Resilience Training Intervention: Its Effect on Parental Acceptance/Rejection and Burden of Children With Down Syndrome

This quasi-experimental study will evaluate the effectiveness of a resilience training intervention on parental acceptance/rejection and caregiving burden among parents of children with Down syndrome. Design A non-randomized, controlled, pretest-posttest, repeated-measures design will be used. Approximately 50 parents will be allocated into an experimental group and a control group, based on availability and willingness to participate. Measurements will be taken at baseline, immediately post-intervention, and at follow-up. Study Phases Phase 1 - Needs assessment and program development Assess baseline resilience, parental acceptance/rejection, and caregiving burden. Develop and implement a tailored resilience training intervention based on identified needs. Phase 2 - Evaluation Evaluate the intervention's effect on parental acceptance/rejection. Evaluate the intervention's effect on parental caregiving burden. Intervention The experimental group will receive a structured resilience training program designed to enhance coping skills, positive reframing, and stress management. The control group will continue with usual care during the same period. Sample Size and Power The required sample size was calculated a priori using G\*Power 3.1.9.7 for a repeated-measures ANOVA (within-between interaction) with two groups and three time points. Assuming a medium effect size (Cohen's f = 0.25), α = 0.05, power = 0.95, correlation among repeated measures = 0.50, and nonsphericity correction ε = 1.0, the analysis indicated 44 participants (22 per group). To account for about 10% attrition, 50 participants (25 per group) will be recruited. Expected Outcome It is hypothesized that the resilience training will increase parental acceptance and reduce rejection and burden compared with usual care, despite the non-random allocation. Findings may guide family-centered mental-health programs for parents of children with Down syndrome.