Relationships among parenting stress, health‐promoting behaviors, and health‐related quality of life in Korean mothers of children with cerebral palsy.

Health‐promoting behaviors have been shown to enhance the quality of life across diverse populations. In this study, we examined the indirect effects of several health‐promoting behaviors on the relationship between parenting stress and health‐related quality of life in mothers of children with cerebral palsy (CP). A convenience sample of Korean mothers (N = 180) of children aged 10 months to 12 years with CP was recruited from clinical and school settings. Health‐promoting behaviors were measured using the health‐promoting lifestyle profile II, which is comprised of six subscales: health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. Multiple mediation analyses were conducted to examine the mediating role of these behavioral categories. Spiritual growth (β =.56, p <.05) had an indirect effect on the relationship between parenting stress and physical health‐related quality of life while spiritual growth (β = −1.00, p <.01) and stress management (β = −.80, p <.05) were found to mediate the association between parenting stress and mental health‐related quality of life. The findings of multiple mediation analyses provide evidence of the influence of specific health‐promoting behaviors on health‐related quality of life, thereby informing the development of intervention programs for mothers of children with disabilities. [ABSTRACT FROM AUTHOR]