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THE RELATIONSHIP OF EXPECTATION AND SATISFACTION OF FILIAL
PIETY WITH STROKE-RELATED OUTCOMES OF CHINESE OLDER
ADULTS IN STROKE REHABILITATION
by
Chang-Chih Kuo
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(OCCUPATIONAL SCIENCE)
May 2010
Copyright 2010 Chang-Chih Kuo
Object Description
| Title | The relationship of expectation and satisfaction of filial piety with stroke-related outcomes of Chinese older adults in stroke rehabilitation |
| Author | Kuo, Chang-Chih |
| Author email | robinrobinkuo@gmail.com; robinkuo@yahoo.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Occupational Science |
| School | School of Dentistry |
| Date defended/completed | 2009-12-08 |
| Date submitted | 2010 |
| Restricted until | Unrestricted |
| Date published | 2010-03-07 |
| Advisor (committee chair) | Clark, Florence A. |
| Advisor (committee member) |
Carlson, Michael Chou, Chih-Ping Jackson, Jeanne Marie McLaughlin Gray, Julie |
| Abstract | Previous studies have demonstrated that social support affects older adults’ functional recovery, depression, and quality of life after stroke in rehabilitation programs. Filial piety, in term, is a special type of social support in Chinese culture that older Chinese adults need and value, particularly after they experience a stroke. Due to the scarcity of existing studies on this topic and the pivotal role filial piety may play in stroke outcome, it is important to undertake the study.; In this study, five domains of expected filial piety were first identified through qualitative analysis of semi-structured interview data: emotional, physical, economic, informational, and spiritual domain. Each domain was further subdivided into components indicating specific types of expected filial behaviors or attitudes as given by the informants.; In addition, a total of 30 items for EFP and SFP were created based on the findings described above. Both scales demonstrated sufficient reliability and appropriate content validity. However, acceptable convergent construct validity was established only for the EFP. Factor analysis was also performed on the EFP and SFP. The result indicated, when compared to original-designed factor structure, the EFP demonstrated better construct validity than the SFP.; Finally, at approximately one month post stroke, it was found that the expectation level of filial piety in the physical domain was significantly and negatively associated with overall health-related quality of life and its physical and mental dimensions. Moreover, a significantly negative association was found between filial expectation in the spiritual domain and health-related quality of life in mental dimension. No significant association was found between overall satisfaction of filial piety or any of its subscales scores and any of the outcomes. However, the interaction terms of EFP by SFP indicated that satisfaction moderated the effect of expectation on depression and on the health-related quality of life. Furthermore, a measurement flaw was discovered which suggested the need for alternative ways to evaluate satisfaction of filial piety, such as assessing filial discrepancy and frequency in the future research. The difference between SFP and EFP scores was computed as a measure of filial discrepancy. Although the findings indicated the same relationships could be detected between filial discrepancy and the outcomes as had been revealed for filial expectations and the outcomes, in this case these relationships were in the opposite direction. |
| Keyword | filial piety; stroke; occupational therapy; occupational science; rehabilitation |
| Geographic subject (state) | Taiwan |
| Geographic subject (country) | China |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m2867 |
| Contributing entity | University of Southern California |
| Rights | Kuo, Chang-Chih |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@lib.usc.edu |
| Filename | etd-Kuo-3513 |
| Archival file | uscthesesreloadpub_Volume32/etd-Kuo-3513.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | THE RELATIONSHIP OF EXPECTATION AND SATISFACTION OF FILIAL PIETY WITH STROKE-RELATED OUTCOMES OF CHINESE OLDER ADULTS IN STROKE REHABILITATION by Chang-Chih Kuo A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (OCCUPATIONAL SCIENCE) May 2010 Copyright 2010 Chang-Chih Kuo |
