Families, systems & health : the journal of collaborative family healthcare最新文献

{"title":"Too short.","authors":"H. Stein","doi":"10.1037/fsh0000412","DOIUrl":"https://doi.org/10.1037/fsh0000412","url":null,"abstract":"This brief poem is about the author's experience of loss and grief many years after the death of his father. It is thus about issues of family, loss, grief, time, and deep emotion. Family dynamics continue at both conscious and unconscious levels long after the person is deceased. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122039928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating time in health care: What are we busy about?","authors":"J. Polaha, Jesse M. Hinde, G. Beehler, Nadiya Sunderji","doi":"10.1037/fsh0000453","DOIUrl":"https://doi.org/10.1037/fsh0000453","url":null,"abstract":"At the end of the day, there are both economic and less tangible benefits to having predictable clinic operations in which people's medical and behavioral health needs are met. These different benefits, stemming from changes in how time is used, are relevant to a wide range of stakeholders including administrators, clinicians, and patients. In short, time is one of our most important resources in health care. Therefore, time studies have a crucial role to play in advancing the implementation of integrated care. In this editorial we describe several methods for measuring time and invite readers to consider which of these (or another method you're aware of) balances your needs for precision and feasibility of measurement. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125321185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Looking beyond the individual: How family demands and capabilities affect family adjustment following pediatric solid organ transplant.","authors":"Grace K. Cushman, Cyd K. Eaton, A. Gutierrez-Colina, Lauren F. Quast, Jennifer L Lee, B. Reed‐Knight, Laura L. Mee, Roshan P. George, R. Blount","doi":"10.1037/fsh0000449","DOIUrl":"https://doi.org/10.1037/fsh0000449","url":null,"abstract":"INTRODUCTION\u0000Better family adjustment following pediatric solid organ transplantation has been associated with a number of beneficial medical and psychosocial outcomes. Yet few studies have examined which pretransplant variables are associated with posttransplant family adjustment. This information can aid in identifying families that may need support going into the transplantation process and those who are at lower risk of worse posttransplant adjustment.\u0000\u0000\u0000METHOD\u0000The sample included 66 parents of children with solid organ transplants and 22 children with solid organ transplants. Information regarding demographic factors, parent and child emotional functioning, and child social support was collected during the child's pretransplant evaluation and information on family adjustment was collected 6 months after transplantation.\u0000\u0000\u0000RESULTS\u0000Results indicated that pretransplant demands such as worse parent and child emotional functioning were related to worse family adjustment 6 months after transplantation. Pretransplant capabilities (i.e., higher family income, parent education level, parent marital status, child social support) were not associated with posttransplant family adjustment.\u0000\u0000\u0000DISCUSSION\u0000Pretransplant family demands such as parent and child emotional functioning, as opposed to family capabilities, should be assessed by family health care team members prior to transplantation because they may be related to worse family adjustment after the transplant. We offer recommendations for ways to assess and, if indicated, intervene upon pretransplant family demands in an effort to decrease the risk of worse posttransplant family adjustment. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128713055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation findings from an effectiveness-implementation trial of tablet-based parent training in pediatric primary care.","authors":"Susan M. Breitenstein, S. Laurent, Laura Pabalan, H. Risser, Pamela Roper, M. Saba, M. Schoeny","doi":"10.1037/fsh0000447","DOIUrl":"https://doi.org/10.1037/fsh0000447","url":null,"abstract":"INTRODUCTION\u0000The use of mobile delivery to deliver parent training can address barriers to access and improve the translation of interventions in existing settings like pediatric primary care. Studying implementation provides critical information to identify and address barriers and facilitators and inform sustainability efforts.\u0000\u0000\u0000METHOD\u0000This study was a descriptive evaluation using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework as part of a Hybrid Type I Effectiveness-Implementation trial of the ezParent Program within 4 pediatric primary care clinics. We collected data before, during, and after implementation to evaluate provider implementation and their perspectives on program benefits and barriers to implementation.\u0000\u0000\u0000RESULTS\u0000On average, 14% of eligible parents were introduced to the study. Of these parents, 78% expressed interest in participating and 37% enrolled in the study. Seventy-eight percent of staff providers (n = 36) implemented the procedures at least once, and among those who implemented 3 or more times (n = 24), 79% maintained implementation for 6 months. Barriers to implementation include limited time, lack of information, and full practice buy-in and engagement.\u0000\u0000\u0000DISCUSSION\u0000Implementation fidelity may improve with additional education and training of the interdisciplinary team, clear messaging regarding the purpose and content of the ezParent program, defining roles within the care team, identifying practice champions, and use of the electronic health record. Findings from this evaluation, including data from the randomized controlled trial and literature to support intervention effectiveness and implementation, will be used to develop an implementation toolkit to include specific strategies for implementation and ideas for local adaptations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"135 34","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132802279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Providers' involvement of blended families in pediatric weight management programs.","authors":"K. Pratt, S. Lazorick, I. Eneli, D. Collier, J. Skelton","doi":"10.1037/fsh0000446","DOIUrl":"https://doi.org/10.1037/fsh0000446","url":null,"abstract":"INTRODUCTION\u0000Family based interventions are the standard for pediatric weight management programs (PWMPs), yet the details of how to involve additional family members, when youth are part of blended families (i.e., step families) or reside in multiple households is not well understood. The objective of this study is to describe how providers involve blended families and multiple households in PWMPs.\u0000\u0000\u0000METHOD\u0000A cross-sectional exploratory survey was conducted of providers at PWMPs in the United States and Canada. The survey questions included had both multiple choice and open-ended responses. Univariate analyses were conducted.\u0000\u0000\u0000RESULTS\u000071 providers participated, representing 47 centers/clinics. The majority (96%) reported assessing multiple households, most often during the medical history. Providers reported including the primary caretakers at all known residences (59%), but not immediate family members beyond the primary caretakers. Providers reported adapting dietary (88%) and physical activity (77%) recommendations to accommodate multiple households. The most frequent adaptations included the goals at each family/household, adjustments on a per family basis or based on family resources, and making materials available to all family members. The most frequent challenges in extending treatment plans to multiple households included one caretaker/household not willing to participate or being present at visits, and inconsistency between households. Despite providers reporting that they assess multiple households, they did not have a formal interview template or form to use in assessments (27%).\u0000\u0000\u0000DISCUSSION\u0000Providers recognize the challenges and complexity that blended families present with in obesity treatment. Further research is need to increase provider assessment and involvement of blended families and the extension of goals and treatment plans to multiple homes. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129505906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a community-based intervention on Latino grandparents' knowledge about and self-efficacy in supporting grandchildren's physical activities.","authors":"Hui Xie, L. Caldwell, S. Loy, C. Aristizabal, Araceli Guzman","doi":"10.1037/fsh0000443","DOIUrl":"https://doi.org/10.1037/fsh0000443","url":null,"abstract":"INTRODUCTION\u0000Latino grandparents are often involved in rearing grandchildren, but their roles in promoting children's physical activity (PA) have been largely overlooked. This study examined the impact of a community-based intervention called Nietos Activos y Saludables (Active and Healthy Grandchildren) on Latino grandparents' knowledge about and self-efficacy in supporting grandchildren's (aged 2-12 years) PA.\u0000\u0000\u0000METHOD\u0000The Spanish language intervention, consisting of 4 weekly sessions, was delivered to 12 Latino grandparents (primarily female, aged > 60 years) in Los Angeles County from October to November 2017. Pre- and posttest surveys and postintervention focus groups assessed the intervention impact.\u0000\u0000\u0000RESULTS\u0000Participants indicated that the intervention provided useful information. After intervention sessions, participants achieved a higher score in test on PA requirements for children. They also reported greater knowledge about children's PA, local resources for children's PA, and modifying children's behavior. Additionally, participants reported greater confidence in motivating children in PA and collaborating with parents in promoting children's PA. Results of focus groups generally confirmed the quantitative findings.\u0000\u0000\u0000DISCUSSION\u0000Nietos Activos y Saludables intervention has the promise to increase Latino grandparents' knowledge about and self-efficacy in supporting grandchildren's PA. Future studies should test the impact of the intervention on grandparents' behavior and grandchildren's health outcomes using a randomized controlled trial. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115451103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships matter in population health.","authors":"A. Valeras","doi":"10.1037/fsh0000440","DOIUrl":"https://doi.org/10.1037/fsh0000440","url":null,"abstract":"This column notes that population health approaches have largely focused on the physical body outcomes and metrics, on disease registries, and on insurance claim information rather than measures that apply to whole person wellness (an integration of physical, mental, and spiritual health). There has been significant progress in recognizing that people's health is influenced by the context and systems in which they live. Parsing out the influence of context (social and behavioral determinants of health) and predominant physical disease processes is counter to the principles of systems thinking. It is only through examining and understanding the relationships between social and behavioral determinants of health, mental health, and physical health as three parts of a whole that meaningful gains might be achieved on an individual level as well as the population level. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"471 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133015081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Slice.","authors":"Claudia May","doi":"10.1037/fsh0000428","DOIUrl":"https://doi.org/10.1037/fsh0000428","url":null,"abstract":"In his attempts to treat the condition vesicovaginal fistula, Dr. J. Marion Sims experimented on black slave women during the 1800s. Within 5 years, a 17 year old slave woman called Anarcha endured 30 operations under the medical supervision of Dr. Sims to repair a vesicovaginal fistula. She suffered these invasive surgeries without the aid of anesthesia. Debates on whether Sims was negligent in failing to administer this form of pain management to disenfranchised women abound. Still, the emotional and physical distress slave women like Anarcha lived through largely remain unexplored in Sims' biography and medical journal articles. My poem, \"Slice,\" redresses the disassociated accounts of these women's lives by placing the emotion and physiological trauma they experienced at the center of a literary piece that seeks to honor their humanity and acknowledge their pain. The feelings embodied in \"Slice\" convey a poetic interpretation of Anarcha's experiences because she is the speaker in this poem. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127945554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An unheeded plea.","authors":"Sean T. H. Lee","doi":"10.1037/fsh0000419","DOIUrl":"https://doi.org/10.1037/fsh0000419","url":null,"abstract":"This brief piece of creative writing presents a case of an elderly woman being treated for atherosclerosis via angioplasty. What was particularly unforgettable to the author was that the elderly woman repeatedly remarked that she needed to use the bathroom. Sadly, complications arose in the supposedly minor and low-risk procedure, and she was never able to use the bathroom as she had hoped to. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121787675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Illuminating Alzheimer's disease.","authors":"J. McGee","doi":"10.1037/fsh0000424","DOIUrl":"https://doi.org/10.1037/fsh0000424","url":null,"abstract":"This poem was written by the wife of a man with early-stage Alzheimer's disease. The doctor showed her a picture of his brain. She did not explain the picture well, but said that her husband is still a person full of love and light. (PsycINFO Database Record (c) 2019 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"9 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133111606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}