Objectives The purpose of this study is to verify the effect of a narrative therapy group program on the custodial grandmothers' ego-integrity and parenting efficacy. Methods A narrative therapy program was conducted for custodial grandmothers in the U region, and the results were compared by conducting a level test on ego-integrity and parenting efficacy before and after the experimental group and the control group. Results The grandmother's sense of self-integration was improved in the post-test (��=3.89) compared to the pre-test (��=2.98), showing a significant level of improvement with statistical (��=-9.345, ��<.001). Parenting efficacy was also improved in the post-test (��=3.08) compared to the pre-test (��=2.48), showing a significant level of effect with statistical (��=-7.434, ��<.001). Conclusions The narrative therapy group program can be seen as a suitable program for enhancing ego-integrity and parenting efficacy for custodial grandmother who are performing the role task of becoming parents again in their old ages.
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