Levels Of Self-efficacy Research Articles

Impact of pre-service teachers’ self-regulation and self-efficacy on their mathematics performance in blended learning

This research investigated the pre-service teachers’ self-regulation, self-efficacy, and mathematics performance in blended learning during the post Coronavirus disease 2019 (COVID-19) pandemic in a state university using a descriptive correlational design. There were 201 pre-service teachers who were identified using simple random sampling. They answered the two-set survey questionnaire, which assessed their self-regulation and self-efficacy, while their performances were assessed using their grades in the subject. The data gathered were treated using descriptive and inferential statistics. The results revealed that they had high self-regulation while they had a very high level of self-efficacy. At the same time, they had a very satisfactory performance in mathematics. Moreover, their self-regulation in terms of planning, monitoring, and adjusting was significantly correlated with their math performance while reflecting is not. However, no significant relationship was found between their self-efficacy and mathematics performance. Thus, instructors are encouraged to conduct monitoring during blended learning to encourage pre-service teachers to maintain their high level of self-regulation and self-efficacy in learning mathematics. In addition, future researchers may explore the same variables to validate the findings of the study because these findings are limited only to pre-service teachers and were conducted during the post COVID-19 pandemic.

Understanding online purchase intention of plant-based foods: Exploring causal factors and moderating role of self-efficacy within the SOR theory

This research explored Thai consumers' online purchase intention for plant-based foods (PBFs), investigating factors shaping this intention and the impact of self-efficacy. Conducting surveys on 402 individuals from Bangkok, Thailand, the study employed structural equation modelling (SEM) to analyse relationships among consumer identity, online brand trust, social influence, perceived value, and self-efficacy concerning online purchase intention. Findings revealed significant influences of consumer identity, online brand trust, social influence, and perceived value on online purchase intention, with online brand trust having the most significant direct effect. Additionally, self-efficacy moderated the impact of these factors on online purchase intention. The study's contribution lies in highlighting the role of online brand trust and self-efficacy levels in shaping consumer behaviour, which is crucial for promoting sustainable dietary choices and improving well-being through digital marketing strategies.

“CLIMBING IS MY WEAPON” – A PSYCHOSOCIAL BOULDERING INTERVENTION FOR ADOLESCENTS AND ITS IMPACT ON THE PSYCHOLOGICAL WELL-BEING OF ADOLESCENTS IN LEBANON

INTRODUCTION AND AIMS Previous research highlights the positive effects of physical activity, also climbing therapy, on mental health, including benefits on depression and self-esteem. Recognising the mental health challenges faced by young people in Lebanon, particularly in the context of multiple crises and forced displacement, this interventional study explores the benefits of a psychosocial climbing programme in eastern Lebanon. METHODS In collaboration with the non-profit organisation ClimbAID, this waitlist-controlled, partially randomised, mixed-methods study examines the effects of an eight-week psychosocial bouldering group intervention on overall mental well-being, levels of psychological distress, self-efficacy and social cohesion among a group of host and refugee youth in the Bekaa Valley. Qualitative interviews with 40 participants provide insights into their experiences, lessons learned and subjective outcomes. The intervention, delivered by 2 trained facilitators and up to 2 volunteers, took place weekly for 2 hours with groups of up to 12 young people. RESULTS With 233 participants, the trial had a dropout rate of approximately 33%. The intervention group showed significant improvements in overall mental well-being and psychological distress compared with the waitlist groups. Group allocation was the only significant predictor of improved mental well-being, in addition to baseline scores. While no significant differences in self-efficacy and social cohesion were observed, qualitative analysis revealed that participants highly valued the non-judgmental approach, highlighting significant benefits in interpersonal relationships and mental well-being. CONCLUSION In the challenging humanitarian context of forced displacement, the psychosocial bouldering intervention effectively enhanced well-being and reduced psychological distress among host and refugee youth in Bekaa, Lebanon. As a group intervention, bouldering emerges as a valuable option for supporting host and refugee populations in low-income countries.

Exercise self-efficacy in older adults with metabolic-associated fatty liver disease: A latent profile analysis

China has a high prevalence rate of Metabolic-associated fatty liver disease (MAFLD), and there is currently limited understanding of the levels of exercise self-efficacy (ESE) among individuals with MAFLD. The objective was to explore the potential ESE patterns in older adults with MAFLD. A cross-sectional study was conducted on 800 older adults with fatty liver disease from five communities from April 20, 2023 to August 15, 2023. Latent profile analysis (LPA) and k-means clustering were used to determine the optimal number of ESE groups. Using univariate analysis and multivariate logistic regression to investigate the factors influencing profiles of ESE. A sample of 775 subjects met the diagnostic criteria for MAFLD. LPA yielded three profiles: the low-ESE, mild-ESE, and high-ESE groups, which comprised 25%, 28%, and 47% of the sample, respectively. K-means clustering further supported the categorization of ESE into three distinct classes. The multivariate logistic regression analysis revealed that diabetes, arthritis and/or arthrosis, as well as companionship during PA were significant influencing factors for the different profiles (p ​< ​0.05). Our findings suggest that the ESE of older patients with MAFLD is primarily at a moderate level or above. There was population heterogeneity in ESE among older patients with MAFLD. Diabetes mellitus, arthritis, and/or arthrosis, as well as companionship during PA were significant factors in influencing the likelihood of having high ESE.

Assessing the stops framework for coping with intraoperative errors: Evidence of efficacy, hints of hubris, and a bridge to abridging burnout

BackgroundAnswering calls in the literature, we developed and introduced an evidence-based tool for surgeons facing errors in the operating room: the STOPS framework (stop, talk to you team, obtain help, plan, succeed). The purpose of this research was to assess the impact of presenting this psychological tool on resident coping in the operating room and the related outcome of burnout while examining sex differences. MethodsIn a natural experiment, general surgery residents were invited to attend 2 separate educational conferences regarding coping with errors in the operating room. Three months later, all residents were asked to fill out a survey assessing their coping in the operating room, level of burnout, and demographics. We assessed the impact of the educational intervention by comparing those who attended the coping conferences with those who did not attend. ResultsThirty-five residents responded to the survey (65% response rate, 54% female respondents, 49% junior residents). Our hypothesized moderated mediation model was supported. Sex was found to moderate the impact of the STOPS framework—female residents who attended the coping educational conference reported higher coping self-efficacy, whereas attendance had no statistically significant impact on male levels of coping self-efficacy. In turn, higher coping self-efficacy was associated with lower levels of burnout. ConclusionOur results suggest that there is evidence of efficacy in this instruction—female residents presented this material report higher levels of coping in the operating room compared to those who did not receive the framework. Further, increase in coping ability was associated with reduced levels of burnout for both genders.

Hubungan Self-Efficacy Akademik dan Motivasi Akademik Terhadap Hasil Belajar Ekonomi Siswa Kelas X SMA Negeri 12 Surabaya

The aim of this study is to analyze the partial and simultaneous relationships between academic self-efficacy and academic motivation towards the learning outcomes of 10th-grade students at SMA Negeri 12 Surabaya in the subject of economics. A quantitative approach is utilized in this research, with a focus on descriptive analysis and multiple linear regression. Data collection method involves the use of questionnaires. The research population consists of 365 students, with a sample size of 191 students selected using the Simple Random Sampling method. The analysis results indicate that there is a significant partial and simultaneous influence on student learning outcomes. A significant positive relationship between academic self-efficacy and economics learning outcomes of students is shown by the value of sig. 0.000 &lt; 0.05. The higher the level of academic self-efficacy of students, the greater their achievement in economics learning outcomes. However, there is a significant negative relationship between academic motivation and economics learning outcomes of students, indicated by the value of sig. 0.000 &lt; 0.05. This means that the higher the level of academic motivation of students, the lower their achievement in economics learning outcomes.

Are Irish Athletic Therapy Students Confident in Concussion Assessment and Management? A Cross-Sectional Study of Final Year Students’ Self-Efficacy

Concussion is one of the most challenging injuries for sports medicine clinicians. It is crucial that students develop high self-efficacy for concussion-relevant skills during professional education, as it impacts the quality of their patient care. This study aimed to explore Irish final year athletic therapy students’ self-efficacy in concussion assessment and management and the factors that impact its development. Participants’ level of self-efficacy varied, from low to high, depending on the skill assessed. Lack of practice and lecturer’s positive feedback impacted student self-efficacy the most. Educators should provide students with an opportunity to practice their skills in an environment that facilitates feedback.

The Relationship Between Self-Efficacy and Functional Capacity Among Discharged Heart Failure Patients in Jordan.

Self-efficacy is an important factor associated with healthy lifestyle changes in heart failure treatment. Functional capacity testing of heart failure patients (HFPs) can stratify prognosis. Reduced functional capacities in HFPs are linked to a poor heart failure prognosis. Limited research has examined the potential relationship between self-efficacy and functional capacity. The aims of this study were to assess self-efficacy level and functional capacity among HFPs after hospitalization, and examine whether there is a relationship between them. A descriptive correlational design was used. A convenience sample of 220 HFPs was recruited from 2 hospitals in Jordan. The Arabic version of Cardiac Self-Efficacy Questionnaire was used to assess self-efficacy, the 6-Minute Walking Test (6-MWT) was used to assess functional capacity, and the Borg rating of perceived exertion scale (Borg Scale) was used to assess exertion during 6-MWT. The sample included 46.8% male (n = 103) and 53.2% female (n = 117). The mean age was 52.66 ± 8.91 years. Most of the HFPs were categorized based on New York Heart Association classification as class I, 35.9% (n = 79), and class II, 41.4% (n = 91). The mean ejection fraction was 41.46 ± 9.44. The global self-efficacy was moderate (32.98 ± 9.92), and the mean score for the 6-MWT was 494.35 ± 143.37. The Borg Scale mean was 10.94 ± 3.34. In addition, there was a positive relationship between self-efficacy and 6-MWT (r = 0.63, n = 220, P = .01). This study provides baseline data for further research on treatment of HFPs, and the development of evidence-based tailored health interventions to maintain and improve self-efficacy and functional capacity among these service users. Moreover, replicated researches can test the study results considering different methodologies, such as using objective functional capacity tool and longer follow-up periods.

미혼 초기성인의 외로움, 성인애착, 고독동기에 따른 잠재프로파일과 자기효능감 및 대인관계문제의 차이

This study explored potential classes according to the level of loneliness, adult attachment, and motivation for solitude to understand the experiences of early unmarried adults in a social background where time alone increases due to the single-person households increase and spread of non-face-to-face communication. Data were collected from 633 unmarried early adults aged 18-39. As a result of conducting a latent profile analysis(LPA), three classes were the most appropriate. According to the form, they were named as ‘high adaptation non-loneliness’, ‘medium adaptation’, and ‘low adaptation solitude’ groups. The lower the group’s adaptation, the higher the level of loneliness, attachment anxiety and attachment avoidance, and non-determined solitude motivation. In the case of self-determined solitude motivation, only the difference between the ‘low adaptation solitude’ group and the ‘high adaptation non-loneliness’ group was significant. Furthermore, BCH analysis was conducted to confirm whether there is a difference between the level of self-efficacy and interpersonal problems. As a result, it was found that the ‘high adaptation non-loneliness’ group reported the highest level of self-efficacy and was experiencing the lowest level of interpersonal problems. The ‘intermediate adaptation’ group had significantly higher self-efficacy and confidence among the sub-scale than the ‘low adaptation solitude’ group, but there was no significant difference in self-regulation efficacy and task difficulty preference. Finally, the ‘low adaptation solitude’ group reported the lowest level of self-efficacy and was found to be experiencing the greatest interpersonal problem among the three groups. In addition, the results of this study are expected to be used as the basis for setting up a differentiated counseling method that can intervene in the client’s experience of loneliness, self-efficacy, and interpersonal relationship problems according to individual characteristics in the counseling field.

Self-Efficacy and Quality of Life Among Farmers in Indonesia: A Literature Review

Background: The level of self-efficacy plays a role in influencing the quality of life of hypertension patients. Self-efficacy helps individuals cope with and maintain hypertension health conditions that can affect their quality of life. 55.18% of the total population in Indonesia work in the agricultural sector. Purpose: The aim of this literature review study is to explore the correlation and publications providing information on self-efficacy related to the quality of life of elderly farmers. Methods: This literature review study uses a narrative review approach and analyzes six articles from sources such as Google Scholar, ScienceDirect, and PubMed. Results: The findings suggest a significant association between self-efficacy levels and the quality of life of elderly hypertension patients in Indonesia. Hypertensive elderly farmers with high self-efficacy tend to have a better quality of life. A significant relationship was also found between self-efficacy, subjective well-being in tobacco farmers, and adherence to a healthy lifestyle among hypertension patients. Conclusion: The study concludes that factors such as gender, age, education, and life experience influence self-efficacy. Quality of life is influenced by age, education, gender, marital status, duration of hypertension, and occupation. High levels of self-efficacy are positively correlated with the ability of the elderly to face hypertension challenges and improve their quality of life. Nurses should provide education and motivation to hypertension patients to enhance their self-efficacy.

The Degree to Which Educational Counselors in Karak Governorate Possess Skills for Dealing with Crises and its Relationship to their Self-Efficacy

This study aimed to identify the degree to which educational counselors in Karak governorate possess skills to deal with crises and its relationship to their self-efficacy. The number of study subjects consisted of (149) counselors. It used the descriptive correlation methodology. To achieve the objectives of the study, two scales were developed: the scale of possession of Crises dealing skills, and the scale of self-efficacy, their psychometric properties were verified. The results showed that the level of counselors’ possession of Crisis dealing skills was high, and that their level of self-efficacy was medium. The study results showed that there was a significant correlation relationship between possessing the skills of dealing with crises and self-effecacy. Finally, the study included a number of recommendations among them developing counseling interventional skills to deal with crises for educational counselors.

RELATIONSHIP BETWEEN FEAR OF MISSING OUT (FOMO) AND SELF-EFFICACY AT THE LEVEL OF STUDENT ORGANIZATION PARTICIPATION

Self-efficacy is a belief in a person's ability to achieve and improve life achievements. Therefore, individuals need to have a good level of self-efficacy. Self-efficacy supports being confident in socializing, especially in the campus environment. However, the idea of joining an organization raises the fear of not completing the study period on time, causing student participation rates in joining organizations on campus to decrease. This research aims to analyze the influence of factors that influence students' interest in joining an organization on campus. Utility theory is used as the theoretical basis for this research. The methodology used in this research is quantitative, with primary data obtained through random sampling techniques taken from 264 respondents in the Semarang City area. This research uses a logistic regression approach with a logit model in its estimation. The results of this study show that students with a higher grade (GPA), higher living costs, more free time, a higher level of Fear of Missing Out (FoMO), and a higher level of self-efficacy tend to be more likely to join campus organizations. This shows that the variables above positively influence interest in joining an organization. Therefore, choosing an organization that suits our interests, talents, and goals can increase self-efficacy because we will feel more competent, confident, and motivated to work together.

ВИКОРИСТАННЯ ЗАСОБІВ ШТУЧНОГО ІНТЕЛЕКТУ ДЛЯ ПІДТРИМКИ ГРУПОВОЇ ДИНАМІКИ ПРОЄКТНИХ КОМАНД: ВПЛИВ НА САМОЕФЕКТИВНІСТЬ ТА ЗАЛУЧЕНІСТЬ СТУДЕНТІВ

The issue of maintaining group dynamics in flexible remote teams is currently in the focal point of attention not only of commercial companies and government agencies as a response to the changing conditions of work organisation, including those associated with the effects of the COVID-19 pandemic, but also of higher education institutions that train future professionals. Since intragroup dynamics is a key factor affecting team performance, this paper is the result of the study conducted as part of the Group Dynamics and Communications course at National University of Life and Environmental Sciences of Ukraine (NULES) to determine the potential of using AI tools as tools to support the group dynamics of self-organised teams during the implementation of educational projects. Based on the results of the free choice of project and team management tools, we categorised three groups among the 56 participants of the experiment according to the use or non-use of AI tools to enhance group dynamics, followed by self-assessment of the effectiveness of the selected tools in increasing their levels of self-efficacy and social engagement. The survey was based on a Likert scale measurement, and non-parametric methods of analysis and statistical hypothesis testing were used to process the results. The self-assessment confirmed that the incorporation of AI tools in the implementation of a team-based learning project did not influence the improvement of students' social engagement and the dynamics of self-efficacy for both effective and ineffective students. The authors identified the positive impact of using AI tools on its development for students with the average level of self-efficacy. We also presented an example of the use of Notion AI for enhancing group dynamics at each stage of team development according to B. Tuckman. The authors suggest that the impact of using AI tools in the process of implementing a group learning project depends more on personal characteristics of team members than on the choice of a specific AI model. Determination of application specifics of individual AI tools in the process of training future specialists in the implementation of various types of educational activities, particularly ethical considerations is recognised as an area for further research.

Maternal self-esteem and self-efficacy as factors affecting maternal long-term breastfeeding: Α comprehensive review of the literature

Background: Breastfeeding is widely recognized as the optimal feeding method for infants, providing numerous health benefits, both for the infant and the mother. Numerous factors have been noted to influence its success, and currently, maternal self-esteem and more particularly self-efficacy, have been recognized as important determinants as well. To this end, it is essential to take into account the role of maternal self-esteem in achieving and sustaining breastfeeding. Methods: This review of the current medical literature aims to investigate the correlation between maternal self-efficacy and breastfeeding duration. A total of 23 articles were selected for comprehensive review, following an online search for relevant literature dating from 2009 onward. All articles were analyzed, identifying key themes, approaches, and conclusions regarding breastfeeding behaviors and maternal self-efficacy. Results: The findings consistently demonstrated that higher levels of maternal self-efficacy were associated with better breastfeeding outcomes, including longer duration of exclusive breastfeeding. Interventions targeting self-efficacy, such as educational programs and counseling, were found to be effective in enhancing breastfeeding self-confidence and promoting prolonged breastfeeding. However, it was observed that maternal breastfeeding self-efficacy tends to decline over time, highlighting the need for continuous support and interventions. Conclusions: Maternal self-esteem, particularly self-efficacy, is vital in achieving long-term breastfeeding goals. Interventions and support programs that enhance maternal self-efficacy have shown promise in improving breastfeeding outcomes. Ongoing support, counseling, and access to breastfeeding resources are crucial for maintaining and improving self-efficacy levels throughout the breastfeeding journey. Healthcare professionals and policymakers should consider incorporating strategies to enhance maternal self-esteem into breastfeeding support initiatives for better breastfeeding outcomes. Further research is required to explore cultural and social influences on maternal self-esteem and develop tailored interventions for diverse populations

The Current Status of Internet Fiction Addiction among Chinese Middle School Adolescents and Its Association with Self-Efficacy and Boredom Proneness

With the widespread utilization of the Internet, symptoms associated with Internet Fiction addiction are increasingly prevalent among Chinese netizens. This addictive behavior not only poses risks to personal well-being and emotional stability but also jeopardizes physical health. However, the relevant studies remain scarce and the definition of IFA is controversial. In order to address this gap, a questionnaire survey was conducted on 412 Chinese middle school students to investigate their levels of Internet Fiction addiction, self-efficacy, and boredom proneness. The findings reveal a significant positive correlation between Internet Fiction addiction and boredom proneness while no significant correlation is observed between IFA and self-efficacy. This discrepancy may be attributed to the fact that heightened levels of boredom proneness contribute to mood fluctuations, increased indulgence in daydreaming activities, as well as a distorted perception of time -- all factors that exacerbate the symptoms associated with Internet fiction addiction. The study further investigated risk factors for Internet fiction addiction among Chinese middle school students, enhancing research in this area and providing a reference for the prevention and correction of this issue.

The Impact of the COVID-19 Pandemic in the Inclusion of Refugee Students in Greek Schools: Pre-Service Teachers’ Views about Distance Learning

Over the last two years, the prolonged massive school closure due to COVID-19 has provoked significant constraints for refugee children. The present study aimed to investigate the perceptions of Greek pre-service teachers on refugee education during the COVID-19 pandemic. A questionnaire was addressed to 32 native university students (n = 32) who attended Education Departments in Western Macedonia in Greece. The results showed that the prevalence of distance education affected pre-service teachers’ perceptions. The access to devices with internet capability as well as the cultural barriers was considered to be crucial factors for the school attendance of refugee children. Participants’ perceptions of the level of teacher preparation in a distance learning environment were related to their level of self-efficacy for supporting refugee students. The findings suggest that in the aftermath of COVID-19 pandemic, the international community should make efforts to ensure the school attendance of all refugee students.

Results of a Competency-Based Approach to Prepare General Educators to Effectively Include Students with Disabilities

Research has shown that general educators may lack the competencies to effectively include students with disabilities, thus widening the gaps in outcomes between students with disabilities and their peers. In this study, we outline the development and implementation of a competency-based continuing education program, designed to equip general educators to effectively include students with disabilities (SWDs) and earn special education certification. This paper presents the results of a program evaluation conducted using both validated measures and author-developed instruments. Participants included general education teachers, instructional coaches, and those in similar roles. Results indicated that participants significantly increased their knowledge of professional standards, demonstrated knowledge in high-leverage practices, and showed high levels of self-efficacy to implement inclusive practices. We discuss these results, emphasizing the timeliness of this nontraditional approach and its implications for teacher preparation, research, and policy amid the troubling national special education teacher shortage. Namely, this approach epitomizes a model that allows leaders to strategically utilize their existing workforce to address vacancies in special education and emphasizes that the responsibility to support SWDs rests squarely upon all educators.

COMPREHENSIVE EXAMINATION ON INTENTIONS OF STUDENTS IN SOCIAL ENTREPRENEURSHIP

The capacity to affect change on a local and global scale about a range of political, social, environmental, and economic challenges is known as social entrepreneurship (SE). Young exposure to theory and practice of social entrepreneurship at postsecondary educational institutions is thought to influence this change. In this study, we examine the intentions of students in social entrepreneurship. This study's objective is to assess the degrees of social and entrepreneurial entrepreneurship. For the study, 150 college students served as the sample. This study examines empathy, moral duty, social support, self-efficacy, social impact, and educational level as principal motivators for social entrepreneurship intentions. The SPSS is a software program used to analyse the data and perform statistical analyses. The findings indicate that the only factors that were statistically correlated with the desire to engage in social entrepreneurship were empathy, self-efficacy, and psychological support. The association between social support and the ambitions for social entrepreneurship was shown to be unfavourable. In conclusion, the study provides insightful information for practitioners and educators who aim to foster a vibrant environment for student social entrepreneurship.

Self-Regulated Learning, Online Learning Self-Efficacy, and Satisfaction Among Accounting Matriculation Students in Flipped Learning Environment

This study aims to identify the levels of Self-Regulated Learning (SRL), Online Learning Self-Efficacy (OLSE), and student satisfaction in the Flipped learning environment among Accounting matriculation program students. A total of 415 students participated as respondents in this study. The data were analysed using descriptive statistics and t-tests with the SPSS software. The overall analysis indicated that the average minimum scores for SRL among Accounting matriculation students were at a high level. The level of OLSE among Accounting matriculation students was also at a high level. Additionally, the level of student satisfaction among Accounting matriculation students in the Flipped learning environment was high. The t-test results revealed significant differences in the levels of SRL skills and OLSE among Accounting matriculation students in the Flipped learning environment based on students' gender, but no significant differences were found in the level of student satisfaction. Furthermore, the study revealed higher levels of SRL and self-efficacy among male students. Overall, this study emphasizes the need to enhance technology usage and flexibility while recognizing the importance of fostering effective SRL skills and online learning self-efficacy. The findings of this study are expected to provide valuable information, particularly in improving the implementation of Accounting learning in matriculation programs.

Effects of stress and self-efficacy on quality of life of mothers with autistic children: Covariance-Based Structural Equation Modeling (CB-SEM) approach.

Mothers who have children with autism encounter significant difficulties in caring for their autistic youngsters, leading to higher stress levels and a reduced overall quality of life. External or internal factors can cause and respond to stress, affecting an individual's physical, psychological, and emotional health. Thus, it is crucial to examine the quality of life of mothers with autistic children. This study aimed to investigate the relationships between stress, self-efficacy, and quality of life (QoL) in mothers of children with autism. A cross-sectional study design was used. Self-administered questionnaires were distributed from October to November 2019 to mothers with autistic children using cluster sampling techniques to capture their demographics and perceptions of stress, self-efficacy, and QoL. The data analysis was performed using covariance-based structural equation modeling (CB-SEM). Of the 290 questionnaires distributed, 238 (response rate of 82%) sets were returned, but only 181 questionnaires were usable for further analysis. The findings demonstrated a notable impact of stress and self-efficacy on quality of life and an adverse effect of stress on self-efficacy. Self-efficacy serves as an intermediary in the relationship between stress and quality of life. In general, mothers of autistic children typically face moderate stress levels, but they have low levels of self-efficacy and quality of life. Mothers of children with autism need assistance and support from healthcare professionals, such as doctors, nurses, and psychiatrists, so that they can bear the challenges of raising children with special needs and enjoy a higher standard of living with less emotional and physical strain.