Loading…

A Single-Session Intervention Designed to Promote Resilience for Parents of Children with Disabilities

The use of psychoeducational interventions with parents of children diagnosed with a disability has been found to be effective in promoting parental well-being and improving family functioning. Such interventions typically require multiple sessions which, although well-meaning, impose time burdens o...

Full description

Saved in:
Bibliographic Details
Published in:Journal of child and family studies 2023-08, Vol.32 (8), p.2406-2418
Main Authors: VanVoorhis, Richard W., Miller, Kenneth L., Miller, Susan M.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c319t-9479654d615f2cf8d9b73436e7781064bdc2a3a07958fb074e6da99fb5c72c9b3
cites cdi_FETCH-LOGICAL-c319t-9479654d615f2cf8d9b73436e7781064bdc2a3a07958fb074e6da99fb5c72c9b3
container_end_page 2418
container_issue 8
container_start_page 2406
container_title Journal of child and family studies
container_volume 32
creator VanVoorhis, Richard W.
Miller, Kenneth L.
Miller, Susan M.
description The use of psychoeducational interventions with parents of children diagnosed with a disability has been found to be effective in promoting parental well-being and improving family functioning. Such interventions typically require multiple sessions which, although well-meaning, impose time burdens on frequently overwhelmed parents. Research on brief interventions has shown promise for both children and adults in reducing emotional distress and improving psychological functioning. This study sought to assess the efficacy of a single-session intervention designed to reduce emotional distress and improve resilience among parents with a child diagnosed with a low-incidence disability. Results supported the efficacy of a single-session intervention for these parents. Twenty-six parents/primary caregivers of children diagnosed with low-incidence disabilities participated in a single-session intervention, a 5.5-hour psychoeducation workshop, to determine effects on measures of parental depression, anxiety, and stress, resilience, self-efficacy, and well-being. Comparisons of pretest-posttest mean scores revealed statistically significant differences on six of eight measures, all in an improved direction (i.e., lower posttest levels on measures of anxiety and stress, and higher posttest levels on measures of resilience, self-efficacy, and well-being). Positive post-workshop evaluation ratings also support the value of this intervention for parents. A description of workshop methods and content is provided to facilitate study replication. Authors discuss strategies for using brief, interactive, and resource-based psychoeducational parent training sessions to benefit families of children with disabilities. Highlights A single-session intervention resulted in improved psychological-emotional outcomes for parents with a child with a disability; Findings included improved self-efficacy, well-being, and resilience and reduced anxiety and stress, but not depression; Results of this study suggest the value of replication using a pre-post, control group, experimental design; An unanticipated outcome was the degree to which participants created opportunities to develop strong emotional bonds.
doi_str_mv 10.1007/s10826-023-02622-z
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2844430533</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2844430533</sourcerecordid><originalsourceid>FETCH-LOGICAL-c319t-9479654d615f2cf8d9b73436e7781064bdc2a3a07958fb074e6da99fb5c72c9b3</originalsourceid><addsrcrecordid>eNp9kMtOAyEUhonRxFp9AVckrlFuMwzLpvXSpImN1TWZC7Q0U6hANfbppdbEnQsCh3z_OTkfANcE3xKMxV0kuKIlwpTlU1KK9idgQArBEK04O81vXFJEMOXn4CLGNcZYVlQOgBnBhXXLXqOFjtF6B6cu6fChXToUEx3t0ukOJg_nwW980vAl__VWu1ZD4wOc1yHDEXoDxyvbd7mCnzat4MTGuslksjpegjNT91Ff_d5D8PZw_zp-QrPnx-l4NEMtIzIhyYUsC96VpDC0NVUnG8E4K7UQVd6AN11La1ZjIYvKNFhwXXa1lKYpWkFb2bAhuDn23Qb_vtMxqbXfBZdHqiyCc4YLxjJFj1QbfIxBG7UNdlOHL0WwOvhUR58q-1Q_PtU-h9gxFDPsljr8tf4n9Q3aZHlY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2844430533</pqid></control><display><type>article</type><title>A Single-Session Intervention Designed to Promote Resilience for Parents of Children with Disabilities</title><source>Criminology Collection</source><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>International Bibliography of the Social Sciences (IBSS)</source><source>Social Science Premium Collection</source><source>Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List</source><source>Sociology Collection</source><source>Education Collection</source><creator>VanVoorhis, Richard W. ; Miller, Kenneth L. ; Miller, Susan M.</creator><creatorcontrib>VanVoorhis, Richard W. ; Miller, Kenneth L. ; Miller, Susan M.</creatorcontrib><description>The use of psychoeducational interventions with parents of children diagnosed with a disability has been found to be effective in promoting parental well-being and improving family functioning. Such interventions typically require multiple sessions which, although well-meaning, impose time burdens on frequently overwhelmed parents. Research on brief interventions has shown promise for both children and adults in reducing emotional distress and improving psychological functioning. This study sought to assess the efficacy of a single-session intervention designed to reduce emotional distress and improve resilience among parents with a child diagnosed with a low-incidence disability. Results supported the efficacy of a single-session intervention for these parents. Twenty-six parents/primary caregivers of children diagnosed with low-incidence disabilities participated in a single-session intervention, a 5.5-hour psychoeducation workshop, to determine effects on measures of parental depression, anxiety, and stress, resilience, self-efficacy, and well-being. Comparisons of pretest-posttest mean scores revealed statistically significant differences on six of eight measures, all in an improved direction (i.e., lower posttest levels on measures of anxiety and stress, and higher posttest levels on measures of resilience, self-efficacy, and well-being). Positive post-workshop evaluation ratings also support the value of this intervention for parents. A description of workshop methods and content is provided to facilitate study replication. Authors discuss strategies for using brief, interactive, and resource-based psychoeducational parent training sessions to benefit families of children with disabilities. Highlights A single-session intervention resulted in improved psychological-emotional outcomes for parents with a child with a disability; Findings included improved self-efficacy, well-being, and resilience and reduced anxiety and stress, but not depression; Results of this study suggest the value of replication using a pre-post, control group, experimental design; An unanticipated outcome was the degree to which participants created opportunities to develop strong emotional bonds.</description><identifier>ISSN: 1062-1024</identifier><identifier>EISSN: 1573-2843</identifier><identifier>DOI: 10.1007/s10826-023-02622-z</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Anxiety ; Behavioral Science and Psychology ; Brief interventions ; Caregivers ; Child and School Psychology ; Children with disabilities ; Control Groups ; Depression (Psychology) ; Disability ; Emotional distress ; Family relations ; Intervention ; Mental depression ; Original Paper ; Parental depression ; Parenthood education ; Parents ; Parents &amp; parenting ; Pretests Posttests ; Psychoeducational treatment ; Psychological distress ; Psychological functioning ; Psychology ; Replication (Evaluation) ; Research Design ; Resilience ; Resilience (Psychology) ; Self Efficacy ; Social Sciences ; Sociology ; Stress ; Well being</subject><ispartof>Journal of child and family studies, 2023-08, Vol.32 (8), p.2406-2418</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-9479654d615f2cf8d9b73436e7781064bdc2a3a07958fb074e6da99fb5c72c9b3</citedby><cites>FETCH-LOGICAL-c319t-9479654d615f2cf8d9b73436e7781064bdc2a3a07958fb074e6da99fb5c72c9b3</cites><orcidid>0000-0003-0266-3521 ; 0000-0002-3418-662X ; 0000-0002-9320-7937</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2844430533/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2844430533?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,12825,12826,21355,21357,21373,21374,27901,27902,30976,33200,33588,33746,33854,34507,43709,43790,43856,44091,74192,74281,74367,74609</link.rule.ids></links><search><creatorcontrib>VanVoorhis, Richard W.</creatorcontrib><creatorcontrib>Miller, Kenneth L.</creatorcontrib><creatorcontrib>Miller, Susan M.</creatorcontrib><title>A Single-Session Intervention Designed to Promote Resilience for Parents of Children with Disabilities</title><title>Journal of child and family studies</title><addtitle>J Child Fam Stud</addtitle><description>The use of psychoeducational interventions with parents of children diagnosed with a disability has been found to be effective in promoting parental well-being and improving family functioning. Such interventions typically require multiple sessions which, although well-meaning, impose time burdens on frequently overwhelmed parents. Research on brief interventions has shown promise for both children and adults in reducing emotional distress and improving psychological functioning. This study sought to assess the efficacy of a single-session intervention designed to reduce emotional distress and improve resilience among parents with a child diagnosed with a low-incidence disability. Results supported the efficacy of a single-session intervention for these parents. Twenty-six parents/primary caregivers of children diagnosed with low-incidence disabilities participated in a single-session intervention, a 5.5-hour psychoeducation workshop, to determine effects on measures of parental depression, anxiety, and stress, resilience, self-efficacy, and well-being. Comparisons of pretest-posttest mean scores revealed statistically significant differences on six of eight measures, all in an improved direction (i.e., lower posttest levels on measures of anxiety and stress, and higher posttest levels on measures of resilience, self-efficacy, and well-being). Positive post-workshop evaluation ratings also support the value of this intervention for parents. A description of workshop methods and content is provided to facilitate study replication. Authors discuss strategies for using brief, interactive, and resource-based psychoeducational parent training sessions to benefit families of children with disabilities. Highlights A single-session intervention resulted in improved psychological-emotional outcomes for parents with a child with a disability; Findings included improved self-efficacy, well-being, and resilience and reduced anxiety and stress, but not depression; Results of this study suggest the value of replication using a pre-post, control group, experimental design; An unanticipated outcome was the degree to which participants created opportunities to develop strong emotional bonds.</description><subject>Anxiety</subject><subject>Behavioral Science and Psychology</subject><subject>Brief interventions</subject><subject>Caregivers</subject><subject>Child and School Psychology</subject><subject>Children with disabilities</subject><subject>Control Groups</subject><subject>Depression (Psychology)</subject><subject>Disability</subject><subject>Emotional distress</subject><subject>Family relations</subject><subject>Intervention</subject><subject>Mental depression</subject><subject>Original Paper</subject><subject>Parental depression</subject><subject>Parenthood education</subject><subject>Parents</subject><subject>Parents &amp; parenting</subject><subject>Pretests Posttests</subject><subject>Psychoeducational treatment</subject><subject>Psychological distress</subject><subject>Psychological functioning</subject><subject>Psychology</subject><subject>Replication (Evaluation)</subject><subject>Research Design</subject><subject>Resilience</subject><subject>Resilience (Psychology)</subject><subject>Self Efficacy</subject><subject>Social Sciences</subject><subject>Sociology</subject><subject>Stress</subject><subject>Well being</subject><issn>1062-1024</issn><issn>1573-2843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><sourceid>ALSLI</sourceid><sourceid>BGRYB</sourceid><sourceid>CJNVE</sourceid><sourceid>HEHIP</sourceid><sourceid>M0O</sourceid><sourceid>M0P</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp9kMtOAyEUhonRxFp9AVckrlFuMwzLpvXSpImN1TWZC7Q0U6hANfbppdbEnQsCh3z_OTkfANcE3xKMxV0kuKIlwpTlU1KK9idgQArBEK04O81vXFJEMOXn4CLGNcZYVlQOgBnBhXXLXqOFjtF6B6cu6fChXToUEx3t0ukOJg_nwW980vAl__VWu1ZD4wOc1yHDEXoDxyvbd7mCnzat4MTGuslksjpegjNT91Ff_d5D8PZw_zp-QrPnx-l4NEMtIzIhyYUsC96VpDC0NVUnG8E4K7UQVd6AN11La1ZjIYvKNFhwXXa1lKYpWkFb2bAhuDn23Qb_vtMxqbXfBZdHqiyCc4YLxjJFj1QbfIxBG7UNdlOHL0WwOvhUR58q-1Q_PtU-h9gxFDPsljr8tf4n9Q3aZHlY</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>VanVoorhis, Richard W.</creator><creator>Miller, Kenneth L.</creator><creator>Miller, Susan M.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7XB</scope><scope>88B</scope><scope>88G</scope><scope>88J</scope><scope>8A4</scope><scope>8AM</scope><scope>8BJ</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>JBE</scope><scope>K7.</scope><scope>M0O</scope><scope>M0P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><orcidid>https://orcid.org/0000-0003-0266-3521</orcidid><orcidid>https://orcid.org/0000-0002-3418-662X</orcidid><orcidid>https://orcid.org/0000-0002-9320-7937</orcidid></search><sort><creationdate>20230801</creationdate><title>A Single-Session Intervention Designed to Promote Resilience for Parents of Children with Disabilities</title><author>VanVoorhis, Richard W. ; Miller, Kenneth L. ; Miller, Susan M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-9479654d615f2cf8d9b73436e7781064bdc2a3a07958fb074e6da99fb5c72c9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anxiety</topic><topic>Behavioral Science and Psychology</topic><topic>Brief interventions</topic><topic>Caregivers</topic><topic>Child and School Psychology</topic><topic>Children with disabilities</topic><topic>Control Groups</topic><topic>Depression (Psychology)</topic><topic>Disability</topic><topic>Emotional distress</topic><topic>Family relations</topic><topic>Intervention</topic><topic>Mental depression</topic><topic>Original Paper</topic><topic>Parental depression</topic><topic>Parenthood education</topic><topic>Parents</topic><topic>Parents &amp; parenting</topic><topic>Pretests Posttests</topic><topic>Psychoeducational treatment</topic><topic>Psychological distress</topic><topic>Psychological functioning</topic><topic>Psychology</topic><topic>Replication (Evaluation)</topic><topic>Research Design</topic><topic>Resilience</topic><topic>Resilience (Psychology)</topic><topic>Self Efficacy</topic><topic>Social Sciences</topic><topic>Sociology</topic><topic>Stress</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VanVoorhis, Richard W.</creatorcontrib><creatorcontrib>Miller, Kenneth L.</creatorcontrib><creatorcontrib>Miller, Susan M.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>International Bibliography of the Social Sciences</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Criminal Justice</collection><collection>Education Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database (ProQuest)</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Sociology &amp; Social Sciences Collection</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Journal of child and family studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VanVoorhis, Richard W.</au><au>Miller, Kenneth L.</au><au>Miller, Susan M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Single-Session Intervention Designed to Promote Resilience for Parents of Children with Disabilities</atitle><jtitle>Journal of child and family studies</jtitle><stitle>J Child Fam Stud</stitle><date>2023-08-01</date><risdate>2023</risdate><volume>32</volume><issue>8</issue><spage>2406</spage><epage>2418</epage><pages>2406-2418</pages><issn>1062-1024</issn><eissn>1573-2843</eissn><abstract>The use of psychoeducational interventions with parents of children diagnosed with a disability has been found to be effective in promoting parental well-being and improving family functioning. Such interventions typically require multiple sessions which, although well-meaning, impose time burdens on frequently overwhelmed parents. Research on brief interventions has shown promise for both children and adults in reducing emotional distress and improving psychological functioning. This study sought to assess the efficacy of a single-session intervention designed to reduce emotional distress and improve resilience among parents with a child diagnosed with a low-incidence disability. Results supported the efficacy of a single-session intervention for these parents. Twenty-six parents/primary caregivers of children diagnosed with low-incidence disabilities participated in a single-session intervention, a 5.5-hour psychoeducation workshop, to determine effects on measures of parental depression, anxiety, and stress, resilience, self-efficacy, and well-being. Comparisons of pretest-posttest mean scores revealed statistically significant differences on six of eight measures, all in an improved direction (i.e., lower posttest levels on measures of anxiety and stress, and higher posttest levels on measures of resilience, self-efficacy, and well-being). Positive post-workshop evaluation ratings also support the value of this intervention for parents. A description of workshop methods and content is provided to facilitate study replication. Authors discuss strategies for using brief, interactive, and resource-based psychoeducational parent training sessions to benefit families of children with disabilities. Highlights A single-session intervention resulted in improved psychological-emotional outcomes for parents with a child with a disability; Findings included improved self-efficacy, well-being, and resilience and reduced anxiety and stress, but not depression; Results of this study suggest the value of replication using a pre-post, control group, experimental design; An unanticipated outcome was the degree to which participants created opportunities to develop strong emotional bonds.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s10826-023-02622-z</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0266-3521</orcidid><orcidid>https://orcid.org/0000-0002-3418-662X</orcidid><orcidid>https://orcid.org/0000-0002-9320-7937</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1062-1024
ispartof Journal of child and family studies, 2023-08, Vol.32 (8), p.2406-2418
issn 1062-1024
1573-2843
language eng
recordid cdi_proquest_journals_2844430533
source Criminology Collection; Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Social Science Premium Collection; Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List; Sociology Collection; Education Collection
subjects Anxiety
Behavioral Science and Psychology
Brief interventions
Caregivers
Child and School Psychology
Children with disabilities
Control Groups
Depression (Psychology)
Disability
Emotional distress
Family relations
Intervention
Mental depression
Original Paper
Parental depression
Parenthood education
Parents
Parents & parenting
Pretests Posttests
Psychoeducational treatment
Psychological distress
Psychological functioning
Psychology
Replication (Evaluation)
Research Design
Resilience
Resilience (Psychology)
Self Efficacy
Social Sciences
Sociology
Stress
Well being
title A Single-Session Intervention Designed to Promote Resilience for Parents of Children with Disabilities
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-22T11%3A58%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Single-Session%20Intervention%20Designed%20to%20Promote%20Resilience%20for%20Parents%20of%20Children%20with%20Disabilities&rft.jtitle=Journal%20of%20child%20and%20family%20studies&rft.au=VanVoorhis,%20Richard%20W.&rft.date=2023-08-01&rft.volume=32&rft.issue=8&rft.spage=2406&rft.epage=2418&rft.pages=2406-2418&rft.issn=1062-1024&rft.eissn=1573-2843&rft_id=info:doi/10.1007/s10826-023-02622-z&rft_dat=%3Cproquest_cross%3E2844430533%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c319t-9479654d615f2cf8d9b73436e7781064bdc2a3a07958fb074e6da99fb5c72c9b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2844430533&rft_id=info:pmid/&rfr_iscdi=true