Custodial Grandfamilies Research Articles

IDENTIFYING DYAD-LEVEL PARENTING PRACTICES AMONG US CUSTODIAL GRANDPARENTS: A LATENT PROFILE ANALYSIS

Abstract Although half of US custodial grand families contain married grandparents, little is known about the parenting practices of custodial grandfathers (CGF). Based on the Family Stress model and the latent profile analyses, we identified typologies of dyad-level parenting practices among 193 married custodial grandparents (CGP) couples recruited nationally through convenience-based and population-based strategies. Grandmothers (CGM) and CGF were interviewed separately, and four types of parenting practices profiles emerged: (1) Ideal CGM&CGF; (2) Inadequate CGM & Ideal CGF; (3) Ambivalent CGM & High-effective CGF; and (4) High-effective CGM & Inadequate CGF. After controlling for socio-demographics, these profiles related differentially to the psychological well-being of CGF and CGM, as well as to the behavioral and emotional outcomes of grandchildren (CGC). CGF in Profile four reported significantly lower positive affect than those in Profiles one and three, but there were no profile differences regarding CGF depressive symptoms. While CGM in Profile two reported fewer depressive symptoms than the other profiles, there were no differences regarding GM’s positive affect. A pattern also occurred whereby CGC from Profile one had significantly fewer externalizing and internalizing difficulties than other profiles. It is essential for future researchers and practitioners to recognize the contribution of CGF to the parenting dynamics in families with married CGP.

Supplemental Material for Intergenerational Patterns of Attachment in Custodial Grandfamilies

Supplemental Material for Intergenerational Patterns of Attachment in Custodial Grandfamilies

Self-reported Adverse Childhood Experiences Among Custodial Grandmothers: Frequencies, Patterns, and Correlates.

Given the scarce past research on custodial grandparents' early life circumstances, we investigated frequencies, patterns, and predictors of 14 adverse childhood experiences (ACEs) reported by 355 custodial grandmothers (CGMs). Predominant ACEs were bullying (54.6%), verbal abuse (51.5%), physical abuse (45.4%), and living with a substance abuser (41.1%). Only 11% of CGMs reported 0 ACEs, whereas 52.4% reported >4. Latent class analyses yielded three classes of ACE exposure: minimal (54.1%), physical/emotional abuse (25.9%), and complex (20.0%). Age was the only demographic factor related to ACE class, with the complex class being younger than the other two. MANCOVAs with age as a covariate revealed that different ACE profiles have unique impacts on CGMs' physical and psychological well-being. We conclude that ACEs are highly prevalent among CGMs and a serious public health concern. Future research addressing ACEs among CGMs is critical in order to support these caregivers and promote resilience in custodial grandfamilies.

Unique Opportunities and Challenges From Two Online Psychosocial Randomized Clinical Trials

Research aimed at testing readily delivered online psychosocial interventions for addressing the needs of custodial grandfamilies (CGF) has been scarce. This symposium reports on two NIH-funded randomized clinical trials (RCT) involving fully online interventions: Study 1 (S1)-dyadic social Intelligence training for custodial grandmothers and their adolescent grandchildren, and Study 2 (S2)-4 week resourcefulness training with daily journaling intervention for grandmothers only. We presented here on the unique advantages and challenges of online RCTs as they apply to CGFs and similar hard-to-reach populations. First, in a cross-study collaboration, Jeanblanc et al. report data from both studies on how COVID-19 influenced coping habits, grandchild’s remote learning, household conflict, uncertainty, and finances. Second, Castro et al. investigate how baseline positive and negative affect were reported in daily diaries completed by both grandmothers and grandchildren across 14 days at pretest in S1. Third, Musil et al. describe the challenges and benefits of using an entirely online design for the distribution and collection of longitudinal data, as exemplified by 4 weeks of qualitative daily journals from S2. Lastly, Webster et al. report on the benefits and challenges of recruitment and retention strategies encountered across S1 and S2. As discussant, Rachel Pruchno considers how the specific methodological advantages and disadvantages of online RCTs covered in the above papers apply to family caregiving research in general.

Comparisons Between Recruitment and Retention Strategies for Two Online RCTs

Custodial grandfamilies (CGF) comprise a small, diverse group of the US population which can make samples difficult to recruit and retain. Two online RCT studies (S1 & S2) for CGF used a variety of recruitment strategies with varying success. S1, for grandmothers (GM) only, successfully recruited from Facebook (47.95%) and community flyers (17.73%). S2, dyadic study for GM and adolescent grandchildren (AGC), recruited through emails to high school counselors (43.29%) and community (30.94%) and professional (17.13%) kinship support organizations. The advantages of online RCTs for hard-to-reach populations include expedited administration, buffering against social distancing, nationwide enrollment (S1-42 states; S2-43 states), and generalizability of findings. Challenges of online RCTs are establishing rapport and building trust with participants who are not comfortable with technology and designing screenings to identify false participants. Overall, these studies highlight the advantages of an online RCT, especially for hard-to-reach populations like custodial grandfamilies.

Daily Emotional Dynamics of Custodial Grandfamilies: Cross-Dyad Correlations of Affect Means and Variability

Evidence indicates that daily emotional dynamics are associated with mental and physical health. However, these processes have not been examined among custodial grandmothers taking care of adolescent grandchildren. This daily diary study examined correlations between grandmothers and adolescents’ mean levels and variability in negative (NA) and positive affect (PA). Custodial dyads (M = 214) across the nation completed two weeks of daily surveys. For both grandmothers and adolescents, their own PA means were negatively correlated with NA means, PA variability, and NA variability; NA means were positively correlated with variability in PA and NA (ps <.01). Across dyads, grandmothers’ PA means were positively correlated with adolescents’ PA means and negatively correlated with adolescents’ NA means, PA variability and NA variability. Grandmothers’ NA means were positively correlated with adolescents’ variability in PA and NA (ps <.01). Our findings demonstrate how daily emotional dynamics are correlated within and between family members.

Acceptance Commitment Therapy Intervention for Custodial Grandfamilies: A Virtual Implementation

Custodial grandfamilies often face challenges, such as psychological distress, parenting burden, and grandchildren showing internalizing and externalizing behaviors. Given their circumstances, effective training and education is critical to provide a supportive family environment for both custodial grandparents and custodial grandchildren. The aim of this study was to develop, pilot and evaluate a psychosocial intervention for custodial grandfamilies. The program, interACT, was implemented virtually due to restrictions related to COVID-19. It is an intervention for custodial grandparents (CGPs) and custodial grandchildren (CGC) to improve psychological wellbeing and life skills. Participant eligibility was determined by grandfamilies having Iowa residency and legal guardianship or custody of an 8-12 year old grandchild. The program utilizes the Acceptance and Commitment Therapy (ACT) framework, focusing on psychological flexibility, acceptance, and psychosocial resilience for CGPs and CGC. The program used techniques such as mindfulness, self-compassion, and decision-making skills. During the pilot program stage, participants were divided into CGPs and CGC groups, and completed self-paced weekly 45 minute long modules through a program website. To enhance online session experience, Extension staff facilitated hour-long Zoom calls to discuss module contents and foster peer connection for both groups. Findings will be available at the conclusion of the pilot program. We expect to find increased psychological well-being and improved life skills for both groups right after the implementation of the ACT. Findings and limitations will be discussed with practical implication for program implementation via virtual delivery for the current custodial families. Future studies could extend current curriculum to other populations.

The role of social services in reunified custodial grandfamilies

Social services, including the child welfare system, are often heavily involved in situations where children are returned to the care of their parents, after being raised by their grandparents. While previous research has highlighted custodial grandparents’ service needs and the challenges they experience when accessing services and working with social service professionals, few studies have examined social services in the context of reunifying grandfamilies. Informed by bioecological theory, the aim of this qualitative study was to examine custodial grandmothers’ perceptions of the role of social services in the process of their grandchildren being reunified with a biological parent. Semi-structured, in-depth interviews were conducted with a purposeful sample of 16 custodial grandmothers whose grandchildren had experienced reunification. Findings from a grounded theory analysis revealed grandmothers’ perceptions that having a strong connection with a responsive caseworker facilitated successful reunification, as did ongoing efforts to address the parental issues that resulted in the grandmother assuming a custodial role. Unfortunately, grandmothers also perceived barriers to successful reunification. These included having their perspectives dismissed by caseworkers and judges as well as the child welfare system prioritizing reunification, often to the perceived detriment of their grandchildren. Implications for policy and practice with reunifying grandfamilies are addressed.

Observed parenting aspects of child compliance in custodial grandfamilies

AbstractObjectiveThis study explored differences between the observed parenting behaviors of custodial grandmothers (CGMs) with grandchildren varying in symptoms of hyperactivity–inattention (HI).BackgroundLittle is known about the parenting practices of grandparent caregivers, and most extant studies are based on self‐report data rather than direct observations of grandparent–grandchild interactions.MethodCustodial grandmothers (N = 170) completed ratings of grandchild HI and participated in a dyadic interaction task with their grandchild so that the relative positivity of their comments and type and number of their commands could be coded. We also coded grandchildren's behavioral responses to each of their CGM's commands.ResultsControlling for child age, there were no differences in parenting variables between high and low HI groups. Hierarchical regression analyses revealed that, controlling for child age, child HI did moderate the relationship between commands given by a grandmother and child compliance, where children lower in HI were more likely than children high in HI symptoms to comply in the face of high levels of commands. In general, however, CGMs were effective in eliciting child compliance. A second hierarchical regression model, also controlling for child age, suggested that for some children, grandmothers’ encouragement and praise (vs. criticism and discouragement) was an effective method of gaining compliance without overrelying on commands.ConclusionThis study revealed complex relationships among positive and negative parenting practices, direct and indirect commands, and compliance. Such relationships transcend grandchild HI status but, in part, vary with grandchild age.ImplicationsThis study provides unique insights into the childrearing practices of CGMs and has implications for interventions targeting grandparent caregivers’ parenting skills.

Acceptance Commitment Therapy Intervention for Custodial Grandfamilies

Millions of American children under the age of 18 are being cared for by their grandparents and without the presence of the biological parents. The number of custodial grandfamilies has significantly increased over the last five years. Recent studies have shown that custodial grandparents (CPGs) are often facing specific challenges in life, such as lower emotional well-being, higher parenting burden and stress related to this unique situation. Despite these findings, few interventions take a strengths based approach to improve their mental health and resilience. We describe our efforts to address these issues by proposing intervention anchored in the Acceptance and Commitment Therapy (ACT), emphasizing the importance of acceptance of challenging circumstances outside of one’s control and promoting resilience among participants. The program consists of a web based ACT program with online coaching meetings, six common core sessions and six separate sessions for each age group over a time period of six months. This program is unique in the sense that it utilizes both individual and group session techniques to facilitate the learning process. Main active ingredients of this program are to promote effective coping strategies, to reduce parenting stress among grandparents and to increase life skills (i.e., decision-making, proactivity) among grandchildren. We are hypothesizing that participating in the ACT program will help CGPs to improve self-efficacy, emotional well-being, higher self-confidence, social competence, lower depressive symptoms, and parenting distress, thereby leading to positive outcomes such as improved mental health and higher resilience.

The Role of Intergenerational Relationships: Applying the Family Stress Model to Grandfamilies

The Family Stress Model (FSM) of Economic Hardship (Conger, Rueter, & Conger, 2000) was developed to explain the impact of financial stress on families through links between economic difficulties, parental emotional distress, marital conflict, disrupted parenting behaviors, and child maladjustment. The FSM has been cross validated in samples of custodial grandparents (i.e., grandparents who provide substantial care for their grandchildren; Smith et al., 2017). The current study modified the FSM by replacing inter-parent relationship difficulties with inter-generational relationship problems between the custodial grandparents and their children to ultimately examine the adjustment of the grandchildren. This change to the model is supported by prior research conducted on intergenerational stress impacting the parenting and subsequent development of children in grandfamilies (Barnett, Mills-Koonce, Gustafsson, & Cox, 2012). Using a nationwide sample of 317 custodial grandparents aged 40 and older (M = 61 yr) the fit of the modified model was tested using AMOS 26. Latent variables in the model included Economic Pressure, Caregiver Distress, Disrupted Parenting, Intergenerational Relationship, and Child Adjustment. Moderate fit was achieved (χ2(308) = 574.88; CFI = .896; RMSEA = .052). All pathways were significant with the exception of Disrupted Parenting to Child Adjustment. These results indicate that intergenerational relationships are an important predictor of child adjustment, and an applicable substitute for inter-partner relationships when modeling family stress in custodial grandfamilies. Details and clinical implications will be discussed.

Reunification in Custodial Grandfamilies: An Examination of Resilient Family Processes

This study examined how custodial grandmothers navigated the process of their grandchildren being reunified with a biological parent. Prior research has focused on factors associated with unsuccessful reunification instead of resilient family processes that may support successful reunification. How custodial grandfamilies navigate reunification has not been examined, despite their unique relational configuration and grandparents' frequent involvement in raising their grandchildren. Guided by Walsh's model of family resilience, semistructured, in-depth qualitative interviews were conducted with a convenience sample of 17 grandmothers whose custodial grandchildren had been reunified with a biological parent. Data analysis was guided by grounded theory methodology. Grandmothers believed in parents fulfilling their obligations, prioritizing grandchildren's needs, and coping via their faith. Grandmothers supported reunified parents and children by providing emotional support and instrumental assistance, while maintaining clear role boundaries. Accessing resources and engaging in open family communication were helpful to the reunification, although there were still challenges in navigating family relationships. Within custodial grandfamilies, not all reunifications were a positive outcome for the grandchildren. Grandmothers remained heavily involved in supporting and monitoring the reunifications, with the quality of the grandmother-parent relationship being paramount. Practitioners should address family dynamics when working with custodial grandfamilies before, during, and after a reunification.

ADVERSE CHILDHOOD EXPERIENCES REPORTED BY CUSTODIAL GRANDMOTHERS AND THEIR ADOLESCENT GRANDCHILDREN

The Risky Family Model postulates that adverse childhood experiences (ACE) are likely to be encountered across generations within custodial grandfamilies which, in turn, may adversely impact their overall well-being. The present study is a pioneering attempt to examine the patterns of ACEs self-reported by custodial grandmothers (CGM) and adolescent grandchildren (AGC) from the same families, and how their total ACE scores correlate with key physical and mental health outcomes. A total of 129 CGM-ACG dyads recruited for a nationwide RCT study completed separately at baseline the 10-item ACE-CDC and 4 items from the ACE-IQ, as well as various standardized measures of physical and emotional well-being. The most frequent ACEs reported by AGC were loss of a parent (60.5%), verbal abuse (58.1%), bullying by peers (46.5%), and living with someone jailed (45.0%). The predominant ACEs for CGM were bullying by peers (48.8%), verbal abuse (48.1%), living with a mentally ill person (34.1%), being touched sexually (29.5%), and loss of parent (29.5%). Only 10.1% of ACG and 15.5% of CGM reported 0 ACEs, whereas 65.1 % of ACG and 59% of CGM reported > 3 ACEs. For ACG, total ACE scores correlated significantly with externalizing (r=.32) and internalizing (r=.30) difficulties, self-esteem (r= -.28), loneliness (r=.27), school problems (r=.24), and physical health (r= -.26). For CGMs, anxiety (r=.23) and depression (r=.19) only were correlated significantly with total ACEs. We conclude that although both CGM and ACG reported alarmingly high levels of ACEs, different patterns and correlates exist between the generations. [Funded by R01AG054571]

A randomized clinical trial of interventions for improving well-being in custodial grandfamilies.

Despite the rising cultural phenomenon of grandparents parenting grandchildren on a full-time basis due to problems within the birth parent generation, intervention studies with these families have been scarce, methodologically flawed, and without conceptual underpinnings. We conducted a randomized clinical trial (RCT) with 343 custodial grandmothers recruited from across 4 states to compare the effectiveness of behavioral parent training (BPT), cognitive-behavioral therapy (CBT), and information-only control (IOC) conditions at lowering grandmothers' psychological distress, improving their parenting practices, and reducing the internalizing and externalizing difficulties of target grandchildren between ages 4 and 12. These outcomes were derived conceptually from the family stress model and modeled as latent constructs with multiple indicators. Each RCT condition was fully manualized and delivered across 10 sessions within groups led jointly by trained professionals and peer facilitators in community settings. Multidomain second-order latent difference score models were performed on a full intent-to-treat basis to compare the 3 RCT conditions on changes in the above outcomes from baseline to postintervention and from baseline to 6 months postintervention. In general, while CBT and BPT interventions were both superior to IOC at both times of measurement on most outcomes, they differed little from each other. Effect sizes were generally in the moderate to large range and similar to those found in prior studies of BPT and CBT with traditional birth parents. We conclude from this research that evidence-based interventions focusing on appropriate skill development and behavioral change can yield positive outcomes within custodial grandfamilies. (PsycINFO Database Record

Supplemental Material for A Randomized Clinical Trial of Interventions for Improving Well-Being in Custodial Grandfamilies

Supplemental Material for A Randomized Clinical Trial of Interventions for Improving Well-Being in Custodial Grandfamilies

The Family Stress Model as it Applies to Custodial Grandfamilies: A Cross Validation.

There is scant research on how the parenting practices of custodial grandmothers affect the psychological adjustment of grandchildren in their care. Yet, the findings from a handful of prior studies suggest the relevance of the Family Stress Model (FSM) to these caregivers. The present study further tested the FSM with baseline data from 343 custodial grandmothers (Mage= 58.5 years) enrolled in a clinical trial of the efficacy of interventions for improving the well-being of their families. Not only was this "help-seeking" sample atypical of prior FSM studies, but also unique to the present study was our addition of multiple parenting practices, self-reported and clinical ratings of grandmothers' distress, and reports of grandchildren's internalizing and externalizing difficulties from grandchildren and grandmothers. Mplus 7.31 was used to test a model where the effect of grandmother distress on grandchildren's internalizing and externalizing difficulties was hypothesized to be indirect through five distinct parenting practices. The findings regarding both the measurement and structural models fit the observed data well, and invariance was largely found across grandchildren's gender and age (4-7 vs. 8-12). Although grandchildren's self-reported internalizing and externalizing difficulties were unrelated to grandmothers' distress and parenting practices, the grandmothers' reports of these outcomes were generally related to their own distress and parenting practices as hypothesized. However, considerable variation was found across the five parenting practices in terms of their relationships to the other FSM constructs. We conclude that data from multiple informants and measures of assorted parenting practices are essential to future research and practice.

The Utility of the Family Empowerment Scale With Custodial Grandmothers.

The Family Empowerment Scale (FES) was developed specifically to assess empowerment in families with emotional disorders. Its relevance to custodial grandfamilies is reflected in the difficulties in grandchildren's social, emotional, and behavioral functioning, wherein such difficulties may be explained via either reactions to changes in their family structure or in their responses to the newly formed family unit. Utilizing 27 items derived from the 34-item version of the FES, which had represented differential levels of empowerment (family, service system, community) as indexed by one's attitudes, knowledge, and behavior, we explored the factor structure, internal consistency, construct, and convergent validity of the FES with grandparent caregivers. Three-hundred forty-three ( M age = 58.45, SD = 8.22, n Caucasian = 152, n African American = 149, n Hispanic = 38) custodial grandmothers caring for grandchildren between ages 4 and 12 years completed the 27 FES items and various measures of their psychological well-being, grandchild psychological difficulties, emotional support, and parenting practices. Factor analysis revealed three factors that differed slightly from the originally proposed FES subscales: Parental Self-Efficacy/Self-Confidence, Service Activism, and Service Knowledge. Each of the factors was internally consistent, and derived factor scores were moderately interrelated, speaking to the question of convergent validity. The construct validity of these three factors was evidenced by meaningful patterns of statistically significant correlations with grandmothers' psychological well-being, grandchild psychological difficulties, emotional support, and parenting practices. These factor scores were independent of grandmother age, health, and education. These findings suggest the newly identified FES factors to be valuable in understanding empowerment among grandmother caregivers.

Patterns of Enrollment and Engagement of Custodial Grandmothers in a Randomized Clinical Trial of Psychoeducational Interventions.

The authors used Andersen's (2008) behavior model to investigate patterns of enrollment and treatment engagement among 343 custodial grandmothers who participated in a randomized clinical trial of three psychosocial interventions:(a) a behavioral parenting program, (b) a cognitive behavioral coping program, or (c) an information-only condition. Treatment completion was superior to that typically found with birth parents, even though the grandmothers and their target grandchildren both had high levels of mental and physical health challenges. Compliance did not differ significantly by condition but was higher among grandmothers who self-reported less positive affect, were older, and were using mental health professionals. Treatment satisfaction was highest in grandmothers who attended more treatment sessions, reported lower annual family income, had a health problem, and were using mental health professionals. The practice and policy implications of these findings are discussed, especially in terms of strategies for enhancing the engagement of custodial grandfamilies in future psychoeducational interventions.

Patterns and Predictors of Support Group Use by Custodial Grandmothers and Grandchildren

Despite increasing popularity of support groups for custodial grandfamilies, the few published studies to date raise questions regarding actual support group usage and disregard predictors of such use. This study examined patterns of self-reported use, need, and unmet need of both grandparent and grandchild support groups. In addition, the Andersen Social Behavioral Model was used to identify predisposing, enabling, and need factors that predicted use in a national sample of 733 grandfamilies recruited by either convenience or population-based strategies. Reported use and need for support groups were lower in the population-based sample, and predictors varied by sampling strategy. The findings are discussed in terms of how they inform service providers and researchers regarding factors that influence support group use by custodial grandfamilies.

Custodial Grandmothers' Psychological Distress, Dysfunctional Parenting, and Grandchildren's Adjustment

An adaptation of the Family Stress Model (FSM) with hypothesized linkages between family contextual factors, custodial grandmothers' psychological distress, parenting practices, and grandchildren's adjustment was tested with structural equation modeling. Interview data from 733 custodial grandmothers of grandchildren between ages 4-17 revealed that the effect of grandmothers' distress on grandchildren's adjustment was mediated by dysfunctional parenting, especially regarding externalizing problems. The effects of contextual factors on grandchildren's adjustment were also indirect. The model's measurement and structural components were largely invariant across grandmothers' race and age, as well as grandchildren's gender and age. Group differences were more prevalent regarding the magnitude of latent means for model constructs. We conclude that parenting models like the FSM are useful for investigating custodial grandfamilies.