scholarly journals Key Components of Interventions for Grandparents Raising Grandchildren: A Systematic Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 346-347
Author(s):  
Athena Chung Yin Chan ◽  
Timothy Piehler
Keyword(s):  
Keyword Search ◽  
Psychosocial Support ◽  
Meta Analysis ◽  
Skills Training ◽  
Well Being ◽  
Intervention Programs ◽  
Grandparents Raising Grandchildren ◽  
Component Level ◽  
Grandparent Caregivers ◽  
Negative Impacts

Abstract Increasingly grandparents provide primary or supplementary care for their grandchildren globally. In view of the challenges faced by grandparent caregivers, a number of intervention programs were designed to act as a buffer to the potential negative impacts on their well-beings. A recent meta-analysis (Chan et al., 2019) shows that interventions for grandparent caregivers have small to moderate effect sizes for increases in social support and parenting skills. However, little is known how the multi-component interventions work. The aim of this review is to categorize the key components of intervention programs and determine the direct effect of components on grandparent caregivers’ outcomes (i.e., physical, mental health and well-being). A component-level approach is adopted to disentangle the ‘active ingredients’ of the interventions. Peer-reviewed articles were searched via five electronic database (published before January 2020). A keyword search was performed based on combinations of two groups of terms: (1) grandparent caregivers and (2) intervention, training, and support group. Studies adopting an experimental or pre/post design and reporting quantitative changes in grandparents’ outcomes were included. Studies focusing on the special needs of grandchildren were excluded. Fourteen interventions were identified from over 20 included studies. Preliminary analyses show that different physical and mental outcomes of grandparent caregivers were predicted from key components of education, skills training, relaxation and psychosocial support. With the goal of developing evidence-based interventions for grandparents raising grandchildren, this synthesis offers insight into the mechanisms of an intervention, which informs its generalizability or applicability to a new context.

scholarly journals Caregiver-Focused, Web-Based Interventions: Systematic Review and Meta-Analysis (Part 2) (Preprint)

2018 ◽  
Author(s):  
Jenny Ploeg ◽  
Muhammad Usman Ali ◽  
Maureen Markle-Reid ◽  
Ruta Valaitis ◽  
Amy Bartholomew ◽  
...  
Keyword(s):  
Systematic Review ◽  
Self Efficacy ◽  
Chronic Condition ◽  
Electronic Monitoring ◽  
Psychosocial Support ◽  
Meta Analysis ◽  
Self Esteem ◽  
Intervention Programs ◽  
Care Recipient ◽  
Web Based

BACKGROUND Approaches to support the health and well-being of family caregivers of adults with chronic conditions are increasingly important given the key roles caregivers play in helping family members to live in the community. Web-based interventions to support caregivers have the potential to lessen the negative health impacts associated with caregiving and result in improved health outcomes. OBJECTIVE The primary objective of this systematic review and meta-analysis was to examine the effect of caregiver-focused, Web-based interventions, compared with no or minimal Web-based interventions, on caregiver outcomes. The secondary objective was to assess the effect of different types of Web-based interventions (eg, education, peer and professional psychosocial support, and electronic monitoring of the care recipient), compared with no or minimal Web-based interventions, on caregiver outcomes. METHODS MEDLINE, EMBASE, CIHAHL, PsychInfo, Cochrane, and AgeLine were searched from January 1995 to April 2017 for relevant randomized controlled trials (RCTs) or controlled clinical trials (CCTs) that compared caregiver-focused, Web-based intervention programs with no or minimal Web-based interventions for caregivers of adults with at least one chronic condition. Studies were included if they involved: adult family or friend caregivers (aged ≥18 years) of adults living in the community with a chronic condition; a caregiver-focused, Web-based intervention of education or psychosocial support or electronic monitoring of the care recipient; and general caregiver outcomes (ie, burden, life satisfaction, self-efficacy or mastery, reaction to problem behavior, self-esteem, strain, and social support). Title and abstract as well as full-text screening were completed in duplicate. Data were extracted by a single reviewer and verified by a second reviewer, and risk of bias assessments were completed accordingly. Where possible, data for these caregiver outcomes were meta-analyzed. RESULTS The search yielded 7927 unique citations, of which 294 studies were screened at full text. Of those, 14 studies met the inclusion criteria; 12 were RCTs and 1 study was a CCT. One study used an RCT design in 1 country and a CCT design in 2 other countries. The beneficial effects of any Web-based intervention program, compared with no or minimal Web-based intervention, resulted in a mean increase of 0.85 points (95% CI 0.12 to 1.57) for caregiver self-esteem, a mean increase of 0.36 points (95% CI 0.11 to 0.62) for caregiver self-efficacy or mastery, and a mean decrease of 0.32 points (95% CI −0.54 to −0.09) for caregiver strain. However, the results are based on poor-quality studies. CONCLUSIONS The review found evidence for the positive effects of Web-based intervention programs on self-efficacy, self-esteem, and strain of caregivers of adults living with a chronic condition. Further high-quality research is needed to inform the effectiveness of specific types of Web-based interventions on caregiver outcomes. CLINICALTRIAL PROSPERO CRD42018091715; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=91715 (Archived by WebCite at http://www.webcitation.org/738zAa5F5)

The Mental Health Well-Being of Grandparents Raising Grandchildren: A Systematic Review and Meta-Analysis

2020 ◽  
pp. 1-15
Author(s):  
Susan J. Kelley ◽  
Deborah M. Whitley ◽  
Shannon R. Escarra ◽  
Rowena Zheng ◽  
Eva M. Horne ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Meta Analysis ◽  
Well Being ◽  
Grandparents Raising Grandchildren

scholarly journals PREDICTORS OF WORK-RELATED WELL-BEING IN THE BRAZILIAN PSYCHOLOGY LITERATURE

2020 ◽  
Vol 21 (4) ◽  
Author(s):  
HEILA M. S. VEIGA ◽  
PEDRO A. CORTEZ
Keyword(s):  
Work Performance ◽  
Meta Analysis ◽  
Well Being ◽  
Preliminary Evidence ◽  
Brazilian Literature ◽  
Work Related ◽  
Individual Variables ◽  
Negative Impacts ◽  
Psychology Literature ◽  
Macro Variables

ABSTRACT Purpose: We aimed to identify the effects of predictors of work-related well-being in the Brazilian Psychology literature. Originality/value: Researchers have focused on employee well-being to optimize working conditions and work performance in organizations. Despite a long research tradition about well-being, the predictors of employee well-being are not clear in the Brazilian literature. Design/methodology/approach: First, in the literature review, we selected five studies using the descriptor “well-being” in the Brazilian portal of Electronic Journals in Psychology (Periódicos Eletrônicos em Psicologia [PePSIC]) and applied inclusion and exclusion criteria. Next, we compiled those studies’ evidence to perform a meta-analysis using the software Jamovi 0.9.5.12 and the plugin MAJOR Meta-analysis 1.0.0 R. Findings: The prediction of employee well-being - performed by means of intra-individual variables, connections with organizations and labor (O&L), and macro variables - was clear about the positive and negative impacts of variables on well-being. However, further research studies are necessary, especially those in the interface with Administration and other areas, in order to optimize the generalization of the effects we found. In summary, this study contributes to the field of study by presenting preliminary evidence to elaborate high impact, evidence-based policies and practices on people management, including a possible interdisciplinary association between Psychology and Administration.

scholarly journals Process-Outcome-Relationships and Solution-Based Interventions With Grandparent Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 511-511
Author(s):  
Julian Montoro Rodriguez ◽  
Bert Hayslip ◽  
Jennifer Ramsey ◽  
Jane Jooste
Keyword(s):  
Goal Setting ◽  
Goal Attainment ◽  
Service Providers ◽  
Well Being ◽  
Service Needs ◽  
Grandparents Raising Grandchildren ◽  
Grandparent Caregivers ◽  
Negative Thoughts ◽  
Solution Focused ◽  
Grandparent Caregiving

Abstract Grandparents raising grandchildren face many challenges such as isolation, stigma, negative thoughts, and biases from age peers and service providers. In contrast, recent work suggests a need to re-frame grandparent caregiving in positive terms. In this light, the present study explored the processes key to the success of a solution-focused intervention with such persons. Fifty-two grandparents caregivers participated in a six-session solution focused intervention, using the theoretical framework of Selection, Optimization and Compensation (SOC) by Baltes & Baltes (1990). Throughout the program the emphases were on goal setting, solution focused thinking and communication skills. Participants were randomly assigned to intervention or waiting list control conditions. Within each session measures of hopefulness, positive thoughts about one’s grandchild, solution focused thinking, self-rated stress and perceived goal attainment were taken. Results indicated significant decreases in stress and increases over six sessions in hopefulness, positive thoughts about the grandchild, being solution-oriented and success in overcoming barriers interfering with goal setting and implementation (p<.05). Measures of goal accomplishment, strategy usage, success and satisfaction with effort were uniformly high. Such findings speak to key processes underlying the efficacy of a solution-focused intervention with grandparent caregivers. Measures of such processes also predicted outcome measures, e.g., resilience, positive affect, caregiver strain, well-being, loneliness, depression, parental efficacy and adequacy of service needs met. These findings reinforce the importance of understanding change processes as predictors of solution-focused intervention outcomes with grandparent caregivers and are consistent with the need to emphasize such persons’ strengths.

scholarly journals Negative outcomes of ICT use at work: meta-analytic evidence and the role of job autonomy

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hadi Karimikia ◽  
Harminder Singh ◽  
Damien Joseph
Keyword(s):  
Meta Analysis ◽  
Well Being ◽  
Information And Communications Technology ◽  
Job Autonomy ◽  
Negative Outcomes ◽  
Content Type ◽  
Ict Use ◽  
Negative Impacts ◽  
The Relationship

PurposeIndividuals can improve their task performance by using information and communications technology (ICT). However, individuals who use ICT may also suffer from negative outcomes, such as burnout and anxiety, which lead to poorer performance and well-being. While researchers have studied the positive outcomes of ICT use in the aggregate, the same has not been done for negative outcomes.Design/methodology/approachThis study uses a meta-analysis of 52 studies to examine the relationship between ICT use and negative outcomes, and the influence of job autonomy on ICT use and the negative outcomes of ICT use. Job autonomy is relevant because a higher level of job autonomy allows individuals to decide how, how often and when they will use ICT that is causing negative outcomes for their work.FindingsThe results of the meta-analysis revealed that ICT use increased negative job outcomes and that, unexpectedly, autonomy exacerbated this effect.Research limitations/implicationsThe results of this study point to the prevalence of negative outcomes from ICT use among individuals. Researchers should study how users may potentially restrict the value that organizations may be able to obtain from the implementation of new systems, especially whether individual-level negative outcomes could coalesce into a collective resistance. There also needs to be further research into the motivating and inhibiting roles of autonomy in enhancing ICT use, while mitigating its negative impacts simultaneously.Originality/valueThe study provides an aggregate analysis of the negative impacts of ICT use among individuals and the role of autonomy in the relationship.

scholarly journals Efficacy of eHealth Interventions for Adults with Diabetes: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (17) ◽  
pp. 8982
Author(s):  
Giulia Bassi ◽  
Elisa Mancinelli ◽  
Gaia Dell’Arciprete ◽  
Silvia Rizzi ◽  
Silvia Gabrielli ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Glycemic Control ◽  
Psychosocial Support ◽  
Meta Analysis ◽  
Group Analysis ◽  
Well Being ◽  
Drop Out ◽  
Diabetes Distress ◽  
Standard Mean Difference ◽  
K 13

The aim is to provide meta-analytical evidence on eHealth interventions’ efficacy in supporting the psychosocial and physical well-being of adults with type 1 or type 2 Diabetes Mellitus (DM), and to investigate differences in interventions primarily targeted at providing glycemic control vs. psychosocial support. A PRISMA-guided systematic search was conducted. Randomized Controlled Trials (RCTs) regarding eHealth interventions for adults (18–65 years) with DM were included. Data were pooled using Standard Mean Difference (SMD); sub-group analysis and meta-regressions were performed when appropriate. Outcomes were Hemoglobin A1c (HbA1c), diabetes distress, quality of life, anxiety, stress, and depression. Intervention acceptability was assessed performing the Odds Ratio (OR) of drop-out rates. Thirteen RCTs comprising 1315 participants were included (52.09% females; Mage = 46.18, SD = 9.98). Analyses showed intervention efficacy on HbA1c (SMD = −0.40; 95% CI = −0.70, −0.12; k = 13) and depressive symptoms (SMD = −0.18; 95% CI = −0.33, −0.02; k = 6) at RCTs endpoint and were well accepted (OR = 1.43; 95% CI = 0.72, 2.81; k = 10). However, efficacy on HbA1c was not maintained at follow-up (SMD = −0.13; 95% CI = −0.31, 0.05; k = 6). eHealth interventions providing medical support were acceptable and effective in fostering glycemic control and decreasing depressive symptoms in the short-term only. Digital solutions should be developed on multiple levels to fully support the psychophysical well-being of people with DM.

The Effectiveness of Interventions for Grandparents Raising Grandchildren: A Meta-Analysis

2018 ◽  
Vol 29 (6) ◽  
pp. 607-617 ◽  
Author(s):  
Ko Ling Chan ◽  
Mengtong Chen ◽  
Kin Ming Camilla Lo ◽  
Qiqi Chen ◽  
Susan J. Kelley ◽  
...  
Keyword(s):  
Behavioral Problems ◽  
Program Effectiveness ◽  
Meta Analysis ◽  
Well Being ◽  
Effect Sizes ◽  
Future Research ◽  
Ongoing Research ◽  
Positive Effects ◽  
Grandparent Caregivers ◽  
Program Components

Purpose: The research objective is to evaluate the effectiveness of intervention programs that aim to enhance the well-being of grandparent caregivers and the developmental outcomes of grandchildren and identify useful program components. Method: Relevant studies were identified via comprehensive literature searches of electronic databases. A random effects model was used to calculate effect sizes. Results: We included 20 studies published in and before April 2018. Our review indicates that interventions for grandparent caregivers have positive effects in regard to various well-being outcomes. Small to moderate effect sizes for increases in social support and parenting skills and a decrease in children’s behavioral problems were found. Supportive and educational components could contribute to a promising intervention. Conclusions: The implementation of interventions for grandparents requires ongoing research efforts to obtain high-quality evidence for program effectiveness. We suggest future research be conducted to develop tailored interventions to meet the needs of different grandparent caregivers.

scholarly journals Intensity of Grandparent Caregiving and Well-Being in a Cultural Context: A Systematic Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 494-495
Author(s):  
Athena Chung Yin Chan ◽  
Sun-Kyung Lee ◽  
Jingchen Zhang ◽  
Jasmine Banegas ◽  
Scott Marsalis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cultural Context ◽  
Keyword Search ◽  
Well Being ◽  
Moderate Intensity ◽  
Multigenerational Households ◽  
Grandparent Caregivers ◽  
Quantitative Studies ◽  
Key Resources ◽  
Grandparent Caregiving

Abstract With improved longevity and changes in family structure, grandparents are key resources in providing care for grandchildren. However, mixed findings indicate that multiple role engagement may enhance well-being or bring demands on grandparents raising grandchildren. Little is known about how the intensity of grandparent caregiving is associated with their well-being in different family contexts (i.e., structures, cultures/regions, and reasons of care). This systematic review examines the association between the intensity of grandparent caregiving and their well-being. Peer-reviewed articles published after 1990 were identified in five electronic databases. A keyword search was performed for keywords associated with: (a) grandparent caregivers raising grandchildren, and (2) well-being (i.e., physical, mental, cognitive, and life satisfaction). Only quantitative studies were included. Fifty-six articles from 28 countries/regions were included. Findings suggested that the well-being of grandparents is optimal when they provide caregiving of moderate intensity, with optimal amounts varying across sociocultural contexts. In Europe and Australia, providing supplementary care seems beneficial for grandparents’ well-being, especially supporting dual-earner families. In Asia, economic resources buffer the adverse effect of primary care on grandparents’ well-being. In the U.S., findings vary across ethnicity/race. White grandparents enjoy health benefits providing supplementary care with support from adult children. However, Hispanic grandparent caregivers in multigenerational households have better well-being than those in skipped-generation households, whereas Black custodial caregivers have better well-being than supplemental caregivers. Collectively, the intensity of grandparent caregiving and well-being is complicated by their roles in the family and cultural differences. This systematic review calls for culturally-tailored family interventions.

Inclusion of Transgender Voice and Communication Training in a University Clinic

2017 ◽  
Vol 2 (10) ◽  
pp. 109-115 ◽  
Author(s):  
Jennifer Oates ◽  
Georgia Dacakis
Keyword(s):  
Training Program ◽  
Clinical Education ◽  
Well Being ◽  
Evidence Base ◽  
Communication Training ◽  
Speech Language Pathology ◽  
Transgender People ◽  
Language Pathology ◽  
Effectiveness Of Training ◽  
Negative Impacts

Because of the increasing number of transgender people requesting speech-language pathology services, because having gender-incongruent voice and communication has major negative impacts on an individual's social participation and well-being, and because voice and communication training is supported by an improving evidence-base, it is becoming more common for universities to include transgender-specific theoretical and clinical components in their speech-language pathology programs. This paper describes the theoretical and clinical education provided to speech-language pathology students at La Trobe University in Australia, with a particular focus on the voice and communication training program offered by the La Trobe Communication Clinic. Further research is required to determine the outcomes of the clinic's training program in terms of student confidence and competence as well as the effectiveness of training for transgender clients.

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