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Lee: A Structural Model of Caring Behavior of Mothers of Disabled Children
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2009; 39(5): 673-682.

Published online: 31 October 2009

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

A Structural Model of Caring Behavior of Mothers of Disabled Children

Ae-Ran Lee

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 22 February 2009       Accepted 16 September 2009

Copyright © 2009 Korean Society of Nursing Science

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

Figures and Tables

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
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
Table 1
Correlations Matrix among Measurable Variables
jkan-39-673-i001

*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

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

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

Notes

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

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