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A Meta-ethnography Synthesis of Joint Care Practices between Parents and Grandparents from Asian Cultural Backgrounds: Benefits and Challenges

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Abstract

Objectives

This systematic review aims to examine the joint care practices of grandparents and parents among Asian families and to discover their co-parenting relationship via synthesizing data from published qualitative studies.

Method

A systematic search was conducted over seven databases. Papers were carefully screened. Meta-ethnography was selected as the method of data synthesis.

Results

The objective screening process led to the inclusion of ten papers. Findings from the data synthesis proposed that the dynamics of joint care between parent-grandparent in Asian culture was distinct to other cultures, in three specific ways: (1) Grandparent child care was a cultural expectation; (2) There was little distinction between the roles of parents and grandparents in childcare, with high overlap of responsibilities; (3) Although there were many benefits, this relationship was far from being harmonious, with grandparents holding a higher perceived level of status/power in the relationship when compared to parents, thus parents were forced to negotiate many aspects of the relationship due to the overarching rule of filial piety (respecting the elderly).

Conclusions

Research and intervention for Asian families need to pay attention to the challenges parents were facing negotiating their co-parenting relationship with the grandparent. They should address both parents’ pragmatic needs for help and managing difficult emotions, whilst acknowledging their desire to stay close to the grandparents.

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References

  • Adams, H. E., & Sutker, P. B. (Eds). (2007). Comprehensive handbook of psychopathology. New York, NY: Springer.

  • Allan, S., & Gilbert, P. (1997). Submissive behaviour and psychopathology. British Journal of Clinical Psychology, 36(4), 467–488.

    Article  PubMed  Google Scholar 

  • Backhouse, J., & Graham, A. (2012). Grandparents raising grandchildren: negotiating the complexities of role-identity conflict. Child & Family Social Work, 17(3), 306–315. https://doi.org/10.1111/j.1365-2206.2011.00781.x.

    Article  Google Scholar 

  • Baker, J., McHale, J., Strozier, A., & Cecil, D. (2010). Mother–grandmother coparenting relationships in families with incarcerated mothers: a pilot investigation. Family Process, 49(2), 165–184.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barnett, M. A., Mills‐Koonce, W. R., Gustafsson, H., & Cox, M. (2012). Mother–grandmother conflict, negative parenting, and young children’s social development in multigenerational families. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 61(5), 864–877. https://doi.org/10.1111/j.1741-3729.2012.00731.x.

    Article  Google Scholar 

  • Beck, C. T. (2002). A meta-synthesis of qualitative research. MCN: The American Journal of Maternal/Child Nursing, 27(4), 214–221.

    Google Scholar 

  • Bhopal, K. (1998). South Asian women in east London: motherhood and social support. Women’s Studies International Forum, 21(5), 485–492. https://doi.org/10.1016/S0277-5395(98)00067-3.

    Article  Google Scholar 

  • Bowlby, J. (1988). Attachment, communication, and the therapeutic process. In J. Bowlby, A secure base: Clinical applications of attachment theory (pp. 137–157). London: Routledge.

  • Breheny, M., Stephens, C., & Spilsbury, L. (2013). Involvement without interference: how grandparents negotiate intergenerational expectations in relationships with grandchildren. Journal of Family Studies, 19(2), 174–184. https://doi.org/10.5172/jfs.2013.19.2.174.

    Article  Google Scholar 

  • Brian, J. (2001). Intergenerational relations: a comparison between Chinese and American families. Journal of SociologyJ Sociol, 2, 85–95.

    Google Scholar 

  • Britten, N., Campbell, R., Pope, C., Donovan, J., Morgan, M., & Pill, R. (2002). Using meta ethnography to synthesise qualitative research: a worked example. Journal of Health Services Research & Policy, 7(4), 209–215.

    Article  Google Scholar 

  • Buckingham-Howes, S., Oberlander, S. E., Hurley, K. M., Fitzmaurice, S., & Black, M. M. (2011). Trajectories of adolescent mother-grandmother psychological conflict during early parenting and children’s problem behaviors at age 7. Journal of Clinical Child and Adolescent Psychology, 40(3), 445–455. https://doi.org/10.1080/15374416.2011.563473.

    Article  PubMed  PubMed Central  Google Scholar 

  • Campbell, R., Pound, P., Pope, C., Britten, N., Pill, R., Morgan, M., & Donovan, J. (2003). Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care. Social Science & Medicine, 56(4), 671–684.

    Article  Google Scholar 

  • CASP. (2013). CASP qualitative checklist. CASP.

  • Chen, H.-M., & Lewis, D. C. (2015). Chinese grandparents’ involvement in their adult children’s parenting practices in the United States. Contemporary Family Therapy, 37(1), 58–71. https://doi.org/10.1007/s10591-014-9321-7.

    Article  Google Scholar 

  • Clemmens, D. (2003). Adolescent motherhood: a meta-synthesis of qualitative studies. MCN: The American Journal of Maternal/Child Nursing, 28(2), 93–99.

    Google Scholar 

  • Coall, D. A., & Hertwig, R. (2010). Grandparental investment: past, present, and future. Behavioral and Brain Sciences, 33(01), 1–19. https://doi.org/10.1017/S0140525X09991105.

    Article  PubMed  Google Scholar 

  • Coffey, J. S. (2006). Parenting a child with chronic illness: a metasynthesis. Pediatric Nursing, 32(1), 51.

    PubMed  Google Scholar 

  • Conn, B. M., Marks, A. K., & Coyne, L. (2013). A three-generation study of Chinese immigrant extended family child caregiving experiences in the preschool years. Research in Human Development, 10(4), 308–331. https://doi.org/10.1080/15427609.2013.846047.

    Article  Google Scholar 

  • Dixon-Woods, M., Cavers, D., Agarwal, S., Annandale, E., Arthur, A., Harvey, J., & Smith, L. (2006). Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Medical Research Methodology, 6(1), 35.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goh, E. C. (2013). “You must finish your dinner” meal time dynamics between grandparents, parents and grandchildren in urban China. British Food Journal, 115(3), 365–376.

    Article  Google Scholar 

  • Goh, E. C., & Kuczynski, L. (2010). ‘Only children’ and their coalition of parents: considering grandparents and parents as joint caregivers in urban Xiamen, China. Asian Journal of Social Psychology, 13(4), 221–231.

    Article  Google Scholar 

  • Goh, E. C. L. (2006). Raising the precious single child in urban China: an intergenerational joint mission between parents and grandparents. Journal of Intergenerational Relationships, 4(3), 7–28. https://doi.org/10.1300/J194v04n03_02.

    Article  Google Scholar 

  • Goodfellow, J., & Laverty, J. (2003). Grandparents supporting working families. Family Matters, 66,14.

  • Grinstead, L. N., Leder, S., Jensen, S., & Bond, L. (2003). Review of research on the health of caregiving grandparents. Journal of Advanced Nursing, 44(3), 318–326.

    Article  PubMed  Google Scholar 

  • Günsoy, C., Cross, S. E., Uskul, A. K., Adams, G., & Gercek-Swing, B. (2015). Avoid or fight back? Cultural differences in responses to conflict and the role of collectivism, honor, and enemy perception. Journal of Cross-Cultural Psychology, 46(8), 1081–1102.

    Article  Google Scholar 

  • Hayslip, J. B., Shore, R. J., & Emick, M. A. (2006). Age, health, and custodial grandparenting. In B. J. Hayslip & J. H. Patrick (Eds), Custodial grandparenting: individual, cultural, and ethnic diversity (pp. 75–87). New York, NY: Springer Publising Company.

    Google Scholar 

  • Henderson, C. E., & Shore, R. J. (2003). The structure of grandparental role meaning. Journal of Adult Development, 10(1), 1–11.

    Article  Google Scholar 

  • Ho, D. Y. (1994). Filial piety, authoritarian moralism, and cognitive conservatism in Chinese societies. Genetic, Social, and General Psychology Monographs, 120(3), 349–65.

    PubMed  Google Scholar 

  • Kao, E. M., Nagata, D. K., & Peterson, C. (1997). Explanatory style, family expressiveness, and self-esteem among Asian American and European American college students. The Journal of Social Psychology, 137(4), 435–444.

    Article  PubMed  Google Scholar 

  • Kemp, C. L. (2004). ‘Grand’ expectations: the experiences of grandparents and adult grandchildren. Canadian Journal of Sociology, 29(4), 499–525.

    Google Scholar 

  • Khakbazan, Z., Taghipour, A., Roudsari, R. L., & Mohammadi, E. (2014). Help seeking behavior of women with self-discovered breast cancer symptoms: a meta-ethnographic synthesis of patient delay. PLoS ONE, 9(12), e110262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017). A meta-analysis of compassion-based interventions: current state of knowledge and future directions. Behavior Therapy, 48(6), 778–792.

    Article  PubMed  Google Scholar 

  • Knodel, J., & Nguyen, M. D. (2015). Grandparents and grandchildren: care and support in Myanmar, Thailand and Vietnam. Ageing & Society, 35(9), 1960–1988. https://doi.org/10.1017/S0144686X14000786.

    Article  Google Scholar 

  • Kohli, M. (1999). Private and public transfers between generations: linking the family and the state. European Societies, 1(1), 81–104. https://doi.org/10.1080/14616696.1999.10749926.

    Article  Google Scholar 

  • Kurrien, R., & Vo, E. D. (2004). Who’s in charge? Coparenting in South and Southeast Asian families. Journal of Adult Development, 11(3), 207–219. https://doi.org/10.1023/B:JADE.00000.

    Article  Google Scholar 

  • Leung, C., & Fung, B. (2014). Non-custodial grandparent caregiving in Chinese families: implications for family dynamics. Journal of Children’s Services, 9(4), 307–318. https://doi.org/10.1108/JCS-04-2014-0026.

    Article  Google Scholar 

  • Low, S. S. H., & Goh, E. C. L. (2015). Granny as nanny: positive outcomes for grandparents providing childcare for dual-income families. Fact or myth? Journal of Intergenerational Relationships, 13(4), 302–319. https://doi.org/10.1080/15350770.2015.1111003.

    Article  Google Scholar 

  • McAdams, D. P., & de St Aubin, E. (1992). A theory of generativity and its assessment through self-report, behavioral acts, and narrative themes in autobiography. Journal of Personality and Social Psychology, 62(6), 1003. https://doi.org/10.1037/0022-3514.62.6.1003.

    Article  Google Scholar 

  • McHale, J. P., & Lindahl, K. M. (2011). Coparenting: a conceptual and clinical examination of family systems. Washington: American Psychological Association.

    Book  Google Scholar 

  • McHale, J. P., Salman, S., Strozier, A., & Cecil, D. K. (2013). Relationship processes and resilience in children with incarcerated parents: V. Triadic interactions in mother–grandmother coparenting systems following maternal release from jail. Monographs of the Society for Research in Child Development, 78(3), 57–74. https://doi.org/10.1111/mono.12021.

    Article  Google Scholar 

  • Mehta, K. K., & Thang, L. L. (2011). Experiencing grandparenthood: an Asian perspective. Dordrecht: Springer Netherlands.

    Google Scholar 

  • Miller-Day, M., & Jackson, A. W. (2012). The convergence communication scale: development and evaluation of an assessment of interpersonal submission. Journal of Social and Personal Relationships, 29(8), 1036–1057.

    Article  Google Scholar 

  • Noblit, G.W. and Hare, R.D. (1988). Meta-Ethnography: Synthesizing Qualitative Studies. Newbury Park, CA: Sage.

  • Pulgaron, E. R., Marchante, A. N., Agosto, Y., Lebron, C. N., & Delamater, A. M. (2016). Grandparent involvement and children’s health outcomes: the current state of the literature. Families, Systems, & Health. https://doi.org/10.1037/fsh0000212

    Article  Google Scholar 

  • Rosenthal, D. A., Moore, S., & Moore, S. M. (2012). New age nanas: being a grandmother in the 21st century. Australasian Journal on Ageing, 32(1), 67.

    Google Scholar 

  • Sandel, T. L., Cho, G. E., Miller, P. J., & Wang, S.-h (2006). What it means to be a grandmother: a cross-cultural study of Taiwanese and Euro-American grandmothers’ beliefs. Journal of Family Communication, 6(4), 255–278. https://doi.org/10.1207/s15327698jfc0604_2.

    Article  Google Scholar 

  • Selin, H. (2014). Parenting across cultures: childrearing, motherhood and fatherhood in non-western cultures (Vol. 7). Dordrecht: Springer Netherlands. https://doi.org/10.1037/a0021877.

    Article  PubMed  Google Scholar 

  • Stevenson, M. L., Henderson, T. L., & Baugh, E. (2007). Vital defenses: social support appraisals of black grandmothers parenting grandchildren. Journal of Family Issues, 28(2), 182–211. https://doi.org/10.1177/0192513X06293852.

    Article  Google Scholar 

  • Thang, L. L., Mehta, K., Usui, T., & Tsuruwaka, M. (2011). Being a good grandparent: roles and expectations in intergenerational relationships in Japan and Singapore. Marriage & Family Review, 47(8), 548–570. https://doi.org/10.1080/01494929.2011.619303.

    Article  Google Scholar 

  • Thiele, D. M., & Whelan, T. A. (2006). The nature and dimensions of the grandparent role. Marriage & Family Review, 40(1), 93–108.

    Article  Google Scholar 

  • Trivedi, J., Mishra, M., & Kendurkar, A. (2007). Depression among women in the South-Asian region: the underlying issues. Journal of Affective Disorders, 102(1–3), 219–225.

    Article  PubMed  Google Scholar 

  • Whitbeck, L. B., Hoyt, D. R., & Huck, S. M. (1993). Family relationship history, contemporary parent–grandparent relationship quality, and the grandparent–grandchild relationship. Journal of Marriage and the Family, 55(4), 1025–1035. https://doi.org/10.2307/352782.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, Brisbane, QLD, 4072, Australia

    Nam-Phuong T. Hoang

  2. Compassionate Mind Research Group, School of Psychology, The University of Queensland, St Lucia, Brisbane, QLD, 4072, Australia

    Nam-Phuong T. Hoang & James N. Kirby

Authors
  1. Nam-Phuong T. Hoang
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  2. James N. Kirby
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Correspondence to Nam-Phuong T. Hoang.

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Appendix A

Appendix A

Quality appraisal of included studies

Paper

Aim

Appropriateness of qualitative method

Research design appropriateness

Recruitment strategy

Data collection

Researcher-participant relationship consideration

Ethics

Data analysis

Findings

Value of research

Relevance of studies

Chen and Lewis (2015)

0

2

2

2

2

2

2

2

2

2

R

Conn et al. (2013)

2

2

2

2

2

0

2

2

2

2

H

Goh (2013)

2

2

2

2

2

2

2

2

2

2

R

Goh and Kuczynski (2010)

2

2

2

2

2

1

1

2

2

2

H

Goh (2006)

2

2

2

1

2

2

2

2

2

2

H

Leung and Fung (2014)

2

2

2

2

2

2

2

2

2

2

H

Bhopal (1998)

2

2

2

2

2

1

1

1

2

2

H

Thang et al. (2011)

2

2

2

2

2

0

0

1

2

2

H

Low and Goh (2015)

2

2

2

2

2

2

2

2

2

2

R

Sandel et al. (2006)

2

2

2

2

2

2

0

2

2

2

R

  1. 2 = Yes; 1 = Can’t tell; 0 = No
  2. H highly relevant, R relatively relevant

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Hoang, NP.T., Kirby, J.N. A Meta-ethnography Synthesis of Joint Care Practices between Parents and Grandparents from Asian Cultural Backgrounds: Benefits and Challenges. J Child Fam Stud 29, 605–619 (2020). https://doi.org/10.1007/s10826-019-01553-y

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