Families Systems & Health最新文献

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Family resilience in obstetric patients with hypertensive disorder of pregnancy from initial diagnosis to six months postpartum: A longitudinal survey. 产科妊娠高血压疾病患者从最初诊断到产后6个月的家庭恢复力:一项纵向调查。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-09-15 DOI: 10.1037/fsh0001015
JingJing Yi, Hui Zhao, Lei Chen, Xingting Li, Xiaoli Lv, Fang Yang
{"title":"Family resilience in obstetric patients with hypertensive disorder of pregnancy from initial diagnosis to six months postpartum: A longitudinal survey.","authors":"JingJing Yi, Hui Zhao, Lei Chen, Xingting Li, Xiaoli Lv, Fang Yang","doi":"10.1037/fsh0001015","DOIUrl":"https://doi.org/10.1037/fsh0001015","url":null,"abstract":"<p><strong>Introduction: </strong>Hypertensive disorders of pregnancy (HDP) significantly affect patients and their families. This study investigates the changes in family resilience in HDP patients from diagnosis to 6 months postpartum, highlighting factors that influence resilience over time.</p><p><strong>Method: </strong>A prospective longitudinal study was conducted with 270 families of HDP patients. Data were collected using standardized psychometric tools at four time points: first diagnosis of hypertension in pregnancy (baseline; T0), during late pregnancy (≥ 28 weeks) and through delivery (T1), 3 months postpartum (T2), and 6 months postpartum (T3). Analysis of variance compared family resilience across time points, and generalized estimating equations assessed influencing factors.</p><p><strong>Results: </strong>Family resilience scores increased significantly from T0 (95.50) to T3 (141.36), with notable differences between time points (<i>p</i> < .01). The generalized estimating equations model identified key determinants of resilience, including family function, social support, maternal education, employment status, religious beliefs, type of care, and methods of conception. These factors significantly influenced resilience levels at different stages, emphasizing the dynamic nature of family adaptation during HDP and the postpartum period.</p><p><strong>Discussion: </strong>Family resilience in HDP patients increased over time, influenced by family dynamics and external support. These results suggest that targeted interventions focusing on improving family function and social support are crucial for enhancing family resilience during pregnancy and postpartum. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066666","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
Recognizing and addressing medical trauma: An imperative for integrated primary care. 认识和处理医疗创伤:综合初级保健的当务之急。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-08-28 DOI: 10.1037/fsh0001014
Nic Schmoyer-Edmiston, Traci Richards
{"title":"Recognizing and addressing medical trauma: An imperative for integrated primary care.","authors":"Nic Schmoyer-Edmiston, Traci Richards","doi":"10.1037/fsh0001014","DOIUrl":"10.1037/fsh0001014","url":null,"abstract":"<p><strong>Introduction: </strong>Traumatic stress is an experience that contributes to a variety of medical and behavioral health concerns that present in the primary care context. The intersection of traumatic stress and health care is conceptualized as medical trauma (MT), where individuals receiving health care services are exposed to traumatic stress related to their health care experiences. Currently, MT may be an overlooked and underresearched phenomenon in health care, with significant implications for primary care teams. An understanding of ways to conceptualize, recognize, and address MT in the primary care context is an important step in creating trauma-informed primary care spaces.</p><p><strong>Method: </strong>In this article, we provide a description of MT from the available literature and a method of conceptualizing the experience of traumatic stress related to health care experiences through the enduring somatic threat model.</p><p><strong>Results: </strong>We identify potential risk factors and health care experiences typically associated with MT. Next, we identify strategies to recognize and address experiences of MT within the context of primary care through an exploration of assessment and intervention strategies. Finally, we provide a brief MT case example to highlight presentation, assessment, and intervention in the primary care context.</p><p><strong>Discussion: </strong>MT has the potential to significantly affect patients' wellness and quality of life, with the associated biopsychosocial concerns presenting in primary care due to the context and goals of these settings. Future efforts should aim to enhance the integrated primary care team members' ability to conceptualize, assess, and address MT. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979578","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
Family-centered decision making in living liver transplantation: Analyzing the tripartite physician-patient-family model in Taiwan. 以家庭为中心的活体肝移植决策:台湾医师-患者-家庭三方模式分析。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-08-21 DOI: 10.1037/fsh0001013
Ching Fang Wu, Shih-Chieh Fang, Ching Ying Huang, Chen-Wei Yang, Fu-Sheng Tsai, Yih-Jyh Lin, Yi-Hsiu Lin
{"title":"Family-centered decision making in living liver transplantation: Analyzing the tripartite physician-patient-family model in Taiwan.","authors":"Ching Fang Wu, Shih-Chieh Fang, Ching Ying Huang, Chen-Wei Yang, Fu-Sheng Tsai, Yih-Jyh Lin, Yi-Hsiu Lin","doi":"10.1037/fsh0001013","DOIUrl":"10.1037/fsh0001013","url":null,"abstract":"<p><strong>Introduction: </strong>Living donor liver transplantation (LDLT) necessitates effective shared decision making (SDM) to ensure optimal outcomes. Traditional models focus on the physician-patient dyad; however, in Taiwan, family involvement is integral to the decision-making process. This study addresses the gap by proposing a tripartite model that incorporates physicians, patients, and family members to capture the cultural nuances influencing LDLT decisions.</p><p><strong>Method: </strong>A retrospective chart review was conducted on 105 LDLT cases from the Transplant Surgery Department at National Cheng Kung University Hospital (2015-2022). The study employed thematic analysis to examine qualitative data extracted from medical records, including medical, psychiatric, and social evaluations, thereby identifying key themes in the decision-making process.</p><p><strong>Results: </strong>Analysis revealed that LDLT decision making in Taiwan is predominantly family-centered. Three main themes emerged: the initiation of SDM by physicians and primary caregivers, a comprehensive risk assessment process integrating both clinical and psychosocial perspectives, and a final decision-making stage driven by collective family consensus. These findings highlight the complex interplay between medical factors and familial dynamics in donor selection and transplant outcomes.</p><p><strong>Discussion: </strong>The study extends traditional binary decision-making models by highlighting the critical role of family involvement in LDLT. The tripartite framework not only reflects Taiwan's cultural context but also offers valuable insights for improving clinical practices and health care policies. Integrating family-centered approaches into SDM processes may enhance patient safety, promote ethical practices, and ultimately lead to better transplant outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979557","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
Caregiver empowerment, family asthma management, and patient-provider relationship for children with asthma. 照顾者赋权,家庭哮喘管理,以及哮喘儿童的医患关系。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-08-21 DOI: 10.1037/fsh0001008
Maria Teresa Coutinho, Sasha Raman, Sheryl J Kopel, Danielle Small, Elizabeth L McQuaid, Daphne Koinis-Mitchell
{"title":"Caregiver empowerment, family asthma management, and patient-provider relationship for children with asthma.","authors":"Maria Teresa Coutinho, Sasha Raman, Sheryl J Kopel, Danielle Small, Elizabeth L McQuaid, Daphne Koinis-Mitchell","doi":"10.1037/fsh0001008","DOIUrl":"10.1037/fsh0001008","url":null,"abstract":"<p><strong>Introduction: </strong>Caregivers play an important role in their child's asthma management. This study examines the association of caregiver empowerment with family asthma management, and the patient-provider relationship for urban children and their caregivers.</p><p><strong>Method: </strong>Data were collected between 2011 and 2014. Participants were racially diverse dyads of caregivers and children (<i>N</i> = 141) between 7 and 9 years old diagnosed with asthma, living in urban school districts.</p><p><strong>Results: </strong>Results showed that caregiver empowerment was not associated with family asthma management; however, better family asthma management ratings were related to having a caregiver born in the United States who spoke English, and an annual family income above the poverty threshold. Caregiver empowerment was inversely associated with the patient-provider relationship, suggesting that caregiver increased comfort in navigating one's community and health services was associated with lower ratings of the patient-provider relationship.</p><p><strong>Discussion: </strong>The findings highlight the importance of considering caregiver empowerment when understanding the patient-provider relationship for children diagnosed with asthma. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979621","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
A necessity of disease management: Unpacking young adult couple experiences of accessing care in the management of sickle cell disease. 疾病管理的必要性:在镰状细胞病的管理中获得护理的年轻成人夫妇的经验。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-08-21 DOI: 10.1037/fsh0001011
Brittany Huelett-Lyons, Jaqueline Williams-Reade, Zephon Lister, Brian Distleberg, Carolyn Rowley, Misty Schmidt
{"title":"A necessity of disease management: Unpacking young adult couple experiences of accessing care in the management of sickle cell disease.","authors":"Brittany Huelett-Lyons, Jaqueline Williams-Reade, Zephon Lister, Brian Distleberg, Carolyn Rowley, Misty Schmidt","doi":"10.1037/fsh0001011","DOIUrl":"10.1037/fsh0001011","url":null,"abstract":"<p><strong>Introduction: </strong>This medical family therapy-informed study explores the experiences of young couples living with sickle cell disease (SCD) as they engage with the health care system. Recognizing the critical role of disease management and health care provider interactions, the research focuses on how these couples access care and manage illness together. Young adults with SCD are particularly vulnerable to poor disease management, reduced health-related quality of life, and frequent episodic pain crises. While prior research has examined individual challenges in disease management, limited attention has been given to the shared experiences of young adults with SCD and their partners in navigating the health care system. This study addresses that gap by capturing couples' experiences through a systemic lens.</p><p><strong>Method: </strong>Between August 2021 and February 2022, 18 individuals (nine couples) were recruited from SCD support groups and virtual platforms across the United States. Individual interviews were conducted and analyzed using transcendental phenomenology to explore both individual and shared perspectives on health care navigation.</p><p><strong>Results: </strong>Two overarching themes and five subthemes emerged, reflecting how partners' perspectives influence the couple's shared experience of navigating the health care system.</p><p><strong>Discussion: </strong>By incorporating both individual and shared perspectives, this study contributes to the development of collaborative health care strategies for young adults with SCD. It highlights the importance of improving disease management and health care interactions to enhance the well-being of couples living with chronic illness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979593","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
Acceptability and preliminary outcomes of an acceptance and commitment therapy group for parents of adolescents with type 1 diabetes. 青少年1型糖尿病父母接受与承诺治疗小组的可接受性和初步结果
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-07-24 DOI: 10.1037/fsh0001002
Hayley Thompson, Katie Trigg, Rebecca Gammage, Rachel Batchelor
{"title":"Acceptability and preliminary outcomes of an acceptance and commitment therapy group for parents of adolescents with type 1 diabetes.","authors":"Hayley Thompson, Katie Trigg, Rebecca Gammage, Rachel Batchelor","doi":"10.1037/fsh0001002","DOIUrl":"10.1037/fsh0001002","url":null,"abstract":"<p><strong>Background: </strong>Parents of adolescents with Type 1 diabetes typically experience distress and changes in their parent-child relationships, which can influence overall diabetes management. This study assesses the acceptability and preliminary outcomes of a four-session acceptance and commitment therapy (ACT) group intervention for parents of adolescents with Type 1 diabetes.</p><p><strong>Method: </strong>In total, 10 parents of adolescents (aged 13-18 years old) completed a four-session ACT group intervention, with seven mothers and one father completing written feedback and quantitative measures. Written feedback from parents and facilitators was collected to assess the acceptability of the group and its strengths and shortcomings. Participants completed the following quantitative measures: the Parent Diabetes Distress Scale to assess diabetes-related distress including parent-child relationship distress and the Valued Living Questionnaire to assess adherence to personal values.</p><p><strong>Results: </strong>Overall, written feedback indicated high acceptability of the group to both parents and facilitators, with most parents recommending it to peers. Postintervention, there were trends toward distress reduction in each domain of the Parent Diabetes Distress Scale, except personal distress. Higher scores in valued-based living were also indicated postintervention for most parents, suggesting parents were living more in line with their values.</p><p><strong>Conclusions: </strong>This study demonstrated the acceptability of an ACT group as an intervention for parents of adolescents with Type 1 diabetes. The quantitative findings, supplemented by written feedback, indicated that ACT principles may help parents shift focus onto their values around parenting and caregiving and support the parent-child relationship. Potential adaptations are discussed to further develop the intervention and reduce participant dropout. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710005","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
Osteogenesis imperfecta and the family: A qualitative analysis of the experiences of family and caregivers. 成骨不全症与家庭:家庭与照护者经验之定性分析。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-07-10 DOI: 10.1037/fsh0001004
Gianna M Colombo, Andrew D Wiese, Amelia E Mercado, Whitney S Shepherd, Michelle Fynan, Kara Ayers, W Conor Rork, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Julia M Morales, Saniah I Kazimi, Hannah E Cho, Members Of The Bbdc, Chaya N Murali, Marie-Eve Robinson, Brendan Lee, V Reid Sutton, Eric A Storch
{"title":"Osteogenesis imperfecta and the family: A qualitative analysis of the experiences of family and caregivers.","authors":"Gianna M Colombo, Andrew D Wiese, Amelia E Mercado, Whitney S Shepherd, Michelle Fynan, Kara Ayers, W Conor Rork, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Julia M Morales, Saniah I Kazimi, Hannah E Cho, Members Of The Bbdc, Chaya N Murali, Marie-Eve Robinson, Brendan Lee, V Reid Sutton, Eric A Storch","doi":"10.1037/fsh0001004","DOIUrl":"10.1037/fsh0001004","url":null,"abstract":"<p><strong>Introduction: </strong>Osteogenesis imperfecta (OI) describes a group of rare, heritable bone disorders causing bone fragility, tendency to fracture with minimal trauma, and chronic pain due to abnormal collagen synthesis. Limited research exists on the psychosocial impact of OI during childhood on caregivers and families.</p><p><strong>Purpose: </strong>This study aimed to understand caregiver experiences, existing social support provided for families affected by OI, and the impact of OI on family life.</p><p><strong>Method: </strong>Thirteen caregivers of individuals with OI participated in semistructured interviews. Researchers coded, abstracted, and analyzed qualitative data to develop themes on the psychosocial impact of OI on the family unit.</p><p><strong>Results: </strong>Analysis yielded four themes: (a) encountering difficult experiences during diagnosis of OI, (b) caregiver well-being and coping, (c) broad family impact, and (d) the existence and further need for social support.</p><p><strong>Discussion: </strong>Findings have implications for child and caregiver well-being and health care professionals during diagnosis and emphasize the need for social support for families affected by OI. Future research should engage a more diverse (in terms of ethnoracial demographics and family structures) sample and utilize quantitative analyses to complement the present understanding of the relationship between OI and family well-being. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610371","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
Implementation and evaluation of an integrated behavioral health curriculum within a family medicine clerkship. 家庭医学实习中综合行为健康课程的实施与评估。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-07-03 DOI: 10.1037/fsh0001000
Catherine Guariglia, Pooja Padgaonkar, Mollie Cherson, Barbara Cymring, Dhruvi Shah, Laura Monroe, Maria Syl D de la Cruz
{"title":"Implementation and evaluation of an integrated behavioral health curriculum within a family medicine clerkship.","authors":"Catherine Guariglia, Pooja Padgaonkar, Mollie Cherson, Barbara Cymring, Dhruvi Shah, Laura Monroe, Maria Syl D de la Cruz","doi":"10.1037/fsh0001000","DOIUrl":"10.1037/fsh0001000","url":null,"abstract":"<p><strong>Introduction: </strong>Integrating behavioral health into primary care through the Primary Care Behavioral Health model is crucial for addressing physical and mental health needs. Despite its importance, undergraduate medical education often lacks education and exposure to integrated behavioral health (IBH).</p><p><strong>Method: </strong>This study aimed to address this gap by implementing an IBH curricular experience within a third-year family medicine clerkship and evaluating its impact on the students' knowledge and confidence in understanding IBH and managing mental health in primary care. The curriculum included a didactic lecture on IBH, a shadowing session with a behavioral health consultant and pre- and postsurveys to evaluate change in knowledge and attitudes. Data were collected from January 2023 through April 2024.</p><p><strong>Results: </strong>Quantitative data were analyzed using the Wilcoxon signed-rank test, and qualitative responses were examined through thematic analysis. In total, 65 matched pre- and postsurveys revealed significant improvements in understanding the Primary Care Behavioral Health model (median increase from 3 to 4, <i>p</i> < .001) and in awareness of management strategies for conditions commonly seen within primary care, including anxiety and depression. Qualitative themes identified enhanced understanding of IBH, contributions to professional development, and constructive curricular feedback.</p><p><strong>Discussion: </strong>These findings demonstrate that the IBH experience improved students' knowledge and awareness in managing mental health within primary care and emphasize the importance of incorporating IBH into undergraduate medical education curricula to better prepare future physicians for interprofessional, holistic care. Further efforts to standardize the curriculum and expand active learning opportunities may enhance outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562093","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
Feasibility and implementation of depression and trauma-focused mobile apps in integrated primary care clinics: Lessons learned from two pilot studies. 在综合初级保健诊所应用以抑郁症和创伤为重点的移动应用程序的可行性和实施:从两项试点研究中获得的经验教训。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-07-03 DOI: 10.1037/fsh0001001
Margaret R Emerson, David J Johnson, Danae Dinkel, Robbin Thomas, Carli Culjat
{"title":"Feasibility and implementation of depression and trauma-focused mobile apps in integrated primary care clinics: Lessons learned from two pilot studies.","authors":"Margaret R Emerson, David J Johnson, Danae Dinkel, Robbin Thomas, Carli Culjat","doi":"10.1037/fsh0001001","DOIUrl":"10.1037/fsh0001001","url":null,"abstract":"<p><strong>Introduction: </strong>Integrated primary care (IPC) settings serve as primary access points for mental health care, particularly for underserved populations that face barriers to traditional care. This brief report investigates the feasibility and practical implementation of two mobile health (mHealth) applications, MindLAMP and BounceBackNow, deployed in IPC settings. MindLAMP was selected for its evidence-based design tailored to support patients with depression, offering tools for mood tracking, cognitive behavioral strategies, and personalized feedback. BounceBackNow was chosen due to its focus on trauma-related symptoms, providing psychoeducational resources, symptom monitoring, and coping strategies specifically designed for individuals experiencing posttraumatic stress. Both apps were selected for their user-centered design, accessibility, and alignment with IPC goals of improving mental health access for underserved populations.</p><p><strong>Method: </strong>The apps were deployed to support patients with depression and trauma-related symptoms, offering a digital tool to complement in-person therapy sessions. Both patient outcome measures and individual interview data from behavioral health providers and other clinical staff members were collected and analyzed.</p><p><strong>Results: </strong>Despite the promising potential of these apps, the studies faced significant challenges, including low patient recruitment, technical barriers, and time constraints for health care providers.</p><p><strong>Discussion: </strong>The findings highlight the need for comprehensive strategies to integrate digital health tools into existing health care systems. Future directions and lessons learned include addressing organizational barriers, enhancing provider training, and exploring community-based engagement strategies to improve patient adoption and sustained use of mHealth apps. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562092","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
Barriers to and facilitators of integrated primary care engagement: Convergent and divergent perspectives of care team members and caregivers. 综合初级保健参与的障碍和促进因素:护理团队成员和护理人员的趋同和不同观点。
IF 1 4区 医学
Families Systems & Health Pub Date : 2025-07-03 DOI: 10.1037/fsh0001003
Chimereodo Okoroji, Lindsay Poole, Jesslyn Jamison, Donna Armentrout, Angela Pereyra Monero, Jennifer A Mautone, Ariel A Williamson
{"title":"Barriers to and facilitators of integrated primary care engagement: Convergent and divergent perspectives of care team members and caregivers.","authors":"Chimereodo Okoroji, Lindsay Poole, Jesslyn Jamison, Donna Armentrout, Angela Pereyra Monero, Jennifer A Mautone, Ariel A Williamson","doi":"10.1037/fsh0001003","DOIUrl":"10.1037/fsh0001003","url":null,"abstract":"<p><strong>Background: </strong>Integrated primary care (IPC) can improve access to behavioral health (BH) care, reduce stigma, and facilitate early intervention. However, few studies have examined key informants' perceptions of IPC engagement.</p><p><strong>Objective: </strong>We qualitatively identified convergent and divergent perspectives of care team members and caregivers on pediatric IPC-related engagement barriers, facilitators, and suggestions for improvements.</p><p><strong>Method: </strong>Care team members (<i>N</i> = 48, 98.3% female, 72.9% non-Hispanic/Latine White) and caregivers (<i>N</i> = 10, 100% female, 10.0%. Asian, 30.0% Black/African American, 60.0% non-Hispanic/Latine White) completed semistructured interviews on IPC engagement in a large pediatric primary care network. Thematic analysis was used to iteratively identify patterns of meaning, as well as convergent and divergent themes across informant groups.</p><p><strong>Results: </strong>Convergent barriers included stigma, prolonged wait times, limited BH knowledge, difficulty navigating services, and limited BH provider availability. Whereas care team members identified more family-related barriers (e.g., beliefs, experiences), caregivers identified divergent barriers such as limited childcare. Perceived engagement facilitators converged across groups and mostly pertained to systems-related factors such as the colocation of services. Converging recommendations included additional behavioral clinicians and support staff, provision of psychoeducational resources, and expanding IPC services.</p><p><strong>Conclusion: </strong>Although key informant groups similarly perceived many IPC benefits, including increased BH access, there are continued patient/family barriers to IPC engagement, with divergence in care team members' versus caregivers' views about the nature of these barriers. Findings suggest a need for systems-level changes to address these barriers and highlight the importance of including the unique perspectives of care team members and caregivers in future research examining IPC effectiveness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562091","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
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