Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemia

Abstract Background Taking care of children with Leukemia leads to a burden and decreases their caregivers’ self-efficacy. This study aimed to evaluate whether training spiritual care program impacts the self-efficacy and burden of mothers having children with Leukemia. Methods This randomized clini...

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Main Authors: Shahpar Bagheri, Zahra Sharifi Rigi, Maryam Paran, Parvin Ghaemmaghami, Zahra Hadian Shirazi, Rozhan Ghobadimoghaddam
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-025-02908-5
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author Shahpar Bagheri
Zahra Sharifi Rigi
Maryam Paran
Parvin Ghaemmaghami
Zahra Hadian Shirazi
Rozhan Ghobadimoghaddam
author_facet Shahpar Bagheri
Zahra Sharifi Rigi
Maryam Paran
Parvin Ghaemmaghami
Zahra Hadian Shirazi
Rozhan Ghobadimoghaddam
author_sort Shahpar Bagheri
collection DOAJ
description Abstract Background Taking care of children with Leukemia leads to a burden and decreases their caregivers’ self-efficacy. This study aimed to evaluate whether training spiritual care program impacts the self-efficacy and burden of mothers having children with Leukemia. Methods This randomized clinical trial was conducted on sixty-four mothers caring for their children with Leukemia, who were randomly allocated into eighteen blocks of 4 using computerized random allocation, 32 individuals were assigned to the intervention group and 32 to the control group. A training spiritual care program based on the Sound heart model was performed individually through four 30-45-minute face-to-face sessions during four weeks and a four-week follow-up. The setting was the chemotherapy department in Imam Reza educational, specialty and subspecialty clinic, affiliated with the Shiraz University of Medical Science. The data were collected using a demographic information form, the Caregiver self-efficacy questionnaire and the Caregivers Burden Inventory. The data were analyzed via descriptive and inferential statistics. All tests were two-tailed, and the statistical level was considered 0.05. Results Before intervention, there was no significant difference between the control and intervention groups in terms of self-efficacy and the caregiver burden mean score (p > 0.05). However, after the intervention a significant difference was observed between the two groups in self-efficacy scores [95% CI: -80.37, -57.74] and Caregiver Burden scores [95% CI: 10.34, 20.28] (p < 0.001). Also, the mean scores of caregivers’ burden was decreased, and self-efficacy increased significantly from pre-intervention to post-intervention in the intervention groups (p < 0.001). At the same time, there were no significant differences in the control groups. Also, there was a significant and reverse correlation between self-efficacy and caregiver burden (r = 0.678, P < 0.001). Conclusion Spiritual care program based on the Sound heart model improves self-efficacy and decreases caregivers’ burden in mothers of children with Leukemia. The use of this model is recommended for addressing the spiritual needs of mothers with children diagnosed with leukemia and for guiding health professionals in developing spiritual and healing care programs in clinical practice. Trial registration IRCT20210410050924N1 Registration date 20,210,504.
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spelling doaj-art-7b1e87a42a214d8d966d53e86fe352992025-08-20T03:55:24ZengBMCBMC Psychology2050-72832025-05-011311810.1186/s40359-025-02908-5Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemiaShahpar Bagheri0Zahra Sharifi Rigi1Maryam Paran2Parvin Ghaemmaghami3Zahra Hadian Shirazi4Rozhan Ghobadimoghaddam5Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesStudent Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesCommunity Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesSchool of Nursing and Midwifery, Shiraz University of Medical SciencesCommunity Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesDepartment of Biological Sciences, Middle East Technical UniversityAbstract Background Taking care of children with Leukemia leads to a burden and decreases their caregivers’ self-efficacy. This study aimed to evaluate whether training spiritual care program impacts the self-efficacy and burden of mothers having children with Leukemia. Methods This randomized clinical trial was conducted on sixty-four mothers caring for their children with Leukemia, who were randomly allocated into eighteen blocks of 4 using computerized random allocation, 32 individuals were assigned to the intervention group and 32 to the control group. A training spiritual care program based on the Sound heart model was performed individually through four 30-45-minute face-to-face sessions during four weeks and a four-week follow-up. The setting was the chemotherapy department in Imam Reza educational, specialty and subspecialty clinic, affiliated with the Shiraz University of Medical Science. The data were collected using a demographic information form, the Caregiver self-efficacy questionnaire and the Caregivers Burden Inventory. The data were analyzed via descriptive and inferential statistics. All tests were two-tailed, and the statistical level was considered 0.05. Results Before intervention, there was no significant difference between the control and intervention groups in terms of self-efficacy and the caregiver burden mean score (p > 0.05). However, after the intervention a significant difference was observed between the two groups in self-efficacy scores [95% CI: -80.37, -57.74] and Caregiver Burden scores [95% CI: 10.34, 20.28] (p < 0.001). Also, the mean scores of caregivers’ burden was decreased, and self-efficacy increased significantly from pre-intervention to post-intervention in the intervention groups (p < 0.001). At the same time, there were no significant differences in the control groups. Also, there was a significant and reverse correlation between self-efficacy and caregiver burden (r = 0.678, P < 0.001). Conclusion Spiritual care program based on the Sound heart model improves self-efficacy and decreases caregivers’ burden in mothers of children with Leukemia. The use of this model is recommended for addressing the spiritual needs of mothers with children diagnosed with leukemia and for guiding health professionals in developing spiritual and healing care programs in clinical practice. Trial registration IRCT20210410050924N1 Registration date 20,210,504.https://doi.org/10.1186/s40359-025-02908-5Spiritual therapiesSelf-efficacyCaregiver burdenLeukemia
spellingShingle Shahpar Bagheri
Zahra Sharifi Rigi
Maryam Paran
Parvin Ghaemmaghami
Zahra Hadian Shirazi
Rozhan Ghobadimoghaddam
Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemia
BMC Psychology
Spiritual therapies
Self-efficacy
Caregiver burden
Leukemia
title Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemia
title_full Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemia
title_fullStr Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemia
title_full_unstemmed Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemia
title_short Impact of spiritual care program on self-efficacy and burden in mothers of children with leukemia
title_sort impact of spiritual care program on self efficacy and burden in mothers of children with leukemia
topic Spiritual therapies
Self-efficacy
Caregiver burden
Leukemia
url https://doi.org/10.1186/s40359-025-02908-5
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