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Fong VC, Shim J, Yoon A, Lee BS, Iarocci G. A preliminary exploration of different coping strategies used by Korean immigrant parents of autistic children in high versus low family quality of life ratings. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2023; 27:1307-1319. [PMID: 36317392 PMCID: PMC10291356 DOI: 10.1177/13623613221133961] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Abstract
The experiences of coping in parents of autistic children have been extensively studied in the literature. While this research has identified both effective and ineffective coping strategies used by caregivers, no studies to date have examined how coping strategies used by parents might be linked to family quality of life outcomes. Furthermore, few studies exist examining both coping strategies and family quality of life in culturally and linguistically diverse populations. Thus, this study aimed to address both limitations. A total of 12 Korean immigrant parents of autistic children, 6 representing the high family quality of life group and 6 representing the low family quality of life group, shared their experiences related to coping and managing stress. Responses fell under three broad categories (problem-focused, emotion-focused, and adjustment-focused) with differences observed when comparing the high versus low family quality of life groups. A better understanding of the link between coping strategies and family quality of life outcomes may help identify effective and culturally sensitive supports for caregivers and families to improve their quality of life and well-being.
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Jansen-van Vuuren J, Nuri RP, Nega A, Batorowicz B, Lysaght R, Aldersey HM. Family quality of life for families of children with disabilities in African contexts: a scoping review. Qual Life Res 2021; 31:1289-1307. [PMID: 34537914 DOI: 10.1007/s11136-021-02994-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Family Quality of Life (FQOL) is an important outcome for families of children with disabilities and is influenced by context and culture. Minimal research explores FQOL in African contexts. PURPOSE This scoping review identifies factors contributing to FQOL for families of children with disabilities in African contexts. METHOD We were guided by Arksey and O'Malley's scoping review framework, searching for research papers from the following electronic databases: CINAHL, Embase, Medline, Global Health, and PsycINFO. Using pre-determined eligibility criteria, two authors independently reviewed articles for inclusion via Covidence, a reference manager that facilitates blind reviewing. Two other authors independently extracted data from studies using a data-charting form based on Zuna and colleagues' FQOL framework. Reviewers met regularly for discussion to reach consensus. RESULTS Fifty-three articles met the inclusion criteria, and findings demonstrated a broad variety of factors contributing to FQOL within the FQOL framework related to family unit factors, individual member factors, and external support factors. We found that poverty, stigma, and spirituality were particularly prominent factors affecting FQOL negatively and positively in African contexts. CONCLUSION Whilst there are universal factors that contribute to FQOL, recognising the influence of context-specific factors (i.e. poverty, stigma, spirituality) is important in order to provide effective, culturally relevant support that enhances FQOL for families of children with disabilities in African contexts.
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Affiliation(s)
| | | | - Ansha Nega
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
| | - Beata Batorowicz
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
| | - Rosemary Lysaght
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
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Droogmans G, Vergaelen E, Van Buggenhout G, Swillen A. Stressed parents, happy parents. An assessment of parenting stress and family quality of life in families with a child with Phelan-McDermid syndrome. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2021; 34:1076-1088. [PMID: 33525061 DOI: 10.1111/jar.12858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 01/07/2021] [Accepted: 01/12/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Individuals with Phelan-McDermid syndrome (PMS) are characterised by phenotypical traits that can be experienced as challenging by their environment. This study assessed parenting stress and Family Quality of Life (FQOL) in parents of individuals with PMS and identified potential contributing variables. METHOD Mothers (n = 14) and fathers (n = 13) of individuals with PMS (n = 14; 6 females, 8 males; age 2-37, M = 20, SD = 11.92) completed questionnaires on parenting stress, FQOL, adaptive behaviour and background characteristics. RESULTS Mothers and fathers experienced high, similar and related levels of parenting stress and FQOL satisfaction. Parenting stress and FQOL satisfaction were inversely related. High and low ratings were retrieved for subscales measuring feelings of parental role restriction and emotional well-being, respectively. The adaptive skills of the individuals with PMS were related to fathers' parenting stress and FQOL satisfaction. CONCLUSIONS Clinical practice is encouraged to be attentive to family dynamics and grasp opportunities to interact with these dynamics.
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Affiliation(s)
| | - Elfi Vergaelen
- Department of Human Genetics, KU Leuven, Leuven, Belgium.,University Psychiatric Center, KU Leuven, Leuven, Belgium
| | - Griet Van Buggenhout
- Department of Human Genetics, KU Leuven, Leuven, Belgium.,Center for Human Genetics, University Hospitals Leuven, Leuven, Belgium
| | - Ann Swillen
- Department of Human Genetics, KU Leuven, Leuven, Belgium.,Center for Human Genetics, University Hospitals Leuven, Leuven, Belgium
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Vanderkerken L, Heyvaert M, Onghena P, Maes B. The Relation Between Family Quality of Life and the Family‐Centered Approach in Families With Children With an Intellectual Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2019. [DOI: 10.1111/jppi.12317] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Lien Vanderkerken
- Faculty of Psychology and Educational SciencesParenting and Special Education Research Unit, KU Leuven Leuven Belgium
| | - Mieke Heyvaert
- Humanities and Social Sciences Research CoordinationKU Leuven Leuven Belgium
| | - Patrick Onghena
- Faculty of Psychology and Educational SciencesMethodology of Educational Sciences Research Unit, KU Leuven Leuven Belgium
| | - Bea Maes
- Faculty of Psychology and Educational SciencesParenting and Special Education Research Unit, KU Leuven Leuven Belgium
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Gardiner E, Iarocci G. Examining Family Quality of Life Within the Context of a Participant-Directed ASD Funding Program in British Columbia, Canada. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2018. [DOI: 10.1111/jppi.12237] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Samuel PS, Pociask FD, DiZazzo-Miller R, Carrellas A, LeRoy BW. Concurrent Validity of the International Family Quality of Life Survey. Occup Ther Health Care 2015; 30:187-201. [PMID: 26695004 DOI: 10.3109/07380577.2015.1116129] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The measurement of the social construct of Family Quality of Life (FQOL) is a parsimonious alternative to the current approach of measuring familial outcomes using a battery of tools related to individual-level outcomes. The purpose of this study was to examine the internal consistency and concurrent validity of the International FQOL Survey (FQOLS-2006), using cross-sectional data collected from 65 family caregivers of children with developmental disabilities. It shows a moderate correlation between the total FQOL scores of the FQOLS-2006 and the Beach Center's FQOL scale. The validity of five FQOLS-2006 domains was supported by the correlations between conceptually related domains.
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Affiliation(s)
- Preethy S Samuel
- a Department of Health Care Sciences , Wayne State University , Detroit , MI , USA
| | - Fredrick D Pociask
- a Department of Health Care Sciences , Wayne State University , Detroit , MI , USA
| | | | - Ann Carrellas
- b Developmental Disabilities Institute , Wayne State University , Detroit , MI , USA
| | - Barbara W LeRoy
- b Developmental Disabilities Institute , Wayne State University , Detroit , MI , USA
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Emily G, Grace I. Family Quality of Life and ASD: The Role of Child Adaptive Functioning and Behavior Problems. Autism Res 2015; 8:199-213. [DOI: 10.1002/aur.1442] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Revised: 10/14/2014] [Accepted: 11/25/2014] [Indexed: 11/06/2022]
Affiliation(s)
- Gardiner Emily
- Department of Psychology; Simon Fraser University; Burnaby BC Canada V5A 1S6
| | - Iarocci Grace
- Department of Psychology; Simon Fraser University; Burnaby BC Canada V5A 1S6
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Giné C, Vilaseca R, Gràcia M, Mora J, Orcasitas JR, Simón C, Torrecillas AM, Beltran FS, Dalmau M, Pro MT, Balcells-Balcells A, Mas JM, Adam-Alcocer AL, Simó-Pinatella D. Spanish family quality of life scales: under and over 18 years old. JOURNAL OF INTELLECTUAL & DEVELOPMENTAL DISABILITY 2013; 38:141-148. [PMID: 23521398 DOI: 10.3109/13668250.2013.774324] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Researchers, professionals, and families have shown increasing concern with the family quality of life (FQoL) of people with intellectual disability (ID) and their families. The goals of this research were (a) to explore how Spanish families understand FQoL by developing 2 different measurement tools for families with a member with ID under and over 18 years old, and (b) to provide 2 diagnostic instruments that will be useful for designing action plans. METHOD The study comprised 4 stages: (a) focus groups, (b) expert assessment, (c) pilot study, and (d) normalisation and standardisation. The data were collected in 5 regions in Spain, and 1,205 families with a member with ID took part in the normalisation and standardisation of the scales. RESULTS Both FQoL scales were consistent and have valid psychometric characteristics. CONCLUSIONS The scales have a diagnostic purpose for use in designing action plans aimed at producing significant changes in families' lives.
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Affiliation(s)
- Climent Giné
- Ramon Llull University, c/ Cister, 34, 08022 Barcelona, Spain.
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Rillotta F, Kirby N, Shearer J, Nettelbeck T. Family quality of life of Australian families with a member with an intellectual/developmental disability. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2012; 56:71-86. [PMID: 21883595 DOI: 10.1111/j.1365-2788.2011.01462.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Family quality of life (FQOL) is a recent concept in intellectual/developmental disability research. Outcomes for the family are important to the provision of services because families, rather than institutions, are increasingly considered the primary support unit. This article presents Australian findings using the international Family Quality of Life Survey: Main Caregivers of People with Intellectual or Developmental Disabilities (FQOLS-2006). METHOD Forty-two South Australian main caregivers of people with an intellectual/developmental disability were interviewed using the FQOLS-2006. The FQOL domains assessed were Health of the Family, Financial Well-being, Family Relationships, Support from Other People, Support from Disability-Related Services, Influence of Values, Careers, Leisure and Recreation, and Community Interaction. Domains were measured in terms of Importance, Opportunities, Attainment, Initiative, Stability and Satisfaction. The FQOLS-2006 asked about the family's practical and emotional Support from Other People together, whereas the current study separated the constructs of practical and emotional support. Questions pertaining to FQOL in the past were also added, in order to gain a broader picture of present FQOL. RESULTS Results indicated that families considered all the FQOL domains to be important. However, Health, Family Relationships and Financial Well-being were regarded as slightly more important than Practical and Emotional Support from Others. The attainment of Family Relationships, Health, Values, and Leisure and Recreation were rated as quite a bit, but Practical Support from Other People was only rated as a little. Families were generally satisfied with all FQOL domains, but they were satisfied with their Family Relationships and they were neither satisfied or dissatisfied with their Financial Well-being. Results also indicated that there was a need to distinguish between the provision of practical and emotional support from others, because the attainment of emotional support was rated at a slightly higher level than practical support. CONCLUSIONS The FQOLS-2006 provided a comprehensive measure of FQOL, which, with some additional modifications, could be used to better inform service provisions and ultimately enhance the quality of life of people with intellectual/developmental disabilities and their families.
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Affiliation(s)
- F Rillotta
- School of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.
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Hu X, Summers JA, Turnbull A, Zuna N. The quantitative measurement of family quality of life: a review of available instruments. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2011; 55:1098-1114. [PMID: 21883596 DOI: 10.1111/j.1365-2788.2011.01463.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Family quality of life (FQOL) has emerged as an important outcome of service delivery for individuals with disabilities and their families. The purpose of this review was to explore the disparity of scale development approaches between families with children with disabilities and families from other populations and identify strengths to serve as a source of recommendations to improve the measurements of FQOL in the disability field. METHOD We conducted a keyword search of 25 databases. Sixteen measurement tools on FQOL, family well-being and family satisfaction currently used in the disability field, healthcare field and general family studies published in journals from 1980 to 2009 were included in the analysis. RESULTS Three themes emerged from the detailed analysis and comparisons of the instruments: (1) description of the primary purpose and theoretical basis; (2) identification of the tool's respondents, domains, response formats and scoring strategies to assess family systems; and (3) summarisation of available psychometric information. CONCLUSIONS As family researchers continue their mission to conceptualise and theorise about FQOL, they should also promote the refinement of FQOL measurements and consider the implications from family instruments used in the healthcare and general family fields from the following aspects: (1) domains of FQOL; (2) units of analysis; (3) response format; (4) scoring choice; and (5) psychometric evaluation.
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Affiliation(s)
- X Hu
- Department of Special Education, Beijing Normal University, Beijing, China.
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Brown RI, Geider S, Primrose A, Jokinen NS. Family life and the impact of previous and present residential and day care support for children with major cognitive and behavioural challenges: a dilemma for services and policy. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2011; 55:904-917. [PMID: 21801262 DOI: 10.1111/j.1365-2788.2011.01453.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
INTRODUCTION Since the development of inclusion and integration, parents have increasingly become the major, and sometimes the only, carers of their children with disabilities. Many families speak of stress and frustration with service and community support, and some have turned to residential and specialised day care services to overcome challenges. The need for, and experiences of, such services needs to be examined not just in terms of the child but also in terms of family impact. METHOD The study involved interviewing parents on a 1:1 basis and in a focus group to examine the perceptions of family life, along with their later experience of full-time day and residential care. The children had multiple diagnoses of intellectual disability plus major challenging behaviour. RESULTS The results describe the major challenges facing families when the children spent most or all of their time at home. This contrasted starkly with the changes in perceived family life once the children were in residential care and day support. Improvements in behaviour of the children were noted and children began to return home for periods of time. Parent noted increased stability of family life, involvement of siblings in more normal community life and increased opportunities for spouses to function more effectively in one or more life domains. Family members perceived a major improvement in overall quality of life. DISCUSSION The results are consistent with findings in other family quality of life studies in terms of family experience, and the types of challenges faced when the child was at home, including when excluded from the regular education system. Extensive support in raising children is required by parents and without this there is a deleterious effect on family life. Many families experienced exclusion within their home communities. Full-time day and residential support were provided, allowing the family to function more effectively and later to provide a more natural home environment for the child. The article raises questions of policy concerning family well-being, as well as the needs of the child.
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Affiliation(s)
- R I Brown
- University of Calgary, Calgary, AB, Canada.
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