Activism, Growth, and Empowerment of Israeli Parents of Children With Disabilities

Post-traumatic growth correlates among parents of children with chronic illnesses: A systematic review and meta-analysis

Parenting a child with a chronic illness presents a complex journey marked by various challenges, along with possible personal growth following these challenges. In this systematic review we present three meta-analyses, in order to examine the associations of post-traumatic growth (PTG) among parents of children with diverse chronic illnesses, and psychological distress, social support, and resilience. Analyzing 34 studies encompassing a total of 5328 parents, the results reveal several key findings. First, PTG was found to be prevalent among the parents. Second, there was no significant correlation between PTG and psychological distress, suggesting that these two processes may exist independently. Third, a positive correlation was observed between PTG and both social support and resilience-related factors, underscoring the role of these factors in fostering growth among parents of children with chronic illnesses. Additionally, illness type emerged as a moderator, affecting the strength of the above-mentioned correlations with PTG. Specifically, in the case of psychiatric illnesses, correlations of PTG with social support and resilience were stronger than in the context of other illnesses. Overall, this review emphasizes the significance of recognizing and addressing PTG correlates among parents of children with chronic illnesses, offering insights for clinical practice.

Practitioners' capacity-building for parent empowerment: A pilot non-randomized controlled trial

Although research has increasingly recognized that parents benefit from parent empowerment programs, studies on the outcomes of the capacity-building of practitioners of such programs are generally lacking. Using the results of a non-randomized controlled trial, this study examined the possible outcomes of a related capacity-building program. A total of 56 practitioners were recruited from 10 social service agencies in Hong Kong to participate. Most of them were females with more than 10 years of social work experience. Of these, 28 participated in a 15-session capacity-building program on parent empowerment (serving as the experimental group), while the others did not participate in the capacity-building program (serving as the control group). MANCOVAs were performed to identify any differences between the two groups at different time points. The post-test assessment showed that the level of attitudes around parent empowerment of the experimental group was significantly higher than that of the control group with a large effect size, but no difference was found in their self-perceived competence. Furthermore, the follow-up test revealed that the level of self-perceived competence of the experimental group was significantly higher than that of the control group, with a large effect size. A serial mediation of the levels of favorable attitudes at the post-test and follow-up test on the association between the capacity-building program and self-perceived competence at the follow-up test was also found. This study can contribute to the limited body of knowledge on how to equip practitioners with the professional attitudes and skills to implement parent empowerment programs.

Health empowerment and health-related quality of life in older individuals with disabilities and their spouse carers: A cross-sectional study

The stress of disability significantly impacts an individual's quality of life and that of a spouse. Health empowerment, based on the idea that individuals may be successful despite disability, may be meaningful to disabled persons and their spouse carers. This cross-sectional survey study aimed to explore the effect of health empowerment on the health-related quality of life (HRQOL) of older individuals with disabilities and their spouse carers on both a personal (actor effect) and interpersonal level (partner effect). A total of 1092 dyads of older individuals with disabilities and their spouse carers residing in communities were recruited from seven provinces in China. Two separate Actor-Partner Interdependence Model analyses were conducted to examine the impact of health empowerment on the two domains of HRQOL: the Physical Component Score (PCS) and the Mental Component Score (MCS). The results revealed that health empowerment had actor effects on the PCS and MCS of older individuals with disabilities, as well as on the PCS and MCS of their spouse carers. However, no significant partner effects of health empowerment on the PCS and MCS of either the individuals with disabilities or their spouse caregivers were observed. Empowering individuals with disabilities and their spouse carers may help them enhance their own HRQOL, both physically and mentally. However, more research is required to determine the interpersonal effect of health empowerment on the HRQOL.