Families Systems & Health最新文献

{"title":"The effect of education and counseling provided through a mobile application on healthy lifestyle behaviors in women with gestational diabetes: A randomized controlled trial.","authors":"Sibel Karakoç, Büşra Cesur","doi":"10.1037/fsh0001050","DOIUrl":"https://doi.org/10.1037/fsh0001050","url":null,"abstract":"<p><strong>Objective: </strong>This randomized controlled trial aimed to evaluate the effects of mobile application-based education and counseling on healthy lifestyle behaviors among women with gestational diabetes.</p><p><strong>Method: </strong>A total of 54 pregnant women with gestational diabetes were randomized into an experimental group (<i>n</i> = 27) and a control group (<i>n</i> = 27) using a computer-generated simple randomization sequence with allocation concealment. The intervention group received a 4-week structured educational program and individual counseling via a mobile application, whereas the control group received standard hospital care. Data were collected using the \"Gestational Diabetes Individual Descriptive Form\" and the \"Healthy Lifestyle Behaviors Scale-II (HLBS-II)\" in the pretraining (24-28 weeks), posttraining (29-32 weeks), and postnatal (4-6 weeks) periods. Descriptive statistics were reported as mean ± standard deviation, frequency, and percentage, and differences over time were analyzed using repeated measures analysis of variance (ANOVA) with Bonferroni-adjusted post hoc tests (<i>p</i> < .05).</p><p><strong>Results: </strong>The <i>M</i>_age of participants was 31.7 ± 6.1 years. Pretraining HLBS scores did not differ significantly between the groups (<i>p</i> = .15). Postnatal, the experimental group showed significantly higher HLBS total scores compared with the control group (mean difference = 15.7, 95% confidence interval [9.2, 22.1], <i>p</i> < .001). This difference was maintained at postpartum follow-up (mean difference = 13.8, 95% confidence interval [8.4, 19.3], <i>p</i> < .001). Subscale analyses indicated significant improvements in health responsibility, physical activity, nutrition, spiritual development, and stress management, whereas interpersonal relations did not significantly differ between groups (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>Mobile application-based education and counseling significantly improved healthy lifestyle behaviors in women with gestational diabetes compared with standard hospital care. Integrating digital health tools into routine antenatal care may enhance self-management and lifestyle modification in this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823804","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}

{"title":"Differentiation of self and psychological well-being in a sample of Italian and Korean young adults.","authors":"Jessica Lampis, Cinzia Dessì, Annalisa Succa","doi":"10.1037/fsh0001049","DOIUrl":"https://doi.org/10.1037/fsh0001049","url":null,"abstract":"<p><strong>Objectives: </strong>Bowen theory focused on the universality of the differentiation of self-processes, but it is important to recognize that the characteristics assigned to different levels of differentiation from family of origin, including what is considered to be healthy, could function differently across cultures.</p><p><strong>Method: </strong>The present research has as its main objective the analysis of the differences between a Mediterranean country (Italy) and an Asian Confucian-based collectivist country (South Korea) regarding the relationships between levels of differentiation and psychological well-being. A sample of 352 young adults recruited in Italy (<i>n</i> = 186) and in Korea (<i>n</i> = 166) completed measures assessing differentiation of self (DSI-R) and psychological distress (OQ-45.2).</p><p><strong>Results: </strong>Data revealed that higher levels of differentiation of self predicts lower levels of psychological distress among both Italian and Korean participants. However, the dimension of the fusion with others seems to play a protective role among Korean participants.</p><p><strong>Discussion: </strong>Results underscore and confirm the importance of considering the role of differentiation of self in clinical practice with emerging adults. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823735","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}

{"title":"Addressing the mental health needs of LGBTQ+ individuals: An integrated care approach.","authors":"Miriam Sheynblyum, Dakota L Leget, Abigail Shonrock, Lori Waxenberg, Catherine Tocci","doi":"10.1037/fsh0001058","DOIUrl":"https://doi.org/10.1037/fsh0001058","url":null,"abstract":"<p><strong>Introduction: </strong>Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) adults report notable mental health disparities, yet are highly underserved in mental health care. Integrated behavioral health (IBH) may address disparities, yet guidance on establishing such clinics for LGBTQ+ populations is limited.</p><p><strong>Method: </strong>This conceptual article discusses the need for establishing IBH clinics and provides a case example of a clinic, including initial utilization data.</p><p><strong>Results: </strong>We highlight relevant theoretical frameworks that can be used to establish IBH clinics serving LGBTQ+ individuals and demonstrate application of these frameworks in our case example. Our IBH clinic data showed that 266 visits were completed in 2025 for LGBTQ+ adults, with 32 patients opting into short-term psychotherapy.</p><p><strong>Discussion: </strong>IBH clinics are essential for expanding mental health care access for LGBTQ+ individuals. Further research should focus on evaluating these models and identifying cost-effective interventions that can be used in integrated settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823732","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}

{"title":"Comparing perspectives on community mental health center-based integrated care for serious mental illness across age groups.","authors":"Jenna G Bourassa, Gillian L Sowden, Gail E Williams, Sarah I Pratt, Joelle C Ferron, Meghan M Santos, Margaret A E Almeida, Julie Christenson-Collins, Sheila Considine-Sweeney, Jennifer L F Elliott, Kerri R Swenson, Mary F Brunette","doi":"10.1037/fsh0001046","DOIUrl":"https://doi.org/10.1037/fsh0001046","url":null,"abstract":"<p><strong>Introduction: </strong>People with serious mental illness (SMI) experience health disparities that contribute to reduced life expectancy. Integration of physical and community mental health clinic (CMHC) care is one strategy to improve access to health care that may address health disparities, but the appeal and impact of CMHC-based integrated care has not been widely studied in young adults with SMI, for whom early intervention may be beneficial.</p><p><strong>Methods: </strong>This qualitative study evaluated perceptions of care among 36 individuals with SMI engaged in integrated care at 3 CMHCs. Researchers conducted focus groups and used open coding analyses of group transcripts to identify themes among younger and middle-aged/older adults with SMI.</p><p><strong>Results: </strong>Similar themes emerged among younger (<i>n</i> = 16; mean age 28.4 ± 3.3 years) and middle-aged/older (<i>n</i> = 20; mean age 50.4 ± 8.7 years) adults. One notable theme was a high level of unmet health needs prior to integrated care due to complex physical health problems and feeling stigmatized by physical health care providers. Themes regarding integrated care included the benefits of colocation, awareness of improved communication among providers, and perceiving integrated primary care providers as respectful and thorough. Participants expressed desire for reduced staff turnover. Desire for increased medical record sharing and communication with specialists emerged solely among the middle-aged/older adults.</p><p><strong>Discussion: </strong>Themes regarding CMHC-based integrated care were mostly positive and similar among younger and middle-aged/older participants with SMI. These results indicate that integrated care could be an acceptable strategy to provide young adults with SMI critical early intervention to address health disparities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823802","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}

{"title":"Patient perspectives on factors that influence continued treatment engagement in primary care behavioral health: A qualitative exploration.","authors":"Mara W Sindoni, Aubrey R Dueweke","doi":"10.1037/fsh0001054","DOIUrl":"https://doi.org/10.1037/fsh0001054","url":null,"abstract":"<p><strong>Introduction: </strong>Primary care behavioral health (PCBH) is a service delivery model that embeds behavioral health consultants in primary care. PCBH has been implemented across several health care systems and has been shown to increase access to behavioral health services. Most of the patient access research in PCBH settings has focused on initial engagement with behavioral health services via the warm handoff, a process of referral where the primary care provider can connect the patient with an on-site behavioral health consultant the moment a need is identified. In contrast, fewer studies have examined factors that contribute to continued engagement with PCBH services beyond the first visit.</p><p><strong>Method: </strong>The present study aimed to address this gap by interviewing adult PCBH patients (<i>n</i> = 15, 93% White, 80% female) to learn about factors that influenced their intentions to attend planned follow-up visits.</p><p><strong>Results: </strong>Reflexive thematic analysis yielded four themes: (a) \"Patient Factors\" (e.g., high need and high motivation), (b) \"Treatment Factors\" (e.g., therapeutic alliance and treatment perceived as helpful), (c) \"PCBH Factors\" (e.g., convenience of receiving treatment in medical home), and (d) \"Logistical Factors\" (e.g., cost and insurance coverage).</p><p><strong>Discussion: </strong>These findings underscore the importance of psychotherapy common factors as they relate to treatment engagement, highlight unique strengths of PCBH that increase accessibility of care, and offer insights into how administrators can ensure the expectations of PCBH are clearly communicated to and understood by patients. Findings also demonstrate that even when patients are offered care in a setting that maximizes access, logistical challenges remain. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647777","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}

{"title":"Eight tips for team-based scholarship in integrated care.","authors":"Stacy A Ogbeide, Malvika Behl, Peggy L Ceballos, Heather Trepal, Jessica Lloyd-Hazlett, Mercedes Ingram","doi":"10.1037/fsh0001055","DOIUrl":"https://doi.org/10.1037/fsh0001055","url":null,"abstract":"<p><strong>Introduction: </strong>This article presents eight practical strategies to enhance team-based scholarship in integrated care workforce development for the nonresearcher. It addresses the importance of assembling interdisciplinary teams with complementary skill sets, maintaining idea logs to foster innovation, and ensuring ethical rigor through Institutional Review Board processes.</p><p><strong>Method: </strong>After reviewing the literature, we determined that the benefits of leveraging technology and artificial intelligence for organization and communication, establishing regular meetings to support project management and authorship, and exploring diverse publication venues using tools like the Journal/Author Name Estimator website are specific areas to highlight.</p><p><strong>Results: </strong>We discuss specific approaches that support busy clinicians, such as encouraging the participation in writing workshops and orienting team members to various types of research and scholarship.</p><p><strong>Discussion: </strong>Ultimately, this article aims to support the growth and dissemination of workforce development-focused scholarship in integrated care settings from the nonresearcher, adding depth to this important scholarship base. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647707","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}

{"title":"Primary care provider knowledge and confidence about suicide screening and prevention: The role of practicing in integrated behavioral health-primary care.","authors":"Lauren E Wilson, Max Zubatsky, Jay Brieler, Joanne Salas, Jordan M Braciszewski, Brian K Ahmedani, Jeffrey F Scherrer","doi":"10.1037/fsh0001042","DOIUrl":"https://doi.org/10.1037/fsh0001042","url":null,"abstract":"<p><strong>Background: </strong>In nearly half of suicide deaths, the decedent had a primary care provider (PCP) visit within the prior month, which highlights the opportunity for suicide prevention in primary care. We determined if on-site behavioral health integration (BHI) in primary care was associated with increased PCP suicide risk reduction knowledge and confidence.</p><p><strong>Method: </strong>From July 2022 to November 2022, a cross-sectional, web-based survey was e-mailed to PCPs nationwide. Eligible PCPs (<i>n</i> = 233) answered survey questions about suicide screening and prevention knowledge, confidence, and training. The primary outcomes were suicide risk reduction, knowledge, and confidence. The exposure of interest was presence versus absence of BHI. Multivariate logistic regression models were used to measure the association between BHI and the odds of higher suicide risk reduction knowledge and confidence.</p><p><strong>Results: </strong>In adjusted models, BHI was not significantly associated with knowledge and confidence. Use of ≥2 suicide risk management tools (<i>OR</i> = 1.91; 95% CI: 1.07-3.43) and having lived experience of patient death by suicide were positively associated with higher knowledge (<i>OR</i> = 2.31; 95% CI: 1.11-4.83). One covariate, access to a licensed professional counselor, was significantly associated with greater confidence (<i>OR</i> = 2.64; 95% CI: 1.08-6.48).</p><p><strong>Discussion: </strong>BHI was not significantly associated with PCP risk reduction knowledge and confidence, but some BHI elements, for example, presence of behavioral health, were significantly associated with greater provider confidence that could enable suicide detection. Further research is needed to improve health care delivery models that enhance suicide detection and management. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576475","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}

{"title":"From screening to specialty care: Leveraging primary care integrated psychologists to reduce barriers to autism diagnosis.","authors":"Paige M Ramirez, Aria E Fiat, Allison D Blackburn, Meg Stone-Heaberlin, Natalie Justice, Rachel B Herbst","doi":"10.1037/fsh0001044","DOIUrl":"https://doi.org/10.1037/fsh0001044","url":null,"abstract":"<p><strong>Introduction: </strong>Families of children with suspected autism spectrum disorder, especially those from minority or medically underserved groups, often face multiple barriers to autism evaluation and diagnosis. This subsequently delays access to much-needed interventions. In addition to systemic barriers (e.g., suboptimal screening and provider training, long waitlists), family-level factors including family mistrust of medical providers, disability stigma, and challenges with care navigation further contribute to care gaps.</p><p><strong>Method: </strong>Innovative integrated care models are essential to enhance provider-family relationships and reduce care discrepancies. This conceptual article explores using a multitiered framework within an integrated care model to help mitigate barriers to care and reduce delays to diagnosis for pediatric primary care patients with suspected autism.</p><p><strong>Results: </strong>Integrated psychologists partnered with families and primary care physicians to provide tiered supports for children with suspected autism based on both family readiness and level of impairment. Flexible yet coordinated strategies such as universal psychology prevention visits, targeted intervention referrals, and specialty care referrals with care navigation, were offered.</p><p><strong>Discussion: </strong>Our care model suggests that the three-tiered framework involving integrated psychology may help reduce care gaps between primary care and specialty autism care and enhance relationships with families of children with suspected autism in medical settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391164","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}

{"title":"Pilot evaluation of a competency-based training for integrated care in specialty medicine.","authors":"Rachel Allen, Kristen Perry, Katherine M Dollar, Luke D Mitzel, Jennifer Patterson, Alexandra Alvarez, Margaret Arnott","doi":"10.1037/fsh0001035","DOIUrl":"https://doi.org/10.1037/fsh0001035","url":null,"abstract":"<p><strong>Introduction: </strong>The Veterans Health Administration (VHA) has expanded efforts to integrate mental and behavioral health professionals into outpatient specialty medicine clinics. However, existing training models are tailored to primary care, and specialty medicine settings have unique differences. This project aimed to adapt and evaluate VHA's Primary Care Mental Health Integration Competency Training for mental and behavioral health professionals embedded in specialty medicine clinics.</p><p><strong>Method: </strong>Using a Plan-Do-Study-Act framework, the Integrated Care Competency Training program was developed and refined across two cohorts of mental and behavioral health providers integrated into specialty medicine clinics in 2024. Evaluation data included standardized patient role play ratings, satisfaction surveys, and trainer debriefs.</p><p><strong>Results: </strong>Across two cohorts (<i>N</i> = 18), all participants achieved competency certification. Cohort 2 participants demonstrated higher first-time pass rates following refinements to the training. Participants reported increased confidence, clarity around their clinical role, and high satisfaction with the interactive learning methods, including live demonstrations and structured role plays.</p><p><strong>Discussion: </strong>Findings support the feasibility and relevance of Integrated Care Competency Training as an adapted training program for specialty medicine settings. Early partner engagement, iterative refinement, and incorporation of adult learning strategies contributed to positive outcomes. The model demonstrates potential for broader implementation and cross-program enrichment.</p><p><strong>Ethical considerations: </strong>This project was conducted as a quality improvement initiative within the VHA and did not undergo institutional review board review, as it did not meet the criteria for human subjects research. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391189","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}

{"title":"Flourishing and positive childhood experiences in children and adolescents: An analysis of a nationally representative sample.","authors":"Christine Crowell, Jessica Emick, Stephanie Ioannou, Nathan M Griffith","doi":"10.1037/fsh0001041","DOIUrl":"https://doi.org/10.1037/fsh0001041","url":null,"abstract":"<p><strong>Introduction: </strong>Positive childhood experiences (PCEs) are supportive, safe, and nurturing early experiences that support healthy psychological development (Sousa et al., 2025). Flourishing is a measure of optimal well-being that encompasses meaning and engagement, positive relationships, social competence, and positive emotional health (Bethell, Jones, et al., 2019). Research on the relationship between PCEs and flourishing is limited, especially across demographic groups.</p><p><strong>Method: </strong>Using the National Survey of Children's Health, we examined the association between PCEs and flourishing among children ages 6-17 across different sociodemographic groups.</p><p><strong>Results: </strong>Results showed a clear, consistent relationship between PCEs and flourishing. Children who experienced moderate PCEs were 2.37 times as likely to flourish, and those with high PCEs were 6.06 times as likely to flourish, compared with children with low PCEs. This relationship remained significant after accounting for sociodemographic factors, demonstrating the powerful connection between PCEs and flourishing. However, several sociodemographic factors were significantly associated with odds of flourishing, with some groups of children being less likely to flourish than others. Compared with non-Hispanic White children, non-Hispanic Black children and non-Hispanic multiracial children were .74 and .82 times as likely to flourish. Children from non-English speaking households were .80 times as likely to flourish, and girls were .82 times as likely to flourish as boys.</p><p><strong>Discussion: </strong>These results highlight the complex relationship among PCEs and flourishing and the differences among sociodemographic groups, highlighting the need for further research and policy and practice interventions for those less likely to flourish. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367310","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}