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IRCT20230709058727N1 IRCT 2023-07-17 Yasouj University of Medical Sciences investigating the effect of guided self-help through social networks on post-traumatic stress symptoms and resilience of mothers with children suffering from febrile convulsion investigating the effect of guided self-help through social networks on post-traumatic stress symptoms and resilience of mothers with children suffering from febrile convulsion 2023-08-23 anticipated 162 Complete https://irct.ir/trial/71290 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: use of social network, Randomization description: In this study, among the mothers with children suffering from febrile convulsions who refer to pediatric events or the pediatric department of Imam Sajjad Hospital affiliated to Yasouj University of Medical Sciences, the research samples were selected using convenience sampling method. and will be assigned to one of two intervention or control groups through random block allocation. Due to the fact that there are two groups, the number of blocks multiple of 2, that is, two and four, will be selected. Allocation of samples to study groups will be done through the online website (https://www.sealedenvelope.com/simple-randomiser/v1/lists). On this site, the number of groups is recorded, and the number of blocks, which is a multiple of the number of groups and the total number of samples, is written. Finally, the software randomly selects the number of samples based on the available data. N/A Guided self-help through social networks. Intervention 1: Intervention group: Guided self-help training through social networks for mothers with children suffering from febrile convulsions who have symptoms of post-traumatic stress and loss of resilience is carried out according to the following protocol. Guided self-help protocol through social networks: The first session: Title: pre-tests, familiarization, preparation, goals: description of the self-help program guided through social networks, its necessity and importance, conducting pre-tests, familiarizing the participants with each other, the future goals of this session, the consequences and The logic of the guided self-help program, the results of researches and researches conducted about the guided self-help program through social networks and the right and wrong ideas about it. Getting to know the symptoms of post-traumatic stress and resilience components.Psychological educational materials related to post-traumatic stress symptoms will be presented to the participants by four personalities who describe their experiences. Outcomes: *taking pre-tests *understanding that the skills taught in this program , are important life skills and helps people in all situations to show their best performance. Consequences: * Taking pre-tests * Understanding that the skills taught in this program are important life skills and It helps people in all situations to perform at their best. *Reflects individual strengths and goals. *Understands that people are different. *Understanding that resilient people show less post-traumatic stress symptoms.Homework: In this session, the client is asked to write down the list of problems that are most important to him and that he wants to work on, prioritize and bring with him to the next session.  Second session: Title : Grounding (connecting with the present moment without getting lost in thoughts or feelings) Objectives: Familiarity with mindfulness exercises, description of its six stages, necessity and importance of grounding exercises in the form of mindfulness, results and future goals of this research. Implications: *Understanding that mindfulness skills increase concentration and relying on the present and prevent a person from dwelling on negative thoughts of the past. *Understanding that increasing concentration and avoiding negative thoughts by relying on the present in Increasing a person's resilience is effective. Homework: Do mindfulness exercises The third session: Title: Anxiety Management Objectives: Teaching relaxation along with learning through controlled breathing technique training, progressive muscle relaxation and relaxation through visualization, results: *Understanding that 13 steps of progressive muscle relaxation exercises and simple diaphragmatic breathing exercises increase relaxation and reducing tension and anxiety in the person. *Understanding that the continuation of these exercises by reducing the tension in the person increases his resilience in everyday problems. Homework: Practice progressive muscle relaxation and diaphragmatic breathing with the aim of increasing relaxation The fourth session: Title: Reclaiming my life through focusing on relaxation exercises Objectives: The purpose of this session is to provide examples and exercises that increase relaxation in a person. Remember relaxation. Become more aware of yourself, others and your environment. Consequences: *Recognize that the method of relaxation and attention are effective methods to be more aware of yourself, others and the surrounding environment. It follows that in order to communicate with their surroundings, they should consider a time of peace and quiet for themselves; That they can gain the awareness that they can use their five senses to increase attention Understand that the relaxation method is a great way to overcome harmful emotions, such as; It is stress and worry that affects their physical and mental health, and this method increases the resilience of the individual. Homework: review mindfulness exercises and define a successful experience of how to return to the routine of life.The fifth session: Title: Coping with my own trauma and trauma through confrontation exercises. Objectives: * Provides a rationale for imaginary confrontations, the narratives of four characters are presented. The therapist helps the participant to start writing a narrative which he completes remotely and reads it every day for at least 30 minutes. Confrontation is creating an opportunity for the patient to evaluate the correctness of those beliefs and thoughts, because with avoidance he never gets the opportunity to evaluate them.Consequences: *Understanding that exposure should continue until the level of anxiety is reduced by at least half. Never stop the exposure before reducing his anxiety, because instead of weakening the symptom and anxiety reaction, this will make it stronger. Homework: This week's homework should be repetition of exposure at home. Ask the patient to choose from the hierarchy of fear and anxiety, the case that happened immediately after the situation that was faced in the session, and then start and continue the exposure until the level of anxiety is reduced by half.When her anxiety is reduced by half in one case, she should go to the next case and do this for all the situations in the hierarchy.Sixth session: Title: Development of positive thoughts. Objectives: *The goal of this session is to teach the participants to pay attention. This training is a powerful predictor for long-term memorization of skills taught in a guided self-help program through social networks. Internal useful thoughts (I can perform at my best) and introducing the idea that positive thoughts are a powerful way to change negative internal thoughts and self-talk. *Learn mind control exercises and use them to deal with negative thoughts and develop positive thinking Implications: * The first main learning outcome of this session for the participants is to understand the concept of positive attention and self-talk. This is one of the most important consequences of learning that many people are often not aware of; That they can choose the center of their attention and how much this can affect their feelings and thoughts. Also, the goal is for people to become aware of their inner thoughts, when feelings like; They have happiness, peace, excitement, worry, anger and sadness. *Understanding that positive thinking improves a person's resilience.* Perform three steps of mind control exercise to deal with negative thoughts and develop positive thinking, which includes the following steps: 1-writing negative thoughts 2-accepting the situation and acting from a position of strength 3-choosing between the two available options A: taking action and solving Problem B: Creating a sense of well-being. Homework: based on the questions raised in this session, challenge disturbing thoughts and replace them with more realistic thoughts. In addition, if the patient's anxiety in imagining traumatic situations has not decreased, continue the imaginary exposure on a daily basis.Seventh Session: Title: Overcoming Denial and Avoidance and Increasing the Sense of Control Objectives: *The purpose of this session is to grade internal encounters in situations related to trauma/avoided fear and to provide solutions and exercises to control emotions, with the aim of anger management, anxiety management and stress.* Discovering solutions for challenging situations, using the problem-solving program and learning about different people. Consequences: * Teaching people how to use coping skills, * Learning this to reflect on ways to deal with difficult situations.In people, identifying future challenges and planning strategies to overcome them is a key result of learning useful ways of coping against unhelpful ways of coping such as denial and avoidance. * Learning coping skills that resolve conflict reduce and build better relationships. Homework: As a homework, ask the patient to choose another situation from the hierarchy of fear and anxiety situations in order to practice exposure along with cognitive reconstruction.At the end, fill out the anxiety questionnaire to check the effect of the combination of exposure and cognitive reconstruction in the guided self-help method on the reduction of anxiety. The length of the program is learned to review and reinforce positive points and minimize weak points (reinforcement of positivity). Provides measures to prevent the recurrence of symptoms and mentions what to do if the symptoms return.* Providing solutions aimed at strengthening the sense of spirituality and faith Consequences: To be able to explain the relationship between spirituality and religion. To use their sense of spirituality as a motivational factor. To be optimistic and hopeful for the future. To believe in their uniqueness and express how this belief can help people's sense of independence. Homework: Tell a story about experiencing spirituality and solving problems. Intervention 2: Control group: During the study, no intervention will be done for the control group. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is I need more time to make a decision
public Iman Seifi
Blokiha Oil Company Houses, No. 1598
Omidiye Iran (Islamic Republic of) 6373111151 +98 61 5265 3504 syfyayman8@gmail.com Yasouj University of Medical Sciences scientific Iman Seifi
Buildings of Naft Blokiha Company No. 1598
Omidiye Iran (Islamic Republic of) 6373111151 +98 61 5265 3504 syfyayman8@gmail.com Yasouj University of Medical Sciences Iran (Islamic Republic of) having symptoms of post-traumatic stress having symptoms of low resilience no limit no limit Female having a mental illness not having a mobile phone N/A N/A Intervention group: Guided self-help training through social networks for mothers with children suffering from febrile convulsions who have symptoms of post-traumatic stress and loss of resilience is carried out according to the following protocol. Guided self-help protocol through social networks: The first session: Title: pre-tests, familiarization, preparation, goals: description of the self-help program guided through social networks, its necessity and importance, conducting pre-tests, familiarizing the participants with each other, the future goals of this session, the consequences and The logic of the guided self-help program, the results of researches and researches conducted about the guided self-help program through social networks and the right and wrong ideas about it. Getting to know the symptoms of post-traumatic stress and resilience components.Psychological educational materials related to post-traumatic stress symptoms will be presented to the participants by four personalities who describe their experiences. Outcomes: *taking pre-tests *understanding that the skills taught in this program , are important life skills and helps people in all situations to show their best performance. Consequences: * Taking pre-tests * Understanding that the skills taught in this program are important life skills and It helps people in all situations to perform at their best. *Reflects individual strengths and goals. *Understands that people are different. *Understanding that resilient people show less post-traumatic stress symptoms.Homework: In this session, the client is asked to write down the list of problems that are most important to him and that he wants to work on, prioritize and bring with him to the next session.  Second session: Title : Grounding (connecting with the present moment without getting lost in thoughts or feelings) Objectives: Familiarity with mindfulness exercises, description of its six stages, necessity and importance of grounding exercises in the form of mindfulness, results and future goals of this research. Implications: *Understanding that mindfulness skills increase concentration and relying on the present and prevent a person from dwelling on negative thoughts of the past. *Understanding that increasing concentration and avoiding negative thoughts by relying on the present in Increasing a person's resilience is effective. Homework: Do mindfulness exercises The third session: Title: Anxiety Management Objectives: Teaching relaxation along with learning through controlled breathing technique training, progressive muscle relaxation and relaxation through visualization, results: *Understanding that 13 steps of progressive muscle relaxation exercises and simple diaphragmatic breathing exercises increase relaxation and reducing tension and anxiety in the person. *Understanding that the continuation of these exercises by reducing the tension in the person increases his resilience in everyday problems. Homework: Practice progressive muscle relaxation and diaphragmatic breathing with the aim of increasing relaxation The fourth session: Title: Reclaiming my life through focusing on relaxation exercises Objectives: The purpose of this session is to provide examples and exercises that increase relaxation in a person. Remember relaxation. Become more aware of yourself, others and your environment. Consequences: *Recognize that the method of relaxation and attention are effective methods to be more aware of yourself, others and the surrounding environment. It follows that in order to communicate with their surroundings, they should consider a time of peace and quiet for themselves; That they can gain the awareness that they can use their five senses to increase attention Understand that the relaxation method is a great way to overcome harmful emotions, such as; It is stress and worry that affects their physical and mental health, and this method increases the resilience of the individual. Homework: review mindfulness exercises and define a successful experience of how to return to the routine of life.The fifth session: Title: Coping with my own trauma and trauma through confrontation exercises. Objectives: * Provides a rationale for imaginary confrontations, the narratives of four characters are presented. The therapist helps the participant to start writing a narrative which he completes remotely and reads it every day for at least 30 minutes. Confrontation is creating an opportunity for the patient to evaluate the correctness of those beliefs and thoughts, because with avoidance he never gets the opportunity to evaluate them.Consequences: *Understanding that exposure should continue until the level of anxiety is reduced by at least half. Never stop the exposure before reducing his anxiety, because instead of weakening the symptom and anxiety reaction, this will make it stronger. Homework: This week's homework should be repetition of exposure at home. Ask the patient to choose from the hierarchy of fear and anxiety, the case that happened immediately after the situation that was faced in the session, and then start and continue the exposure until the level of anxiety is reduced by half.When her anxiety is reduced by half in one case, she should go to the next case and do this for all the situations in the hierarchy.Sixth session: Title: Development of positive thoughts. Objectives: *The goal of this session is to teach the participants to pay attention. This training is a powerful predictor for long-term memorization of skills taught in a guided self-help program through social networks. Internal useful thoughts (I can perform at my best) and introducing the idea that positive thoughts are a powerful way to change negative internal thoughts and self-talk. *Learn mind control exercises and use them to deal with negative thoughts and develop positive thinking Implications: * The first main learning outcome of this session for the participants is to understand the concept of positive attention and self-talk. This is one of the most important consequences of learning that many people are often not aware of; That they can choose the center of their attention and how much this can affect their feelings and thoughts. Also, the goal is for people to become aware of their inner thoughts, when feelings like; They have happiness, peace, excitement, worry, anger and sadness. *Understanding that positive thinking improves a person's resilience.* Perform three steps of mind control exercise to deal with negative thoughts and develop positive thinking, which includes the following steps: 1-writing negative thoughts 2-accepting the situation and acting from a position of strength 3-choosing between the two available options A: taking action and solving Problem B: Creating a sense of well-being. Homework: based on the questions raised in this session, challenge disturbing thoughts and replace them with more realistic thoughts. In addition, if the patient's anxiety in imagining traumatic situations has not decreased, continue the imaginary exposure on a daily basis.Seventh Session: Title: Overcoming Denial and Avoidance and Increasing the Sense of Control Objectives: *The purpose of this session is to grade internal encounters in situations related to trauma/avoided fear and to provide solutions and exercises to control emotions, with the aim of anger management, anxiety management and stress.* Discovering solutions for challenging situations, using the problem-solving program and learning about different people. Consequences: * Teaching people how to use coping skills, * Learning this to reflect on ways to deal with difficult situations.In people, identifying future challenges and planning strategies to overcome them is a key result of learning useful ways of coping against unhelpful ways of coping such as denial and avoidance. * Learning coping skills that resolve conflict reduce and build better relationships. Homework: As a homework, ask the patient to choose another situation from the hierarchy of fear and anxiety situations in order to practice exposure along with cognitive reconstruction.At the end, fill out the anxiety questionnaire to check the effect of the combination of exposure and cognitive reconstruction in the guided self-help method on the reduction of anxiety. The length of the program is learned to review and reinforce positive points and minimize weak points (reinforcement of positivity). Provides measures to prevent the recurrence of symptoms and mentions what to do if the symptoms return.* Providing solutions aimed at strengthening the sense of spirituality and faith Consequences: To be able to explain the relationship between spirituality and religion. To use their sense of spirituality as a motivational factor. To be optimistic and hopeful for the future. To believe in their uniqueness and express how this belief can help people's sense of independence. Homework: Tell a story about experiencing spirituality and solving problems. Control group: During the study, no intervention will be done for the control group. Post-traumatic stress score and resilience score. Timepoint: Measuring the post-traumatic stress score and resilience before the intervention and immediately after the intervention. Method of measurement: Weiss and Marmar event impact scale and Connor Davidson resilience scale. Yasouj University of Medical Sciences Approved 2023-07-09 Yasouj University of Medical Sciences Research Ethics Committee Shahid Motahari Boulevard, Yasouj University of Medical Sciences Yasuj Kohgilouyeh-va-Boyrahmad Iran (Islamic Republic of)