Calgary Model Motivational Interviewing for Parents of Children With CP Care Burden Self-efficacy Coping With Stress

Cerebral palsy (CP) is a non-progressive problem that occurs as a result of damage or lesion in the brain tissue in the prenatal, perinatal or postnatal periods for any reason, causing permanent impairment in the development of posture and movement. In addition to the impairments in the motor area in CP; It can be seen in problems such as perception, cognitive, sensory, communication, social, behavioral, musculoskeletal, epilepsy .Parents who are primary caregivers of the child with CP; They have a very important caregiver role in meeting the processes such as the treatment of the child, daily life needs and rehabilitation.Parental self-efficacy has been defined as the judgments and beliefs held by the parents to cope with the difficulties they experience in raising and caring for children with developmental disabilities and to reach the goal.The long process of caring for the child with cerebral palsy and the dependence of the child on the parent increase the stress of the caregivers. The Calgary Family Intervention Model (CAMM), one of the nursing models, is the first family intervention model in the field of nursing. The model focuses on improving, developing and maintaining the family's functionality in three areas. These three areas are cognitive, emotional and behavioral.

Cerebral palsy is a problem that causes permanent impairment in the development of non-progressive posture and movement, which occurs as a result of damage or lesion in the brain tissue for any reason in prenatal, perinatal or postnatal periods. In addition to the disorders in the motor area in SP; It can be seen in problems such as perception, cognitive, sensory, communication, social, behavioral, musculoskeletal, epilepsy .

Parents who are primary caregivers of the child with CP; They have a very important caregiver role in meeting the processes such as the treatment of the child, daily life needs and rehabilitation . Meeting all these special needs of the child with CP creates the burden of care for the parents .

Parental self-efficacy has been defined as the judgments and beliefs held by the parents to cope with the difficulties they experience in raising and caring for children with developmental disabilities and to reach the goal . People with high parental self-efficacy; It has been stated that they are more self-confident in taking and fulfilling their parenting duties, they make more effort, and they focus more on a solution in the face of any problem. The long process of caring for the child with cerebral palsy and the dependence of the child on the parent increase the stress of the caregivers. Caregiving stress affects the physiological, psychological, economic and social behaviors of parents.

The Calgary Family Intervention Model, one of the nursing models, is the first family intervention model in the field of nursing. The model focuses on improving, developing and maintaining the family's functionality in three areas. These three areas are cognitive, emotional and behavioral. The Calgary Family Intervention Model is an important model in increasing family functionality and providing change in pediatric nursing practice .

In the literature review, no other study has been found yet, examining the effect of motivational interviewing based on the Calgary Family Intervention model on the burden of care, self-efficacy and coping with stress in parents of children with cerebral palsy. It is believed that the motivational interview technique to be applied to the parents can be more beneficial for the children they care for and themselves, by revealing the effects of the disease, the responsibilities brought by the disease, the care burden arising from these responsibilities, parent self-efficacy and coping with stress.

Materials and Methods This study is a randomized controlled study. The research will be carried out in the interview rooms of the rehabilitation centers with the parents of children with cerebral palsy whose children attend a special rehabilitation center in the province of Iğdır.

The universe of the research will be the parents of 120 children with cerebral palsy between the ages of 6-18 who attend private rehabilitation centers in the province of Iğdır. Without using any sample selection method in the research, parents who meet the inclusion criteria and participate voluntarily in the research will be considered as the sample of the research. The number of samples was calculated in G\*Power program. There is no similar research in the related literature. As a result of the power analysis performed before the study, the number of people to be included in the study group for percentage 80 power was calculated as 26. At least 30 parents will be included in both groups for possible sample loss during the implementation phase of the research. A list will be created by assigning a code number to each parent.

Personal information form, caregiving burden scale, Parental Self-Efficacy Scale, and Ways of Coping with Stress Scale developed by the researchers will be used to collect research data.

Eligibility Criteria:
Inclusion Criteria:

* Having a child with cerebral palsy between the ages of 6-18,
* Able to read and write Turkish, accessible and able to communicate,
* Orientation and cooperation
* Hearing, comprehension and vision problems,
* Parents who agreed to participate in the study were determined as .

Exclusion Criteria:

* Having difficulty in communication
* Not being literate