Journal of pediatric nursing · 2026
The relationship between parental sense of competence and caregiver burden among mothers of children with cerebral palsy: A cross-sectional study.
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Mohammadi Raheleh, Gholami Venus, Mehrnoush Nasrin, Abdollahipour Najme, Faghir-Ganji Monireh
Аннотация
PURPOSE: This study examined the relationship between parental sense of competence and caregiver burden in mothers of children with cerebral palsy (CP).
DESIGN AND METHODS: This cross-sectional study involved 200 mothers of children aged 6-15 years with CP, recruited from rehabilitation centers and hospitals in Lorestan, Iran, between February and October 2023. Participants completed a demographic questionnaire, the Parental Sense of Competence Scale (PSOC), and Zarit Burden Interview (ZBI). Data analysis included descriptive statistics, Pearson correlations, ANOVA, and multiple linear regression.
RESULTS: Mothers reported moderate parental competence (M = 65.2, SD = 7.0), with significantly higher perceived value/comfort (M = 4.0 per item) than skill/knowledge (M = 3.7 per item; Cohen's d = 0.59). Caregiver burden was clinically significant (M = 41.9, SD = 7.0), with 61% of mothers experiencing severe burden. A significant positive correlation was found between total competence and burden (r = 0.171, p = 0.016). In adjusted multivariable models, caregiver burden emerged as the strongest positive predictor of parental competence (β = 0.319, p < 0.001). Part-time employment predicted higher competence (β = 0.236, p = 0.002) and lower burden (β = -0.319, p < 0.001), while full-time employment was linked to increased burden (β = 0.236, p = 0.013).
CONCLUSION: Caregiver burden positively predicts parental competence. Higher education and part-time employment serve as protective resources.
PRACTICE IMPLICATIONS: Interventions should move beyond burden reduction to holistically support caregiver competence by facilitating access to education, flexible part-time employment, and skills training programs.
DESIGN AND METHODS: This cross-sectional study involved 200 mothers of children aged 6-15 years with CP, recruited from rehabilitation centers and hospitals in Lorestan, Iran, between February and October 2023. Participants completed a demographic questionnaire, the Parental Sense of Competence Scale (PSOC), and Zarit Burden Interview (ZBI). Data analysis included descriptive statistics, Pearson correlations, ANOVA, and multiple linear regression.
RESULTS: Mothers reported moderate parental competence (M = 65.2, SD = 7.0), with significantly higher perceived value/comfort (M = 4.0 per item) than skill/knowledge (M = 3.7 per item; Cohen's d = 0.59). Caregiver burden was clinically significant (M = 41.9, SD = 7.0), with 61% of mothers experiencing severe burden. A significant positive correlation was found between total competence and burden (r = 0.171, p = 0.016). In adjusted multivariable models, caregiver burden emerged as the strongest positive predictor of parental competence (β = 0.319, p < 0.001). Part-time employment predicted higher competence (β = 0.236, p = 0.002) and lower burden (β = -0.319, p < 0.001), while full-time employment was linked to increased burden (β = 0.236, p = 0.013).
CONCLUSION: Caregiver burden positively predicts parental competence. Higher education and part-time employment serve as protective resources.
PRACTICE IMPLICATIONS: Interventions should move beyond burden reduction to holistically support caregiver competence by facilitating access to education, flexible part-time employment, and skills training programs.