Online Trauma-Informed Yoga for Women Caregivers of Children With ADHD: Feasibility and Preliminary Effects in a Within-Subject AB Design

Introduction. Informal women caregivers of children with Attention-deficit/hyperactivity disorder (ADHD) face contextual and mental health challenges that increase the risk of stress and parental burnout (PB). In Mexico, however, support interventions targeting this population are scarce. This is the first evaluation of an online Trauma-Informed Yoga (TIY) intervention for this population. Objective. To evaluate the feasibility, acceptability, and preliminary effects of TIY on stress, anxiety, depression, and PB in women caregivers of children with ADHD. Method. A within-subject AB design with repeated measures and one- and two-month follow-ups was implemented. Participants comprised five women, all mothers and primary caregivers of children diagnosed with ADHD treated at the outpatient clinic of a public pediatric psychiatric hospital in Mexico City, who presented with baseline psychological distress and/or PB. The intervention consisted of eight individual online TIY sessions lasting 50 minutes each. DASS-21, the Parental Burnout Assessment, and an ad hoc acceptability questionnaire were administered. Results. All five participants showed decreases with moderate to large effect sizes in most variables. A reliable clinical change (p < .05) in stress reduction was obtained for three cases. The retention rate was 100%, and the acceptability criterion was exceeded (#cer# 70% positive responses). Discussion and conclusion. The online TIY intervention proved to be feasible, safe, and well-accepted, yielding decreases in psychological distress and PB. The core insight is that remote TIY constitutes a viable adjunct tool for reducing distress in women caregivers of children with ADHD. Future research should explore group formats, larger samples, and controlled designs.