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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

Copyright © 2009 Korean Society of Nursing Science

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  • 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.
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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.
jkan-39-673-g001.jpg
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.
jkan-39-673-g002.jpg
Table 1
Correlations Matrix among Measurable Variables
jkan-39-673-i001.jpg

*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
jkan-39-673-i002.jpg

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
jkan-39-673-i003.jpg

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

Figure & Data

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      A Structural Model of Caring Behavior of Mothers of Disabled Children
      Image Image
      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.
      A Structural Model of Caring Behavior of Mothers of Disabled Children

      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.

      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.

      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.

      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.


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