Nicole M Vélez Agosto, Gladys Stephanie Hernandez, Sarah Chavez Chacon, Danielle Moreno, Cecilia Montiel-Nava
{"title":"Family Systems and Cultural Adaptation in Psychosocial Cancer Interventions for Latinx Families: A Critical Review.","authors":"Nicole M Vélez Agosto, Gladys Stephanie Hernandez, Sarah Chavez Chacon, Danielle Moreno, Cecilia Montiel-Nava","doi":"10.1177/10748407261478083","DOIUrl":"https://doi.org/10.1177/10748407261478083","url":null,"abstract":"<p><p>Cancer creates significant distress to Latinx family dynamics. Research on family interventions has omitted critical aspects that could significantly improve mental health outcomes in this vulnerable population, including the development of interventions with a robust theoretical framework that are simultaneously culturally aligned with deeply rooted Latinx values. This critical review addressed existing psychosocial interventions for families with a cancer patient, their strengths, and limitations. It expanded on three major themes relevant to designing cancer psychosocial interventions for Latinx, while also reviewing nine intervention studies that consider system-family components in intervention design and research, two of them with the additional integration of culture. Key findings were that interventions mostly incorporate some but not all systemic components. Cultural considerations are limited but promising in strengthening interventions. The purpose is to guide the future direction of research and intervention design for family therapy interventions for cancer patients and their families.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261478083"},"PeriodicalIF":2.0,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karen S Lyons, Luke T Russell, Rosemary W Eustace, Martha E Francis, Elisabeth Coyne, Naho Sato, Ásta B Pétursdóttir, Lucila Castanheira Nascimento, Barbara K Giambra, Florinda Galinha-de-Sá, Intima Alrimawi, Susan M Carr, Eric A Hodges, Jie Hu, Willyane de Andrade Alvarenga, Helene Moriarty
{"title":"The Role of Family Nursing Research in Dyadic Health Science.","authors":"Karen S Lyons, Luke T Russell, Rosemary W Eustace, Martha E Francis, Elisabeth Coyne, Naho Sato, Ásta B Pétursdóttir, Lucila Castanheira Nascimento, Barbara K Giambra, Florinda Galinha-de-Sá, Intima Alrimawi, Susan M Carr, Eric A Hodges, Jie Hu, Willyane de Andrade Alvarenga, Helene Moriarty","doi":"10.1177/10748407261471111","DOIUrl":"https://doi.org/10.1177/10748407261471111","url":null,"abstract":"<p><p>Over the past two decades, dyadic health science has grown rapidly to focus on dyads across the lifespan in health and illness contexts. There have been increasing numbers of dyadic theories developed and a wide spectrum of dyadic methods (both quantitative and qualitative) employed to address questions centered on the interpersonal context of health, health behaviors, and wellbeing. Family nurse scholars have unique expertise to contribute to the field of dyadic health science and optimize dyadic health. The purpose of this paper is to provide an overview of theories and methods of dyadic health science and to highlight examples of dyadic health research conducted by family nurse researchers. The paper concludes with a call for family nurse researchers to continue to advance dyadic health science that guides nursing practice in diverse health care settings.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261471111"},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Drakenberg, Daniel R Smith, Ann-Sofie Sundqvist, Christine Leo Swenne, Elisabeth Ericsson
{"title":"Family Health Conversations-A Short-Term Supportive Intervention to Improve Family Well-Being, Functioning, and Involvement in Care After Open-Heart Surgery: A Multicenter, Randomized, Parallel-Group Superiority Trial.","authors":"Anna Drakenberg, Daniel R Smith, Ann-Sofie Sundqvist, Christine Leo Swenne, Elisabeth Ericsson","doi":"10.1177/10748407261440159","DOIUrl":"10.1177/10748407261440159","url":null,"abstract":"<p><p>In this study, a nurse-led supportive family health conversation intervention delivered through one to three video-conferencing sessions was evaluated for patients undergoing open-heart surgery and their self-selected family members. Based on the Family Systems Nursing framework, the intervention aimed to improve family well-being, functioning, and involvement by fostering shared understanding and challenging limiting beliefs. Patients and family members were randomized into two groups. Both received usual surgical care, while the intervention group also participated in digital family health conversations before and after surgery. Participants completed questionnaires at baseline and at 30 and 90 days after discharge. The analysis included 101 patients (control = 54, intervention = 47) and 99 family members (control = 52, intervention = 47). The intervention was not superior to usual care for the primary outcome, family well-being. Most secondary outcomes showed no effect, although some aspects of quality of life improved. Further research should examine long-term effects, feasibility, and appropriate outcome measures.<b>Clinical trials register number and URL:</b> NCT05045196, https://clinicaltrials.gov/study/NCT05045196?cond=NCT05045196&rank=1.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"32 3","pages":"159-176"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13291393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucinda J Graven, Erin Stearns, Thomas Ledermann, Shea Plummer, Marlee Hubble, M Bryant Howren, Joan S Grant, Laurie S Abbott
{"title":"Effects of Coping Resources on Depressive Symptoms in Rural Heart Failure Patient-Caregiver Dyads: An Actor-Partner Interdependence Modeling Analysis.","authors":"Lucinda J Graven, Erin Stearns, Thomas Ledermann, Shea Plummer, Marlee Hubble, M Bryant Howren, Joan S Grant, Laurie S Abbott","doi":"10.1177/10748407261440167","DOIUrl":"10.1177/10748407261440167","url":null,"abstract":"<p><p><b>Background:</b> Managing heart failure (HF) can be challenging for rural dyads, potentially contributing to depressive symptoms. Coping resources may be important components for dyadic interventions targeting depressive symptoms.<b>Purpose:</b> To explore actor and partner effects of coping resources on depressive symptoms in rural HF dyads.<b>Methods:</b> Using a cross-sectional design, data were collected from 42 rural HF dyads using the Interpersonal Support Evaluation List-12, Social Problem-Solving Inventory Revised-Short, Global Family Function, Family APGAR, and the Center for Epidemiological Studies-Depression scales. Data were analyzed using the Actor-Partner Interdependence Model.<b>Results:</b> Patients were 66.42 and caregivers were 60.83 years old. No partner effects noted. Significant actor effects for patients and caregivers between their own social support and depressive symptoms and their own problem-solving and depressive symptoms were found. There was also a significant actor effect between the caregivers' family satisfaction and depressive symptoms.<b>Conclusions:</b> Dyadic interventions that enhance coping resources are needed.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"147-158"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Camilla Rotvig, Selina Kikkenborg Berg, Anna Strömberg, Matilda Holmbom, Hege Andersen, Fien Witters, Tone Merete Norekvål, Camilla Bernild
{"title":"Adolescents' Need for Support When Living With a Parent Having Heart Disease: A Nordic Qualitative Study.","authors":"Camilla Rotvig, Selina Kikkenborg Berg, Anna Strömberg, Matilda Holmbom, Hege Andersen, Fien Witters, Tone Merete Norekvål, Camilla Bernild","doi":"10.1177/10748407261444289","DOIUrl":"10.1177/10748407261444289","url":null,"abstract":"<p><p>Qualitative study using semi-structured individual interviews. Adolescents between 13 and 19 years old were interviewed. They had either a mother or a father with heart disease diagnosed between 6 months and up to 5 years prior to the interview. Analyses were inspired by Reflexive Methodology. Four main themes were found across 33 interviews: (a) the family as fundamental support; (b) peers as a free space; (c) health care professionals as reliable sources and (d) school teachers as validators. Family members provided a trustful atmosphere when open and transparent communication was used. Peers fostered greater openness, honesty, and relatability. Health care professionals and schoolteachers validated and objectified information, which seemed important to handle the situation. A collaborative effort involving family, friends, health care professionals, and schoolteachers is essential for effectively supporting adolescents with parental heart disease.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"135-146"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah E Wawrzynski, Erica Sood, Kelsey Higgins, Alejandra Perez-Ramirez, Nahyun Kang, Erica Del Grippo, Melissa A Alderfer
{"title":"Challenges, Preparations, and Recommendations: Family Perspectives on Pediatric Cardiac Surgery Across Childhood and Adolescence.","authors":"Sarah E Wawrzynski, Erica Sood, Kelsey Higgins, Alejandra Perez-Ramirez, Nahyun Kang, Erica Del Grippo, Melissa A Alderfer","doi":"10.1177/10748407261442562","DOIUrl":"10.1177/10748407261442562","url":null,"abstract":"<p><p>Congenital heart disease (CHD), the most common birth defect globally, often requires hospitalization for cardiac surgery. While the stress of infant surgery is well-documented, less is known about the experiences of families with older children. We explored the experiences of families of children aged 3-17 hospitalized for cardiac surgery. Semi-structured interviews were conducted. Data were analyzed using qualitative content and thematic analysis. Thirty-two parents (30 mothers and 2 fathers) and 14 patients (10 males and 4 females) participated. Seven themes emerged across three domains: (a) Challenges: disruptions in family and social support, unexpected events and inadequate communication, and uncertainty and strong emotions; (b) Preparations: emotionally preparing yourself, your children and your family, and planning for hospitalization and surgical recovery; and (c) Recommendations: enhance communication and connection for support, and provide resources and education for empowerment. Findings highlight opportunities for targeted interventions to support families across child development.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"177-189"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mandy Jansen, Inge H H Coenders, Paul G Voorhoeve, Lianne Wiltink, Nicole Boerboom, Lobke M Silberbusch, Noortje Zandbelt, Sabine Mulder, Dieuwke Fossen, Marlene M A De Haan, Miriam Douma, Judith B Prins, Giesje Nefs
{"title":"Parents' Experiences and Perceived Benefits of a Parent Program in Pediatric Type 1 Diabetes.","authors":"Mandy Jansen, Inge H H Coenders, Paul G Voorhoeve, Lianne Wiltink, Nicole Boerboom, Lobke M Silberbusch, Noortje Zandbelt, Sabine Mulder, Dieuwke Fossen, Marlene M A De Haan, Miriam Douma, Judith B Prins, Giesje Nefs","doi":"10.1177/10748407261464914","DOIUrl":"https://doi.org/10.1177/10748407261464914","url":null,"abstract":"<p><p>Parents' experiences with a group-based parent program in pediatric type 1 diabetes were explored. A mixed-methods, realist-inspired program evaluation was conducted. One hundred thirteen of 211 parents of children (4-19 years) attending the \"LosVast\"/\"Loose-Tight\" program across 12 diabetes centers completed satisfaction surveys; interview participants (<i>k</i> = 28 families/<i>n</i> = 38 parents) were purposively sampled. Quantitative data were analyzed descriptively; qualitative data were coded thematically/narratively. Program satisfaction (<i>m</i> = 5.4; <i>SD</i> = 1.2) and recommendation (<i>m</i> = 5.5; <i>SD</i> = 1.2) were rated on 1 to 7 Likert-type-scales. Parents valued peer support beyond content. Most reported increased awareness of parenting; behavioral changes (e.g., more supportive communication) were most evident among families with moderate pre-existing difficulties. For those, program content resonated most; parents with minimal/substantial difficulties desired a broader focus. Group-related benefits were strongest in groups matched by child age and/or diabetes stage, while also including more experienced families. \"LosVast\" can foster reflection and enhance collaborative diabetes-related parenting, primarily through guided peer exchange, with contextual factors shaping experiences.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261464914"},"PeriodicalIF":2.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heeyeon Son, Radion Svynarenko, Phoebe Tran, Tyra Girdwood
{"title":"Family Living Conditions and Mental Health Outcomes of Adolescents With Special Health Care Needs: Moderating Effect of Family Resilience.","authors":"Heeyeon Son, Radion Svynarenko, Phoebe Tran, Tyra Girdwood","doi":"10.1177/10748407261459949","DOIUrl":"https://doi.org/10.1177/10748407261459949","url":null,"abstract":"<p><p>To assess the moderating effect of family resilience on the relationship between adverse family living conditions and anxiety and depression among adolescents with special health care needs (ASHCN). We conducted a secondary analysis of data of 13,097 ASHCN (aged 10-17 years old) from the combined 2022 and 2023 National Survey of Children's Health (NSCH), representing a total population of 8,069,879 ASHCN. Measures included demographics, parent-proxy-reported diagnosed anxiety and depression, functional difficulties, family structure, family resilience, and family living conditions. The data were analyzed using survey-weighted descriptive statistics and logistic regression models combined with marginal effects analysis. Family resilience mitigated the negative influence of a maximum of two cumulative adverse family living conditions on the likelihood of having parent-proxy-reported diagnosed depression among ASHCN. When looking at the effects of each separate family living condition, family resilience moderated the effect of household dysfunction and adverse childhood experiences on the likelihood of having parent-proxy-reported diagnosed depression. The study found no moderating effects of family resilience on the relationship between living conditions and the likelihood of having parent-proxy-reported diagnosed anxiety. Consideration of family resilience and living conditions among ASHCN intervenes to reduce the incidence of negative health outcomes like anxiety or depression among these vulnerable youth.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261459949"},"PeriodicalIF":2.0,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parents' Roles and Strategies for Caring for a Child With Cancer During Hospitalisation at Home: A Qualitative Study of Parenting Experiences.","authors":"Voskan Kirakosyan, Matthieu Plichart, Caroline Miler, Adeline Mallard, Marie-Frédérique Bacqué","doi":"10.1177/10748407261452142","DOIUrl":"https://doi.org/10.1177/10748407261452142","url":null,"abstract":"<p><strong>Objective: </strong>Paediatric cancer impacts both children and their families, transforming relationships and parenting styles. Within this context, hospitalisation at home (HaH) is increasingly offered in paediatric oncology, transferring care to the home setting and reconfiguring parenting styles. However, the literature on how parents redefine their roles and strategies at home remains limited. The aim of this study is to describe how parents of children with cancer redefine parenting in HaH by identifying the roles and strategies they use.</p><p><strong>Methods: </strong>A qualitative study using semi-structured individual interviews was conducted. The interviews were recorded, transcribed and analysed using Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Twenty-seven parents were interviewed (18 mothers and 9 fathers). Analysis highlighted four themes: (a) adapting to a new care dynamic; (b) sharing parenting with health care teams; (c) taking on multiple parental roles (emotional parent, caregiver, mediator, child's guide, parent for siblings and leader/coordinator); and (d) developing parenting strategies (mutual support between spouses, anticipation and control strategies, selective distancing and negotiating personal distress).</p><p><strong>Conclusion: </strong>HaH transforms parenting into a demanding experience that requires constant adjustments. Parenting manifests itself as an ongoing process, not just based on creativity and adaptability, but also marked by a silent vulnerability that highlights the need to fully recognise and support parents.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261452142"},"PeriodicalIF":2.0,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samet Can Demirci, Burak Erman Menkü, Naz Aksoy, Zeynep Sıla Öztürk, Ahmet Özaslan, Zehra Arıkan
{"title":"Resilience and Quality of Life in Families of Individuals With Polysubstance Use Disorder: Mediating Effects of Internalized Stigma and Caregiving Burden.","authors":"Samet Can Demirci, Burak Erman Menkü, Naz Aksoy, Zeynep Sıla Öztürk, Ahmet Özaslan, Zehra Arıkan","doi":"10.1177/10748407261417986","DOIUrl":"10.1177/10748407261417986","url":null,"abstract":"<p><p>Family members of individuals with polysubstance substance use disorder (PSUD) face many stressors that negatively affect their quality of life (QoL). This study examined the mediating roles of internalized stigma and perceived caregiving burden in the relationship between psychological resilience and QoL among parents of individuals with PSUD. A cross-sectional study was conducted with a sample of 277 individuals consisting of mothers or fathers of individuals diagnosed with PSUD. Participants completed several instruments, including the Connor-Davidson Resilience Scale, Parents' Internalized Stigma of Mental Illness Scale (adapted), Perceived Family Burden Scale, and WHOQOL-BREF. Data analyses included descriptive statistics, correlation analyses, and serial mediation analysis performed using SPSS 27.0 and PROCESS macro (Model 6). Psychological resilience was positively associated with higher QoL and showed an indirect association with QoL through a sequential mediation involving internalized stigma and perceived care burden. The model explained 67% of the variance in QoL (R² = 0.672). Internalized stigma was associated with perceived care burden, which in turn was negatively associated with QoL. Our study emphasizes the importance of addressing psychological resilience, stigma, and caregiving burden together to improve the QoL of families affected by PSUD. Multifaceted interventions targeting these interrelated factors are recommended to improve the QoL of caregivers.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"64-76"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}