African-American Grandmothers Raising Grandchildren: Results of an Intervention to Reduce Caregiver Psychological Distress

2.50
Hdl Handle:
http://hdl.handle.net/10755/335059
Category:
Full-text
Type:
Presentation
Title:
African-American Grandmothers Raising Grandchildren: Results of an Intervention to Reduce Caregiver Psychological Distress
Other Titles:
Psychosocial Issues in Family Health
Author(s):
Kelley, Susan J.; Campos, Peter E.; Whitley, Deborah M.
Lead Author STTI Affiliation:
Alpha Chi
Author Details:
Susan J. Kelley, PhD, FAAN, skelley@gsu.edu; Peter E. Campos, PhD; Deborah M. Whitley, MPH, PhD
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: Globally, millions of grandmothers are assuming full-time caregiving responsibilities for grandchildren when birth parents are unable to do so. While the reasons for this caregiving arrangement vary by global region, they often include HIV/AIDS, child maltreatment, workforce migration, mental health issues, and substance abuse. The purpose of this study is to determine the results of an intervention to improve the well-being of grandmothers who are raising grandchildren in parent-absent homes. More specifically, we examine the role of a home-based, interdisciplinary intervention in reducing psychological distress in caregiving grandmothers. Methods: The sample comprised 549 predominantly low-income, African American grandmothers raising an average of 2.47 (range 1-8) grandchildren. The mean age of the caregiver was 56.3 years, with a range of 33 to 83 years. The study intervention was designed to improve the psychological and physical well-being of caregiving grandmothers; it included home visitation by registered nurses and social workers, participation in support groups and parenting classes, as well as legal service referrals and early intervention services for children aged 5 years and younger. Data were collected at baseline and at completion of the one year intervention. Psychological distress was measured with the 51 item, Brief Symptom Inventory (BSI) (Derogatis, 1993). Results: The major reasons the children were being raised by participants included substance abuse, abandonment, and neglect. Overall psychological distress, as measured by the Global Severity Index (GSI) of the BSI, decreased significantly from baseline to post-test (p < .001). Furthermore, there were significant decreases across all nine symptom dimensions of the BSI (p < .01). Results based on select demographic variables will also be presented. Conclusion: Study findings suggest that the intervention model is a promising approach to improving the well-being of this caregiving population. Practice, policy, and research implications of study findings will be presented.
Keywords:
Family nursing; Psychological distress; Caregiver burden
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14L06
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleAfrican-American Grandmothers Raising Grandchildren: Results of an Intervention to Reduce Caregiver Psychological Distressen
dc.title.alternativePsychosocial Issues in Family Healthen
dc.contributor.authorKelley, Susan J.en
dc.contributor.authorCampos, Peter E.en
dc.contributor.authorWhitley, Deborah M.en
dc.contributor.departmentAlpha Chien
dc.author.detailsSusan J. Kelley, PhD, FAAN, skelley@gsu.edu; Peter E. Campos, PhD; Deborah M. Whitley, MPH, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/335059-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: Globally, millions of grandmothers are assuming full-time caregiving responsibilities for grandchildren when birth parents are unable to do so. While the reasons for this caregiving arrangement vary by global region, they often include HIV/AIDS, child maltreatment, workforce migration, mental health issues, and substance abuse. The purpose of this study is to determine the results of an intervention to improve the well-being of grandmothers who are raising grandchildren in parent-absent homes. More specifically, we examine the role of a home-based, interdisciplinary intervention in reducing psychological distress in caregiving grandmothers. Methods: The sample comprised 549 predominantly low-income, African American grandmothers raising an average of 2.47 (range 1-8) grandchildren. The mean age of the caregiver was 56.3 years, with a range of 33 to 83 years. The study intervention was designed to improve the psychological and physical well-being of caregiving grandmothers; it included home visitation by registered nurses and social workers, participation in support groups and parenting classes, as well as legal service referrals and early intervention services for children aged 5 years and younger. Data were collected at baseline and at completion of the one year intervention. Psychological distress was measured with the 51 item, Brief Symptom Inventory (BSI) (Derogatis, 1993). Results: The major reasons the children were being raised by participants included substance abuse, abandonment, and neglect. Overall psychological distress, as measured by the Global Severity Index (GSI) of the BSI, decreased significantly from baseline to post-test (p < .001). Furthermore, there were significant decreases across all nine symptom dimensions of the BSI (p < .01). Results based on select demographic variables will also be presented. Conclusion: Study findings suggest that the intervention model is a promising approach to improving the well-being of this caregiving population. Practice, policy, and research implications of study findings will be presented.en
dc.subjectFamily nursingen
dc.subjectPsychological distressen
dc.subjectCaregiver burdenen
dc.date.available2014-11-17T13:43:10Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:43:10Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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