Development and Validation of a Mindfulness-Based Resilience Training Package and Its Effectiveness on Hope among Mothers of Children with Intellectual Disabilities
Downloads
Objective: This study aimed to develop and validate a mindfulness-based resilience training package and examine its effectiveness on hope among mothers of children with intellectual disabilities.
Methods and Materials: An exploratory sequential mixed-methods design was used. In the qualitative phase, previous studies were reviewed and semi-structured interviews were conducted with 11 mothers of children with mild intellectual disabilities until theoretical saturation was reached. Data were analyzed using thematic analysis. In the quantitative phase, 30 mothers were selected and randomly assigned to an experimental group (n = 15) and a control group (n = 15). The experimental group received a 12-session mindfulness-based resilience training package, while the control group received no intervention. Hope was assessed using the Miller Hope Scale. Data were analyzed using repeated-measures analysis of variance.
Findings: Qualitative analysis identified 8 main themes and 67 indicators related to mindfulness and resilience, including emotion regulation, coping skills, support resources, meaning-making, acceptance, mindful parenting, and awareness of experience. Content validity evaluation by experts confirmed the adequacy of the developed package, with acceptable CVR and CVI values and a Cohen’s kappa coefficient above 0.75. Quantitative findings showed a significant time × group interaction for hope, F = 5.50, p = .007, η² = .164. The intervention group demonstrated higher hope scores compared with the control group at posttest (mean difference = 6.72, p = .004) and follow-up (mean difference = 6.67, p = .013). The effect remained stable after three months.
Conclusion: The mindfulness-based resilience training package is a valid and effective intervention for enhancing hope among mothers of children with intellectual disabilities.
Downloads
Bamber, M. D., Mahony, H., & Spratling, R. (2023). Mothers of children with special health care needs: Exploring caregiver burden, quality of life, and resiliency. Journal of Pediatric Health Care, 37(6), 643-651. https://doi.org/10.1016/j.pedhc.2023.06.003
Bazzano, A., Wolfe, C., Zylowska, L., Wang, S., Schuster, E., Barrett, C., & Lehrer, D. (2015). Mindfulness based stress reduction (MBSR) for parents and caregivers of individuals with developmental disabilities: A community-based approach. Journal of Child and Family Studies, 24(2), 298-308. https://doi.org/10.1007/s10826-013-9836-9
Choudhary, M. (2023). Mindfulness and well-being: Mindfulness-based interventions for promoting well-being and its impact on cognitive, emotional, and physiological processes. Lloyd Business Review, 1-18. https://doi.org/10.56595/lbr.v2i1.12
Dahlgaard, J., Jørgensen, M. M., van der Velden, A. M., Sumbundu, A., Gregersen, N., Olsen, R. K., & Mehlsen, M. Y. (2019). Mindfulness, health, and longevity. In The science of hormesis in health and longevity (pp. 243-255). Elsevier. https://doi.org/10.1016/B978-0-12-814253-0.00022-X
Feldman, G., Harley, R., Kerrigan, M., Jacobo, M., & Fava, M. (2009). Change in emotional processing during a dialectical behavior therapy-based skills group for major depressive disorder. Behaviour research and therapy, 47(4), 316-321. https://doi.org/10.1016/j.brat.2009.01.005
Galmarini-Kabala, M. C. (2019). Between Defectological Narratives and Institutional Realities: The" Mentally Retarded" Child in the Soviet Union of the 1930s. Bulletin of the History of Medicine, 93(2), 180-206. https://doi.org/10.1353/bhm.2019.0026
Hameed, P. (2022). A systematic review on stress and coping strategies in parents of intellectually disabled children. Issue 3 Int'l JL Mgmt. & Human., 5, 786. https://ijlmh.com/paper/a-systematic-review-on-stress-and-coping-strategies-in-parents-of-intellectually-disabled-children/
Kabat-Zinn, J. (2023). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette uK.
Lee, K., Cascella, M., & Marwaha, R. (2019). Intellectual disability. https://pubmed.ncbi.nlm.nih.gov/31613434/
McCray, J., Palmer, A., & Chmiel, N. (2016). Building resilience in health and social care teams. Personnel Review, 45(6), 1132-1155. https://doi.org/10.1108/PR-04-2014-0095
Miller, J. F., & Powers, M. J. (1988). Development of an instrument to measure hope. Nursing research, 37(1), 6-10. https://doi.org/10.1097/00006199-198801000-00002
Murphy, E. R., Senger, A. R., Ayers, Z. S., & Gallagher, M. W. (2026). Hope and Health. In Handbook of Concepts in Health, Health Behavior and Environmental Health (pp. 67-86). Springer. https://doi.org/10.1007/978-981-97-2085-9_7
Nyklíček, I. (2010). Mindfulness, emotion regulation, and well-being. Emotion regulation and well-being, 101-118. https://doi.org/10.1007/978-1-4419-6953-8_7
Özdemir, A. A., & Kavak Budak, F. (2022). The effects of mindfulness-based stress reduction training on hope, psychological well-being, and functional recovery in patients with schizophrenia. Clinical Nursing Research, 31(2), 183-193. https://doi.org/10.1177/10547738211039069
Özokcu, O., Akçamete, G., & Özyürek, M. (2017). Examining the Effectiveness of Direct Instruction on the Acquisition of Social Skills of Mentally Retarded Students in Regular Classroom Settings. Journal of Education and Training Studies, 5(4), 214-226. https://doi.org/10.11114/jets.v5i4.2294
Petcharat, M., & Liehr, P. (2017). Mindfulness training for parents of children with special needs: Guidance for nurses in mental health practice. Journal of Child and Adolescent Psychiatric Nursing, 30(1), 35-46. https://doi.org/10.1111/jcap.12169
Rui, Y., Zhang, Y., & Jin, H. (2025). The relationship between mindfulness and second language resilience among Chinese English majors: the mediating role of academic hope. BMC psychology, 13(1), 497. https://doi.org/10.1186/s40359-025-02827-5
Salimi, A., Abbasi, A., Zahrakar, K., Tameh, B., & Davarniya, R. (2017). The effect of group based hope therapy on resiliency of mothers of children with autism spectrum disorder. Armaghane danesh, 22(3), 350-363. https://armaghanj.yums.ac.ir/browse.php?a_id=1763&sid=1&slc_lang=en
Sharifian, P., Kuchaki, Z., & Shoghi, M. (2024). Effect of resilience training on stress, hope and psychological toughness of mothers living with mentally and physically disabled children. BMC pediatrics, 24(1), 354. https://doi.org/10.1186/s12887-024-04828-6
Shaygan, M., Manshadi, Z. D., & Hosseini, F. A. (2025). Building resilience: A promising approach to reduce anxiety in mothers and hospitalized children with burn injuries. Burns, 51(2), 107374. https://doi.org/10.1016/j.burns.2025.107374
Southwick, S. M., Charney, D. S., & DePierro, J. M. (2023). Resilience: The science of mastering life's greatest challenges. Cambridge University Press. https://doi.org/10.1017/9781009299725
Suchyadi, Y., Ambarsari, Y., & Sukmanasa, E. (2018). Analysis of Social Interaction of Mentally Retarded Children. JHSS (Journal of Humanities and Social Studies), 2(2), 17-21. https://doi.org/10.33751/jhss.v2i2.903
Takuri, B. S. (2014). Stress and coping mechanism among the parents of intellectual disable children. Journal of Advanced Academic Research, 1(2), 56-63. https://doi.org/10.3126/jaar.v1i2.16589
Vasilopoulou, E., & Nisbet, J. (2016). The quality of life of parents of children with autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 23, 36-49. https://doi.org/10.1016/j.rasd.2015.11.008
Widyawati, Y., Scholte, R., Kleemans, T., & Otten, R. (2023). Parental resilience and quality of life in children with developmental disabilities in Indonesia: The role of protective factors. Journal of developmental and physical disabilities, 35(5), 743-758. https://doi.org/10.1007/s10882-022-09878-1
Copyright (c) 2025 International Journal of Body, Mind and Culture

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.








