.A., Metwally N.A., Badry R, Sayed A.M., Abd El Hamed M., Abd-Elwarth A., Kandil M.R. (2014). Cerebral palsy in Al-Quseir City, Egypt: prevalence, subtypes, and risk factors.         Neuropsychiatric Disease and Treatment, 10, 1267-1272.

[6]. Gulam K., Hayley S., Johurul I., Monzurul A., Jenny J., Iona N., Robert B., Cheryl J., Nadia B. and Mohammad M. (2015). Bangladesh Cerebral Palsy Register (BCPR): a pilot study to develop a national cerebral palsy (CP) register with surveillance of children for CP. BMC Neurol, 15, 173.

[7]. Hodapp M. R. (1998). Advancing Finding, Theories, and Methods Concerning Children with Disabilities. Athens: Cambridge University Press. http://www.KeepKidHealthy.com.

[8]. Jacobson E. (1938). Progressive Relaxation. Chicago: University of Chicago Press.

[9]. Jerath R., Edry J.W., Barnes V.A., Jerath V. (2006). Physiology of long pranayamic breathing: neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Med Hypotheses, 67(3), 566-571.

[10].  Jones J. and Jennifer P. (2005). Family Adaptation, Coping and Resources: Parents of Children with Developmental Disabilities and Behaviour Problems. Journal on Developmental Disabilities, 11, 31-46.

[11].  Majnemer A, Shevell M, Law M, Poulin C, Rosenbaum P. (2012). Indicators of distress in families of children with cerebral palsy. Disabil Rehabil, 34(14), 1202-1207.

[12].  Marrón, E. M., Redolar-Ripoll D., Boixadós M., Nieto, R., Guillamón N., Hernández E. (2013). Burden on caregivers of children with cerebral palsy: Predictors and related factors. Universitas Psychologica, 12(3), 767-777.

[13].  Nimbalkar S., Raithatha S., Shah R., Panchal D.A. (2014). A Qualitative Study of Psychosocial Problems among Parents of Children with Cerebral Palsy Attending Two Tertiary Care Hospitals in Western India. ISRN Family Med, doi: 10.1155/2014/769619.

[14].  Norton P.J. (2007). Depression Anxiety and Stress Scales (DASS-21): psychometric analysis across four racial groups. Anxiety Stress Coping. 20(3), 253-65.

[15].  Olawale O.A, Abraham N.D. and Raphael K.K. (2013). Psychological impact of cerebral palsy on families: The African perspective. J Neurosci Rural Pract, 4(2), 159–163.

[16].  Ozmen M., Caliskan M., Apak S., Gokcay G. (1993). 8-Year clinical experience in cerebral palsy. J Trop Pediatr, 39, 52–54.

[17].  Parvinian A.M, Kermanshahi S.M., Sajedi F. (2012). The Effect of a supportive program on mental health of mothers of children with cerebral palsy. http://osub.mums.ac.ir/osub/nilfr/nmjournal/index.php.

[18].  Richard P.H. and Alexandra B. (2004). Practitioner review: Stress intervention for parents of children with intellectual disabilities. Journal of Child Psychology and Psychiatry, 45(8), 1338-1349.

[19].  Singer GH, Ethridge BL and Aldana SI (2007). Primary and secondary effects of parenting and stress management interventions for parents of children with developmental disabilities: a meta-analysis, Ment Retard Dev Disabil Res Rev, 13 (4): 357-369.

[20].  Thanou E., Tsiou C., Kattami, C., Chrousos, G. P., & Darviri, C. (2016). A Stress Management and Health Promotion Intervention for Parents of Children with Cerebral Palsy and Motor Disability at the Infant Department of the Greek Center for the Protection and Rehabilitation of the Disabled (ELEPAP). Quasi-Experimental study. Psychology, 7, 557-564.