Do Caregiving-Related Stress and Emotion Regulation Impact Treatment Adherence to a Caregiver-Mediated Intervention for Toddlers at Risk for ASD?
Caregivers of toddlers with autism spectrum disorder (ASD) experience increased levels of caregiving-related stress, which can impede gains their toddlers make from participating in interventions. Treatment adherence (i.e., the degree to which caregivers implement interventions in the manner intende...
Saved in:
Main Author | |
---|---|
Format | Dissertation |
Language | English |
Published |
ProQuest Dissertations & Theses
01.01.2019
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Caregivers of toddlers with autism spectrum disorder (ASD) experience increased levels of caregiving-related stress, which can impede gains their toddlers make from participating in interventions. Treatment adherence (i.e., the degree to which caregivers implement interventions in the manner intended) predicts improvements in toddlers’ gains from treatment. In addition, caregivers’ emotion regulation (ER) strategies predicts treatment adherence, suggesting that this may be a primary way in which caregiving-related stress is managed.The current study examines the extent to which caregiving-related stress and ER strategies are associated with caregivers’ treatment adherence to Project ImPACT while delivering it to their toddlers at familial risk for ASD. It was expected that: 1) high levels of caregiving-related stress would predict low levels of treatment adherence; 2) high levels of adaptive ER strategies would predict high levels of treatment adherence; and 3) ER strategies would moderate the relation between caregiving-related stress and treatment adherence, such that the relation between caregiving-related stress and treatment adherence would be stronger in caregivers with less optimal ER strategies than in caregivers with more optimal ER strategies.Participants were thirty-eight caregivers who had a child with ASD and a later-born toddler between 11 and 18 months and were assigned to the treatment condition of a randomized controlled trial at the University of Washington and Vanderbilt University. Caregiving-related stress and ER strategies (i.e., reappraisal, suppression, and rumination) were measured via self-report surveys at Baseline (i.e., prior to beginning Project ImPACT training). Treatment adherence was measured via video coding of caregivers’ use of modeling and expanding their toddler’s language at Baseline and T2 (after completing Project ImPACT training).Descriptive analyses indicated that caregivers demonstrated low levels of caregiving-related stress and that treatment adherence increased significantly from Baseline to T2. Reappraisal and suppression were negatively correlated with caregiving-related stress, indicating that higher stress was associated with less optimal use of these two ER strategies. Linear regressions indicated that neither caregiving-related stress nor ER strategies predicted treatment adherence. Reappraisal was the only ER strategy that moderated the relation between caregiving-related stress and treatment adherence. The association between caregiving-related stress and treatment adherence was stronger in caregivers with high levels of reappraisal than caregivers with low levels of reappraisal. This pattern of results was in the opposite direction than predicted; however, this result should be interpreted with caution, as the region of significance represented only a small number of participants (n = 3). In sum, results suggest that caregiving-related stress and emotion regulation strategies did not affect caregivers’ treatment adherence in implementing Project ImPACT in this sample. It is likely that low levels of caregiving-related stress and normative use of ER strategies underlie the null findings in this sample. Future studies should consider the ways in which high levels of caregiving-related stress affect caregivers’ treatment adherence and ER strategies in other samples. |
---|---|
AbstractList | Caregivers of toddlers with autism spectrum disorder (ASD) experience increased levels of caregiving-related stress, which can impede gains their toddlers make from participating in interventions. Treatment adherence (i.e., the degree to which caregivers implement interventions in the manner intended) predicts improvements in toddlers’ gains from treatment. In addition, caregivers’ emotion regulation (ER) strategies predicts treatment adherence, suggesting that this may be a primary way in which caregiving-related stress is managed.The current study examines the extent to which caregiving-related stress and ER strategies are associated with caregivers’ treatment adherence to Project ImPACT while delivering it to their toddlers at familial risk for ASD. It was expected that: 1) high levels of caregiving-related stress would predict low levels of treatment adherence; 2) high levels of adaptive ER strategies would predict high levels of treatment adherence; and 3) ER strategies would moderate the relation between caregiving-related stress and treatment adherence, such that the relation between caregiving-related stress and treatment adherence would be stronger in caregivers with less optimal ER strategies than in caregivers with more optimal ER strategies.Participants were thirty-eight caregivers who had a child with ASD and a later-born toddler between 11 and 18 months and were assigned to the treatment condition of a randomized controlled trial at the University of Washington and Vanderbilt University. Caregiving-related stress and ER strategies (i.e., reappraisal, suppression, and rumination) were measured via self-report surveys at Baseline (i.e., prior to beginning Project ImPACT training). Treatment adherence was measured via video coding of caregivers’ use of modeling and expanding their toddler’s language at Baseline and T2 (after completing Project ImPACT training).Descriptive analyses indicated that caregivers demonstrated low levels of caregiving-related stress and that treatment adherence increased significantly from Baseline to T2. Reappraisal and suppression were negatively correlated with caregiving-related stress, indicating that higher stress was associated with less optimal use of these two ER strategies. Linear regressions indicated that neither caregiving-related stress nor ER strategies predicted treatment adherence. Reappraisal was the only ER strategy that moderated the relation between caregiving-related stress and treatment adherence. The association between caregiving-related stress and treatment adherence was stronger in caregivers with high levels of reappraisal than caregivers with low levels of reappraisal. This pattern of results was in the opposite direction than predicted; however, this result should be interpreted with caution, as the region of significance represented only a small number of participants (n = 3). In sum, results suggest that caregiving-related stress and emotion regulation strategies did not affect caregivers’ treatment adherence in implementing Project ImPACT in this sample. It is likely that low levels of caregiving-related stress and normative use of ER strategies underlie the null findings in this sample. Future studies should consider the ways in which high levels of caregiving-related stress affect caregivers’ treatment adherence and ER strategies in other samples. |
Author | Karp, Elizabeth A |
Author_xml | – sequence: 1 givenname: Elizabeth surname: Karp middlename: A fullname: Karp, Elizabeth A |
BookMark | eNqNTU1Lw0AQXVBBq_0PA54D624g9SSlrdiDlzT3snancTWZqbOT_g__sWnRu6f3eJ8Tc0lMeGEmD3Y28750vro205zTm7X20XtbuhvzvWRYBME2HRO1RY1dUIywUcGcIVCEVc-amKDGdhjNE133h7BTaASD9kgK8_iOgrRDUIbwN4hSvGJM58E1KcpxzJ76exZoOMYOZfxQqFP-PIvzzfLpzlztQ5dx-ou35v551SxeioPw14BZtx88CI3W1nlblVXlXOn_l_oB7cVYJw |
ContentType | Dissertation |
Copyright | Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works. |
Copyright_xml | – notice: Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works. |
DBID | 054 0BH 0PY 3V. 7X7 7XB 8FI 8FJ 8FK AAENX ABUWG ADAJB ADZZV AFCXM AFKRA AGBVP AMEAF AQTIP BENPR CBPLH CCPQU EU9 FYUFA G20 GHDGH K9. M0S M8- P6D PQCXX PQEST PQQKQ PQUKI PRINS |
DatabaseName | Dissertations & Theses Europe Full Text: Social Sciences ProQuest Dissertations and Theses Professional Dissertations & Theses @ University of Washington WCLP ProQuest Central (Corporate) ProQuest Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Health & Medical Collection - hybrid linking ProQuest Central (Alumni Edition) Health Research Premium Collection (Alumni) - hybrid linking ProQuest Central (Alumni) - hybrid linking Health Research Premium Collection - hybrid linking ProQuest Central Health & Medical Collection (Alumni) - hybrid linking ProQuest Dissertations & Theses Global: The Humanities and Social Sciences Collection ProQuest Women's & Gender Studies - hybrid linking ProQuest Central ProQuest Dissertations & Theses Global: The Sciences and Engineering Collection ProQuest One Community College ProQuest Dissertations & Theses A&I Health Research Premium Collection ProQuest Dissertations & Theses Global Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) ProQuest Dissertations and Theses A&I: The Sciences and Engineering Collection ProQuest Dissertations and Theses A&I: The Humanities and Social Sciences Collection ProQuest Central - hybrid linking ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China |
DatabaseTitle | ProQuest Dissertations & Theses Global: The Humanities and Social Sciences Collection ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Dissertations & Theses Global: The Sciences and Engineering Collection ProQuest Dissertations and Theses Professional ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Dissertations and Theses A&I: The Sciences and Engineering Collection ProQuest Dissertations & Theses Global ProQuest Central ProQuest Health & Medical Complete Dissertations & Theses Europe Full Text: Social Sciences Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Dissertations and Theses A&I: The Humanities and Social Sciences Collection Dissertations & Theses @ University of Washington WCLP ProQuest One Academic ProQuest Dissertations & Theses A&I ProQuest Central (Alumni) |
DatabaseTitleList | ProQuest Dissertations & Theses Global: The Humanities and Social Sciences Collection |
Database_xml | – sequence: 1 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Genre | Dissertation/Thesis |
GroupedDBID | 054 0BH 0PY 3V. 7X7 7XB 8FI 8FJ 8FK 8R4 8R5 ABUWG AFKRA AMEAF BENPR CBPLH CCPQU EU9 FYUFA G20 K9. M8- P6D PQEST PQQKQ PQUKI PRINS Q2X |
ID | FETCH-proquest_journals_23074772243 |
IEDL.DBID | 7X7 |
ISBN | 1088334237 9781088334232 |
IngestDate | Fri Sep 13 08:26:18 EDT 2024 |
IsPeerReviewed | false |
IsScholarly | false |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-proquest_journals_23074772243 |
PQID | 2307477224 |
PQPubID | 18750 |
ParticipantIDs | proquest_journals_2307477224 |
PublicationCentury | 2000 |
PublicationDate | 20190101 |
PublicationDateYYYYMMDD | 2019-01-01 |
PublicationDate_xml | – month: 01 year: 2019 text: 20190101 day: 01 |
PublicationDecade | 2010 |
PublicationYear | 2019 |
Publisher | ProQuest Dissertations & Theses |
Publisher_xml | – name: ProQuest Dissertations & Theses |
SSID | ssib000933042 |
Score | 3.7266252 |
Snippet | Caregivers of toddlers with autism spectrum disorder (ASD) experience increased levels of caregiving-related stress, which can impede gains their toddlers make... |
SourceID | proquest |
SourceType | Aggregation Database |
SubjectTerms | Clinical psychology Disability studies |
Title | Do Caregiving-Related Stress and Emotion Regulation Impact Treatment Adherence to a Caregiver-Mediated Intervention for Toddlers at Risk for ASD? |
URI | https://www.proquest.com/docview/2307477224/abstract/ |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LS8NAEB5qexEvioqPWgb0urRJN01yKtWkpEKLpBVyK9lko0VINI0_xH_s7iaLAaG3PGCWfTAzO_t9-wE80ITGmZ1x4vA0IVSEBOJyY0JiZlsuEylzptQalqtJ8EqfIyvqQKC5MBJWqX2ictRpkcga-VAClqlIBU06jJmsAiTVcPr5RaR-lDxnbcQ0jqBnmCKtECvbjtoXq-l9uzGS8roSDNJc-KTfzX_eWIWY-SmceK2j8TPo8PwcfrwCJUPobSf3_UQh13iKa0XwwDhP0a9leDCsNeXl40IRH3GjIeQ4S99rUh9WBcbaIC_JUul0CIOLFvIRRRqLm0LWLUrRRoXhbv-hPs7W3vQC7uf-5ikguhPbZjXut39jN76Ebl7k_AqQjsY2SxzLih1OTcYdR8wbNVKTZZYlwto19A9Zujn8-xaORWrh1sWKPnSr8pvfifBdsYGamQH0Hv3VS_gLzFiikQ |
link.rule.ids | 312,786,790,791,12083,21416,31754,33779,43345,43840,74102,74659 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bT4MwFD7R-aDxRaPGy9ST6GvjgDLgaVlkC-jYw4YJb4RL0WUJKOAP8R_bFogkJntrS3Ka0ubc-p1-AI80oVFmZIyYLE0I5SaBWEwZkyg2dCvmLnMm2Rq85dh5oy-BHrQJt6qFVXY6USrqtEhEjvxJAJYpdwVVOvn8IoI1StyuthQa-3BANY0KSJ8R9J9T66J1ZSRIdQUEpH3mqeur_3SwNCzzEzi2exfip7DH8jP4sQsUdUHvGxHtE4lXYymuZVkH8tAfZw35Dq4aJnnRdGW5I_odcByn6UdTyod1gVEnkJXEk-wcXKDbwzsid17RL0S2ouRz1LjaVFs5OF3bk3N4mM_8Z4d0iwjbM1iFf39Mu4BBXuTsEpCONCNOTF2PTEbVmJkm3y2qpGqc6To3Zlcw3CXpevfnezh0fG8RLtzl6w0ccefCatIVQxjU5Te75Qa8ju_kLv0CpzOgKg |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3dS8MwED90AxFfFBU_ph7oa9jaJW33NKZd2dSV0U3YW-lHqkNodat_iP-xSZriQNlbPuBCeuHucvldfwB3NKFRZmecODxNCBUugfS4YZEotlkvFiFzptgaJr41eqGPC7bQ-Ke1hlXWNlEZ6rRIZI68LQHLVISCJm1nGhYxdb3-xyeRDFLypVXTaexC06YWEye8eT_0p8E_d3ejIyl2JSBE__Sp7pt_LLJyM94hHLgbz-NHsMPzY_h2C5RVQq9LefcnCr3GU5ypIg-M8hSHFRUPBhWvvGyOVfEjzmsYOQ7St6qwD8sCo1ogX5GJ4uoQAscb6EcUoSzOC5m7WIk1SgyW63c1OJi5_RO49YbzhxGpNxHqE7kOf79f9xQaeZHzM0Da6dpx4jAWOZyaMXccoTtqpGacMSZc2zm0tkm62D59A3tCReHz2H-6hH0RafSq3EULGuXqi18Jb17G11pNP1qppc0 |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adissertation&rft.genre=dissertation&rft.title=Do+Caregiving-Related+Stress+and+Emotion+Regulation+Impact+Treatment+Adherence+to+a+Caregiver-Mediated+Intervention+for+Toddlers+at+Risk+for+ASD%3F&rft.DBID=054%3B0BH%3B0PY%3B3V.%3B7X7%3B7XB%3B8FI%3B8FJ%3B8FK%3BAAENX%3BABUWG%3BADAJB%3BADZZV%3BAFCXM%3BAFKRA%3BAGBVP%3BAMEAF%3BAQTIP%3BBENPR%3BCBPLH%3BCCPQU%3BEU9%3BFYUFA%3BG20%3BGHDGH%3BK9.%3BM0S%3BM8-%3BP6D%3BPQCXX%3BPQEST%3BPQQKQ%3BPQUKI%3BPRINS&rft.PQPubID=18750&rft.au=Karp%2C+Elizabeth+A&rft.date=2019-01-01&rft.pub=ProQuest+Dissertations+%26+Theses&rft.isbn=1088334237&rft.externalDBID=HAS_PDF_LINK |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=9781088334232/lc.gif&client=summon&freeimage=true |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=9781088334232/mc.gif&client=summon&freeimage=true |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=9781088334232/sc.gif&client=summon&freeimage=true |