Service Delivery

Empowerment in parents of school-aged children with and without developmental disabilities.

Nachshen et al. (2005) · Journal of intellectual disability research : JIDR 2005
★ The Verdict

Empowerment rises when services boost parent well-being and resources, not just reduce child behavior problems.

✓ Read this if BCBAs writing family-centered plans for school-age clients with developmental delays or autism.
✗ Skip if Practitioners who only provide direct 1:1 therapy with no parent contact.

01Research in Context

01

What this study did

Aznar et al. (2005) mailed a survey to parents of school-age kids. Half the kids had developmental delays; half did not.

The team asked about child behavior, parent mood, support, and feelings of empowerment. They used stats to see if parent well-being and resources act as a bridge between tough child behavior and parent empowerment.

02

What they found

Parent well-being and helpful resources, not child behavior itself, shaped empowerment. When parents felt good and had support, they reported more power, no matter the diagnosis.

The path was: child problems → lower parent well-being → lower empowerment. Services that lift mood and add resources can break that chain.

03

How this fits with other research

Gilmore et al. (2024) echo the same chain. Their network study of autism parents also shows child externalizing behaviors hit parent mental health first, then overall life quality.

Ozturk et al. (2025) widen the lens. A meta-analysis of 15 studies finds teaching parents self-compassion cuts depression and stress by a large margin. Self-compassion is one concrete way to raise the well-being link S et al. flagged.

Dababnah et al. (2025) add a twist. They show parent confidence ties more to service barriers and caregiver burden than to child symptom severity. Together the papers say: fix parent mood, lighten load, and open doors to resources—child behaviors alone are not the dial to turn.

04

Why it matters

Stop measuring success only by fewer problem behaviors. Add brief parent mood checks and resource mapping to your BIP. A five-minute rating scale, a shared respite list, or a self-compassion hand-out can raise empowerment faster than waiting for behaviors to drop. When you write goals, pair child targets with parent support objectives—insurance likes dual outcomes and families stay in service longer.

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Add a parent mood scale and one local resource link to your next treatment plan review.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
200
Population
developmental delay, mixed clinical
Finding
not reported

03Original abstract

BACKGROUND: Despite the widespread use of the term 'empowerment' in clinical literature to describe both a desirable process and the outcome of service delivery, the term remains more of a theoretical than practical construct. This study examined the factors that contribute to empowerment in parents of school-aged children with and without developmental disabilities (DD) using the Double ABCX model of family adaptation contrasted with the linear ACBX model. METHODS: Parents of children with (n = 100, 97% mothers) and without (n = 100, 98% mothers) DD completed questionnaires relating to child behaviour problems, parent stress and well-being, and formal and informal support. Structural equation modelling was used RESULTS: Parents of children with DD reported more child behaviour problems, more stress, less well-being and more social support than parents of children without DD. Structural equation modelling supported the ACBX model for both groups. A linear relationship was found in which parent well-being and resources mediated the relationship between the stressor (child behaviour problems) and the outcome (empowerment). CONCLUSIONS: The results of the current study support Hastings and Taunt's assertion in 2002, in that empowerment was adequately explained using a traditional model of family functioning. The significant prediction offered by the parent's resources points to the need to deliver services in a manner that is more family-centred. In the education system, this means providing parents with clear messages regarding the schools goals, clarifying the parent's rights and responsibilities, including the parent in planning and decision making, respecting their knowledge as caregivers and supporting their hopes for their child.

Journal of intellectual disability research : JIDR, 2005 · doi:10.1111/j.1365-2788.2005.00721.x