Effectiveness of Educational Program on Parenting Stress and Coping Mechanism Among Parents of Children With Autism Spectrum Disorder in Amman, Jordan
Effectiveness of Educational Program on Parenting Stress and Coping Mechanism Among Parents of Children With Autism Spectrum Disorder in Amman, Jordan
Health and well being of children are inextricably linked to the physical, emotional and
 psychological of their parents. Autism Spectrum Disorder is one of the neurological
 developmental disorders characterized by moderate to severe impairments in social
 interactions, language, and cognitive development, as well as included repetitive behaviors,
 restricted interests, and emotional distress. Coping with a stressful situation is classified
 as one of the most challenges in one's life. The overall aim of this study is to examine the
 effectiveness of the educational program on parenting stress and coping mechanism among
 parents of children with ASD in Amman, Jordan at baseline, post-test and at two months
 follow-up assessment. Two hundred parents of children with Autism spectrum disorder will be
 assigned to the intervention group (n = 100) and the control group (n = 100). Measures of
 parent stress and coping mechanism using the parent stress index(PSI) and Brief COPE will
 administer at pre-, post-treatment, and 2-months follow-up.
Background: Health and well being of children are inextricably linked to the physical,
 emotional and psychological of their parents. Maintaining the health and well-being of
 parents is a precondition for the best optimal care of their children with Autism Spectrum
 Disorder (ASD). The overall aim of the current study is to evaluate the effectiveness of an
 educational program on parenting stress and coping mechanism among parents of children with
 ASD in Jordan.

 Methods: A cluster randomized controlled trial will be conducted in 4 private centers for the
 treatment of Autistic Disorder in Amman, Jordan. Inclusion criteria: father or mother of a
 child who diagnosed for the period of three years since the initial time of diagnosis, father
 or mother who provides care and living together with the child, father or mother has the
 ability to read and write Arabic, father or mother age above 20 years old,and center provides
 caring just for ASD child with age 12 years and younger. Exclusion criteria: father or mother
 whose child had other chronic or illnesses (e.g, type 1 diabetes, down syndrome, learning
 disabilities, fetal alcohol syndrome), foreign father or mother of a child with ASD residents
 in Amman, father or mother who previously participated in the intervention research (e.g,
 Cognitive Behavior Therapy, Mindfulness-Based Intervention), father or mother of a child who
 takes any pharmacologic management of ASD (e.g,Risperdal, Ritalin), father or mother with
 more than one child diagnosed with ASD,and center doesn't include a suitable classroom for
 implementing the intervention program. The educational intervention program will deliver to
 the intervention group as a one-day event in four sessions. Whereas, the control group will
 receive education about the communicable disease among childhood. With an estimated effect
 design of 1.3, a cluster size of 4 and 20% non-completion, the trial will need to enroll 200
 participants. The primary outcomes of the current study are parenting stress and coping
 mechanism scores, which will be assessed using the Parent Stress Index-Short Form and Brief
 COPE, respectively. parenting stress and coping mechanism scores will be assessed at
 pre-intervention, post-intervention and follow-ups at week 8.

 Results: The parenting stress and the coping mechanism will be compared between the
 intervention and control groups using A 2×3 repeated measure ANOVA.

 Conclusions: Hypothesize that primary outcomes will improve significantly after the
 intervention compared to the control group. The finding from this study will determine the
 effectiveness of the educational program on parenting stress and coping mechanism among
 Jordanian parents of children with ASD. If proven to be effective, the educational program
 can serve as a part of therapeutic plan support to reduce parenting stress and improve coping
 mechanism.
Inclusion Criteria:

 The participant's inclusion eligibility criteria:

 -  Father or mother of a child who diagnosed for the period of three years since the
 initial time of diagnosis

 -  Father or mother who provides care and living together with the child

 -  Father or mother has the ability to read and write Arabic, and (4) father or mother
 age above 20 years old

 The center's inclusion eligibility criteria:

 -  Center provides caring only for ASD child with age 12 years and younger

 -  Provide the following services: speech, language, occupational, physiotherapy,
 educational, nutrition and medical services.

 Exclusion Criteria:

 The participant's exclusion eligibility criteria

 -  Father or mother whose child had other chronic or illnesses (e.g, type 1 diabetes,
 down syndrome, learning disabilities, fetal alcohol syndrome)

 -  Foreign father or mother of a child with ASD residents in Amman

 -  Father or mother who previously participated in the intervention research (e.g,
 Cognitive Behavior Therapy, Mindfulness-Based Intervention)

 -  Father or mother of a child who takes any pharmacologic management of ASD
 (e.g,Risperdal, Ritalin)

 -  Father or mother with more than one child diagnosed with ASD

 The center's exclusion eligibility criteria

 -  Center doesn't include a suitable classroom for implementing the intervention program