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Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model
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Mi Ran Yang, Mi Yu
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J Korean Acad Nurs 2022;52(3):308-323. Published online June 30, 2022
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DOI: https://doi.org/10.4040/jkan.22013
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 Abstract
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- Purpose
This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden’s Self-Help Model.
Methods
The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents’ Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program.
Results
The fit indices of the predictive model satisfied recommended levels; χ2 = 165.79 (p < .001), normed χ2 (χ2 /df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%.
Conclusion
The study results confirm the utility of Braden’s Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers’ distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.
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Citations
Citations to this article as recorded by  - Factors associated with uncertainty in parents of children with developmental disabilities: A scoping review
Heejung Choi, GyeongAe Seomun, Jeongeun Song
Disability and Health Journal.2026; 19(1): 101962. CrossRef - Moderating role of informational support in the relationship between credible authority and parental uncertainty in developmental disabilities: a preliminary study
Heejung Choi, GyeongAe Seomun, Sung-Min Son
Disability and Rehabilitation.2025; 47(20): 5237. CrossRef - Adaptation and validation of the Korean version of the parental perception of uncertainty scale (K-PPUS) in parents of children with developmental disabilities
Heejung Choi, GyeongAe Seomun
Journal of Pediatric Nursing.2025; 82: 47. CrossRef - Pilot Study to Develop the Korean Screening Index of Early Development-Parent Form
Hyo-Jeong Jeon, Eun-Kyoung Goh, Min-Jung Kim, Eun-Seol Kim
Korean Journal of Child Studies.2025; 46(2): 37. CrossRef - Exploring parental uncertainty and information needs for children with developmental disabilities: A qualitative study
Heejung Choi
Journal of Pediatric Nursing.2025; 84: 328. CrossRef - The impact of maternal adverse childhood experiences on children's quality of life: the moderating role of self-esteem and the mediating role of maternal quality of life
Eunjeong Cho, Yeon Jeong Heo, Eunha Ryoo, Hye Jin Kim
Frontiers in Global Women's Health.2025;[Epub] CrossRef - The Relation among Uncertainty, Social Support, Care Burden of Mothers having Children with Developmental Disabilities
Kyoung Eun Jeong, Min Hyun Suk
Research in Community and Public Health Nursing.2023; 34: 117. CrossRef
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