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祖孙对研究的挑战与策略。

Challenges and Strategies for Conducting Research With Grandparent-Grandchild Dyads.

机构信息

MinKyoung Song, PhD, RN, FNP, FAHA, is Assistant Professor, Oregon Health & Science University, Portland. Kalisha Bonds, PhD, RN, PMHNP-BC, is Research Assistant, Oregon Health & Science University, Portland.

出版信息

Nurs Res. 2020 Jan/Feb;69(1):E1-E8. doi: 10.1097/NNR.0000000000000386.

Abstract

BACKGROUND

Given a marked increase in the number of grandparents who play a caregiving role for their grandchildren, there is a parallel urgency for more research involving grandparent-grandchild dyads.

OBJECTIVE

The aim of this study was to describe methodological challenges we encountered when conducting grandparent-grandchild dyadic research, some of which were challenges specific to working with dyads where the grandparents were caregivers to the child participants and others, which were challenges of a sort that might be encountered in any research involving data collection with multigenerational family units and, in particular, multigenerational family units including older adults.

METHODS

During and after an observational study conducted by the researchers involving grandparent-grandchild dyads, we explored challenges we encountered and strategies for improving our research outcomes.

RESULTS

We found several challenges specific to grandparent-grandchild dyads, including complications with reaching legal guardians to obtain permission for child participants; collecting accelerometer data from grandchildren was difficult, particularly if the grandparents did not live with their grandchildren; and participants who had various preferences for data collection methods. We also found challenges that might be found with any family context dyadic research, particularly involving older adults and across multiple generations, including relatively low follow-up response rates from those grandparents who initially expressed interest and a need for an extended data collection period. We employed targeted strategies to overcome those obstacles, and in this article, we describe the outcomes of those strategies.

DISCUSSION

Recommendations from our results include the following: (a) find a way to involve the parents and/or legal guardian as early as possible, (b) have multiple team members involved in recruitment/data collection, (c) be flexible about data collection methods, (d) use flexible scheduling, and (e) use multiple simultaneous recruitment activities/multiple advertisement channels. Additional strategies include enhancing children's sense of control during the consent process, simplifying study procedures, considering usability when creating online data surveys, and identifying power dynamics within the families.

CONCLUSION

The insights we gained will be useful for informing future family context dyadic research, in particular, research involving grandparent-grandchild dyads.

摘要

背景

随着越来越多的祖父母承担起照顾孙辈的责任,对涉及祖孙二人组的研究也提出了迫切需求。

目的

本研究旨在描述我们在进行祖孙二人组研究时遇到的方法学挑战,其中一些挑战是专门针对与作为孙辈照顾者的祖父母合作时遇到的,而另一些挑战则是在任何涉及收集多代家庭数据的研究中可能遇到的挑战,尤其是包括老年人的多代家庭单元。

方法

在研究人员进行的一项涉及祖孙二人组的观察性研究期间和之后,我们探讨了我们遇到的挑战以及改善研究结果的策略。

结果

我们发现了一些特定于祖孙二人组的挑战,包括与获得孩子参与者法定监护人许可相关的复杂问题;从孙辈那里收集加速度计数据很困难,如果祖父母不住在一起则尤其困难;以及参与者对数据收集方法有不同的偏好。我们还发现了在任何家庭背景的二元研究中都可能遇到的挑战,特别是涉及老年人和多个世代时,包括最初表示有兴趣的祖父母的随访响应率相对较低,以及需要延长数据收集期。我们采用了有针对性的策略来克服这些障碍,在本文中,我们描述了这些策略的结果。

讨论

我们的研究结果建议如下:(a) 尽快找到一种让父母和/或法定监护人参与的方法;(b) 让多名团队成员参与招募/数据收集;(c) 灵活选择数据收集方法;(d) 使用灵活的时间表;(e) 使用多种同时的招募活动/多个广告渠道。其他策略包括增强儿童在同意过程中的控制感,简化研究程序,在创建在线数据调查时考虑可用性,并确定家庭内的权力动态。

结论

我们获得的见解将有助于为未来的家庭背景二元研究提供信息,特别是涉及祖孙二人组的研究。

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