SUMMARY:
We examine the efficacy of an online Social Intelligence Intervention (SII) at improving the health and well-
being of custodial grandmothers (CGMs) and their adolescent custodial grandchildren (ACG) through mutual
enhancement of their social competencies. This target population is of particular importance because both
CGMs and ACG experience significant early life adversities that lead to hypervigilance of others, mistrust,
social isolation, interpersonal conflict, and the inability to garner warmth and support from family and friends.
Numerous studies have shown that these relational challenges within “risky families” often lead to life-long
interpersonal difficulties that increase the probability of behavioral and physical health problems. Furthermore,
adolescence is a key period for the development of social competence, which is influenced by supportive
caregiving and positive modeling from female parent figures. However, because the ability of CGMs to carry
out this intergenerational transmission of social skills is challenged, examining joint social intelligence training
for CGM-ACG dyads is valuable for reversing this negative sequela. Yet, to date, no other investigators have
done so. To address this gap, we will conduct an online randomized clinical trial with 340 nationally-recruited
CGM-ACG (ages 12-18) dyads assigned to either the SII or an attention control condition. Data will be
obtained at pre- and post-test, and at 3-, 6-, and 9-month follow-ups via questionnaires completed by phone.
Daily dairies will be collected online from 170 randomly selected dyads, and qualitative interviews will be
conducted with 60 dyads to probe how the SII affected their daily social competence and social ties. We will
obtain quantitative and qualitative measures of key social cognitive processes, quality of close interpersonal
ties, psychological well-being, and physical health. Administrative medical, criminal, and education records for
all 340 dyads will also be obtained for cost-benefit analyses that examine changes in burden on public
systems. These mixed-methods allow rigorous examination of four specific aims: (1) To investigate if the SII
enhances social competencies that, in turn, produce long-term changes in relationship quality, well-being, and
physical health; this includes determining if increased social competence in one dyad member leads to partner
effects in the other; (2) To examine if cumulative risk, gender, and age moderate SII efficacy; (3) To study
qualitatively how CGM-ACG dyads view the SII as having changed their social competencies and yielded
positive outcomes; and (4) To assess the financial benefits of the SII to participants and their communities.
These aims address a highly significant public health problem that will inform future efforts to support a wide
range of high risk families, like custodial grandfamilies, who typically have insufficient access to formal support
services. Our SII is advantageous because it is inexpensive, delivered online, non-stigmatizing, and capable of
reaching a target population that is geographically disperse and greatly in need of supportive programming.