Ae-Ran Lee

doi:10.4040/jkan.2009.39.5.673

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Original Article
A Structural Model of Caring Behavior of Mothers of Disabled Children: Ae-Ran Lee; Journal of Korean Academy of Nursing 2009;39(5):673-682.
DOI: https://doi.org/10.4040/jkan.2009.39.5.673
Published online: October 31, 2009

Professor, Department of Nursing, Wonkwang Health Science College, Iksan, Korea.

Address reprint requests to: Lee, Ae-Ran. Department of Nursing, Wonkwang Health Science College, 344-2 Sinyong-dong, Iksan 570-750, Korea. Tel: 82-63-840-1315, Fax: 82-63-840-1319, arlee@wkhc.ac.kr

• Received: February 22, 2009 • Accepted: September 16, 2009

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was done to develop a model which explains factors influencing caring behavior of mothers who have children with disabilities, and to verify the appropriateness of the model and the relationship among variables.
Methods
The participants in the research were the mothers who had a 3 to 12 yr-old children with disabilities. The data were collected from 451 mothers through self-reported questionnaires from July 14 to 31, 2008. A total of the 371 data sets were analyzed using SPSS/WIN 11.5 and AMOS 5.0 version.
Results
The children's behavior characteristics, social support, objective burden and parenting self-esteem had an impact on the mothers' caring behavior. Especially, parenting self-esteem including parenting satisfaction and self-efficacy was the most influential factor. These variables explained 77% of the mothers' caring behavior for these children.
Conclusion
The results suggest that some strategies for promoting mothers' parenting self-esteem focused on parenting satisfaction and self-efficacy should be developed in order to help mothers in caring for their child who is disabled.
Keywords: Disabled children; Maternal behavior

This article is based on a part of author's doctoral thesis from Seoul National University.

REFERENCES

1. Ayyangar R. Health maintenance and management in childhood disability. Physical Medicine Rehabilitation Clinics of North America. 2002;13:793–821.Article PubMed
2. Bae BR. Structural equation modeling with AMOS 7-principles and practice-. 2007;Seoul, Choungram Books.
3. Bandura A. Self-efficacy: The exercise of control. 1997;9th ed. New York, NY, W.H. Freeman and Company.
4. Bor W, Sanders MR. Correlates of self-reported coercive parenting of preschool-aged children at high risk for the development of conduct problems. Australian and New Zealand Journal of Psychiatry. 2004;38:738–745.Article PubMed
5. Branden N. Self-esteem every day: Reflections on self-esteem and spirituality. 1998;New York, NY, Simon & Schuster.
6. Eo YS. Effects of empowerment program on burden on mothers having a child with cerebral palsy. 2004;Busan, Pusan National University. Unpublished doctoral dissertation.
7. Eyberg SM, Robinson EA. Conduct problem behavior: Standardization of a behavioral rating scale with adolescents. Journal of Clinical Child Psychology. 1983;12:347–354.Article
8. Gibaud-Wallson J, Wandersman LP. Development and utility of the Parenting Sense of Competence Scale. Paper presented at the meeting of the American Psychological Association. 1978;Toronto, Canada.
9. Harty M, Alant E, Uys CJ. Maternal self-efficacy and maternal perception of child language competence in pre-school children with a communication disability. Child: Care, Health and Development. 2006;33:144–154.Article
10. Hassall R, Rose J, McDonald J. Parenting stress in mothers of children with an intellectual disability: The effects of parental cognitions in relation to child characteristics and family support. Journal of Intellectual Disability Research. 2005;49:405–418.Article PubMed
11. Hastings RP, Symes MD. Early intensive behavioral intervention for children with autism: Parental therapeutic self-efficacy. Research in developmental disabilities. 2002;23:332–341.Article PubMed
12. Johnston C, Mash EJ. A measure of parenting satisfaction and efficacy. Journal of Clinical Child Pathology. 1989;18:167–175.Article
13. Kim CY, Kim SM. RAI-HC Assessment Manual Version 2.0/MDS-HC 2.0. 2000;Seoul, Korea Medical Consulting Co..
14. Lee AR. The effects of social capital on the quality of life of a mother who has a child with disabilities: A case study of social networks. 2004;Jeonju, Chonbuk National University. Unpublished master's thesis.
15. Lee AR, Craft-Rosenberg M. Ineffective family participation in professional care: A concept analysis of proposed nursing diagnosis. Nursing Diagnosis. 2002;13:5–14.PubMed
16. Lee AR, Han KJ. Development of a tool to measure maternal behavior for health promotion for preschool children with disabilities. Journal of Korean Academy of Child Health Nursing. 2007;13:444–453.
17. Lee EH, Kim JS. Major effect models of social support and its statistical methods in Korean nursing research. Journal of Korean Academy of Nursing. 2000;30:1503–1520.Article PDF
18. Lee IO. Development of perceived stigma scale for the person with physical disability. 2007;Seoul, Seoul National University. Unpublished doctoral dissertation.
19. Lee JH, Kim HY, Lee JH. A study on maternal stress in rearing children with disabilities and maternal quality of life. Journal of Korean Academy of Child Health Nursing. 2007;13:5–12.
20. Lin N, Ye X, Ensel WM. Social support and depressed mood: A structural analysis. Journal of Health and Social Behavior. 1999;40:344–359.Article PubMed
21. Montgomery RJ, Gonyea JD, Hooyman NR. Caregiving and the experience of subjective and objective burden. Family Relations. 1985;34:19–26.Article
22. Nelson AM. A metasynthesis: Mothering other-than-normal children. Qualitative Health Research. 2002;12:515–530.Article PubMed PDF
23. Nettleton S. Cho HJ . The sociology of health and illness. 1997;Cambridge, Polity Press. (Original work published 1995).
24. Park JW. A study on development a scale of social support. 1985;Seoul, Yonsei University. Unpublished doctoral dissertation.
25. Registered disable persons data. Korean Statistical Information Service. 2008;06 11 Retrieved September 3, 2008. from http://nsportal.stat.go.kr.htm# National.
26. Resident Assessment Instrument-Home Care. InterRAI. 1999;Retrieved May 10, 2008. from http://www.interrai.org/section/view/?fnode=15.
27. Sanders MR, Woolley ML. The relationship between maternal self-efficacy and parenting practices: Implication for parent training. Child: Care, Health and Development. 2005;31:65–73.PubMed
28. Sim MK. A study on self-esteem, coping type and the quality of life in mothers of handicapped children. Journal of Korean Academy of Nursing. 1997;27:673–682.Article PDF
29. Song JM. In the parenting stress situation, the effect of social support to parental perceptions of child behavior. 1992;Seoul, Sookmyoung Women's University. Unpublished master's thesis.
30. Yang SJ. Stress and adaptation in family with physical disabled children. Journal of Korean Academy of Nursing. 1999;29:238–247.Article PDF

Figure 1

Hypothetical model.

x1=child's ability in daily living; x2=child's behavior problem; x3=family income; x4=mother's educational level; x5=frequency of contacts with supporters; x6=perceived social support; x7=perceived stigma; y1=objective burden; y2=satisfaction; y3=parenting self-efficacy; y4=caring behavior; CBC=child's behavior characteristics; MSES=mother's socio-economic status; SS=social support; OB=objective burden; PSE=parenting self-esteem; CB=caring behavior.

Figure 2

Path diagram of the modified model.

^*p<.05; ^**p<.01.

Table 1

Correlations Matrix among Measurable Variables

^*p<.05; ^**p<.01.

x1=child's ability in daily living; x2=child's behavior problems; x3=family income; x4=mother's educational level; x5=frequency of contacts with supporters; x6=perceived social support; x7=perceived stigma; y1=objective burden; y2=satisfaction; y3=parenting self-efficacy; y4=caring behavior.

Table 2

Fitness Statistics of Hypothetical Model and Modified Model

GFI=goodness of fit index; RMSEA=root mean square error of approximation; NFI=normal fit index; CFI=comparative fit index; AGFI=adjusted goodness of fit index; PNFI=parsimonious normal fit index.

Table 3

Effects of Predictor Variables in the Modified Model

CR=critical ratio; SMC=squared multiple correlations; CBC=child's behavior characteristics; SES=mother's socio-economic status.

Figure & Data

REFERENCES

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A Structural Model of Caring Behavior of Mothers of Disabled Children

J Korean Acad Nurs. 2009;39(5):673-682. Published online October 31, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.5.673

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A Structural Model of Caring Behavior of Mothers of Disabled Children

Figure 1 Hypothetical model. x1=child's ability in daily living; x2=child's behavior problem; x3=family income; x4=mother's educational level; x5=frequency of contacts with supporters; x6=perceived social support; x7=perceived stigma; y1=objective burden; y2=satisfaction; y3=parenting self-efficacy; y4=caring behavior; CBC=child's behavior characteristics; MSES=mother's socio-economic status; SS=social support; OB=objective burden; PSE=parenting self-esteem; CB=caring behavior.

Figure 2 Path diagram of the modified model. *p<.05; **p<.01. x1=child's ability in daily living; x2=child's behavior problem; x3=family income; x4=mother's educational level; x5=frequency of contacts with supporters; x6=perceived social support; x7=perceived stigma; y1=objective burden; y2=satisfaction; y3=parenting self-efficacy; y4=caring behavior; CBC=child's behavior characteristics; MSES=mother's socio-economic status; SS=social support; OB=objective burden; PSE=parenting self-esteem; CB=caring behavior.

Figure 1

Figure 2

A Structural Model of Caring Behavior of Mothers of Disabled Children

Table 1

Correlations Matrix among Measurable Variables

^*p<.05; ^**p<.01.

Table 2

Fitness Statistics of Hypothetical Model and Modified Model

GFI=goodness of fit index; RMSEA=root mean square error of approximation; NFI=normal fit index; CFI=comparative fit index; AGFI=adjusted goodness of fit index; PNFI=parsimonious normal fit index.

Table 3

Effects of Predictor Variables in the Modified Model

CR=critical ratio; SMC=squared multiple correlations; CBC=child's behavior characteristics; SES=mother's socio-economic status.

Table 1 Correlations Matrix among Measurable Variables

^*p<.05; ^**p<.01.

Table 2 Fitness Statistics of Hypothetical Model and Modified Model

GFI=goodness of fit index; RMSEA=root mean square error of approximation; NFI=normal fit index; CFI=comparative fit index; AGFI=adjusted goodness of fit index; PNFI=parsimonious normal fit index.

Table 3 Effects of Predictor Variables in the Modified Model

CR=critical ratio; SMC=squared multiple correlations; CBC=child's behavior characteristics; SES=mother's socio-economic status.