{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:32:01Z","timestamp":1760146321842,"version":"build-2065373602"},"reference-count":60,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology","award":["2023.00703.BD","FCG\/Growing Minds 294688","DOI 10.54499\/UIDP\/00730\/2020"],"award-info":[{"award-number":["2023.00703.BD","FCG\/Growing Minds 294688","DOI 10.54499\/UIDP\/00730\/2020"]}]},{"DOI":"10.13039\/501100000348","name":"Calouste Gulbenkian Foundation","doi-asserted-by":"publisher","award":["2023.00703.BD","FCG\/Growing Minds 294688","DOI 10.54499\/UIDP\/00730\/2020"],"award-info":[{"award-number":["2023.00703.BD","FCG\/Growing Minds 294688","DOI 10.54499\/UIDP\/00730\/2020"]}],"id":[{"id":"10.13039\/501100000348","id-type":"DOI","asserted-by":"publisher"}]},{"name":"programmatic funding of the Center for Research in Neuropsychology and Cognitive and Behavioral Intervention of the Faculty of Psychology and Educational Sciences of the University of Coimbra","award":["2023.00703.BD","FCG\/Growing Minds 294688","DOI 10.54499\/UIDP\/00730\/2020"],"award-info":[{"award-number":["2023.00703.BD","FCG\/Growing Minds 294688","DOI 10.54499\/UIDP\/00730\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Developing postadoption interventions to prevent parenting stress and promote parents\u2019 well-being is urgent. Mindful parenting-based interventions show promise in achieving these goals and are well received by adoptive parents (APs). However, face-to-face interventions face significant barriers. E-health tools offer a solution by improving accessibility and flexibility and reducing long-term costs. Our main aim is to develop and assess the preliminary efficacy of a web-based mindful parenting postadoption intervention, AdoptMindful2Care@Web, by using a user-centered approach to ensure its effectiveness and cost efficiency. First, two quantitative surveys will be conducted to assess the needs and preferences of APs and gather input from adoption professionals. Then, a prototype version of the intervention will be created and tested for usability with the APs via the Think-Aloud method. Finally, a pilot version will undergo a two-arm pilot randomized controlled trial to assess its feasibility, acceptability, and preliminary efficacy via self-report questionnaires. By developing AdoptMindful2Care@Web employing a user-centered approach, we hope to provide an effective intervention that is adjusted to the reality of its users and the surrounding context. In doing so, we will be able to promote AP access to specialized mental health care efficiently.<\/jats:p>","DOI":"10.3390\/healthcare12212100","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T06:11:25Z","timestamp":1729577485000},"page":"2100","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Study Protocol for the Development and Preliminary Efficacy Assessment of AdoptMindful2Care@Web: A Web-Based Mindful Parenting Postadoption Intervention"],"prefix":"10.3390","volume":"12","author":[{"given":"Ana Luz","family":"Chor\u00e3o","sequence":"first","affiliation":[{"name":"Center for Research in Neuropsychology and Cognitive-Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5083-7322","authenticated-orcid":false,"given":"Maria Cristina","family":"Canavarro","sequence":"additional","affiliation":[{"name":"Center for Research in Neuropsychology and Cognitive-Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal"}]},{"given":"Raquel","family":"Pires","sequence":"additional","affiliation":[{"name":"Center for Research in Neuropsychology and Cognitive-Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"105910","DOI":"10.1016\/j.childyouth.2020.105910","article-title":"Associations between symptoms of common mental disorders, parental satisfaction and consideration for adoption breakdown in Brazilian adoptive parents","volume":"122","author":"Almeida","year":"2021","journal-title":"Child. Youth Serv. Rev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1300\/J002v12n03_13","article-title":"Transition to adoptive parenthood","volume":"12","author":"Brodzinsky","year":"1988","journal-title":"Marriage Fam. Rev."},{"key":"ref_3","unstructured":"Thomas, W.M. (2009). The transition to adoptive parenthood. Handbook of Stressful Transitions Across the Lifespan, Springer."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1080\/10926755.2010.481040","article-title":"Adaptation to parenthood during the post-adoption period: A review of the literature","volume":"13","author":"McKay","year":"2010","journal-title":"Adopt. Q."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1080\/10926755.2014.895469","article-title":"Post-adoption service needs and use as predictors of adoption dissolution: Findings from the 2012 national adoptive families study","volume":"18","author":"Trouteaud","year":"2015","journal-title":"Adopt. Q."},{"key":"ref_6","unstructured":"(2023, October 20). Law No. 143\/2015 of the Assembly of the Republic of 8th December 2015. Official Gazette No. 175\/2015, Series I of 08-09-2015. Available online: https:\/\/data.dre.pt\/eli\/lei\/143\/2015\/09\/08\/p\/dre\/pt\/html."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1177\/1049731512469301","article-title":"Basic trust: An attachment-oriented intervention based on mind-mindedness in adoptive families","volume":"23","author":"Colonnesi","year":"2012","journal-title":"Res. Soc. Work. Pract."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1002\/jcad.12189","article-title":"The efficacy of child parent relationship therapy for adoptive families: A replication study","volume":"96","author":"Opiola","year":"2018","journal-title":"J. Couns. Dev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1080\/13575279.2019.1664992","article-title":"\u201cNow I know I\u2019m not the only one\u201d: A group therapy approach for adoptive parents","volume":"28","author":"Downes","year":"2019","journal-title":"Child Care Pract."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s10567-009-0046-3","article-title":"A model of mindful parenting: Implications for parent\u2013child relationships and prevention research","volume":"12","author":"Duncan","year":"2009","journal-title":"Clin. Child Fam. Psychol. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1037\/a0038212","article-title":"Integrating mindfulness with parent training: Effects of the mindfulness-enhanced strengthening families program","volume":"51","author":"Coatsworth","year":"2015","journal-title":"Dev. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1007\/s12671-016-0530-z","article-title":"The indirect effect of the mindful parenting of mothers and fathers on the child\u2019s perceived well-being through the child\u2019s attachment to parents","volume":"7","author":"Medeiros","year":"2016","journal-title":"Mindfulness"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"B\u00f6gels, S., and Restifo, K. (2014). Mindful Parenting: A Guide for Mental Health Practitioners, Springer.","DOI":"10.1007\/978-1-4614-7406-7"},{"key":"ref_14","unstructured":"(2023, October 09). The Mindful Parenting Project. Available online: https:\/\/www.oxfordmindfulness.org\/about\/charitable-activities\/mindful-parenting-project\/."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1177\/0308575917702829","article-title":"\u2018Minding the gap\u2019: Developing mindfulness for adoption","volume":"41","author":"Downing","year":"2017","journal-title":"Adopt. Foster"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Alves, S., Chor\u00e3o, A.L., Caetano, B., Henriques, M.R., Pastor, I., and Pires, R. (2022). Post-Adoption Help-Seeking in Portugal: A Comprehensive Study on Parental Difficulties and Help-Seeking Behaviors and Perceptions. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191811283"},{"key":"ref_17","unstructured":"(2023, October 20). Instituto da Seguran\u00e7a Social. Relat\u00f3rio Casa 2022. Lisbon: Instituto da Seguran\u00e7a Social. Available online: https:\/\/www.seg-social.pt\/documents\/10152\/13200\/Relat%C3%B3rio+CASA+2022\/c1d7359c-0c75-4aae-b916-3980070d4471."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Mucic, D., and Hilty, D.M. (2016). E-Mental Health, Springer International Publishing.","DOI":"10.1007\/978-3-319-20852-7"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s12160-009-9130-7","article-title":"Defining internet-supported therapeutic interventions","volume":"38","author":"Barak","year":"2009","journal-title":"Ann. Behav. Med."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Van Gemert-Pijnen, L., Kelders, S.M., Kip, H., and Sanderman, R. (2018). eHealth Research, Theory and Development: A Multidisciplinary Approach, Routledge. [1st ed.].","DOI":"10.4324\/9781315385907"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1016\/j.childyouth.2006.02.003","article-title":"Web-based training for foster, adoptive, and kinship parents","volume":"28","author":"Pacifici","year":"2006","journal-title":"Child. Youth Serv. Rev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1111\/jmft.12401","article-title":"Culturally Competent Parenting: A Test of Web-Based Training for Transracial Foster and Adoptive Parents","volume":"46","author":"Montgomery","year":"2019","journal-title":"J. Marital. Fam. Ther."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.3389\/fpsyg.2019.01550","article-title":"A Randomized Control Trial Evaluating an Online Mindful Parenting Training for Mothers with Elevated Parental Stress","volume":"10","author":"Potharst","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_24","first-page":"165","article-title":"Decrease in Behavioral Problems and Trauma Symptoms Among At-Risk Adopted Children Following Web-Based Trauma-Informed Parent Training Intervention","volume":"13","author":"Razuri","year":"2016","journal-title":"J. Evid. Based Soc. Work."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e111","DOI":"10.2196\/jmir.1672","article-title":"A holistic framework to improve the uptake and impact of eHealth technologies","volume":"13","author":"Nijland","year":"2011","journal-title":"J. Med. Internet Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.2196\/resprot.2547","article-title":"Designing eHealth that Matters via a Multidisciplinary Requirements Development Approach","volume":"2","author":"Wentzel","year":"2013","journal-title":"JMIR Res. Protoc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.2196\/humanfactors.3696","article-title":"Enhancing the Effectiveness of Consumer-Focused Health Information Technology Systems Through eHealth Literacy: A Framework for Understanding Users\u2018 Needs","volume":"2","author":"Kayser","year":"2015","journal-title":"JMIR Hum. Factors"},{"key":"ref_28","unstructured":"(2023, October 20). Assembly of the Republic Resolution, No. 373\/2021, of 29 December 2021. Official Gazette No. 251\/2021, Series I of 29-12-2021; p. 16. Available online: https:\/\/data.dre.pt\/eli\/resolassrep\/373\/2021\/12\/29\/p\/dre\/pt\/html."},{"key":"ref_29","unstructured":"Pires, R., Caetano, B., Chor\u00e3o, A., Alves, S., and Canavarro, M.C. (2023, January 22). Development of a mindful parenting intervention for Portuguese adoptive parents: An Overview. Proceedings of the 9th International Congress of Clinical and Health Psychology in Children and Adolescents, Valencia, Spain."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.acap.2012.08.003","article-title":"The baby pediatric symptom checklist: Development and initial validation of a new social\/emotional screening instrument for very young children","volume":"13","author":"Sheldrick","year":"2013","journal-title":"Acad. Pediatr."},{"key":"ref_31","first-page":"e21058","article-title":"Tradu\u00e7\u00e3o e valida\u00e7\u00e3o da vers\u00e3o portuguesa europeia da Lista de Sintomas Pedi\u00e1tricos para Beb\u00e9s","volume":"6","author":"Rocha","year":"2022","journal-title":"RER"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.acap.2012.06.008","article-title":"The Preschool Pediatric Symptom Checklist (PPSC): Development and initial validation of a new social\/emotional screening instrument","volume":"12","author":"Sheldrick","year":"2012","journal-title":"Acad. Pediatr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"109","DOI":"10.17575\/psicologia.v35i2.1767","article-title":"Psychometric characteristics of the Portuguese version of the Preschool Pediatric Symptom Checklist for children aged 18 to 60 months","volume":"35","author":"Rocha","year":"2021","journal-title":"Psicologia"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/S0022-3476(88)80056-8","article-title":"Pediatric Symptom Checklist: Screening school-age children for psychosocial dysfunction","volume":"112","author":"Jellinek","year":"1988","journal-title":"J. Pediatr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1007\/s10802-010-9434-x","article-title":"When to use broader internalising and externalising Subscales instead of the hypothesised five Subscales on the strengths and difficulties questionnaire (SDQ): Data from British parents, teachers and children","volume":"38","author":"Goodman","year":"2010","journal-title":"J. Abnorm. Child Psychol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1002\/cpp.572","article-title":"Evaluation of the Mental Health Continuum-Short Form (MHC-SF) in setswana-speaking south africans","volume":"15","author":"Keyes","year":"2008","journal-title":"Clin. Psychol. Psychother"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1177\/1073191120910247","article-title":"Measuring positive mental health in the postpartum period: The Bifactor structure of the mental health continuum\u2013short form in Portuguese women","volume":"28","author":"Monteiro","year":"2020","journal-title":"Assessment"},{"key":"ref_38","unstructured":"Abidin, R.R. (1995). Parenting Stress Index\u2014Professional Manual, Psychological Assessment Resources. [3rd ed.]."},{"key":"ref_39","unstructured":"Santos, S.V. (2008, January 2\u20134). Forma reduzida do Parenting Stress Index (PSI): Estudo preliminar. Proceedings of the XIII Confer\u00eancia Internacional\u2014Avalia\u00e7\u00e3o Formas e Contextos, Braga, Portugal."},{"key":"ref_40","unstructured":"Santos, S.V. (2011, January 25\u201327). Vers\u00e3o Portuguesa do Parenting Stress Index (PSI)\u2014Forma Reduzida: Estudo com uma amostra de m\u00e3es de crian\u00e7as com idade inferior a 5 anos. Proceedings of the VIII Congresso Iberoamericano de Avalia\u00e7\u00e3o\/Evaluati\u00f3n Psicologica e XV Confer\u00eancia Internacional de Avalia\u00e7\u00e3o Psicol\u00f3gica: Formas e Contextos, Lisboa, Portugal."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Duncan, L.G. (2007). Assessment of Mindful Parenting among Parents of Early Adolescents: Development and Validation of the Interpersonal Mindfulness in Parenting Scale. [Doctoral Thesis, The Pennsylvania State University].","DOI":"10.1037\/t78222-000"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"139","DOI":"10.14195\/1647-8606_63-2_7","article-title":"The Interpersonal Mindfulness in Parenting Scale\u2014Infant Version: Psychometric properties and factor structure in a sample of portuguese mothers in the postpartum period","volume":"63","author":"Caiado","year":"2020","journal-title":"Psychologica"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1007\/s12671-016-0647-0","article-title":"Psychometric Properties of the Interpersonal Mindfulness in Parenting Scale in a Sample of Portuguese Mothers","volume":"8","author":"Moreira","year":"2017","journal-title":"Mindfulness"},{"key":"ref_44","first-page":"19","article-title":"An\u00e1lise das propriedades psicom\u00e9tricas da vers\u00e3o portuguesa de um instrumento de avalia\u00e7\u00e3o de e-literacia em Sa\u00fade","volume":"4","author":"Ferreira","year":"2014","journal-title":"J. Nurs."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"e0176218","DOI":"10.1371\/journal.pone.0176218","article-title":"The parental reflective functioning questionnaire: Development and preliminary validation","volume":"12","author":"Luyten","year":"2017","journal-title":"PLoS ONE"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1007\/s10578-021-01288-2","article-title":"Measuring parental reflective functioning: Further validation of the Parental Reflective Functioning Questionnaire in Portuguese mothers of infants and young children","volume":"54","author":"Moreira","year":"2022","journal-title":"Child Psychiatry Hum. Dev."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The Hospital Anxiety and Depression Scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1080\/13548500500524088","article-title":"Validation study of a Portuguese version of the hospital anxiety and depression scale","volume":"12","author":"Silva","year":"2007","journal-title":"Psychol. Health Med."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1002\/cpp.702","article-title":"Construction and factorial validation of a short form of the Self-Compassion Scale","volume":"18","author":"Raes","year":"2011","journal-title":"Clin. Psychol. Psychother."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1002\/jclp.22187","article-title":"Evaluating the multifactor structure of the long and short versions of the Self-Compassion Scale in a clinical sample","volume":"71","author":"Castilho","year":"2015","journal-title":"J. Clin. Psychol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1037\/0022-3514.84.4.822","article-title":"The benefits of being present: Mindfulness and its role in psychological well-being","volume":"84","author":"Brown","year":"2003","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"E79","DOI":"10.1017\/sjp.2013.79","article-title":"Mindful attention and awareness: Relationships with psychopathology and emotion regulation","volume":"16","year":"2013","journal-title":"Span. J. Psychol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: A flexible statistical power analysis program for the social, behavioural, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav. Res. Methods"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_55","unstructured":"(2023, October 22). 10 Usability Heuristics for User Interface Design. Available online: https:\/\/www.nngroup.com\/articles\/ten-usability-heuristics\/."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.2196\/jmir.7.1.e11","article-title":"The Law of Attrition","volume":"7","author":"Eysenbach","year":"2005","journal-title":"J. Med. Internet Res."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"2765","DOI":"10.1007\/s12671-022-01992-7","article-title":"The Impact of a Mindfulness App on Postnatal Distress","volume":"13","author":"Bear","year":"2022","journal-title":"Mindfulness"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1002\/wps.20151","article-title":"Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: A systematic review and meta-analysis","volume":"13","author":"Andersson","year":"2014","journal-title":"World J. Psychiatry"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/16506073.2017.1401115","article-title":"Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: An updated systematic review and meta-analysis","volume":"47","author":"Carlbring","year":"2018","journal-title":"Cogn. Behav. Ther."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1001\/jamapsychiatry.2017.0044","article-title":"Efficacy of Self-guided Internet-Based Cognitive Behavioral Therapy in the Treatment of Depressive Symptoms: A Meta-analysis of Individual Participant Data","volume":"74","author":"Karyotaki","year":"2017","journal-title":"JAMA psychiatry"}],"container-title":["Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9032\/12\/21\/2100\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:17:40Z","timestamp":1760113060000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9032\/12\/21\/2100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,22]]},"references-count":60,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["healthcare12212100"],"URL":"https:\/\/doi.org\/10.3390\/healthcare12212100","relation":{},"ISSN":["2227-9032"],"issn-type":[{"type":"electronic","value":"2227-9032"}],"subject":[],"published":{"date-parts":[[2024,10,22]]}}}