2.50
Hdl Handle:
http://hdl.handle.net/10755/160752
Type:
Presentation
Title:
Families of Children who are Technology Dependent: A Follow-up
Abstract:
Families of Children who are Technology Dependent: A Follow-up
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Toly, Valerie, PhD, RN, CPNP
P.I. Institution Name:FPB School of Nursing, Case Western Reserve University
Contact Address:2579 Biscayne Blvd., Beachwood, OH, 44122, USA
Contact Telephone:(216) 368-3082
Co-Authors:V.A. Boebel Toly, C.M. Musil, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH; J.C. Carl, School of Medicine, Case Western Reserve University, Cleveland, OH;
The purpose of this 12-month follow-up study was to examine: (a) the relationship between child/maternal factors and family functioning for technology-dependent children and their families over time; (b) differences in outcomes (family functioning, normalization, depressive symptoms) based upon the child's level of technology (mechanical ventilation, intravenous nutrition/medication, respiratory/nutritional support) over time; and (c) the impact of the child's technology-dependence on family finances. Knafl and Deatrick's Family Management Style Framework and Paterson's "Shifting Perspectives Model of Chronic Illness" guided the study. A descriptive, correlational design was used in this longitudinal study. Data were collected by interview using standardized instruments. Mothers of 103 children who are technology-dependent and living at home and participated in the Time 1 study comprised the sample. Data analyses included correlations, Repeated Measures Analysis of Variance (RMANOVA), and hierarchical multiple regression (HMR). The sample of mothers aged 22-67 years were 73% Caucasian and 27% women of color, who cared for their technology-dependent child aged 19 months-17 years. A majority of children received solely respiratory/nutritional support. As at Time 1, Pearson correlations revealed that greater depressive symptoms and less use of normalization were significantly associated with poorer family functioning. In the Time 2 HMR, 40% of variance in family functioning was explained, primarily by level of depressive symptoms. Correlations over 12 months, results from HMR of family functioning over time, RMANOVAs for major study variables and impact of the child's technology-dependency on family finances will be presented. Mothers of children who are technology-dependent are at high risk for psychological distress that can affect overall family functioning over time. This work will be pivotal in designing nursing interventions to assist families in the home management of this vulnerable population of children.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFamilies of Children who are Technology Dependent: A Follow-upen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160752-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Families of Children who are Technology Dependent: A Follow-up</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Toly, Valerie, PhD, RN, CPNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">FPB School of Nursing, Case Western Reserve University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2579 Biscayne Blvd., Beachwood, OH, 44122, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(216) 368-3082</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">vab@case.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">V.A. Boebel Toly, C.M. Musil, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH; J.C. Carl, School of Medicine, Case Western Reserve University, Cleveland, OH;</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this 12-month follow-up study was to examine: (a) the relationship between child/maternal factors and family functioning for technology-dependent children and their families over time; (b) differences in outcomes (family functioning, normalization, depressive symptoms) based upon the child's level of technology (mechanical ventilation, intravenous nutrition/medication, respiratory/nutritional support) over time; and (c) the impact of the child's technology-dependence on family finances. Knafl and Deatrick's Family Management Style Framework and Paterson's &quot;Shifting Perspectives Model of Chronic Illness&quot; guided the study. A descriptive, correlational design was used in this longitudinal study. Data were collected by interview using standardized instruments. Mothers of 103 children who are technology-dependent and living at home and participated in the Time 1 study comprised the sample. Data analyses included correlations, Repeated Measures Analysis of Variance (RMANOVA), and hierarchical multiple regression (HMR). The sample of mothers aged 22-67 years were 73% Caucasian and 27% women of color, who cared for their technology-dependent child aged 19 months-17 years. A majority of children received solely respiratory/nutritional support. As at Time 1, Pearson correlations revealed that greater depressive symptoms and less use of normalization were significantly associated with poorer family functioning. In the Time 2 HMR, 40% of variance in family functioning was explained, primarily by level of depressive symptoms. Correlations over 12 months, results from HMR of family functioning over time, RMANOVAs for major study variables and impact of the child's technology-dependency on family finances will be presented. Mothers of children who are technology-dependent are at high risk for psychological distress that can affect overall family functioning over time. This work will be pivotal in designing nursing interventions to assist families in the home management of this vulnerable population of children.</td></tr></table>en_GB
dc.date.available2011-10-26T23:10:05Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:10:05Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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