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Perceived family impact and coping mechanisms of caregivers of children with nephrotic syndrome. Pediatr Nephrol 2023; 38:1177-1185. [PMID: 35913565 DOI: 10.1007/s00467-022-05619-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 05/05/2022] [Accepted: 05/06/2022] [Indexed: 10/16/2022]
Abstract
BACKGROUND Pediatric chronic disease impacts the affected child and their family structure. There is limited literature investigating the psychosocial impact of nephrotic syndrome on families. METHODS Caregivers of children with nephrotic syndrome completed two validated surveys: (1) Impact on Family (IOF) that evaluates the family impact (degree to which family is affected by a pediatric chronic illness) and (2) Coping Health Inventory for Parents (CHIP) that examines the coping patterns used by caregivers. Linear regression models were utilized to determine predictors of perceived family impact and coping patterns. RESULTS Seventy-five caregivers of a child with nephrotic syndrome completed the surveys. On a scale from low impact to significant impact to very serious impact, results indicated that nephrotic syndrome had a significant impact on families (mean revised IOF total score 33.04 ± 9.38). Families in the steroid-resistant nephrotic syndrome (SRNS) group reported a higher financial impact compared to the steroid-sensitive nephrotic syndrome (SSNS) group (p = 0.03). Families in the frequently relapsing group (FRNS) reported a higher impact on the caregiver's ability to cope with the child's condition compared to the SRNS group (p = 0.02). Tacrolimus use was associated with increasing the perceived family impact (β = 4.76, p = 0.046). CHIP scores indicated that caregivers did not cope well with family integration (component I) but coped well with social support (component II) and communication (component III). CONCLUSIONS Childhood nephrotic syndrome has a significant overall perceived impact on the family, and caregivers did not cope well regarding strengthening their family life. These findings can be used as outcome measures for future intervention studies to find solutions that would decrease the perceived family burden. A higher resolution version of the Graphical abstract is available as Supplementary information.
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Hande V, Jayan P, Kishore MT, Bhaskarapillai B, Kommu JVS. Development of a scale to assess the determinants of positive coping in parents of children with intellectual disability. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023; 27:156-169. [PMID: 35125025 DOI: 10.1177/17446295211056824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Identifying the determinants of positive coping is a critical step in empowering the parents of children with intellectual disability. In this context, this study aims to develop a scale to assess the determinants of positive coping. Accordingly, culturally relevant items were pooled, got validated by experts and refined. The scale was administered to 150 parents of children with intellectual disability. Factor analysis done through polychoric correlation helped reduce the items. Cronbach's alpha coefficients were established for reliability testing. The validity of the new scale was examined with the subjective wellbeing on a visual analogue scale and Family Interview for Stress and Coping in Mental Retardation. The new scale has a Cronbach's alpha of 0.71 and an intraclass correlation of 0.64. After factor analysis, 12 items were retained in the final version. This study also identified specific factors associated with positive coping. The new scale can be used with parents of children with intellectual disabilities to identify the determinants of positive coping.
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Affiliation(s)
- Vasudha Hande
- Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
| | - Parvathy Jayan
- Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
| | - M Thomas Kishore
- Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
| | - Binukumar Bhaskarapillai
- Department of Biostatistics, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
| | - John Vijay Sagar Kommu
- Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
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Thompson C, Byrne R, Adams J, Vidgen HA. Development, validation and item reduction of a food literacy questionnaire (IFLQ-19) with Australian adults. Int J Behav Nutr Phys Act 2022; 19:113. [PMID: 36050778 PMCID: PMC9438317 DOI: 10.1186/s12966-022-01351-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 08/18/2022] [Indexed: 11/24/2022] Open
Abstract
Background Food literacy is theorised to improve diet quality, nutrition behaviours, social connectedness and food security. The definition and conceptualisation by Vidgen & Gallegos, consisting of 11 theoretical components within the four domains of planning and managing, selecting, preparing and eating, is currently the most highly cited framework. However, a valid and reliable questionnaire is needed to comprehensively measure this conceptualisation. Therefore, this study draws on existing item pools to develop a comprehensive food literacy questionnaire using item response theory. Methods Five hundred Australian adults were recruited in Study 1 to refine a food literacy item pool using principal component analysis (PCA) and item response theory (IRT) which involved detailed item analysis on targeting, responsiveness, validity and reliability. Another 500 participants were recruited in Study 2 to replicate item analysis on validity and reliability on the refined item pool, and 250 of these participants re-completed the food literacy questionnaire to determine its test–retest reliability. Results The PCA saw the 171-item pool reduced to 100-items across 19 statistical components of food literacy. After the thresholds of 26 items were combined, responses to the food literacy questionnaire had ordered thresholds (targeting), acceptable item locations (< -0.01 to + 1.53) and appropriateness of the measurement model (n = 92% expected responses) (responsiveness), met outfit mean-squares MSQ (0.48—1.42) (validity) and had high person, item separation (> 0.99) and test–retest (ICC 2,1 0.55–0.88) scores (reliability). Conclusions We developed a 100-item food literacy questionnaire, the IFLQ-19 to comprehensively address the Vidgen & Gallegos theoretical domains and components with good targeting, responsiveness, reliability and validity in a diverse sample of Australian adults. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-022-01351-8.
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Affiliation(s)
- Courtney Thompson
- Queensland University of Technology (QUT), Faculty of Health, School of Exercise and Nutrition Sciences, Victoria Park Road, Kelvin Grove, QLD, 4059, Australia.
| | - Rebecca Byrne
- Queensland University of Technology (QUT), Faculty of Health, School of Exercise and Nutrition Sciences, Victoria Park Road, Kelvin Grove, QLD, 4059, Australia.,Queensland University of Technology (QUT), Faculty of Health, School of Exercise and Nutrition Sciences, Centre for Children's Health Research (CCHR), Graham Street, South Brisbane, QLD, 4101, Australia
| | - Jean Adams
- Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Helen Anna Vidgen
- Queensland University of Technology (QUT), Faculty of Health, School of Exercise and Nutrition Sciences, Victoria Park Road, Kelvin Grove, QLD, 4059, Australia
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Hafez SA, Snethen JA, Taani M, Ngui E, Ellis J, Baothman AA. Primary Caregivers Caring for a Child at End of Life in Saudi Arabia. Palliat Med Rep 2022; 3:140-148. [PMID: 36059911 PMCID: PMC9438442 DOI: 10.1089/pmr.2021.0072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/17/2022] [Indexed: 11/12/2022] Open
Affiliation(s)
- Shahad A. Hafez
- Nursing Program, Batterjee Medical College, Aseer, Saudi Arabia
- Sigma Theta Tau International (STTI), Eta Nu Chapter, Milwaukee, Wisconsin, USA
| | - Julia A. Snethen
- Sigma Theta Tau International (STTI), Eta Nu Chapter, Milwaukee, Wisconsin, USA
- College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | - Murad Taani
- Sigma Theta Tau International (STTI), Eta Nu Chapter, Milwaukee, Wisconsin, USA
- College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | - Emmanuel Ngui
- School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | - Julie Ellis
- College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
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Bąk J, Zarzycka D. Parents' from Poland coping with the illness of a child-Preliminary research. Cultural adaptation and evaluation of the psychometric properties of the coping health inventory for parents - polish version. J Pediatr Nurs 2022; 62:69-77. [PMID: 34799204 DOI: 10.1016/j.pedn.2021.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 10/14/2021] [Accepted: 11/03/2021] [Indexed: 11/17/2022]
Abstract
PURPOSE The goal was to present preliminary research results on how parents cope with the illness of a child using the Coping Health Inventory for Parents (CHIP) after it had been culturally adapted and its psychometric properties evaluated. DESIGN AND METHODS Taking part in the study were 459 parents of children with asthma (n = 230) or suffering pain (n = 229).A. RESULTS The content validity of the coefficient of variation ratio (CVR) for each item on the scale ranged from 0.84 to 1.00. Exploratory factor analysis by principal components method with Equamax rotation confirmed the three-factor structure of the test. THe theoretical validity of the tool was confirmed by intercorrelation matrix analysis, and the criterion validity of the CHIP test was evaluated based on analysis of intergroup differences regarding individual measurements of coping by parents of children diagnosed with asthma but differentiated by need of regular medication. CHIP has high Cronbach alpha coefficients values: 0.80-0.86. Results indicate that the children's parents rate as moderately helpful the Support (2.23, ± 0.60) and Family (2.17, ± 0.55) styles. Parents rated the Medical style as least helpful in coping (1.75, ± 0,59). CONCLUSIONS This study confirms both the accuracy and the reliability of the CHIP test, and the obtained coefficient values indicate that the tool can be used for individual and for scientific research. PRACTICE IMPLICATIONS The study shows that assessment of the manner of a parent's coping with the illness of a child is influenced by the child's gender and place of residence.
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Affiliation(s)
- Jadwiga Bąk
- Faculty of Health Sciences, Medical University of Lublin, Poland.
| | - Danuta Zarzycka
- Department of Paediatric Nursing, Faculty of Health Sciences, Medical University of Lublin, Poland
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Ali U, Bharuchi V, Ali NG, Jafri SK. Assessing the Quality of Life of Parents of Children With Disabilities Using WHOQoL BREF During COVID-19 Pandemic. FRONTIERS IN REHABILITATION SCIENCES 2021; 2:708657. [PMID: 36188855 PMCID: PMC9397932 DOI: 10.3389/fresc.2021.708657] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 07/15/2021] [Indexed: 12/02/2022]
Abstract
Background: Caring for a child with disabilities is a challenging journey, as the parents must meet greater demands when compared with the parents of children without disabilities. Looking after a child with disablities requires additional financial, social, emotional, and physical resources. Coronavirus 2019 (COVID-19) pandemic has made this even more challenging and impacted the quality of life of parents of children with disabilities. Methods: The study was an analytical cross-sectional design with two comparison groups: parents of children with developmental disabilities and parents of children without disabilities. The Urdu version of the WHO Quality of Life Measure Abbreviated version (WHOQOL-BREF) was used to measure the quality of life (QoL) among parents. Sociodemographic data were also obtained from the parents. Results: Parents of children with disabilities had lower overall scores when different domains of QoL were considered (physical health, psychological health, social relationships, and environment) using WHOQoL-BREF. Statistically significant differences were observed in the physical and environmental domains of parental QoL.
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Mazhari F, Rayyani M, Iranmanesh S, Heidari S, Sabzevari S. Power of Religious Beliefs and Coping with Cancer: Opinions of Iranian Parents. JOURNAL OF RELIGION AND HEALTH 2021; 60:2878-2891. [PMID: 31820276 DOI: 10.1007/s10943-019-00959-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Childhood cancer as a stressful event has many consequences for both the parents and their children. The aim of the study was to assess the coping strategies used by Iranian parents of children with cancer. The present study was conducted through convenience sampling with the participation of 205 parents with at least one child with cancer referred to the oncology ward, in the southeast of Iran. The Coping Health Inventory for Parents was used to measure parental coping strategies. Results showed that the highest and the lowest mean coping score belonged to the dimensions of social support and medical factors, respectively. Briefly, "Belief in God" and "Gratefulness for his Blessings" were the most helpful coping strategies among parents. Based on results of this study, it seems necessary for nurses to be aware of all aspects of human existence, including religion and spirituality as strong sources of power for parents to adapt with the illness of their child. Also, providing interventions to teach effective coping skills to parents may reduce their distress and improve their quality of life.
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Affiliation(s)
- Fariba Mazhari
- Nursing Research Center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Masoud Rayyani
- Nursing Research Center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
| | - Sedigheh Iranmanesh
- Nursing Research Center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Shahin Heidari
- Department of Fundamental Nursing, Geriatric Care Research Center, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Sakineh Sabzevari
- Nursing Research Center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
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Wijayanto F, Mul K, Groot P, van Engelen BG, Heskes T. Semi-automated Rasch analysis using in-plus-out-of-questionnaire log likelihood. THE BRITISH JOURNAL OF MATHEMATICAL AND STATISTICAL PSYCHOLOGY 2021; 74:313-339. [PMID: 32857418 PMCID: PMC8246875 DOI: 10.1111/bmsp.12218] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Revised: 07/09/2020] [Indexed: 06/11/2023]
Abstract
Rasch analysis is a popular statistical tool for developing and validating instruments that aim to measure human performance, attitudes and perceptions. Despite the availability of various software packages, constructing a good instrument based on Rasch analysis is still considered to be a complex, labour-intensive task, requiring human expertise and rather subjective judgements along the way. In this paper we propose a semi-automated method for Rasch analysis based on first principles that reduces the need for human input. To this end, we introduce a novel criterion, called in-plus-out-of-questionnaire log likelihood (IPOQ-LL). On artificial data sets, we confirm that optimization of IPOQ-LL leads to the desired behaviour in the case of multi-dimensional and inhomogeneous surveys. On three publicly available real-world data sets, our method leads to instruments that are, for all practical purposes, indistinguishable from those obtained by Rasch analysis experts through a manual procedure.
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Affiliation(s)
- Feri Wijayanto
- Department of InformaticsUniversitas Islam IndonesiaYogyakartaIndonesia
- Institute for Computing and Information SciencesRadboud UniversityNijmegenThe Netherlands
| | - Karlien Mul
- Department of NeurologyDonders Institute for BrainCognition, and BehaviourRadboud University Medical CenterNijmegenThe Netherlands
| | - Perry Groot
- Institute for Computing and Information SciencesRadboud UniversityNijmegenThe Netherlands
| | - Baziel G.M. van Engelen
- Department of NeurologyDonders Institute for BrainCognition, and BehaviourRadboud University Medical CenterNijmegenThe Netherlands
| | - Tom Heskes
- Institute for Computing and Information SciencesRadboud UniversityNijmegenThe Netherlands
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Rogers J, Reed MP, Blaine K, Manning H. Children with medical complexity: A concept analysis. Nurs Forum 2021; 56:676-683. [PMID: 33625740 DOI: 10.1111/nuf.12559] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 01/01/2021] [Accepted: 01/29/2021] [Indexed: 11/27/2022]
Abstract
AIM The aim of this paper is to conduct a concept analysis on the term, "children with medical complexity." BACKGROUND Children with medical complexity (CMC) describes pediatric patients with chronic, sustained acuity; however, there is a lack of consensus in the literature regarding its exact meaning, characteristics, and implications. DESIGN This analysis relied upon the framework described by Walker and Avant. DATA SOURCE The CINAHL, MEDLINE, and PubMed databases were queried from April 2020 to December 2020 with an initial search of the literature for the keyword, "children with medical complexity" and other associated terms, such as "pediatric medical complexity" and "nursing care of children with medical complexity." REVIEW METHODS This analysis will explore the concept of CMC and its significance, attributes, antecedents, and consequences. RESULTS This investigation revealed that CMC are a growing population of pediatric patients who have one or more complex chronic conditions that affect multiple body systems, experience functional limitations, require extensive care coordination from multiple providers, and are dependent upon life-sustaining medical technology. CONCLUSIONS The findings can serve as a foundation for future work advancing the understanding of the topic of CMC.
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Affiliation(s)
- Jayne Rogers
- Medical Nursing Service, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Mary P Reed
- Medical Nursing Service, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Kevin Blaine
- Institute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California, USA
| | - Haylee Manning
- Medical Nursing Service, Boston Children's Hospital, Boston, Massachusetts, USA
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Khorsandi F, Parizad N, Feizi A, Hemmati MaslakPak M. How do parents deal with their children's chronic kidney disease? A qualitative study for identifying factors related to parent's adaptation. BMC Nephrol 2020; 21:509. [PMID: 33238900 PMCID: PMC7690036 DOI: 10.1186/s12882-020-02170-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 11/15/2020] [Indexed: 01/05/2023] Open
Abstract
Background Parents’ adaptation affects the health outcomes of children with chronic kidney diseases (CKD). Identifying factors that affect parents’ adaptation is necessary to understand their adaptation status. This study aims to explore factors related to the adaptation of parents who have children with CKD. Methods This was a qualitative study with a content analysis approach. Seventeen parents of children with CKD were selected by using purposive sampling. The leading researcher performed semi-structured, in-depth, face-to-face interviews to collect data. Conventional content analysis was used to analyze data. Results Two main categories extracted from the data were “adaptation facilitators” and “adaptation barriers.” Adaptation facilitators were supported by three sub-categories: “social support”, “family capability” and “spiritual beliefs”. Four sub-categories of “adaptation barriers” were revealed as: “family-related barriers,” “mental stress by others,” “the chronic nature of the disease,” and “unfavorable treatment conditions.” Conclusions Identifying the factors influencing parental adaptation helps the medical staff to make the necessary interventions to support the parents. According to this study, increasing parent access to the required information, supporting them financially and emotionally, and helping them identify support resources can facilitate their adaptation to their child’s chronic illness. Also, identifying and eliminating adaptation barriers can help parents deal better with their child’s chronic disease. Supplementary Information The online version contains supplementary material available at 10.1186/s12882-020-02170-4.
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Affiliation(s)
- Fatemeh Khorsandi
- Department of Medical - Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, IR, Iran
| | - Naser Parizad
- Patient Safety Research Center, Urmia University of Medical Science, Urmia, IR, Iran
| | - Aram Feizi
- Department of Management, Psychology, Community, and Fundamental nursing, Urmia, IR, Iran
| | - Masumeh Hemmati MaslakPak
- Center for Mother and Child Obesity Research Center, Urmia University of Medical Sciences, Urmia, IR, Iran. .,Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia, West Azerbaijan, 575611-5111, Iran.
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Padeniya RN, Thushari G, Nissanka DH, Shashika C, Munasinghe DH, Aberathne DM, Weerawardena PL, Galgamuwa LS, Kumarasinghe N, Liyanage L. Maternal coping strategies in response to child's oncological diseases in Sri Lanka. Acta Oncol 2020; 59:866-871. [PMID: 32286131 DOI: 10.1080/0284186x.2020.1750695] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Introduction: Parents with cancer children face multiple and unexpected difficulties and apply coping strategies to minimize stressful conditions. The objective of this study was to assess maternal coping strategies in response to their children with cancer in Sri Lanka.Material and methods: A cross-sectional study was conducted among 200 mothers having children with cancers. Coping Health Inventory for Parents instrument was used to collect information about coping strategies.Results: More than 75% children were diagnosed as cancer more than 6 months before when starting this study. Maintaining family integration, cooperation, optimistic definition of the situation was the most helpful coping strategy while seeking medical helps through communication with parents and consultation with medical staff was the least helpful coping strategy among mothers. Gender of the child and current condition of the disease were significantly associated with social support and medical support. Type of disease was significantly associated with family support and the number of other children per mother was significantly associated with social support.Conclusions: Relaxation and counseling programs to modify less desirable coping strategies are emphasized for mothers who were with cancer children. More researches need to identify coping strategies and its impact on psychological and physical adjustment as well.
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Affiliation(s)
- Ruwani Nilakshika Padeniya
- Department of Nursing & Midwifery, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Ganga Thushari
- Department of Nursing & Midwifery, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Danushi Hashara Nissanka
- Department of Nursing & Midwifery, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Chandi Shashika
- Department of Nursing & Midwifery, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Dilani Hansamala Munasinghe
- Department of Nursing & Midwifery, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Deepamal Maduranga Aberathne
- Department of Nursing & Midwifery, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Piyumi Lanka Weerawardena
- Department of Nursing & Midwifery, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Lahiru Sandaruwan Galgamuwa
- Department of Medical Laboratory Sciences, Faculty of Health Sciences, Open University of Sri Lanka, Colombo, Sri Lanka
| | - Nishantha Kumarasinghe
- Department of Pre-Clinical Sciences, Faculty of Medicine, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Lakshika Liyanage
- Faculty of Social Sciences & Humanities, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
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Mantri-Langeveldt A, Dada S, Boshoff K. Measures for social support in raising a child with a disability: A scoping review. Child Care Health Dev 2019; 45:159-174. [PMID: 30690765 DOI: 10.1111/cch.12646] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 12/17/2018] [Accepted: 01/22/2019] [Indexed: 12/23/2022]
Abstract
BACKGROUND The benefits of social support for caregivers raising a child with a disability have been identified in the literature. These benefits include the improvement of the mental and physical well-being of the caregivers, improvement in caregiving styles, and overall improvement of family quality of life. Whilst the benefits of social support are widely reported, the definitions and measures of social support in the literature are varied. METHOD A scoping review was therefore undertaken to identify and describe the tools used to measure social support of primary caregivers (i.e., parents or grandparents) raising a child (0-18 years) with a congenital disability in international studies. Ten databases were systematically searched. RESULTS Sixteen studies were included in the review, from which nine social support measures were identified. Attributes of the measures were searched from their referenced papers and described in terms of their reported psychometric properties. CONCLUSIONS Through the identification of the measures of social support and ensuring its accurate measurement, direction can be provided for intervention by allowing professionals to detect and address social support available. Future recommendations for research are made.
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Affiliation(s)
- Anushka Mantri-Langeveldt
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Kobie Boshoff
- International Centre for Allied Health Evidence, University of South Australia, South Australia
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Kiami SR, Goodgold S. Support Needs and Coping Strategies as Predictors of Stress Level among Mothers of Children with Autism Spectrum Disorder. AUTISM RESEARCH AND TREATMENT 2017; 2017:8685950. [PMID: 29435368 PMCID: PMC5757090 DOI: 10.1155/2017/8685950] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Revised: 10/31/2017] [Accepted: 12/04/2017] [Indexed: 11/22/2022]
Abstract
This study examined maternal stress, coping strategies, and support needs among mothers of children with Autism Spectrum Disorder (ASD). A convenience sample of 70 mothers completed the Parent Stress Index Short Form (PSI-SF), Coping Health Inventory for Parents (CHIP), and Modified Family Needs Questionnaire (FNQ). PSI-SF scores reflected clinically significant levels of stress for 77% of mothers, and mothers identified 62.4% of important needs as unmet. The five most frequently reported important unmet needs were (1) financial support; (2) break from responsibilities; (3) understanding of other after-school program children; (4) rest/sleep; (5) help remaining hopeful about the future. Most coping strategies (81%) were identified as helpful. Additionally, both coping strategies and support needs served as predictors for maternal stress. Maternal stress scores decreased by .402 points for each percent increase in helpful coping strategy, and stress scores increased by .529 points with each percent increase in unmet needs. Given large variation in questionnaire responses across participants and studies, utilization of user-friendly questionnaires, such as the PSI-SF, CHIP, and FNQ, is advocated to determine the evolving important needs unique to each family over the child's lifetime as well as guide prioritization of care, compilation of resources, and referrals for additional services.
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Affiliation(s)
- Sheri R. Kiami
- Department of Physical Therapy, Movement & Rehabilitation Sciences, Northeastern University, 301 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115, USA
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Zanon RB, Da Silva MA, Filho EJDM, Bandeira DR, Dos Santos MA, Halpern R, Bosa CA. Brazilian study of adaptation and psychometric properties of the Coping Health Inventory for Parents. PSICOLOGIA-REFLEXAO E CRITICA 2017; 30:10. [PMID: 32026041 PMCID: PMC6964195 DOI: 10.1186/s41155-017-0065-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Accepted: 04/20/2017] [Indexed: 11/20/2022] Open
Abstract
The Coping Health Inventory for Parents (CHIP) evaluates coping patterns of parents of chronically ill children and assesses different coping strategies using three subscales. This study aimed to translate and transculturally adapt the CHIP for a Brazilian sample and investigate the preliminary psychometrics of the scale. Rating scale Rasch analysis was performed on CHIP responses, and the psychometric performance of each of the three subscales was tested. Two hundred twenty parents of individuals with health problems participated in the study, answering a sociodemographic questionnaire-the Brazilian version of the CHIP-and Folkman and Lazarus's coping questionnaire. All items exhibited good fit to the measurement model, although response categories were not used as intended and little variability on person parameter estimates was obtained. These preliminary results suggested that each construct being measured by the three subscales should be treated separately, corroborating the theoretical model of the original instrument. Suggestions to address the psychometric limitations of the instrument were made in order to improve measurement precision.
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Affiliation(s)
- Regina Basso Zanon
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Mônia Aparecida Da Silva
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Euclides José De Mendonça Filho
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Denise Ruschel Bandeira
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
| | - Manoel Antônio Dos Santos
- Department of Philosophy, Sciences and Letters of the Ribeirão Preto College of the University of São Paulo, Av. Bandeirantes, 3900 - Monte Alegre, Ribeirão Preto, SP 14049-900 Brazil
| | - Ricardo Halpern
- Federal University for Medical Sciences of Porto Alegre, Rua Sarmento Leite, 245, Porto Alegre, RS 90050-170 Brazil
| | - Cleonice Alves Bosa
- Postgraduate Program in Psychology of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2600 - Térreo, Porto Alegre, 90035-003 Brazil
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Richtering SS, Morris R, Soh SE, Barker A, Bampi F, Neubeck L, Coorey G, Mulley J, Chalmers J, Usherwood T, Peiris D, Chow CK, Redfern J. Examination of an eHealth literacy scale and a health literacy scale in a population with moderate to high cardiovascular risk: Rasch analyses. PLoS One 2017; 12:e0175372. [PMID: 28448497 PMCID: PMC5407817 DOI: 10.1371/journal.pone.0175372] [Citation(s) in RCA: 59] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Accepted: 03/06/2017] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Electronic health (eHealth) strategies are evolving making it important to have valid scales to assess eHealth and health literacy. Item response theory methods, such as the Rasch measurement model, are increasingly used for the psychometric evaluation of scales. This paper aims to examine the internal construct validity of an eHealth and health literacy scale using Rasch analysis in a population with moderate to high cardiovascular disease risk. METHODS The first 397 participants of the CONNECT study completed the electronic health Literacy Scale (eHEALS) and the Health Literacy Questionnaire (HLQ). Overall Rasch model fit as well as five key psychometric properties were analysed: unidimensionality, response thresholds, targeting, differential item functioning and internal consistency. RESULTS The eHEALS had good overall model fit (χ2 = 54.8, p = 0.06), ordered response thresholds, reasonable targeting and good internal consistency (person separation index (PSI) 0.90). It did, however, appear to measure two constructs of eHealth literacy. The HLQ subscales (except subscale 5) did not fit the Rasch model (χ2: 18.18-60.60, p: 0.00-0.58) and had suboptimal targeting for most subscales. Subscales 6 to 9 displayed disordered thresholds indicating participants had difficulty distinguishing between response options. All subscales did, nonetheless, demonstrate moderate to good internal consistency (PSI: 0.62-0.82). CONCLUSION Rasch analyses demonstrated that the eHEALS has good measures of internal construct validity although it appears to capture different aspects of eHealth literacy (e.g. using eHealth and understanding eHealth). Whilst further studies are required to confirm this finding, it may be necessary for these constructs of the eHEALS to be scored separately. The nine HLQ subscales were shown to measure a single construct of health literacy. However, participants' scores may not represent their actual level of ability, as distinction between response categories was unclear for the last four subscales. Reducing the response categories of these subscales may improve the ability of the HLQ to distinguish between different levels of health literacy.
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Affiliation(s)
- Sarah S. Richtering
- The George Institute for Global Health, Sydney, NSW, Australia
- Hôpitaux Universitaires de Genève, Université de Genève, Geneva, Switzerland
| | - Rebecca Morris
- School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
| | - Sze-Ee Soh
- School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
- Department of Physiotherapy, Monash University, Melbourne, Victoria, Australia
| | - Anna Barker
- School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
| | - Fiona Bampi
- The George Institute for Global Health, Sydney, NSW, Australia
| | - Lis Neubeck
- The George Institute for Global Health, Sydney, NSW, Australia
- Sydney Nursing School, Charles Perkin Centre, University of Sydney, Sydney, NSW, Australia
- School of Health and Social Care, Edinburgh Napier University, Edinburgh, Scotland, United Kingdom
| | - Genevieve Coorey
- The George Institute for Global Health, Sydney, NSW, Australia
- Sydney Medical School, University of Sydney, NSW, Sydney, Australia
| | - John Mulley
- The George Institute for Global Health, Sydney, NSW, Australia
| | - John Chalmers
- The George Institute for Global Health, Sydney, NSW, Australia
- Sydney Medical School, University of Sydney, NSW, Sydney, Australia
| | - Tim Usherwood
- The George Institute for Global Health, Sydney, NSW, Australia
- Sydney Medical School, University of Sydney, NSW, Sydney, Australia
| | - David Peiris
- The George Institute for Global Health, Sydney, NSW, Australia
- Sydney Medical School, University of Sydney, NSW, Sydney, Australia
| | - Clara K. Chow
- The George Institute for Global Health, Sydney, NSW, Australia
- Sydney Medical School, University of Sydney, NSW, Sydney, Australia
- Westmead Hospital, Sydney, NSW, Sydney, Australia
| | - Julie Redfern
- The George Institute for Global Health, Sydney, NSW, Australia
- Sydney Medical School, University of Sydney, NSW, Sydney, Australia
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