Variables Affecting Well Siblings and Mothers in Families of Children With a Chronic Illness or Disability: Assessing a Family Interaction Model

2.50
Hdl Handle:
http://hdl.handle.net/10755/152751
Type:
Presentation
Title:
Variables Affecting Well Siblings and Mothers in Families of Children With a Chronic Illness or Disability: Assessing a Family Interaction Model
Abstract:
Variables Affecting Well Siblings and Mothers in Families of Children With a Chronic Illness or Disability: Assessing a Family Interaction Model
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Williams, Phoebe D., PhD, RN, FAAN
P.I. Institution Name:University of Kansas Medical Center, School of Nursing
Title:Professor
Co-Authors:Arthur R. Williams, PhD, MPA, MA; Todd R. Huschka, BS
Objectives: 1) Examine relationships among psychosocial variables known to affect the health and development of well siblings in families in which a brother or sister has a chronic illness or disability and 2) Test the stability of a family interaction model over time using a structural equation model (SEM). Sample: Dyads of 252 well children (7-16 years old) and mothers in the USA. Design: Longitudinal; 5 time points over 12 months; analysis of data from a NIH-NINR funded RCT of a nursing intervention. Variables: Well sibling behavior problems, knowledge of illness, self-esteem, mood, social support, and attitude toward illness in the family; sibling age; mother mood; family cohesion; and socioeconomic status (SES). Variables measured on instruments with established and published psychometric properties. Method: SEM, confirmatory analysis. Findings: The SEM is stable over 5 time periods: all CFI >0.85 and RMSEA <0.06. SES and family cohesion were associated with parent-reported behavior problems of the well sibling. SES also influenced the mood of the mother that in turn influenced family cohesion. The well sibling’s knowledge about the illness, attitude toward the illness, mood, self-esteem, and feelings of social support were interrelated, and related to behavior problems of the well sibling (all path coefficients, p<0.05). Conclusions: The family interaction model herein offers opportunities to explore family dynamics and identify potential nursing intervention points. Implications: Sibling knowledge improvement leads to better outcomes on other sibling variables. Positive parent mood is associated with improved family cohesion and sibling outcomes. Interventions might focus on (a) knowledge gains of well siblings about the illness or disability of their brother or sister and (b) actions needed to enhance family cohesion. Services provided by nurses or others as well as income transfers could alleviate some burdens of chronic illness or disability in families.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleVariables Affecting Well Siblings and Mothers in Families of Children With a Chronic Illness or Disability: Assessing a Family Interaction Modelen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152751-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Variables Affecting Well Siblings and Mothers in Families of Children With a Chronic Illness or Disability: Assessing a Family Interaction Model</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Williams, Phoebe D., PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kansas Medical Center, School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pwilliam@kumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Arthur R. Williams, PhD, MPA, MA; Todd R. Huschka, BS</td></tr><tr><td colspan="2" class="item-abstract">Objectives: 1) Examine relationships among psychosocial variables known to affect the health and development of well siblings in families in which a brother or sister has a chronic illness or disability and 2) Test the stability of a family interaction model over time using a structural equation model (SEM). Sample: Dyads of 252 well children (7-16 years old) and mothers in the USA. Design: Longitudinal; 5 time points over 12 months; analysis of data from a NIH-NINR funded RCT of a nursing intervention. Variables: Well sibling behavior problems, knowledge of illness, self-esteem, mood, social support, and attitude toward illness in the family; sibling age; mother mood; family cohesion; and socioeconomic status (SES). Variables measured on instruments with established and published psychometric properties. Method: SEM, confirmatory analysis. Findings: The SEM is stable over 5 time periods: all CFI &gt;0.85 and RMSEA &lt;0.06. SES and family cohesion were associated with parent-reported behavior problems of the well sibling. SES also influenced the mood of the mother that in turn influenced family cohesion. The well sibling&rsquo;s knowledge about the illness, attitude toward the illness, mood, self-esteem, and feelings of social support were interrelated, and related to behavior problems of the well sibling (all path coefficients, p&lt;0.05). Conclusions: The family interaction model herein offers opportunities to explore family dynamics and identify potential nursing intervention points. Implications: Sibling knowledge improvement leads to better outcomes on other sibling variables. Positive parent mood is associated with improved family cohesion and sibling outcomes. Interventions might focus on (a) knowledge gains of well siblings about the illness or disability of their brother or sister and (b) actions needed to enhance family cohesion. Services provided by nurses or others as well as income transfers could alleviate some burdens of chronic illness or disability in families.</td></tr></table>en_GB
dc.date.available2011-10-26T11:48:25Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T11:48:25Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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