Trial reportJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)2018
A randomized clinical trial of interventions for improving well-being in custodial grandfamilies.
Trial report in Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The effects of universal parental support programs: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Evaluation of Prevention Programs for Grandparent Caregivers: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2024Pooled it
- Mental/behavioural health and educational outcomes of grandchildren raised by custodial grandparents: A mixed methods systematic review.Health & social care in the community · 2022Pooled it
- Parenting intervention outcomes for kinship caregivers and child: A systematic review.Child abuse & neglect · 2020Pooled it
- Investing in Custodial Grandparents: Cost Analysis of the Social Intelligence Program.Prevention science : the official journal of the Society for Prevention Research · 2024Trial
- The Dynamics of Daily Life in Custodial Grandmothers.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Trial
- Background and design of the empowering cardiovascular health in grandfamilies (ECHG) study: A mixed methods study research protocol.International journal of nursing studies advances · 2026Article
- The impact of family stress and resilience on child development: a scoping review.Trends in psychiatry and psychotherapy · 2025Article
- Implementation Feasibility and Hidden Costs of Statewide Scaling of Evidence-Based Therapies for Children and Adolescents.Psychiatric services (Washington, D.C.) · 2024Review
- The Triple P System of Evidence-Based Parenting Support: Past, Present, and Future Directions.Clinical child and family psychology review · 2023Article
- Grandmother and Grandchild Reports of Psychological Difficulties Among Custodial Grandchildren: Whose View Matters and Why is It Important?Children and youth services review · 2023Article
- Positive Health Behavior Changes in Custodial Grandparents and Grandchildren Following an Intervention.International journal of environmental research and public health · 2022Article
- Predictors and moderators of treatment efficacy in reducing custodial grandmothers' psychological distress.Aging & mental health · 2022Article
- Psychological Difficulties among Custodial Grandchildren.Children and youth services review · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
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
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.