Examining the Effects of the Protection Motivation Theory–Based Online Intervention on Improving the Cognitive Behavioral Outcomes of Caregivers of Children With Atopic Diseases: Quasi-Experimental Study DOI Creative Commons

D. S. Shen,

Qinzhun Zhang,

Jianqiao Tang

et al.

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e72925 - e72925

Published: May 13, 2025

Background The increasing prevalence of pediatric atopic diseases in China poses substantial risks to children’s physical health, mental well-being, and quality life. Cognitive behavioral interventions for caregivers are effective managing diseases. Existing typically siloed lack integration across the comorbidities march. protection motivation theory (PMT) could provide an integrated cognitive intervention framework addressing shared pathophysiological mechanisms unifying management strategies diseases, while online offer advantages accessibility, cost-effectiveness, scalability, particularly caregiver-mediated care. Objective This study aimed develop evaluate a PMT-based (PMT-CBO) children with assessing its effects on caregivers’ protective motivation, intentions, preventive practices, disease outcomes. Methods A quasi-experimental design was conducted 3 health care institutions Hangzhou, China, where 2 were assigned PMT-CBO group (127/243, 52.3%) 1 institution control (116/243, 47.7%). Caregivers received 4-week structured course comprising 16 modules delivered via WeChat mini-program, whereas controls routine verbal education. Primary outcomes included PMT dimensions (threat appraisal coping appraisal), behaviors, secondary involved symptom severity medication adherence. primary outcome scales or questionnaires designed by research team, derived from established studies. All demonstrated good reliability validity. Intention-to-treat analysis used. Results Compared group, significant improvements overall scores (Z=–6.289; P<.001) most subdimensions (response efficacy, self-efficacy, threat severity, response cost, P<.05), except susceptibility (Z=–1.321; P=.19) reward appraisals (Z=–0.989; P=.32). In exhibited stronger intentions partial optimization (eg, environmental allergen control, Z=–3.025; P=.002) showed improved adherence (Z=–4.457; alleviated eczema (Z=–3.112; allergic rhinitis symptoms (Z=–3.277; P<.001), although no differences emerged asthma (Z=–.830; P=.41) food allergy–related caregiver burden (Z=–1.693; P=.09). Conclusions enhanced outcomes, 91.3% (116/127) completion rate WeChat’s scalable platform. Limited allergy implied future need additional condition-specific plug-ins, beyond core modules. Moreover, merging this implementation techniques ecological frameworks help address intention-behavior gaps external barriers, thereby promoting equitable precision-based

Language: Английский

Examining the Effects of the Protection Motivation Theory–Based Online Intervention on Improving the Cognitive Behavioral Outcomes of Caregivers of Children With Atopic Diseases: Quasi-Experimental Study DOI Creative Commons

D. S. Shen,

Qinzhun Zhang,

Jianqiao Tang

et al.

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e72925 - e72925

Published: May 13, 2025

Background The increasing prevalence of pediatric atopic diseases in China poses substantial risks to children’s physical health, mental well-being, and quality life. Cognitive behavioral interventions for caregivers are effective managing diseases. Existing typically siloed lack integration across the comorbidities march. protection motivation theory (PMT) could provide an integrated cognitive intervention framework addressing shared pathophysiological mechanisms unifying management strategies diseases, while online offer advantages accessibility, cost-effectiveness, scalability, particularly caregiver-mediated care. Objective This study aimed develop evaluate a PMT-based (PMT-CBO) children with assessing its effects on caregivers’ protective motivation, intentions, preventive practices, disease outcomes. Methods A quasi-experimental design was conducted 3 health care institutions Hangzhou, China, where 2 were assigned PMT-CBO group (127/243, 52.3%) 1 institution control (116/243, 47.7%). Caregivers received 4-week structured course comprising 16 modules delivered via WeChat mini-program, whereas controls routine verbal education. Primary outcomes included PMT dimensions (threat appraisal coping appraisal), behaviors, secondary involved symptom severity medication adherence. primary outcome scales or questionnaires designed by research team, derived from established studies. All demonstrated good reliability validity. Intention-to-treat analysis used. Results Compared group, significant improvements overall scores (Z=–6.289; P<.001) most subdimensions (response efficacy, self-efficacy, threat severity, response cost, P<.05), except susceptibility (Z=–1.321; P=.19) reward appraisals (Z=–0.989; P=.32). In exhibited stronger intentions partial optimization (eg, environmental allergen control, Z=–3.025; P=.002) showed improved adherence (Z=–4.457; alleviated eczema (Z=–3.112; allergic rhinitis symptoms (Z=–3.277; P<.001), although no differences emerged asthma (Z=–.830; P=.41) food allergy–related caregiver burden (Z=–1.693; P=.09). Conclusions enhanced outcomes, 91.3% (116/127) completion rate WeChat’s scalable platform. Limited allergy implied future need additional condition-specific plug-ins, beyond core modules. Moreover, merging this implementation techniques ecological frameworks help address intention-behavior gaps external barriers, thereby promoting equitable precision-based

Language: Английский

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