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Title: 2-hour classes and half-day retreat - 30-minute dail


1
A community-based MBSR program for parents and
caregivers of individuals with developmental
disabilities Alicia T. Bazzano, MD, MPH1,3
Christiane Wolf, MD2 Lidia Zylowska, MD4 Steven
Wang, MPH, MPP1 Christopher Barrett, MA3 Erica
Schuster, BA1 Romeo Sanchez, PhD5 Danise
Lehrer, LAc, LCSW1 1Westside Regional Center,
2InsightLA, 3Health Services, UCLA, 4Mindfulness
Awareness Research Center, UCLA, 5Information
Sciences Institute, USC
Results (cont.)
Introduction
Results
Figures 1 2. Effects of MBSR intervention on
mindfulness score and parental stress over time
for fall and spring classes.
  • Parents and caregivers of individuals with
  • developmental disabilities experience
    considerable
  • stress, which has been linked to lower quality of
    life,
  • unhealthy family functioning, negative
    psychological
  • impacts, and increased parenting strain
    1,2,3,4,5,6,7
  • Few programs have addressed caregiver stress in
  • families of individuals with developmental
    disabilities
  • We describe the development, delivery, and
  • evaluation of an adapted MBSR program to
  • parents and caregivers in a community-based
  • organization

Table 1. Select demographics of MBSR participants
from three classes.
PSS
MAAS
Objectives
Table 3. How mindfulness affects parenting
stress a multivariate linear regression model
controlling for demographics (N55).
  • Designing an adapted MBSR program for parents
    and caregivers
  • Assessing the effects of MBSR program on general
    and parenting stress, mindfulness,
    self-compassion, and psychological well-being
    immediately following the 8-week training and 2
    months following the intervention

Methods
  • Select Quotes From Program Participants
  • What of lasting value/importance did you gain
    from the program?
  • A new way of looking at life and dealing with
    stress. A way to calm myself downI have been
    feeling much better and calmer with my son.
  • Balance, calmness, and peace of mind for the
    family and the rest of my life.
  • I learned to STOPStop, Take a breath, Observe,
    and Proceedwhen dealing with my child.
  • I found a way to be centered in the midst of
    the storm of my sons many challenging behaviors,
    such as self-injury, aggression, and lack of
    communication.
  • Design A pilot study of an adapted MBSR program
    for parents and caregivers with pre-/post- and
    2-month post-training outcome measures including
    parental and general stress (PSS and PSS10),
    mindfulness (MAAS), self-compassion (SCS), and
    psychological well-being (PWB)
  • Program Description
  • Community-Based Participatory Research
  • - Parents input in planning the study,
    adapting the curriculum, recruiting participants,
    determining outcome measures, implementing the
    program, and reviewing results
  • Recruitment
  • - Engagement of parent leaders and active
    support groups
  • - Newsletter articles targeting families and
    caregivers
  • - 1-hour introductory mindfulness sessions
  • 8-week adapted MBSR program
  • - 2-hour classes and half-day retreat
  • - 30-minute daily CD-guided practice
  • - Morning and evening classes
  • - Free CD players
  • - Free childcare/respite for parents
  • - Free taxi vouchers

Table 2. Paired t-test analysis of the effects of
MBSR intervention on mindfulness, parental
stress, general stress, psychological well-being,
and self-compassion.
p.05 p.01
Community Level Results Parents participation
as partners in this research resulted in improved
ability to address specific needs of parents and
caregivers, select appropriate evaluation tools,
guide in-class discussions, and interpret and
disseminate results.
PSS Parental Stress Scale (n58), PSS10
Perceived Stress Scale 10-item (n64), MAAS
Mindful Attention Awareness Scale (n64), PWB
Psychological Well-Being scale (n65), SCS
Self-Compassion Scale (n65)
Acknowledgments
Conclusions
A community-based MBSR program is a feasible and
potentially effective intervention for reducing
stress and improving psychological well-being for
parents and caregivers of individuals with
developmental disabilities. Additional
controlled studies are needed to replicate the
findings and further investigate the effect of
cultural and socioeconomic factors on the
outcomes of the intervention.
This project was made possible through funding
provided by the Robert Ellis Simon Foundation and
the Achievable Foundation, as well as in-kind
support provided by Westside Regional Center.
For more information, please contact Dr. Alicia
Bazzano (aliciab_at_westsiderc.org) or Dr.
Christiane Wolf (christiane_at_insightla.org).
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Impairment of quality of life in parents of
children and adolescents with pervasive
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and mothers of school-age children with
developmental disabilities parental stress,
family functioning, and social support. American
Journal on Mental Retardation. 1997
November102267-279. 3. Schieve LA, Blumberg SJ,
Rice C, Visser SN, Boyle C. The relationship
between autism and parenting stress. Pediatrics.
2007119S114-S121. 4. McKinney B, Peterson RA.
Predictors of stress in parents of
developmentally disabled children. Journal of
Pediatric Psychology. 198712(1)133-150. 5.
Emerson E. Mothers of children and adolescents
with intellectual disability social and economic
situation, mental health status, and the
self-assessed social and psychological impact of
the childs difficulties. Journal of Intellectual
Disability Research. 2003 May/June47(4/5)385-399
. 6. McKinney B, Peterson RA. Predictors of
stress in parents of developmentally disabled
children. Journal of Pediatric Psychology.
198712(1)133-150. 7. Emerson E. Mothers of
children and adolescents with intellectual
disability social and economic situation, mental
health status, and the self-assessed social and
psychological impact of the childs difficulties.
Journal of Intellectual Disability Research. 2003
May/Jun47(4/5)385-399.
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