- Intergenerational Family Dynamics and Caregiving
- Health disparities and outcomes
- Family Support in Illness
- Aging and Gerontology Research
- Family Caregiving in Mental Illness
- Geriatric Care and Nursing Homes
- Family Dynamics and Relationships
- Dementia and Cognitive Impairment Research
- COVID-19 and Mental Health
- Social Media in Health Education
- Health Literacy and Information Accessibility
- Bipolar Disorder and Treatment
- Maternal Mental Health During Pregnancy and Postpartum
- Resilience and Mental Health
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Migration, Aging, and Tourism Studies
- Health and Wellbeing Research
- Psychiatric care and mental health services
- Mobile Health and mHealth Applications
- Health and Well-being Studies
- Psychological Well-being and Life Satisfaction
- Reproductive Health and Technologies
- Global Health Care Issues
- Identity, Memory, and Therapy
Case Western Reserve University
2016-2025
Cornell University
2016
Chronic illness with its accompanying physical stressors poses a risk factor for loneliness and depression in later life. Testing model of stress coping, we examined the effects three types coping resources (religious coping; Selection, Optimization, Compensation [SOC] adaptive strategies; perceived social support) on deleterious chronic among older women. Community-dwelling women ( N = 138) at least one M 3.9, SD 2.1) completed mailed questionnaires. Respondents reported multiple...
Objectives. We used McCubbin's Resiliency Model of Family Stress, Adjustment and Adaptation ( McCubbin, Thompson, & 2001) to examine how demographic factors, family stress, grandmother resourcefulness, support, role reward affect perceptions functioning for grandmothers raising grandchildren, living in multigenerational households, not caregiving grandchildren.
While negative impacts of COVID-19-related remote instruction on children continue to emerge, it appears that vulnerable students will disproportionately bear the burden. One such population is being raised by grandparents. The purpose this mixed methods study was gain insight into custodial grandmothers' (CGMs) experiences their grandchildren's instruction, as well individual and contextual factors associated with these experiences. A national sample 315 CGMs, drawn from two randomized...
Mindfulness, resilience, and resourcefulness are theoretically distinct but related constructs critical for improving psychosocial well-being outcomes informal caregivers others. Our aims were to evaluate the theoretical operational distinctions among these constructs. Measures of mindfulness (Decentering Scale), resilience (Connor-Davidson Scale) (Resourcefulness collected from a national sample 348 grandmother caregivers. We conducted exploratory factor analysis examined correlation...
A recent increase in children living with grandparents places more at increased risk for emotional, psychological, or behavioral problems. This study used the Resiliency Model of Family Stress, Adjustment, and Adaptation to examine how children’s situation, parental monitoring, child’s resourcefulness, perceived support affect depressive symptoms family functioning. Of participants, 36% ( n = 56) lived their parents only, 44% 69) a grandmother as primary caregiver, 20% 31) multigenerational...
Most grandparents raising grandchildren are embedded in a network of family members who either help them carry out the caregiving task or complicate that role. This study examined how grandmothers described relationships, is, with grandchild's parents, grandmother's spouses/partners, and other relatives. Data were drawn from 457 weekly journal entries submitted by 129 grandmother caregivers. Using thematic analysis, three-person team coded using NVIVO 12. Grandmothers three overarching...
The unpredictability of bipolar disorder is highly distressing for family caregivers, who differ in their needs and preferences stress-reducing or educational interventions. Applying Ryan Sawin's model, this study examined associations between caregiver demographics (age, gender, race) as contextual factors three interventions process within a preliminary descriptive analysis 306 caregivers from randomized clinical trial. Caregiver education about disorder, biofeedback, Resourcefulness Training
Although resourcefulness has been successfully taught during formal training programs, it can also be acquired informally through life experiences. Family caregivers have many opportunities for learning to resourceful on their own and those who participate in research may acquire knowledge or skills that increase resourcefulness. The effects of such differential experiences the family not examined over time.
Abstract The role of grandmothers raising grandchildren has increased over the past three decades. Many these are living with their and often households do not include parent grandchildren. Grandmothers may deal high levels stress strain that can contribute to depressive symptoms potential mental health problems. Previous research shown resourcefulness play a mediating by reducing impact on in caregiving situations. Resourcefulness comprises cognitive behavioral skillset used for coping...
Abstract To address the well-documented stress and health challenges faced by grandmothers raising grandchildren, a sample of 342 living with grandchildren participated in national online, NIH funded randomized clinical trial testing two methods to reduce stress. We evaluated whether 4-week Grandmother Initiatives Family Transformation (GIFT) intervention (Resourcefulness Training © via video plus structured journaling) compared unstructured journal-only condition (with instruction) improved...
Abstract As the number of grandparent-headed households continues to rise, it is vital examine changing impetus for formation grandfamilies. We compared reasons caregiving custodial grandmothers from a current study (2017-2019: N=236) previous (2002-2003: N=183) determine whether have shifted over 15 year period. Participants were asked describe reason in an open ended question. The responses coded into 17 categories. percentage participants who described each category as being any changes...
Abstract The literature on family caregivers of persons with Alzheimer’s or other dementias abounds studies psychoeducational cognitive-behavioral interventions to reduce stress and promote mental health. However, the determination caregiver’s need for specific is rarely documented based clinical judgment. Researchers typically assume an intervention was needed when positive outcomes emerge. In a sample 87 dementia, our research examined baseline cut scores validated measures resourcefulness...
Abstract The period between 2008 and 2017 spans a of economic societal flux in America, including the recession, Affordable Care Act, emergence opioid crisis. These changes have had profound effects on families, rise grandparent-headed multigenerational households their financial, resource, service needs. We compared needs utilization patterns 334 co-resident grandmothers who were participants two independent NIH-funded studies raising grandchildren, conducted 10 years apart (2008-2009:n=145...
Facebook is often cited in health-related research as a practical option to recruit participants into studies, but issues with recruiting verifiable and qualified unpredictable costs exist. The purpose of this paper describe social network theory-guided, no-cost, recruitment strategy comparison traditional campaign for national online intervention study grandmother caregivers (n = 348); 211 were recruited via Facebook, 137 through techniques. Participation rates did not vary by method....
Little research using resilience models or measures has been conducted with older adults, and specifically grandparents, although there on focused children families. Current theoretical empirical work examining focuses the interplay between broad social determinants of health, family neighborhood factors, individual factors (physiologic, psychologic, genetic neurochemical influences brain-behavior connections) that affect resilience. This presentation describes major conceptualizations...
Abstract This paper examined predictors of COVID-19 stressors among 316 custodial grandmothers raising school-aged grandchildren using regression. Grandmothers, who were participants in two nationwide behavioral RCTs, completed an online questionnaire Spring 2020. Predictors included grandmother demographics, depressive symptoms, perceived caregiving stress and reward, management strategies, grandchild factors. Outcomes grandmothers’ related to bad coping habits (r2=.24), grandchildren’s...
Abstract The lives of coresidential grandmothers and their families are often complicated by grandchild health, behavioral, educational problems Using data from a nationwide sample 342 American living with raising grandchildren, we examine the effect physical, on co-residential grandmothers’ appraisals of: how positive situation is for themselves grandchildren self-appraised stress reward related to caring grandchildren. Participants lived 1-7 under age 18 (mean=1.82, SD 1.04), were...
Abstract Grandmothers raising grandchildren face numerous challenges that are reflected in their levels of depressive symptoms and perceived family functioning. Using McCubbin’s Resiliency Model Family Stress, Adjustment Adaptation, we examine how demographics, demands (intra-family strains), mediators problem-solving/coping (resilience, mindfulness resourcefulness), resources (support) situational appraisals (stress reward) affect a) b) Our participants were a nationwide sample 300 American...
Abstract Grandmothers caring for grandchildren have elevated depressive symptoms levels compared to grandmothers who do not provide care. Depressive are state-like in nature and describe recent symptoms. The Cognition Scale© captures changes negative thinking patterns that often precede cognitions, according Beck’s theory of depression, the first appear typically lead more serious depression. Previously diagnosed depression may also contribute current cognitions Data were collected on 342...