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.
Human Development Center, College of Education Health and Human Services, Kent State University, Kent OH 44242.
Gregory C
GC
Smith
University of Maryland School of Social Work, 525 W. Redwood St., Baltimore, MD 21201.
Frederick
F
Strieder
University of Maryland School of Social Work, 525 W. Redwood St., Baltimore, MD 21201.
Patty
P
Greenberg
Department of Psychology, University of North Texas, Denton, TX 76203.
Bert
B
Hayslip
Gerontology Program, University of North Carolina, 9201 University City Blvd., CHHS No. 481, Charlotte, NC 28223.
Julian
J
Montoro-Rodriguez
randomized clinical trial; treatment compliance; treatment satisfaction
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