Promoting Resourcefulness in Grandmothers Raising Grandchildren

提高祖母抚养孙子的智慧

基本信息

批准号：
7496060
负责人：
JACLENE A ZAUSZNIEWSKI
金额：
$ 18.95万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-13 至 2010-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7496060
关键词：
Address Affect Affective Attention Caregivers Caring Characteristics Child Chronically Ill Clinical Cognition Cognitive Condition Control Groups Data Disclosure Educational Intervention Educational process of instructing Effectiveness Elderly Emotions Future Goals Health Status Institution Intervention Journals Learning Literature Measures Mental Health Methods Monitor Mothers Outcome Outcome Study Placement Population Problem behavior Process Quality of life Randomized Randomized Controlled Clinical Trials Randomized Controlled Trials Records Reporting Research Research Project Grants Safety Score Specific qualifier value Stress Testing Time Training Validation Week base caregiving contextual factors depressive cognitions depressive symptoms design emotional disclosure emotional distress experience expressive writing follow-up foster care help-seeking behavior improved reinforcer self help skills social theories treatment effect

项目摘要

DESCRIPTION (provided by applicant): The goal of this R21 exploratory research grant is to pilot test and refine an adapted intervention that teaches personal and social resourcefulness skills to grandmothers raising grandchildren. The resourcefulness training (RT) intervention has strong theoretical grounding, and there is beginning empirical evidence for its effectiveness in reducing stress, minimizing depressive symptoms, and promoting optimal quality of life for populations other than grandmothers raising grandchildren. This study will provide data for determining the necessity, acceptability, feasibility, fidelity, safety, and effectiveness of two innovatively designed methods of RT within the context of a small randomized controlled trial with 100 grandmothers raising grandchildren. The same personal (self-help) and social (help-seeking) resourcefulness skills are taught within both RT methods; however, one method uses expressive writing (EW) for practicing the skills and the other uses verbal disclosure (VD). The effects of these two methods will be compared with EW and VD without RT and with an attention only control condition. Based on Resourcefulness Theory, outcomes on which the treatments will be compared include perceived stress, negative emotions, and depressive cognitions (immediately after the four week intervention period), personal and social resourcefulness (6 weeks post-intervention), and depressive symptoms and quality of life indicators (12 weeks post-intervention). Both quantitative and qualitative data will be used for the pilot testing and future refinement of the RT interventions. Three specific aims will be addressed as follows. The first aim is to examine the effects of RT-EW and RT-VD in comparison with EW, VD, and the control condition on outcomes that are expected to be affected at data points specified by Resourcefulness Theory. The second aim is to examine whether the effects of the treatment conditions (RT-EW, RT-VD, EW, VD, and control) on the seven study outcomes are influenced by relevant contextual factors, including characteristics of the grandmother, her grandchild, and the caregiving situation. Finally, because the literature suggests that not all grandmothers are overwhelmed or stressed and previous studies suggest that 10% of the grandmothers may be highly resourceful at baseline and not need RT, the third aim is to analyze qualitative data from EW or VD on randomly selected highly resourceful grandmothers to provide additional information for refining the RT and designing alternative methods for enhancing the quality of life of grandmothers caring for grandchildren. Once established, such interventions will be useful in promoting optimal, healthy functioning among the growing population of grandmothers caring for grandchildren so that they can continue to provide adequate care for their grandchildren and avoid placement of the child in an institution or foster care.

描述（由申请人提供）：这项R21探索性研究赠款的目标是进行试点测试，并完善适应的干预措施，该干预措施向养育孙子的祖母讲授个人和社会机智的技能。足智多谋训练（RT）干预具有强大的理论基础，并且有经验证据证明其在减轻压力，最大程度地减少抑郁症状以及促进祖母养育孙子以外的其他人群中的最佳生活质量的有效性。这项研究将提供数据，以确定在一项小型随机对照试验中，有100个祖母养育了孙子，可以确定两种创新的RT方法的必要性，可接受性，可行性，忠诚度，安全性和有效性。在这两种RT方法中都教授了相同的个人（自助）和社交（寻求帮助）的机智技能。但是，一种方法使用表达写作（EW）来练习技能，而另一种方法则使用了口头披露（VD）。这两种方法的效果将与没有RT的EW和VD进行比较，并且仅关注控制条件。基于足智多谋的理论，将要比较治疗的结果包括感知到的压力，负面情绪和抑郁认知（在四个星期的干预期之后），个人和社会机智（干预后6周）以及生活指标的抑郁症状和抑郁症状和质量指标（工程后12周）。定量和定性数据都将用于RT干预措施的试点测试和未来完善。三个具体目标将如下解决。第一个目的是检查与EW，VD相比，RT-EEW和RT-VD的影响以及对结果的控制条件对结果有望在由足智多项理论指定的数据点上受到影响。第二个目的是检查治疗条件（RT-EW，RT-VD，EW，VD和对照）对七个研究结果的影响是否受相关上下文因素的影响，包括祖母，孙子和护理状况的特征。最后，由于文献表明并非所有祖母都被压倒性或压力，因此先前的研究表明，祖母的10％可能在基准时可能具有很高的机智，而不需要RT，因此第三个目标是分析来自EW或VD的定性数据，以随机选择的高度能力熟练的祖母提供了为RT和设计替代品的祖母提供的其他信息。一旦建立，这种干预措施将有助于促进不断增长的关心孙子的祖母中最佳，健康的功能，以便他们可以继续为孙子们提供足够的护理，并避免将孩子安置在机构或寄养中。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Resourcefulness training for grandmothers: preliminary evidence of effectiveness.

祖母的足智多谋培训：有效性的初步证据。

DOI：
10.1002/nur.21574
发表时间：
2014
期刊：
Research in nursing & health
影响因子：
2
作者：
Zauszniewski,JacleneA;Musil,CarolM;Burant,ChristopherJ;Au,Tsay-Yi
通讯作者：
Au,Tsay-Yi

Resourcefulness training for grandmothers raising grandchildren: establishing fidelity.

对抚养孙子的祖母进行足智多谋的培训：建立忠诚度。

DOI：
10.1177/0193945913500725
发表时间：
2014
期刊：
Western journal of nursing research
影响因子：
1.8
作者：
Zauszniewski,JacleneA;Musil,CarolM;Burant,ChristopherJ;Standing,TheresaS;Au,Tsay-Yi
通讯作者：
Au,Tsay-Yi

Resourcefulness training for grandmothers: feasibility and acceptability of two methods.

祖母们的机智训练：两种方法的可行性和可接受性。