study of the impact of the ARCH model of parenting on the psychosocial well-being of children and their parents during the COVID-19 pandemic

Dhruv Kalawadia, S. Ramkrishna, B. Verma, S. Dalwai, Manisha Garg
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Abstract

Introduction: The COVID-19 pandemic and its associated lockdowns have affected the development of children negatively. The ARCH model is a parent-administered, home-based, psychological intervention model to improve the psychosocial well-being of children and their families. The model acts as a set of guidelines and a list of activity modules for parent-child interactions that will promote and enhance the child’s social skills and psychological health. Objective: The objective of the study was to study the effectiveness of a novel innovative psychological model and parenting strategy for promoting the psychosocial well-being of children. Materials and Methods: This is an open prospective single-arm study in a tertiary care hospital with pre-and post-intervention design. Patients aged 3–18 years visiting the outpatient department, admitted to the pediatric ward as well as their parents, and siblings, were enrolled in the study. Data were collected by self-reported questionnaires. The intervention was administered and 1–2 months later we checked for any changes in the psychosocial well-being scores. Results: Fifty participants were enrolled and eight were lost to follow-up. Statistical analysis showed an insignificant difference in the Ryff psychosocial well-being pre-intervention score (208.5±15.1) and post-intervention scores (208.4±14.8) (p=0.847) for parents. KIDSCREEN questionnaire score showed a significant improvement in “social service and peers” subcategory, between pre-intervention score (128.83±17.18) and post-intervention score (131.29±16.60) with a Z score=2.09 (p<0.05). KIDSCREEN questionnaire score also showed improvement in overall score in pre-intervention score (578.64±440.39) and post-intervention score (584.40±444.19) with a Z score=1.66 (p<0.05). Conclusion: Our study found that while the intervention did not have a major impact on the psychosocial well-being of the parents, there was a significant difference effected on the psychosocial well-being of the children.
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研究COVID-19大流行期间ARCH育儿模式对儿童及其父母心理社会健康的影响
COVID-19大流行及其相关的封锁对儿童的发展产生了负面影响。ARCH模式是一种家长管理的、以家庭为基础的心理干预模式,旨在改善儿童及其家庭的社会心理健康。该模式作为一套指导方针和亲子互动活动模块清单,将促进和加强儿童的社交技能和心理健康。目的:本研究的目的是研究一种新的创新心理模式和育儿策略对促进儿童心理社会健康的有效性。材料和方法:这是一项在三级医院进行的开放性前瞻性单臂研究,采用干预前后设计。就诊于门诊、儿科病房的3-18岁患者及其父母、兄弟姐妹均被纳入研究。数据通过自我报告的问卷收集。我们进行了干预,1-2个月后,我们检查了心理社会健康评分的任何变化。结果:50名参与者入组,8名失去随访。统计分析显示,干预前父母的Ryff心理健康评分为208.5±15.1分,干预后父母的Ryff心理健康评分为208.4±14.8分,差异无统计学意义(p=0.847)。KIDSCREEN问卷得分在“社会服务与同伴”子类别上有显著改善,干预前得分(128.83±17.18),干预后得分(131.29±16.60),Z得分=2.09 (p<0.05)。KIDSCREEN问卷总分干预前评分(578.64±440.39)、干预后评分(584.40±444.19)总分均有改善,Z评分=1.66 (p<0.05)。结论:我们的研究发现,虽然干预对父母的社会心理健康没有重大影响,但对儿童的社会心理健康有显著影响。
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