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A qualitative study on the dyadic coping experience of human papillomavirus-infected patients of childbearing age and their spouses. 关于育龄期人类乳头瘤病毒感染者及其配偶的夫妻应对经验的定性研究。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-10-21 DOI: 10.1037/fsh0000908
Dandan Gu, Jie Gong, Juan Xie, Xiaoqin Liu
{"title":"A qualitative study on the dyadic coping experience of human papillomavirus-infected patients of childbearing age and their spouses.","authors":"Dandan Gu, Jie Gong, Juan Xie, Xiaoqin Liu","doi":"10.1037/fsh0000908","DOIUrl":"https://doi.org/10.1037/fsh0000908","url":null,"abstract":"<p><strong>Background: </strong>China's recent policy initiatives and dedication of resources to heighten the public's awareness of cancer risks have led to increased cervical cancer screening and testing for human papillomavirus (HPV) which has resulted in a greater number of people diagnosed with HPV. The psychological stress experienced by women of childbearing age who are infected with HPV is also felt by their spouses, as the close relationship between spouses results in intertwined psychological distress and health statuses. Therefore, this study aimed to explore the dyadic coping experience of HPV-infected patients of childbearing age and their spouses in China and to provide a research basis for marital interventions for the disease.</p><p><strong>Method: </strong>From July 2022 to January 2023, we used a purposive sampling method to select 11 pairs of HPV-infected patients of childbearing age and their spouses from a tertiary hospital. We conducted in-depth interviews with the patients and their spouses and analyzed the data using Colaizzi's seven-step method.</p><p><strong>Results: </strong>We identified three main themes and eight subthemes: (a) stress perception (including negative psychological reactions, emotional relationship deterioration, and family social role imbalance), (b) stress communication (including enhancing communication awareness and changing communication methods), and (c) stress adjustment (including supporting each other emotionally, facing the disease together, and seeking social support).</p><p><strong>Conclusion: </strong>Health care professionals should assess the stress experienced by patients and their spouses. Moreover, they should encourage them to better cope with the disease as a team. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481749","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
Penetration rates of behavioral health consultants targeting cardiovascular disease and associated modifiable risk factors among military health care beneficiaries. 针对心血管疾病及相关可改变风险因素的行为健康顾问在军队医疗保健受益人中的普及率。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-10-21 DOI: 10.1037/fsh0000917
Kevin M Wilfong, Christopher L Hunter, Phillip C Kroke, Justin C Curry, Jeffrey L Goodie
{"title":"Penetration rates of behavioral health consultants targeting cardiovascular disease and associated modifiable risk factors among military health care beneficiaries.","authors":"Kevin M Wilfong, Christopher L Hunter, Phillip C Kroke, Justin C Curry, Jeffrey L Goodie","doi":"10.1037/fsh0000917","DOIUrl":"https://doi.org/10.1037/fsh0000917","url":null,"abstract":"<p><strong>Introduction: </strong>Targeting cardiovascular disease (CVD) and its associated risk factors is important not only in the general population, but also among those served by the military health care system. The primary care behavioral health model of integrating behavioral health consultants (BHCs) into a primary care setting is one method for enhancing how these modifiable risk factors are addressed; however, it is unknown how often BHCs are used to target those with biopsychosocial factors contributing to CVD and those with diagnosed CVD.</p><p><strong>Method: </strong>The present study evaluated what percentage of primary care patients with diagnosed CVD risk factors (i.e., tobacco use, obesity, and depression) or diagnosed CVD were referred to BHCs. Data were drawn from electronic health records of U.S. military primary care clinics over the 3-year period from January 2017 to December 2019.</p><p><strong>Results: </strong>A total of 1,321,072 unique individuals were included. Among the sample, 37.1% were active duty, 40.6% were married, 43.8% were female, and 30.9% were between 45 and 64 years old. The study revealed penetration rates of 1.5% (8,577 of 583,659 patients) for patients diagnosed with CVD, 5.3% (10,286 of 192,566 patients) of those demonstrating tobacco use, 3.4% (8,765 of 256,852 patients) of those demonstrating obesity, and 20.0% (31,125 of 155,656 patients) of those diagnosed with depression.</p><p><strong>Discussion: </strong>These findings suggest that BHCs are underutilized for targeting CVD and some associated risk factors in military primary care clinics. Research should explore whether these findings replicate in other health care systems and implement methods to improve BHC utilization. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481751","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
Identifying the need for a nurse-driven palliative care intervention for American Indian and rural family caregivers. 确定美国印第安人和农村家庭照顾者对以护士为主导的姑息关怀干预的需求。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-10-21 DOI: 10.1037/fsh0000931
Madison Fitch, Sarah Mollman, Brandon M Varilek
{"title":"Identifying the need for a nurse-driven palliative care intervention for American Indian and rural family caregivers.","authors":"Madison Fitch, Sarah Mollman, Brandon M Varilek","doi":"10.1037/fsh0000931","DOIUrl":"https://doi.org/10.1037/fsh0000931","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this qualitative study was to understand the needs of family caregivers (FCGs) from the perspectives of health care professionals delivering cancer care to American Indian and rural populations.</p><p><strong>Method: </strong>A descriptive content analysis of 18 interviews with multidisciplinary health care professionals delivering cancer care at a rural cancer institute in the Great Plains region was conducted.</p><p><strong>Results: </strong>We identified three themes: access, support, and awareness with six subthemes. Consideration of these core needs, coupled with the individual cultural circumstance, is critical in addressing disparities faced by American Indian/Alaska Native and rural FCGs.</p><p><strong>Conclusions: </strong>The availability of specialized health care services, like palliative care, can positively impact the experience of FCGs providing care. However, access is limited. The needs and challenges faced by American Indian/Alaska Native and rural FCGs described in this study can inform the development of a culturally responsive palliative care intervention. Nurses are well positioned to develop and lead this intervention, which will be the first of its kind. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481750","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
Strengthening community capacity to address trauma through a Community Ambassador Network. 通过社区大使网络加强社区应对创伤的能力。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-10-21 DOI: 10.1037/fsh0000900
Elizabeth Siantz, Kimberly Center, Bikere Ikoba, Joelle Greene, Todd P Gilmer
{"title":"Strengthening community capacity to address trauma through a Community Ambassador Network.","authors":"Elizabeth Siantz, Kimberly Center, Bikere Ikoba, Joelle Greene, Todd P Gilmer","doi":"10.1037/fsh0000900","DOIUrl":"https://doi.org/10.1037/fsh0000900","url":null,"abstract":"<p><strong>Introduction: </strong>Community ambassadors (CAs) are advocates that build trust with communities on behalf of service systems and facilitate access to resources. Whether and how CAs can support community engagement within a large initiative to build capacity to address the impact of trauma is unclear. This study explores how a Community Ambassador Network supported community engagement with \"Innovations 2 Initiative\" (INN 2), a 5-year initiative that addressed trauma across nine communities in Los Angeles County.</p><p><strong>Method: </strong>CAs were recruited from nine community-based partnerships to participate in a focus group, which explored their roles and experiences with INN 2 and their impact on community engagement. Data were collected in 2022 and were analyzed using a pragmatic two-phase strategy for efficient qualitative data analysis. Twenty-six CAs participated in six focus groups. Participants mostly spoke English (82%), identified as Latinx (50%) or Black (23%) and as cisgender female (48%); average age was 40 years.</p><p><strong>Results: </strong>CAs implemented workshops and provided health education to the community. They reported being the community's first point of contact with INN 2 and believed they improved credibility of the human service sector. While CAs felt supported by the Department of Mental Health, some wanted more trust from their supervisors.</p><p><strong>Discussion: </strong>CAs described various ways that they engaged historically excluded communities in INN activities and the organizational supports that facilitated this work. Training in trauma informed principles and support from their supervisors were regarded essential to this work. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481753","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 interdisciplinary training academy for integrated substance/opioid use disorder prevention and health care: A qualitative look at a new remote field education model. 综合药物/阿片类药物使用障碍预防和医疗保健跨学科培训学院:对新型远程现场教育模式的定性研究。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-10-21 DOI: 10.1037/fsh0000934
Natasha S Mendoza, Michelle Iliescu, Jenni Hjalmarson, Edward Leyba
{"title":"The interdisciplinary training academy for integrated substance/opioid use disorder prevention and health care: A qualitative look at a new remote field education model.","authors":"Natasha S Mendoza, Michelle Iliescu, Jenni Hjalmarson, Edward Leyba","doi":"10.1037/fsh0000934","DOIUrl":"https://doi.org/10.1037/fsh0000934","url":null,"abstract":"<p><strong>Introduction: </strong>The opioid syndemic presents a critical need for effective interprofessional training in health care, especially in behavioral health disciplines. Addressing this need, the Interdisciplinary Training Academy for Integrated Substance/Opioid Use Disorder Prevention and Health care (ITA) was developed to provide adaptable educational experiences for emerging behavioral health professionals. This study, reflecting years 2020-2023, explored the experiences and perspectives of ITA fellows regarding interprofessional collaboration and opioid workforce development, focusing on how these elements are integrated.</p><p><strong>Method: </strong>After conducting focus groups, we employed applied thematic analysis to qualitatively analyze the experiences of ITA fellows (11 women and six men; 41% Hispanic/Latino and 59% White; 14 Master of Social Work students and three psychology postdoctoral fellows). This method allowed for a detailed exploration of their perceptions and the nuances of their learning process within the context of opioid workforce development.</p><p><strong>Results: </strong>The findings indicated that fellows' learning processes were adaptive, evolving over time to meet their changing needs. Initially, fellows faced challenges related to role clarity and process understanding. However, they reported significant professional growth as the program progressed, highlighting the effectiveness of the ITA's interprofessional approach in a remote learning setting.</p><p><strong>Discussion: </strong>The study emphasizes the need for ongoing research to identify and overcome barriers to effective interprofessional collaboration. The results contribute insights into the role of remote field education in preparing future health care professionals to address complex health crises effectively. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481754","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
Psychiatric Health, Life Skills, and Opportunities for Wellness Program: Addressing psychiatric need through integrated consultation, collaboration, and brief episodes of care. 精神健康、生活技能和健康机会计划:通过综合咨询、合作和短期护理来满足精神病患者的需求。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-10-21 DOI: 10.1037/fsh0000930
Rosa Ruggiero, Kyle Rutledge, Kevin Hoeper, Laura Bridges
{"title":"Psychiatric Health, Life Skills, and Opportunities for Wellness Program: Addressing psychiatric need through integrated consultation, collaboration, and brief episodes of care.","authors":"Rosa Ruggiero, Kyle Rutledge, Kevin Hoeper, Laura Bridges","doi":"10.1037/fsh0000930","DOIUrl":"https://doi.org/10.1037/fsh0000930","url":null,"abstract":"<p><strong>Introduction: </strong>Integrated behavioral health programs bring strong benefits to patients and health organizations including reductions in overall costs. However, obstacles to funding prevent the implementation and maintenance of these programs across the country.</p><p><strong>Method: </strong>The Psychiatric Health, Life Skills and Opportunities for Wellness (PHLOW) Program is based on the collaborative care model and seeks to provide psychiatric care through an integrated model that is financially sustainable for the organization. This pilot observational study included patients who received psychiatric care indirectly via consultations with primary care providers and directly through brief episodes of care.</p><p><strong>Results: </strong>Patient outcomes were demonstrated by score changes on the nine-item Patient Health Questionnaire and Generalized Anxiety Disorder 7 before and after participation in brief episodes of care. Overall cost of care savings was demonstrated through change over time in risk-adjusted per-member-per-month.</p><p><strong>Discussion: </strong>Patients participating in the PHLOW program showed potential drops in anxiety and depression ratings, coinciding with a reduction in mental health claims. In addition, participation in the program involved a small number of patient visits and prevented referrals to long-term psychiatry, preserving access for higher acuity presentations. This demonstration of the value of the PHLOW program has led to additional financial support of the program through the primary regional Medicaid payor, enhancing sustainability, and potentially modeling a collaboration that may be feasible for other organizations implementing integrated behavioral health programs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481752","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
Using virtual simulation to teach substance use screening and brief intervention skills across the health professions: Examining training outcomes among an interprofessional graduate student sample. 利用虚拟仿真技术教授各医疗专业的药物使用筛查和简短干预技能:研究跨专业研究生样本的培训成果。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-09-19 DOI: 10.1037/fsh0000920
Rikki Patton, Diane Brown, Heather Katafiasz, John Ellis
{"title":"Using virtual simulation to teach substance use screening and brief intervention skills across the health professions: Examining training outcomes among an interprofessional graduate student sample.","authors":"Rikki Patton, Diane Brown, Heather Katafiasz, John Ellis","doi":"10.1037/fsh0000920","DOIUrl":"https://doi.org/10.1037/fsh0000920","url":null,"abstract":"<p><strong>Background: </strong>The benefits of utilizing virtual simulation in substance use disorder (SUD) training are emerging in the literature. However, a clear understanding of how behavioral health graduate trainees experience virtual simulation as part of an interprofessional SUD training is still needed.</p><p><strong>Method: </strong>Graduate-level health professions students (<i>N</i> = 69) from four different behavioral health disciplines completed an interprofessional training program, including completion of two virtual simulations, that addressed SUD screening, brief intervention, and referral to treatment (SBIRT) and teamwork topics using an interprofessional lens. Participants completed a baseline and posttraining survey, pre- and postsimulation surveys, and a recorded debrief meeting postsimulation completion.</p><p><strong>Results: </strong>Quantitative results indicated statistically significant changes for drug perceptions (<i>p</i> < .001), interprofessional competency (<i>p</i> < .001), and preparedness and confidence implementing the SBIRT model between baseline and posttraining. Two overarching themes were identified as part of the qualitative analysis, including (a) the benefits and limitations of utilizing a structured virtual simulation within the context of interprofessional SUD training and (b) the benefits of utilizing interprofessional knowledge and teamwork when completing the simulation.</p><p><strong>Conclusions: </strong>Completing an interprofessional training for SUD and SBIRT using simulation may help better prepare behavioral health trainees in applying both SBIRT and interprofessional teamwork principles in their clinical work, thereby addressing the needs of their future patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301722","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
Effect of a diabetes education program on family members' attitudes toward diabetes. 糖尿病教育计划对家庭成员糖尿病态度的影响。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-09-19 DOI: 10.1037/fsh0000928
Esra Saraçoğlu, Ilknur Aydin Avci
{"title":"Effect of a diabetes education program on family members' attitudes toward diabetes.","authors":"Esra Saraçoğlu, Ilknur Aydin Avci","doi":"10.1037/fsh0000928","DOIUrl":"https://doi.org/10.1037/fsh0000928","url":null,"abstract":"<p><strong>Aim: </strong>Attitude is a response to certain events and phenomena based on past knowledge and experience. This study aimed to improve the attitudes of family members toward diabetes after the implementation of the program.</p><p><strong>Method: </strong>The study was a one-group quasi-experimental design conducted with family members of patients with diabetes in a city in northern Turkey. There were a total of 38 family members of people with diabetes in the study group. The participants completed the personal information form and the Diabetes Attitude Scale as a pretest. They then took part in a diabetes education program based on the health belief model. After the education program, family members received an education booklet, health belief model-based text messages (twice per week for 3 months/total of 24), and phone calls (once per month/total of three). The family members completed the posttests at the end of the 3 months.</p><p><strong>Results: </strong>Of the family members, 55.3% were female, 42.1% were primary school graduates, 52.6% were spouses of patients with diabetes, and the mean age was 45.32 ± 13.99 years. The Diabetes Attitude Scale total score was 3.2 ± 0.2 on the pretest and 4.0 ± 0.0 on the posttest (<i>p</i> < .001). There was a significant increase in all subscale scores after the intervention.</p><p><strong>Conclusion: </strong>There was a significant improvement in the attitudes of family members who participated in the diabetes education program. Having family members with positive attitudes toward diabetes can be beneficial in the management and care of the patient's diabetes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301711","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 functioning and the implications for adult weight management. 家庭功能及其对成人体重管理的影响。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-09-16 DOI: 10.1037/fsh0000929
Katherine E McManus-Shipp, Talea Cornelius, Alexis C Wojtanowski, Tricia Leahey, Gary D Foster, Amy A Gorin
{"title":"Family functioning and the implications for adult weight management.","authors":"Katherine E McManus-Shipp, Talea Cornelius, Alexis C Wojtanowski, Tricia Leahey, Gary D Foster, Amy A Gorin","doi":"10.1037/fsh0000929","DOIUrl":"https://doi.org/10.1037/fsh0000929","url":null,"abstract":"<p><strong>Introduction: </strong>Strong support for family-based interventions in child and adolescent weight management exists. However, family-based interventions have not been as well documented in adult populations. Given that many adults operate within family systems that could influence their weight management behaviors, research is needed to establish possible family-level variables as intervention targets for adult weight loss programs.</p><p><strong>Method: </strong>This study tested the relationship between family functioning (defined as support and bonding), chaos (defined as disorder in the home), and weight loss in adults with overweight or obesity participating in a behavioral weight-loss program. Participants (<i>N</i> = 118; baseline mean body mass index 33.8 ± 3.7; 69.5% female; 97.5% White; 67.8% with a combined annual income of $75k or above; 90.7% completed some college or above) were from a randomized controlled trial examining weight loss ripple effects (Gorin et al., 2018) in individuals assigned to either 6 months of WW (formerly Weight Watchers) or a self-guided approach.</p><p><strong>Results: </strong>Higher family support and bonding at baseline were associated with greater percent weight loss at 6 months. Family support and bonding at baseline were associated with lower chaos in the home at 6 months. However, this was moderated by condition such that this association was significant in the WW but not the self-guided group.</p><p><strong>Discussion: </strong>Results provide theoretical support that targeting family dynamics may improve weight loss outcomes in behavioral weight loss programs for adults. Future research should test whether family support, bonding, chaos, or other related variables such as family cohesion and adaptability-focused interventions improve weight loss outcomes for adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301712","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
Piloting the role of the chief well-being officer in Veterans Health Administration: The auspicious start. 在退伍军人健康管理局试行首席福利官的角色:吉祥的开端。
IF 1.2 4区 医学
Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000918
Tamara M Schult, Mary Gallagher-Seaman, Jana Boehmer, David C Mohr, Susan Stockdale, Taylor Harris, Kavitha Reddy
{"title":"Piloting the role of the chief well-being officer in Veterans Health Administration: The auspicious start.","authors":"Tamara M Schult, Mary Gallagher-Seaman, Jana Boehmer, David C Mohr, Susan Stockdale, Taylor Harris, Kavitha Reddy","doi":"10.1037/fsh0000918","DOIUrl":"https://doi.org/10.1037/fsh0000918","url":null,"abstract":"<p><strong>Introduction: </strong>Emerging evidence from private sector hospitals indicates that a chief well-being officer (CWO) can be an impactful role to lead organizational burnout mitigation efforts in health care systems. A descriptive process evaluation was conducted to learn about facilitators and barriers of integrating this role within the Veterans Health Administration (VA). A pilot intervention inclusive of three domains-culture of well-being, efficiency of practice, and personal resilience-was implemented.</p><p><strong>Method: </strong>Eight VA medical centers and two regional network offices received 18 months of implementation support from October 2021 to March 2023. Appointed CWOs were tasked with implementing key interventions in at least two work units at each location. Administrative records were used to track implementation progress. Surveys were administered to participating work units pre- and postintervention to assess changes in key measures. Qualitative interviews elicited information about intervention implementation including barriers and facilitators.</p><p><strong>Results: </strong>Not formally hiring CWOs in the role resulted in limited time to work on intervention implementation. This was insufficient and it impacted their ability to truly function in the role. Several work units experienced multiple challenges and were unable to implement the full intervention. Despite these challenges, when examining work unit changes, improvements in culture of health and well-being and change readiness were observed.</p><p><strong>Conclusion: </strong>The results support the importance of a formalized CWO role; however, findings highlight important factors that must be addressed for successful integration of role to drive intervention effectiveness. Comprehensive interventions addressing both system- and individual-level drivers of burnout show promise for improving VA workforce well-being but warrant further study. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481770","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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