Purpose : The purpose of this study is to develop Cultural Adaptation Promotion Resilience Program and to verify the effects to resilience, acculturation stress, depression and quality of life for mothers-in-law in multicultural families. Cultural Adaptation Promotion Resilience Program was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984).
Method : This program has been developed sequentially through ADDIE(Analysis, Design, Development, Implementation, Evaluation) steps. Each analysis step had a circular process that corrects the program with constant reviews and formative evaluations. Cultural Adaptation Promotion Resilience Program's seven sessions have been corrected and verified by specialists in a peer evaluation process by calculating the program's CVI (Content Validity Index). Cultural Adaptation Promotion Resilience Program evaluation carried out a nonequivalent control group pre-post test design. Participants were recruited through Multicultural Family Support Center in B Metropolitan City. Total 42(exp.=21, cont.=21) participants were enrolled. Data were collected form Jun 28, 2015 through March 06, 2016. Resilience program was performed for 60minutes, twice a week for 4 weeks. Outcomes were Acculturation, Resilience Scale-14, GDSSF-K (Geriatric Depression Scale Short Form-Korean Version), K-WHOQOL-BREF. collected data were analyzed using the SPSS 23.0 program with descriptive statistics, chi-square test, Fisher's exact's test, and t-test.
Result : The experimental group has significant decreased in acculturation stress(t=-3.63, p=.002) & depression(t=-3.05, p=.006) and significant increased resilience(t=4.04, p〈.001) & quality of life(t=4.95, p=〈.001) compared to the control group.
Conclusion : There were significant improvements in the experimental group as compared to the control group for resilience, acculturation stress, depression, and quality of life. The results indicated that developed the Cultural Adaptation Promotion Resilience Program base on positive cognitive appraisal was an efficient nursing intervention for mothers-in-law in multicultural families.