The effectiveness of resilience training on coping strategies and well-being of mothers of children with down syndrome.

OBJECTIVE AND BACKGROUND: Down syndrome, a chromosomal disorder, requires long-term care, which can reduce maternal well-being and hinder effective coping. This study aimed to determine the impact of resilience training on coping strategies and well-being of mothers of children with Down syndrome. METHODS: This randomized controlled trial included 60 mothers from Down Syndrome Association (2025). After consent and matching, they were randomly assigned to intervention (n = 30) or control (n = 30) groups. The intervention group received nine 60-min resilience training sessions over two months; the control group received none. Data were collected using the Billings and Moos Coping Strategies Scale and the WHO-5 Well-being Index before and after the intervention. Analysis used SPSS-22. RESULTS: The intervention group's total coping score decreased non-significantly (45.96 to 44.03). The control group's score increased significantly (42.6 to 51.1). All coping subscales improved significantly in the intervention group. Well-being increased significantly in both groups (intervention: 16.06 to 26.86; control: 14.3 to 21.9). Analysis of covariance showed significant post-intervention differences in total coping, its dimensions, and well-being between groups. CONCLUSIONS: Resilience training effectively enhances adaptive capacity and quality of life in mothers of children with Down syndrome. The significant improvements in coping strategies and well-being highlight the program's potential as an evidence-based intervention for this vulnerable population. PRACTICE IMPLICATIONS: Pediatric nurses can implement resilience training in Down syndrome support centers and outpatient clinics to improve maternal well-being and coping strategies. Integrating such training into pediatric nursing curricula and family-centered protocols is recommended to provide sustainable support for families.