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Construct Validity of the Life Transition Scale for Parents of Children with Autism
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Ae Ran Lee, Sun Woo Hong, Se Jin Ju
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J Korean Acad Nurs 2014;44(5):563-572. Published online October 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.5.563
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Abstract
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Purpose
The study was done to identify the construct validity and reliability of the life transition scale (LTS) for parents who have children with autism.
Methods
Exploratory factor analysis (EFA) and confirmative factor analysis (CFA) were conducted to identify the most adequate measurement model for structural validity. Convergent validity and discriminant validity were also conducted for structural validity. Data were collected from 208 parents through self-reported questionnaires and analyzed with SPSS/WIN 15.0 and AMOS 20.0 version.
Results
A four factor-structure was validated (χ2=541.23, p<.001, GFI=.82, RMSEA=.07, IFI=.89, CFI=.89, PNFI=.73, Q (χ2/df)=2.20) at the 3rd order of EFA and CFA, and factors were named as denying, wandering, despairing, and accepting. Both convergent and determinant validity for LTS were 100%. Cronbach's alphas for the reliability of each structure were .77-.90 and .83 for total structure.
Conclusion
The four structures, 24-item instrument showed satisfactory reliability and validity. LTS has the potential to be appropriate for assessing the transition process of life for parents who have children with autism and provides basic directions for differentiated support and care at each stage.
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Citations
Citations to this article as recorded by 
- An Integrated Review of The Factors Influencing Aggression in Children and Adolescents with Autism Spectrum Disorder
Miran Jung, Yeong Seon Hong Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(2): 125. CrossRef - Children with severe disabilities: adaptation, virtual education, and prospects. Experiences of three Peruvian mothers, COVID-19 context
Pilar Maria Gamarra Choque, Edith Gissela Rivera Arellano, Enaidy Reynosa Navarro, Juan Méndez Vergaray, Yolanda Josefina Huayta-Franco, Melissa Fatima Muñante Toledo Journal of Medicine and Life.2022; 15(1): 43. CrossRef - Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process
Sun Woo Hong, JinShil Kim, Hwal Lan Bang Child Health Nursing Research.2020; 26(3): 338. CrossRef - Life Transition Process Effects on Depressive Symptoms in Parents of Children with Autism Spectrum Disorder
Sun Woo Hong, JinShil Kim, Ae Ran Lee, Jeong Sil Choi Child Health Nursing Research.2018; 24(3): 337. CrossRef - Differences in Life Transition Process of Parents Caring for Children with Autism: Based on the Socio-Demographic Characteristics
Ae Ran Lee, Sun Woo Hong Child Health Nursing Research.2015; 21(4): 331. CrossRef
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Development of a Scale to Measure Life Transition Process in Parents of Children with Autism
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Ae Ran Lee, Sun Woo Hong, Se Jin Ju
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J Korean Acad Nurs 2012;42(6):861-869. Published online December 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.6.861
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Abstract
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Purpose
The purpose of this research was to develop a scale to measure the life transition process of parents of children with autism, against the backdrop of a lack of research on this topic.
Methods
Seventy preliminary items were drawn from previous qualitative research, and content validity was tested by three professors as well as three parents of children with autism. A questionnaire survey was also done between August 2011 and February 2012. Data were collected from 207 parents of children with autism and analyzed using descriptive statistics, item analysis, Cronbach's alpha, Pearson correlation coefficients, and factor analysis with the SPSS Win 15.0 program.
Results
Twenty-nine items were selected to constitute the appropriate measuring scale and categorized into 5 factors explaining 63.2% of the total variance. The 5 factors were named; stages of denial (5 items), wandering (6 items), devotion (7 items), frustration (3 items), and finally acceptance (8 items). Cronbach's alpha for the 29 items was .80.
Conclusion
The results of this study not only suggest assessment criteria for the life transition process of parents who have children with autism but also provide basic directions for program development to provide differentiated support and care at each stage.
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Citations
Citations to this article as recorded by 
- Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process
Sun Woo Hong, JinShil Kim, Hwal Lan Bang Child Health Nursing Research.2020; 26(3): 338. CrossRef - Life Transition Process Effects on Depressive Symptoms in Parents of Children with Autism Spectrum Disorder
Sun Woo Hong, JinShil Kim, Ae Ran Lee, Jeong Sil Choi Child Health Nursing Research.2018; 24(3): 337. CrossRef - Differences in Life Transition Process of Parents Caring for Children with Autism: Based on the Socio-Demographic Characteristics
Ae Ran Lee, Sun Woo Hong Child Health Nursing Research.2015; 21(4): 331. CrossRef - Construct Validity of the Life Transition Scale for Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju Journal of Korean Academy of Nursing.2014; 44(5): 563. CrossRef
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192
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Life Transition of Mothers of Children with Autism
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Ae Ran Lee, Sun Woo Hong, Ji Soo Kim, Se Jin Ju
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J Korean Acad Nurs 2010;40(6):808-819. Published online December 31, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.6.808
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Abstract
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Purpose
While there are a number of studies on children with disabilities, there have been few studies on mothers of children with autism. The purpose of this study was to explore the process of life transition of mothers who have children with autism.
Methods
From June 2007 to May 2009, the researcher interviewed 15 mothers of children with autism living in Seoul City, Gyeonggi or Chonbuk Provinces, and then analyzed the data gathered using the constant comparative method of grounded theory.
Results
"Living together holding a string of fate" was a core category showing along the continuum of life. The basic social process of life transition encompassed 5 stages: stages of denying, wandering, devoting, mind controlling, and finally accepting. These five stages proceeded in phases, though returned back to the wandering stage occasionally.
Conclusion
This study has opened the door to understanding how mothers of children with autism experienced life transition. The findings suggest that differentiated support and care at each stage should be given and there is the need to develop transition assessment tools for mothers of children with autism.
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Citations
Citations to this article as recorded by 
- The influence of mother’s involvement in raising children with autism on maternal anxiety: the mediating role of parental psychological flexibility
Yuqing Zhang, Jingyi Liu, Maoxin Jiang, Fengqin Jia, Meixin Fang, Dianzhi Liu Clinical Psychologist.2025; : 1. CrossRef - The Experiences of the Life of A Mother with A Developmentally Disabled Child: Parse's Human Becoming Research Method
Min Ji Kim, Kyung Mi Sung Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(2): 181. CrossRef - Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process
Sun Woo Hong, JinShil Kim, Hwal Lan Bang Child Health Nursing Research.2020; 26(3): 338. CrossRef - Life Transition Process Effects on Depressive Symptoms in Parents of Children with Autism Spectrum Disorder
Sun Woo Hong, JinShil Kim, Ae Ran Lee, Jeong Sil Choi Child Health Nursing Research.2018; 24(3): 337. CrossRef - Differences in Life Transition Process of Parents Caring for Children with Autism: Based on the Socio-Demographic Characteristics
Ae Ran Lee, Sun Woo Hong Child Health Nursing Research.2015; 21(4): 331. CrossRef - Construct Validity of the Life Transition Scale for Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju Journal of Korean Academy of Nursing.2014; 44(5): 563. CrossRef - Grounded Theoretical Approach to the Life of Mothers as a Caretaker of Children with a Severe Disability
Chan-Young Jeun, Mia Seo The Journal of the Korea Contents Association.2013; 13(4): 239. CrossRef - Development of a Scale to Measure Life Transition Process in Parents of Children with Autism
Ae Ran Lee, Sun Woo Hong, Se Jin Ju Journal of Korean Academy of Nursing.2012; 42(6): 861. CrossRef
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Perceptions of Primiparas of their Newborns: A Comparision of Koreans and Americans
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Mun Hee Park, Ae Ran Lee
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Journal of Nurses Academic Society 1995;25(3):431-440. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1995.25.3.431
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Abstract
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The purpose of this study was to compare Korean and American women as to the perception of their newborns, and to assess factors contributing to a positive mother-infant relationships. American mothers were with their own newborns in the same rooms and could feed and take care of them if they wanted, but Korean mothers were separated from their babies. The subjects of this study were 86 Korean and 86 American primiparas within two-three days after delivery. Data were collected from May to August 1994, using the Neonatal Perception Inventory (NPI) devised by Broussard(1963) with additions by Lee, Ja Hyung(l986). The results of this study are as follows; 1. There was a significant difference in the mothers' perceptions of their babies according to mothers' age(P<0.05, P<0.01). Mothers of 20 years and downward had negative perceptions of their babies. 2. There was no difference in the mothers' perceptions of their babies according to whether they had a job or not. 3. There was a significant difference in the mothers' perceptions of their newborns according to mothers' education level (P<0.01). Mothers graduated from a junior high school had negative perceptions of their babies. 4. There was no difference in the mothers' perceptions according to their feeding pattern. 5. There was a significant difference between Korean mothers' perceptions and American mothers' perceptions of their babies(P<0.01). 69.7% of Korean mothers and 44.1% of American mothers had positive perceptions. But Korean mothers perceived that it would be more difficult for them to take care of their babies. As seen above, Korean primiparas evaluated their babies higher than Americans. But they perceived that it would be more difficult for them to take care of their babies. The results suggest that there needs a rooming-in system and systematic prenatal educations for the primiparas in Korea.
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Perceptions of Patients, Nurses and Oriental Medical Doctors About Nursing Activities in Oriental Medical Hospitals
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Ae Ran Lee, Koung Hee Yang, Sun Hee Han, Hey Sook Jang
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Journal of Nurses Academic Society 1993;23(2):284-298. Published online March 31, 2017
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DOI: https://doi.org/10.4040/jnas.1993.23.2.284
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Abstract
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This study was carried out to compare perceptions about nursing activities in oriental medical hospital settings. Data were collected from 47 patients hospitalized in an oriental medical hospital, and 41 nurses and 47 oriental medical doctors working in four oriental medical hospitals from July 10th to Sept. 20th, 1991. The findings of this study are as follows; 1. There were significant differences in the perceptions about physical nursing activities between patients (M=44.07) and nurses (M=48.44) (t=-3.09, P =0.003), and between nurses and oriental medical doctors (M=41.47) (t=-5,20, P=0.000). 2. There were no differences in perceptions about psychological and emotional nursing activities between patients (M=27.64) and nurses (M=28.52) (t=-1.02, P=0.310), but there were differences between nurses and oriental medical doctors (M=24. 31)(t=-5.31, P=0.000). 3. There were differences in perceptions about observation, recording and implemention of medical care activities between patients (M=53.65) and nurses (M=57.08) (t=-2.15, P=0.034), but there were no differences between nurses and oriental medical doctors (M=57.28) (t=.014, P=0.892). 4. There were no differences in perceptions about nursing management activities between patients (M=24.88) and nurses (M=26.42) (t=-1.91, P=0. 059), but there were differences between nurses and oriental medical doctors (M=24.25) (t=-3.24, P=0. 002).
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