International Journal of Qualitative Studies on Health and Well-Being最新文献_第5页

Healthcare and social care professionals' experiences of respite care: a critical incident study. 医疗保健和社会护理专业人员对临时护理的体验：关键事件研究。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-05-12 DOI: 10.1080/17482631.2024.2352888

Annelie K Gusdal, Mirkka Söderman, Tina Pettersson, Jaana Kaup, Lena-Karin Gustafsson

{"title":"Healthcare and social care professionals' experiences of respite care: a critical incident study.","authors":"Annelie K Gusdal, Mirkka Söderman, Tina Pettersson, Jaana Kaup, Lena-Karin Gustafsson","doi":"10.1080/17482631.2024.2352888","DOIUrl":"10.1080/17482631.2024.2352888","url":null,"abstract":"Introduction: Aging in place is favoured among older persons and supported by research in Sweden, although it poses challenges for overburdened informal caregivers. While respite care can offer support, its accessibility is hindered by organizational challenges and informal caregivers' delays in using it. The experiences of informal caregivers are well-studied, but the professionals' experiences of respite care quality and critical incident management are underexplored.Aim: To explore professionals' experiences of critical incidents in respite care, consequences for the persons being cared for, and strategies to manage critical incidents.Materials and methods: A qualitative, critical incident technique was used, and three group interviews with a total of 16 professionals were conducted.Results: Barriers to quality respite care included communication gaps during care transitions, environmental shortcomings in respite care facilities, lack of support for informal caregivers, and inadequacies in respite care decisions. Strategies to manage critical incidents included individualized care, continuity and communication in care transitions, a conducive environment, support for informal caregivers, and care professionals' positive approach.Conclusions: The study emphasizes the need for focused efforts on communication, continuity, and a supportive environment. Addressing identified challenges and applying suggested strategies will be key to maximizing the potential of respite care as a vital support for care recipients and their informal caregivers.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Qualitative case study on the disability acceptance experiences of soldiers with disabilities. 关于残疾士兵接受残疾的经历的定性案例研究。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-05-08 DOI: 10.1080/17482631.2024.2350081

Haneul Lee, Jeehee Pyo, Minsu Ock, Hyun Joo Kim

{"title":"Qualitative case study on the disability acceptance experiences of soldiers with disabilities.","authors":"Haneul Lee, Jeehee Pyo, Minsu Ock, Hyun Joo Kim","doi":"10.1080/17482631.2024.2350081","DOIUrl":"10.1080/17482631.2024.2350081","url":null,"abstract":"Purpose: This study comprehensively examines the disability acceptance experience of individuals who become disabled following accidents in the military after enlistment.Methods: In-depth interviews and participative observation of two soldiers with disabilities are conducted. Data sources encompass the transcripts from these interviews, relevant news videos, and articles on the participants. A qualitative case study approach is applied to conduct both \"within-case\" and \"cross-case\" analyses.Results: Although the two participants survived a crippling accidents, their military units did not actively attempt to resolve the accident. They grappled with despair and found it challenging to accept their new status as individuals with disability. Over time, they noticed changes in their personal relationships and started considering themselves burdens on their caregivers. However, despite encountering psychological challenges, which were marked by repeated setbacks and disappointments, the soldiers consistently made determined efforts to realize their objectives. Moreover, they strove to lead purposeful lives despite suffering the adversities caused by their disabilities.Conclusions: This study is the first in-depth examination of the disability acceptance experiences of soldiers with disability. The insights gleaned from our in-depth interviews will help formulate psychological and physical support systems for such individuals.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic illness experience in the context of resource-limited settings: a concept analysis. 资源有限环境下的慢性病经历：概念分析。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-07-15 DOI: 10.1080/17482631.2024.2378912

Ellen Samwiri Nkambule, Gladys Msiska

{"title":"Chronic illness experience in the context of resource-limited settings: a concept analysis.","authors":"Ellen Samwiri Nkambule, Gladys Msiska","doi":"10.1080/17482631.2024.2378912","DOIUrl":"10.1080/17482631.2024.2378912","url":null,"abstract":"Aim: This review describes the ways in which individuals experience chronic illnesses in resource-limited settings; to define the concept and understand its attributes, antecedents and consequences.Methods: A comprehensive analysis of the databases CINAHL, PubMed and Google Scholar was conducted. During literature search the following limits were applied: articles published in English with available full-text; articles that focused on living with chronic illness in adults from the patient's perspective.Results: The following three attributes of chronic illness experience were identified: transformational experience, acceptance and self-management. Prominent predisposing factors (antecedents) were: genetic inheritance, malnutrition and poverty, high levels of stress and unhealthy lifestyle. The most dominant consequences were as follows: impact on quality of life; self-management burden; burden to others and economic stressors.Conclusions: The findings underscore the need for health-care professionals to understand the chronic illness experience in the context of resource-limited settings and its consequences. The greater insights into the concept of chronic illness experience in resource-limited settings will guide nurses to support people in the realities of chronic illness experience in resource-limited settings in developing countries. This knowledge can guide nurses in providing competent care to chronically ill individuals, including meeting their individual needs with such illnesses.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building up bit by bit, parent's experiences of equine-assisted intervention among children and adolescents with mental illness: a grounded theory study. 一点一滴的积累，父母对患有精神疾病的儿童和青少年进行马术辅助干预的经验：一项基础理论研究。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-05-17 DOI: 10.1080/17482631.2024.2354945

Ing-Marie Carlsson, Marie Bräutigam Ewe, Peter Nymberg, Henrika Jormfeldt

{"title":"Building up bit by bit, parent's experiences of equine-assisted intervention among children and adolescents with mental illness: a grounded theory study.","authors":"Ing-Marie Carlsson, Marie Bräutigam Ewe, Peter Nymberg, Henrika Jormfeldt","doi":"10.1080/17482631.2024.2354945","DOIUrl":"10.1080/17482631.2024.2354945","url":null,"abstract":"Background: Mental ill health among children and adolescents has increased worldwide. Mental health difficulties from a young age are associated with school absence and educational underachievement. A holistic perspective of treatments besides medical treatment is essential Thus, there is a need for research regarding equine-assisted intervention (EAI).Purpose: The present study aimed to understand the outcomes of an equine-assisted intervention for children and adolescents with mental ill health from the perspectives of parents and close relatives.Methods: This study used a qualitative research design informed by Charmaz's Grounded Theory, with a purposive sample including six in-depth interviews.Results: The theory \"building up bit by bit\" was constructed, explaining the recognition that their children/adolescents were built up bit by bit and created a stronger self-identity. The participants referred to changes in the child's or adolescent's way of being and emotional regulation, which constituted building blocks leading to the child's or adolescent's 1. increased Harmony. 2. enhanced Self-identity, and 3. improved Capability.Conclusion: Parents and close relatives experienced that their child or adolescent was built up bit by bit and gained a stronger foundation to stand on. This led to increased harmony in everyday life with stronger self-worth, better performance, and reduced school absenteeism.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare professionals' experiences of eHealth in palliative care for older people: challenges, compromises and the price of dignity. 医护人员在老年人姑息关怀中使用电子健康的经验：挑战、妥协和尊严的代价。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-07-11 DOI: 10.1080/17482631.2024.2374733

Rada Sandic Spaho, Lisbeth Uhrenfeldt, Theofanis Fotis, Jorunn Bjerkan, Ingjerd Gåre Kymre

{"title":"Healthcare professionals' experiences of eHealth in palliative care for older people: challenges, compromises and the price of dignity.","authors":"Rada Sandic Spaho, Lisbeth Uhrenfeldt, Theofanis Fotis, Jorunn Bjerkan, Ingjerd Gåre Kymre","doi":"10.1080/17482631.2024.2374733","DOIUrl":"10.1080/17482631.2024.2374733","url":null,"abstract":"Purpose: To explore whether and how eHealth solutions support the dignity of healthcare professionals and patients in palliative care contexts.Method: This qualitative study used phenomenographic analysis involving four focus group interviews, with healthcare professionals who provide palliative care to older people.Results: Analysis revealed four categories of views on working with eHealth in hierarchical order: Safeguarding the patient by documenting-eHealth is a grain of support, Treated as less worthy by authorities-double standards, Distrust in the eHealth solution-when the \"solution\" presents a danger; and Patient first-personal contact with patients endows more dignity than eHealth. The ability to have up-to-date patient information was considered crucial when caring for vulnerable, dying patients. eHealth solutions were perceived as essential technological support, but also as unreliable, even dangerous, lacking patient information, with critical information potentially missing or overlooked. This caused distrust in eHealth, introduced unease at work, and challenged healthcare professionals' identities, leading to embodied discomfort and feeling of a lack of dignity.Conclusion: The healthcare professionals perceived work with eHealth solutions as challenging their sense of dignity, and therefore affecting their ability to provide dignified care for the patients. However, healthcare professionals managed to provide dignified palliative care by focusing on patient first.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A phenomenological investigation of kinship involvement in the lives of children whose parents have mental illness.

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-10-09 DOI: 10.1080/17482631.2024.2414481

Ebenezer Cudjoe, Victoria Awortwe

{"title":"A phenomenological investigation of kinship involvement in the lives of children whose parents have mental illness.","authors":"Ebenezer Cudjoe, Victoria Awortwe","doi":"10.1080/17482631.2024.2414481","DOIUrl":"https://doi.org/10.1080/17482631.2024.2414481","url":null,"abstract":"Background and purpose: Mental health services rarely reach children whose parents have mental illness despite their poor outcomes. There is a need to consider how mental health practitioners can prioritize the needs of these children and their families. This study examined kinship involvement in the lives of children whose parents have mental illness.Methods: A phenomenological design was used, interviewing 20 children (aged 10-17 years) in families with parental mental illness (PMI) in Ghana. The interview data was analysed to attain the essential features of what kinship support looks like for children and their families.Results: The essential feature of kinship support for children and families with PMI is characterized by uncertainty. However, there is an overall impression that kinship is generally supportive to these families, providing respite services, assistance with daily living, emotional support and advice to children and families. Yet, there is a sense that kinship may not always be helpful to these families.Conclusions: Kinship support is integral in countries where formal mental health services are inadequate and should be explored/harnessed by mental health practitioners. The study provides directions into ways practitioners can utilize kinship as a resource when working with these families.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The experience of adolescence process among French teenager pregnancies: a mixed-methods study. 法国少女怀孕的青春期经历：一项混合方法研究。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-08-04 DOI: 10.1080/17482631.2024.2386715

Mireille Cosquer, Catherine Jousselme, Bruno Falissard, Aline Lefebvre

{"title":"The experience of adolescence process among French teenager pregnancies: a mixed-methods study.","authors":"Mireille Cosquer, Catherine Jousselme, Bruno Falissard, Aline Lefebvre","doi":"10.1080/17482631.2024.2386715","DOIUrl":"10.1080/17482631.2024.2386715","url":null,"abstract":"Purpose: Teenage pregnancy remains a significant global public health concern worldwide. However, it presents a complex phenomenon in developed countries, carrying potential short- and long-term consequences for both mothers and children.Methods: This mixed method study used data from the French cross-sectional study \"Portraits of adolescents\", which included 6000 girls aged between 13 and 17 years. The quantitative approach involved comparisons between a subgroup with an history of pregnancy and their peers, examining their lived-experience and mental health. The qualitative approach investigated the question \"What does being a teenager mean for you?\" specifically for the girls who reported an history of pregnancy.Results: Teenage pregnancies presented elevated rates of mental health disorders, including dark thoughts, depression, self-harm, participating in dangerous games, attempting suicide and increased use of psychoactive substances. With limited support, in comparison to their peers. The qualitative approach revealed three major themes: \"being in action\", \"a way of feeling\", and \"quality of relationship\".Conclusion: This vulnerable subgroup of adolescents suggests the need for a coordinated multidisciplinary healthcare approach, given their limited parental and friend support, with a high risk of experiencing poor mental health. Additionally, these findings portray a \"silent sufferer\" population characterized by difficulties recognizing or managing emotions due to difficulties in expressing their emotional distress.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental health service user organizations in times of crises: adaptions, challenges and opportunities experienced by local associations during COVID-19. 危机时期的心理健康服务用户组织：地方协会在 COVID-19 期间经历的适应、挑战和机遇。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-07-15 DOI: 10.1080/17482631.2024.2380360

Katarina Grim, Urban Markström

{"title":"Mental health service user organizations in times of crises: adaptions, challenges and opportunities experienced by local associations during COVID-19.","authors":"Katarina Grim, Urban Markström","doi":"10.1080/17482631.2024.2380360","DOIUrl":"10.1080/17482631.2024.2380360","url":null,"abstract":"Purpose: This study examines how local user associations of mental health service-user organizations were affected by the pandemic, in order to provide guidance to user organizations and surrounding actors on future advancements. The pandemic is used as a case to explore organizational resilience and digitalization during crisis.Methods: Data from focus group interviews and individual interviews with representatives of ten local associations were analysed using qualitative content analysis. A theoretical framework combining governance theory and organizational theory was applied.Results: Typically, associations swiftly restructured activities to support members to meet the urgent needs that arose, not least in relation to the digital transition. Simultaneously, face-to-face interactions was valued and some members became isolated. Public sector actors often did not prioritize collaboration, and the associations had limited agency and influence in advocacy activities.Conclusions: User organizations can play an important role in times of crisis. Surrounding social systems should provide resources to counteract resource dependencies and allow organizations to develop operating reserves. They should value collaboration and establish collaborative practices to ensure a readiness to utilize the organizations' capacities when needed. User organizations should have control over future developments, both to harness the potential of digital connectivity and to prevent a digital divide.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC467096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The search for meaning in health care inquiries: introducing qualitative meaning analysis. 在医疗保健调查中寻找意义：引入定性意义分析。

IF 2.1 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI: 10.1080/17482631.2024.2382809

Helena Dahlberg, Karin Dahlberg, Christopher Holmberg

{"title":"The search for meaning in health care inquiries: introducing qualitative meaning analysis.","authors":"Helena Dahlberg, Karin Dahlberg, Christopher Holmberg","doi":"10.1080/17482631.2024.2382809","DOIUrl":"10.1080/17482631.2024.2382809","url":null,"abstract":"Purpose: To describe how Qualitative Meaning Analysis (QMA), based on a lifeworld theoretical approach, can be made accessible to students and researchers not well-versed in the philosophy of science or qualitative research. Additionally, to demonstrate that it is a more rigorous approach than qualitative content analysis in guiding healthcare inquiries.Method: In recent years, qualitative approaches in nurse education and research have increasingly relied on various content analytical procedures. Liberated from clear philosophical underpinnings, they offer a seemingly pragmatic stance to nursing inquiries. However, by prioritizing 'sorting content' over the exploration of meaning, there's a risk of adopting a mechanistic approach to qualitative analysis. This is problematic because we contend that the search for meaning lies at the heart of qualitative inquiry in nursing and healthcare research, dealing with existential phenomena surrounding health, illness, and care.Result: This paper explores the search for meaning in health care research, particularly in nursing, and introduces key epistemological aspects. It also discusses practical considerations to further familiarize and encourage the use of QMA in graduate nursing education and research.Conclusion: Qualitative inquiry with a focus on meaning is a powerful means when the intention is to develop person-centered care, and the relationship between the professionals and patients is in focus. Such an approach has the potential to illuminate existential suffering as well as innate health capacities in patients.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11275520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding family functioning in mothers and daughters with obesity. 了解肥胖症母亲和女儿的家庭功能。

IF 1.8 4区医学

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-05-11 DOI: 10.1080/17482631.2024.2348894

Becky Marquez, Florencia Lebensohn-Chialvo, Tala Al-Rousan

{"title":"Understanding family functioning in mothers and daughters with obesity.","authors":"Becky Marquez, Florencia Lebensohn-Chialvo, Tala Al-Rousan","doi":"10.1080/17482631.2024.2348894","DOIUrl":"10.1080/17482631.2024.2348894","url":null,"abstract":"Purpose: This study sought to understand family functioning surrounding weight in Mexican American women with obesity.Methods: Semi-structured in-depth interviews were conducted with mothers and adult daughters (N = 116).Results: Thematic analysis identified five themes. 1) The communication process drives perception of supportive messages. Messages perceived as non-supportive consist of directives as interventions, confirmation of faults, and critical compliments whereas supportive consist of compliments, encouragement, empathetic listening, and disclosure. 2) Acculturation differences interfere with intergenerational alliance. Differences involve dissonance in communication, behavioural expectations, and weight-related practices. 3) Maladaptive conflict responses contribute to relational strain. These responses include avoidance, withdrawal, and defensiveness. 4) Role transformations alter the generational hierarchical relationship. Daughters serve as role models, caregivers, or collaborators. 5) Low communal coping heightens psychological distress. It does so by challenging family roles, increasing social isolation, and compromising social support.Conclusion: Obesity interventions for Mexican American women may benefit from targeting relational skills to improve family functioning.","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0