{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T05:34:44Z","timestamp":1777095284540,"version":"3.51.4"},"reference-count":59,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine whether resilience buffers the deleterious consequences of caregiver burden on quality of life among parents of children with type 1 diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The burden of caring for a child with type 1 diabetes can be a form of stress and damage parents\u2019 quality of life. Resilience is a crucial psychological variable that contributes to individual health in the context of extraordinary challenges. However, no studies in paediatric diabetes have focused on the effects of parent resilience on caregiving burden and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a descriptive cross\u2010sectional study with a convenience sample following the STROBE guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 227 parents were invited to participate during the children's routine outpatient visit. Parents completed measures of resilience, caregiver burden and quality of life. The disease characteristics of children were extracted from the electronic medical records. We performed hierarchical multiple regression and Johnson\u2013Neyman statistical analysis to probe the moderating effect of resilience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The parents reported poorer mental and physical health as compared with the general population. Caregiver burden was significantly negatively associated with parents\u2019 quality of life, while resilience demonstrated a positive correlation with life quality. Resilience served as a moderator between caregiver burden and mental health. When parents experienced a high caregiver burden, the benefit of high resilience for better mental health was apparent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study underscores the protective role of resilience in reducing caregiving burden and improving parents\u2019 quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Regular psychosocial\u00a0assessment for parents of children with type 1 diabetes should be incorporated into clinical nursing practice. This study confirms that resilience is a promising intervention target for parents with heavy caregiver burden and unsatisfactory life quality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15739","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T10:12:08Z","timestamp":1614766328000},"page":"1884-1892","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Resilience outstrips the negative effect of caregiver burden on quality of life among parents of children with type 1 diabetes: An Application of Johnson\u2013Neyman Analysis"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8202-7420","authenticated-orcid":false,"given":"Dan","family":"Luo","sequence":"first","affiliation":[{"name":"School of nursing Peking University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Children\u2019s Hospital of Nanjing Medical University Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Children\u2019s Hospital of Nanjing Medical University Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue","family":"Cai","sequence":"additional","affiliation":[{"name":"School of nursing Peking University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanhui","family":"Lu","sequence":"additional","affiliation":[{"name":"School of nursing Peking University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruxue","family":"Li","sequence":"additional","affiliation":[{"name":"School of nursing Peking University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yubing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Children\u2019s Hospital of Nanjing Medical University Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingzi","family":"Li","sequence":"additional","affiliation":[{"name":"School of nursing Peking University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.endinu.2019.03.010"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60591-7"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327906mbr4003_5"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12010"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsz040"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20271"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2019.1679321"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12372"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12400"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci18-0023"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsq071"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-5-54"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2019.11.001"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13667"},{"key":"e_1_2_12_16_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: a regression\u2010based approach","author":"Hayes A. 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