Limitations
depression, moyamoya disease
DISEASE, DISEASES, MOYAMOYA DISEASE
This study has several limitations. First, the participants self-reported their subjective responses in the questionnaires. Given that there may be differences in the consistency of responses, this method of investigation is not without bias. Second, since the intervention focused on disease education and resource management to effectively manage the clinical symptoms experienced by adolescents with moyamoya disease, it did not affect reducing the depression levels of the participants. Third, the duration of the study was only 4 months. This may affect the fidelity of intervention research in the enhancement of intervention skills. Fourth, when obtaining the sample size in this study, the reliability of the hypothesis test results is moderate in that a relatively medium power value was used as a study conducted on adolescents with rare intractable diseases. Finally, the generalization of the effectiveness of the program is limited because the study involved adolescents with moyamoya disease at a single hospital in Seoul, Korea.