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将抚养孙辈的老年祖母与社区资源联系起来,可提高家庭适应力、社会支持和照顾者的自我效能感。

Connecting older grandmothers raising grandchildren with community resources improves family resiliency, social support, and caregiver self-efficacy.

作者信息

Pandey Abhishek, Littlewood Kerry, Cooper Larry, McCrae Julie, Rosenthal Michelle, Day Angelique, Hernandez Liliana

机构信息

a A.P. Medical P.C ., Brooklyn , New York , USA.

b Department of Social Work , University of South Florida , Tampa , Florida , USA.

出版信息

J Women Aging. 2019 May-Jun;31(3):269-283. doi: 10.1080/08952841.2018.1444940. Epub 2018 Mar 6.

Abstract

Custodial grandparenting can be especially challenging for older grandmothers facing age specific issues. Kinship navigator programs are social service delivery programs intended to inform grandparents and other relatives raising children about available resources and services, provide information specific to their individual needs, and help families navigate service systems. Our study utilizes self-report data from one kinship navigator federal demonstration project, which used a randomized control trial, to examine demographic characteristics for grandmothers under and over 55 years of age, whether grandmother caregivers (≥55 years) improve family resilience, social support, and caregiver self-efficacy, and which interventions improved outcomes for grandmothers (≥55 years). Each participant was randomly assigned to one of four groups: Usual Care (traditional child welfare services), Standard Care (family support and case management), Peer-to-Peer Care Only, and Full Kin Tech Care (peer navigators with computer access and interdisciplinary team). Thirty-nine percent of grandmothers (55-75 years) were mostly living in poverty, predominantly Caucasian, with 36% identifying as African American/Black, with at least one to two children at home. Repeated-measures ANOVAs for each subscale showed statistically significant within- and between-group differences for Family Functioning, Social Supports, Concrete Supports, Child Development, and Nurturing and Attachment, with the exception of Usual Care, which showed a decline in protective factors consistently across subscales. Future research with kinship families could qualitatively examine the experiences for older women in navigator programs and replication of kinship navigator programs could build capacity in data collection and maintenance systems to gain better perspective about how systems of care impact families.

摘要

对于面临特定年龄问题的老年祖母来说,代养孙辈可能尤其具有挑战性。亲属导航计划是社会服务提供计划,旨在向抚养孩子的祖父母和其他亲属介绍可用的资源和服务,提供符合他们个人需求的信息,并帮助家庭在服务系统中找到方向。我们的研究利用了一个亲属导航联邦示范项目的自我报告数据,该项目采用了随机对照试验,以研究55岁及以下和55岁以上祖母的人口特征,祖母照顾者(≥55岁)是否能提高家庭恢复力、社会支持和照顾者自我效能感,以及哪些干预措施能改善祖母(≥55岁)的结果。每个参与者被随机分配到四组中的一组:常规护理(传统儿童福利服务)、标准护理(家庭支持和个案管理)、仅同伴护理和全面亲属技术护理(有计算机访问权限的同伴导航员和跨学科团队)。39%的祖母(55 - 75岁)大多生活在贫困中,主要是白人,36%的人认为自己是非裔美国人/黑人,家里至少有一两个孩子。对每个子量表进行的重复测量方差分析显示,在家庭功能、社会支持、具体支持、儿童发展以及养育和依恋方面,组内和组间存在统计学上的显著差异,但常规护理除外,常规护理在各个子量表上的保护因素持续下降。未来对亲属家庭的研究可以定性地考察老年女性在导航计划中的经历,亲属导航计划的复制可以增强数据收集和维护系统的能力,以便更好地了解护理系统如何影响家庭。

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