Grandmothers, Caregiving, Families, and Transitions

祖母、照顾、家庭和过渡

• 批准号: 7462268
• 负责人: Carol M. Musil
• 金额: $ 29.8万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7462268
• 关键词: Affect; Age; American; Area; Caregivers; Caring; Child; Communication; Data; Data Collection; Elements; Evaluation; Family; Family dynamics; Family health status; Funding; Health; Health Status; Home environment; Intervention; Interview; Knowledge; Life; Link; Mails; Measures; Mental Depression; Mental Health; Modeling; Nature; Numbers; Ohio; Outcome; Parents; Pattern; Patterns of Care; Perception; Personal Satisfaction; Pilot Projects; Play; Prevalence; Purpose; Questionnaires; Reporting; Research; Resources; Risk; Role; Rural; Sampling; Social support; Stress; Telephone; Time; United States National Institutes of Health; Woman; Work; Youth; aged; caregiving; cohort; comparative; comparison group; coping; depressive symptoms; design; experience; grandparent; improved; innovation; interest; intergenerational; therapy design

DESCRIPTION (provided by applicant): More than 5.2 million American grandmothers serve as caregivers for their grandchildren, whether as a primary caregiver to grandchildren or living in a multigenerational home, and have a key role in family functioning. Prior work by our research team indicates that primary caregiver grandmothers report more depression, worse physical health and more problems in family functioning than non-co-resident grandmothers, and both primary and multigenerational grandmothers report intra-family strain. Our ongoing study also revealed three interesting findings: first, very few studies have examined the perceptions of children being raised by grandparents; second, there are a surprising number of transitions in grandmother caregiving status; and third, the perceptions of children and their connection to family dynamics has largely been overlooked. We are proposing to combine these three important findings in our next study, investigating the effect of these transitions on both grandmothers and their grandchildren. The specific aims of this continuation study are to: 1) extend the evaluation of the grandmother caregiving experience across time, including caregiving transitions; 2) evaluate grandchildren's perceptions of family functioning, support and depressive symptoms and compare these data with data from the grandmother, and 3) examine the effects of caregiving transitions on grandchildren, and 4) identify perceived needs for interventions. Using a longitudinal, comparative design and the Resiliency Model of Family Stress, the study will examine stress, health status, and resources of social support and resourcefulness in a sample of approximately 400 women in three groups differentiated by grandmothering status. Data will be collected by mailed questionnaire two times (at one-year intervals) from grandmothers, and by telephone from grandchildren (ages 9-16) in all caregiving groups. Results from our pilot study show that children have a wealth of information to contribute to our understanding of family dynamics. Narrative interviews with grandchildren who experience a caregiver transition will be conducted to illuminate how these transitions affect the grandchild and the family. This study will contribute to our understanding of the mental health and family functioning of grandmothers living with grandchildren across time and provide information needed to identify the timing, target and context for interventions to support the health of grandmothers and grandchildren at-risk.

超过520万美国祖母担任孙辈的照顾者，无论是作为孙辈的主要照顾者还是生活在多代同堂的家庭中，都在家庭功能中发挥着关键作用。我们研究团队之前的工作表明，主要照顾者的祖母比非共同居住的祖母报告更多的抑郁症、更差的身体健康状况和更多的家庭功能问题，并且主要和多代同堂的祖母都报告家庭内压力。我们正在进行的研究还揭示了三个有趣的发现：第一，很少有研究调查了祖父母抚养孩子的看法;第二，祖母抚养地位的转变数量惊人;第三，对孩子的看法及其与家庭动态的联系在很大程度上被忽视了。我们建议在下一项研究中将这三个重要发现联合收割机结合起来，调查这些转变对祖母和孙辈的影响。本延续研究的具体目的是：1）延长评估的祖母的经历随着时间的推移，包括过渡期; 2）评估孙子的家庭功能，支持和抑郁症状的看法，并比较这些数据与数据的祖母，和3）检查过渡期的影响对孙子，和4）确定感知的干预需求。采用纵向，比较设计和家庭压力的弹性模型，本研究将探讨压力，健康状况，社会支持和足智多谋的样本约400名妇女在三个不同的祖父母地位组。数据将通过两次邮寄问卷（每隔一年）从祖母那里收集，并通过电话从所有年龄组的孙辈（9-16岁）那里收集。从我们的试点研究结果表明，孩子们有丰富的信息，以促进我们对家庭动态的理解。将进行与经历照顾者过渡的孙子的叙事访谈，以阐明这些过渡如何影响孙子和家庭。这项研究将有助于我们了解与孙辈一起生活的祖母的心理健康和家庭功能，并提供必要的信息，以确定干预措施的时机，目标和背景，以支持处于风险中的祖母和孙辈的健康。