Process-Outcome Relationships and Solution-Based Goal-Setting Interventions With Grandparent Caregivers

2021 ◽  
pp. 009141502110508
Author(s):  
Bert Hayslip ◽  
Julian Montoro-Rodriguez ◽  
Jennifer Ramsey ◽  
Jane L. Jooste
Keyword(s):  
Goal Setting ◽  
Well Being ◽  
Change Processes ◽  
Program Outcomes ◽  
Multiple Indicators ◽  
Grandparent Caregivers ◽  
Program Outcome ◽  
Outcome Scores ◽  
Outcome Difference ◽  
The Impact

The present study examines the impact of change processes on outcomes in a solution-based thinking and goal-setting intervention for grandparents raising their grandchildren. We found that across the 6 program sessions there was stability and/or increases in the salience of hypothesized change processes, i.e., hopefulness about the future, solution-based thinking, positive thoughts about one's grandchild, multiple indicators of decisional personal goal-setting regarding one's own well-being and grandchild relationship quality. Indicators of change processes were for the most part, related to both post-program outcomes as well as to pre-post program outcome difference scores. Regression analyses suggested that change processes in many cases partially mediated pre-post primary program outcome scores. These data suggest that how grandmother caregivers think about themselves and their grandchildren and their approach to setting personal goals are key change processes explaining the impact of a solution-based, goal-setting intervention on them.

The Impact of Caring for Grandchildren on Grandparents’ Physical Health Outcomes: The Role of Intergenerational Support

2016 ◽  
Vol 39 (5) ◽  
pp. 612-634 ◽  
Author(s):  
Jing Zhou ◽  
Weiyu Mao ◽  
Yura Lee ◽  
Iris Chi
Keyword(s):  
Longitudinal Data ◽  
Health Outcomes ◽  
Physical Health ◽  
Rural China ◽  
Well Being ◽  
Intergenerational Support ◽  
Grandparent Caregivers ◽  
Physical Health Outcomes ◽  
The Impact

Little longitudinal data exist on grandparent caregivers and few studies have examined their physical health outcomes. This study examined the effect of caring for grandchildren on grandparents’ physical health and the role of intergenerational support from adult children. Longitudinal data derived from a survey on the well-being of older adults in China were used to conduct path analysis of previous grandparent caregivers (vs. noncaregivers) and repeated grandparent caregivers (vs. noncaregivers). The final sample was 799 grandparents aged 60 or older living in rural China. Three aspects of intergenerational support were measured: financial, emotional, and instrumental support. Repeated grandparent caregivers had better self-rated health (SRH) and fewer limitations than noncaregivers. Previous grandparent caregivers had better SRH compared to noncaregivers. Emotional support mediated the relationship between caregiving and SRH among repeated caregivers. Findings suggest that any caregiving experience (previous or repeated) provides health benefits to grandparents.

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 Older adult maintaining and improving health self-management through peer supported SMART goal setting

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 611-611
Author(s):  
Mary Hynes ◽  
Nicole Anderson ◽  
Monika Kastner ◽  
Arlene Astell
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Goal Setting ◽  
Health Management ◽  
Well Being ◽  
Self Management ◽  
Medical Interventions ◽  
Adult Participants ◽  
Smart Goals ◽  
The Impact

Abstract Non-medical interventions to address risk factors (such as reducing smoking, increasing physical activity, and tackling limited social interaction) are needed to help tackle escalating social and financial health costs. Peer supported interventions have been used successfully to support persons’ health self-management; however, there is limited evidence for group interventions facilitated by older adults. A proof-of-concept study by the first author demonstrated the potential of older adults meeting in groups to each create and follow through with a single SMART goal for any area of health over one-month. This study extends SMART goal setting to enhancing health management over six months. Older adult participants from across Ontario will attend virtual SMART goal setting group sessions followed by six monthly support group meetings where they are free to choose any goal, whether a mitigation or a new behavior. Each month the facilitator will assist participants to continue, modify, or set a new goal. At the end participants will complete surveys about their satisfaction with the method, their results and their desire to continue with SMART goals. They will also be asked if they would like to facilitate new groups to continue the spread of peer-supported SMART goal groups. This study is designed to empower older adults to maintain or improve management of their physical, psychological, and/or social health. It will reveal the impact of an older adult created and guided group health intervention on feelings of self-efficacy and well-being.

Intervention

2017 ◽  
pp. 234-254
Author(s):  
Andrew MacLeod
Keyword(s):  
Mental Health ◽  
Goal Setting ◽  
Well Being ◽  
Clinical Interventions ◽  
Psychological Literature ◽  
Negative Thoughts ◽  
The Future ◽  
The Impact

A variety of methods have been used to try to change problematic prospection. In the case of well-being and mental health the main issues are how to reduce or minimize the impact of negative thoughts about the future and how to increase positive future thoughts. Existing clinical interventions do obviously address prospection but not in a developed or systematic way, and not in a way that is particularly informed by the general psychological literature. Specific interventions that address how someone thinks about the future vary from simple, short exercises to longer, more intensive programmes. Chapter 10 concludes by suggesting two promising avenues: interventions that teach goal setting and planning skills and those that enhance more specific thinking.

Measuring Impact of Stress in Sandwich Generation Caring for Demented Parents

GeroPsych ◽  
2014 ◽  
Vol 27 (4) ◽  
pp. 171-179 ◽  
Author(s):  
Laurence M. Solberg ◽  
Lauren B. Solberg ◽  
Emily N. Peterson
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Social Worker ◽  
Resource Availability ◽  
Well Being ◽  
Sandwich Generation ◽  
Item Questionnaire ◽  
Significant Difference ◽  
Adult Caregivers ◽  
The Impact

Stress in caregivers may affect the healthcare recipients receive. We examined the impact of stress experienced by 45 adult caregivers of their elderly demented parents. The participants completed a 32-item questionnaire about the impact of experienced stress. The questionnaire also asked about interventions that might help to reduce the impact of stress. After exploratory factor analysis, we reduced the 32-item questionnaire to 13 items. Results indicated that caregivers experienced stress, anxiety, and sadness. Also, emotional, but not financial or professional, well-being was significantly impacted. There was no significant difference between the impact of caregiver stress on members from the sandwich generation and those from the nonsandwich generation. Meeting with a social worker for resource availability was identified most frequently as a potentially helpful intervention for coping with the impact of stress.

Efficacy of Crisis Intervention

Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Thomas Reisch ◽  
Petra Schlatter ◽  
Wolfgang Tschacher
Keyword(s):  
Crisis Intervention ◽  
Intervention Program ◽  
Suicide Ideation ◽  
Indirect Evidence ◽  
Well Being ◽  
Term Therapy ◽  
Contributing Factors ◽  
Step Therapy ◽  
Long Term Therapy ◽  
The Impact

This study assesses the efficacy of the treatment approach implemented in the Bern Crisis Intervention Program, where particular emphasis is placed on the remediation of suicide ideation and suicidal behavior, and depression, fear, and phobia are generally considered to be contributing factors. Four questionnaires addressing psychopathology, emotional well-being, social anxiety, and personality were administered prior to and after the treatment of 51 patients over a period of 2 to 3 weeks. The reduction of symptoms contributing to suicidal ideation and behavior was interpreted as indirect evidence of an antisuicidal effect of the program. Significant improvements were found in the psychopathology ratings, with depression and anxiety showing the largest reductions. The impact on personality and social phobia, however, was only moderate, and on average patients still exhibited symptoms after attending the program. This residual symptomatology points to the necessity of introducing a two-step therapy approach of intensive intervention targeted at the precipitating causes of the crisis, augmented by long-term therapy to treat underlying problems.

The Therapist’s Reaction to a Patient’s Suicide

Crisis ◽  
2011 ◽  
Vol 32 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Friedrich Martin Wurst ◽  
Isabella Kunz ◽  
Gregory Skipper ◽  
Manfred Wolfersdorf ◽  
Karl H. Beine ◽  
...  
Keyword(s):  
Emotional Responses ◽  
Well Being ◽  
Emotional Reaction ◽  
Emotional Reactions ◽  
Analog Scale ◽  
General Hospitals ◽  
Item Questionnaire ◽  
Retrospective Nature ◽  
The Impact ◽  
Over Time

Background: A substantial proportion of therapists experience the loss of a patient to suicide at some point during their professional life. Aims: To assess (1) the impact of a patient’s suicide on therapists distress and well-being over time, (2) which factors contribute to the reaction, and (3) which subgroup might need special interventions in the aftermath of suicide. Methods: A 63-item questionnaire was sent to all 185 Psychiatric Clinics at General Hospitals in Germany. The emotional reaction of therapists to patient’s suicide was measured immediately, after 2 weeks, and after 6 months. Results: Three out of ten therapists suffer from severe distress after a patients’ suicide. The item “overall distress” immediately after the suicide predicts emotional reactions and changes in behavior. The emotional responses immediately after the suicide explained 43.5% of the variance of total distress in a regression analysis. Limitations: The retrospective nature of the study is its primary limitation. Conclusions: Our data suggest that identifying the severely distressed subgroup could be done using a visual analog scale for overall distress. As a consequence, more specific and intensified help could be provided to these professionals.

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