Families Systems & Health最新文献

Correlates of youth involvement in decision making about growth hormone treatment. 青少年参与生长激素治疗决策的相关因素。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-04-07 DOI: 10.1037/fsh0000964

Victoria A Miller, Walter Faig, Morgan Snyder, Elizabeth A Friedrich, Rui Xiao, Adda Grimberg

{"title":"Correlates of youth involvement in decision making about growth hormone treatment.","authors":"Victoria A Miller, Walter Faig, Morgan Snyder, Elizabeth A Friedrich, Rui Xiao, Adda Grimberg","doi":"10.1037/fsh0000964","DOIUrl":"https://doi.org/10.1037/fsh0000964","url":null,"abstract":"Introduction: Youth decision-making involvement (DMI) regarding growth hormone (GH) may be beneficial. Identification of correlates of DMI may inform the development of strategies to encourage youth involvement and enhance self-efficacy. The goal of this study was to examine the associations of DMI regarding GH treatment with youth and parent characteristics.Method: Youth, aged 8-14 years (34% female), undergoing GH stimulation testing and a parent (94% mothers) completed surveys at the time of testing (Visit 1; 2019-2023); the Decision-Making Involvement Scale was completed 3 months later. Surveys collected demographics; decision-making involvement; youth coping skills, parent social support; parent autonomy support; parental perceived worry, scarcity, and instability regarding the child's current/future environments; and parents' achievement goals for their child. Correlations and multivariable linear regressions were used to identify factors significantly associated with Decision-Making Involvement Scale subscales.Results: The analysis included 44 parents who indicated that a decision about GH was made and that they discussed the decision with the youth, as well as 30 youth who remembered having such a discussion. On multivariable modeling, youth who had more engaged coping skills and parents who perceived resources in the world as scarce reported higher youth DMI. Parents with older children, less worry about their children being out in the world, and less desire for the child to avoid activities that he/she might not do well in reported higher youth DMI.Discussion: Parental worry and youth coping may be important targets of intervention when seeking to facilitate youth involvement in GH-related decision making. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804849","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

Transitioning to telemental health: Sociodemographic predictors of integrated behavioral health care utilization pre- and peri-COVID. 向远程心理健康的过渡：covid前和covid周综合行为卫生保健利用的社会人口学预测因素

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-04-07 DOI: 10.1037/fsh0000981

Angela R Hiefner, Margaret L Smith, Sarah B Woods

{"title":"Transitioning to telemental health: Sociodemographic predictors of integrated behavioral health care utilization pre- and peri-COVID.","authors":"Angela R Hiefner, Margaret L Smith, Sarah B Woods","doi":"10.1037/fsh0000981","DOIUrl":"https://doi.org/10.1037/fsh0000981","url":null,"abstract":"Introduction: The transition to telehealth as a result of the COVID-19 pandemic brought the potential to ameliorate or exacerbate disparities in access to behavioral health care. This study examined patient-specific sociodemographic predictors of integrated behavioral health (IBH) utilization prior to and during COVID to identify variations in care access.Method: Data from three primary care clinics across two medical centers (N = 819 patients), and multivariate general linear modeling, were used to test direct associations between age, sex, primary language, and race/ethnicity and use of IBH services pre-COVID (March 2019-February 2020) versus peri-COVID (March 2020-February 2021). Moderated effects due to health care system-specific telehealth modalities were also tested.Results: Findings suggest patients completing peri-COVID IBH visits were significantly younger than pre-COVID, specifically among patients seen in academic medical center settings with primarily video-based IBH care. Results also indicate patients engaging in peri-COVID IBH were significantly more likely to identify as Hispanic/Latino than non-Hispanic White, specifically among county-funded clinic patients receiving phone-based IBH.Discussion: The transition to telehealth-delivered IBH care may have reduced behavioral health care access for aging patients, who are least likely to be comfortable with video-based care. The use of phone visits may have improved access for underserved Hispanic/Latino patients, who may experience barriers to in-person care. Aligning telemental health care with primary care patients' preferences and access to telehealth-ready devices may amplify IBH-related improvements to mental health care access. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804850","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

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-24 DOI: 10.1037/fsh0000941

Khaya N Eisenberg, Elisheva Leiter, Lynn M Rothstein, Leora Seidman, Donna R Zwas

{"title":"Family-related stressors, emotional reactivity, and body mass index in women at cardiovascular risk.","authors":"Khaya N Eisenberg, Elisheva Leiter, Lynn M Rothstein, Leora Seidman, Donna R Zwas","doi":"10.1037/fsh0000941","DOIUrl":"https://doi.org/10.1037/fsh0000941","url":null,"abstract":"Introduction: According to the biobehavioral family model, family emotional climate and physiobehavioral aspects of emotional reactivity influence the physiological processes underlying health conditions. This research explored the association between family stress, emotional reactivity, and overweight in women.Method: Participants were patients at cardiovascular risk seen at a cardiovascular wellness center for women. A psychologist conducted semistructured interviews with participants, asking specific questions to address the presence or absence of family stressors. Emotional reactivity was measured using a validated version of the Depression, Anxiety and Stress Scale-21. Logistic and linear regressions were used to calculate relationships between specific family stressors, emotional reactivity scores, and body mass index (BMI).Results: The final sample included 237 women, mean age of 60.8, who were primarily Jewish residents of Jerusalem. Increased anxiety was consistently associated with high BMI, whether in the context of parenting stress (OR = 1.33, 95% confidence interval [CI, 1.05, 1.69], p < .05), extended family stress (OR = 1.34, 95% CI [1.05, 1.71], p < .05), or marital stress (OR = 1.41, 95% CI [1.05, 1.90], p < .05). While marital stress was not directly associated with BMI, women with higher levels of general stress who also reported marital stress were more likely to exhibit high BMI (OR = 4.14, 95% CI [1.17, 14.59], p < .05).Discussion: The interaction of marital stress and emotional reactivity (i.e., the experience of general stress) was associated with increased BMI. Further studies should evaluate the interactions between family stressors and emotional factors, which may enable the design of more effective interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694421","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

Diversity, equity, and inclusion initiatives: A qualitative study on community health clinic team member perspectives. 多元、公平与包容：社区健康诊所团队成员观点的质性研究。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-24 DOI: 10.1037/fsh0000953

Samantha Pelican Monson, Laura Ramzy, Shambhavi Prathap, Rocio I Pereira

{"title":"Diversity, equity, and inclusion initiatives: A qualitative study on community health clinic team member perspectives.","authors":"Samantha Pelican Monson, Laura Ramzy, Shambhavi Prathap, Rocio I Pereira","doi":"10.1037/fsh0000953","DOIUrl":"10.1037/fsh0000953","url":null,"abstract":"Introduction: Health care organizations have recognized the necessity of addressing diversity, equity, and inclusion (DEI)-related issues to promote anti-racism and improve workplace culture. Little is known about the short- and long-term impacts on staff perceptions of inclusion, psychological safety, and belongingness, or what aspects of DEI initiatives hold meaning and value for team members. In particular, the perspective of clinical staff identifying as racial-ethnic minorities/persons of color (POC), who disproportionately occupy support staff roles with less power on the team, has been unclear and understudied. The purpose of this study was to investigate what makes organizational DEI efforts meaningful and impactful in creating a sense of inclusion for POC clinic team members and identifies perceived barriers to inclusion efforts.Method: A qualitative study was conducted across 13 community health clinics within a safety-net health care system in Colorado. Semi-structured interviews were conducted with 40 participants (77.5% female; Mage 41; 77.5% POC). Participants' clinic roles included support staff team members (75%), medical providers (15%), and clinic leadership (10%).Results: Findings illustrated elements of existing DEI initiatives, ranging from the most beneficial to the most detrimental, including some common across all participant groups and some unique to specific races and/or role groups.Discussion: All participants endorsed common beneficial elements of DEI initiatives. Participants identifying as POC and in roles with less power in the clinic (i.e., support staff members) shared elements with the potential to cause harm. Avoiding detrimental elements and incorporating beneficial elements will allow teams to engage in meaningful DEI initiatives. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694361","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 the Pearlin caregiver stress model to explore the factors influencing the mental health of caregivers of children with asthma. 采用Pearlin照顾者压力模型探讨哮喘儿童照顾者心理健康的影响因素。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-20 DOI: 10.1037/fsh0000975

Mingjing Fu, Xiujie Sun, Huan Han, Kun Chi, Zihan Gao, Xiangdi Dong

{"title":"Using the Pearlin caregiver stress model to explore the factors influencing the mental health of caregivers of children with asthma.","authors":"Mingjing Fu, Xiujie Sun, Huan Han, Kun Chi, Zihan Gao, Xiangdi Dong","doi":"10.1037/fsh0000975","DOIUrl":"https://doi.org/10.1037/fsh0000975","url":null,"abstract":"Introduction: This study investigated the mental health status of caregivers of children with asthma and analyzed the associated influencing factors.Method: We recruited 337 children with asthma and their caregivers. Student's t test, one-way analysis of variance, multiple linear regression, and Pearson's correlation analysis were used to analyze the factors influencing mental health.Results: Caregivers' mental health scores were 2.52 ± 2.33. Statistical analysis revealed a significant difference (p < .05) in the comparison of psychological health scores among caregivers based on various factors, including their relationship with their children, occupation, degree of education, family structure, parenting styles, mean daily care time, degree of work affected, home residence, and monthly family income.Discussion: Caregivers of children with asthma exhibited notable levels of mental well-being, albeit accompanied by concurrent experiences of anxiety and depression. In addition to their primary responsibilities of treating and caring for children, medical professionals should prioritize the mental health of caregivers and promptly offer appropriate guidance and support. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671544","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

Provider, staff, and parent perspectives on the feasibility, utility, and implementation of the Family Health Scale in primary care pediatrics. 提供者、工作人员和家长对初级保健儿科家庭健康量表的可行性、效用和实施的看法。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-10 DOI: 10.1037/fsh0000944

Nomi Weiss-Laxer, Rheanna Platt, AliceAnn Crandall, Jerica M Berge, Alexandria Wahler, Shirley Ann Russ, Dennis Z Kuo

{"title":"Provider, staff, and parent perspectives on the feasibility, utility, and implementation of the Family Health Scale in primary care pediatrics.","authors":"Nomi Weiss-Laxer, Rheanna Platt, AliceAnn Crandall, Jerica M Berge, Alexandria Wahler, Shirley Ann Russ, Dennis Z Kuo","doi":"10.1037/fsh0000944","DOIUrl":"https://doi.org/10.1037/fsh0000944","url":null,"abstract":"Introduction: Improving child health involves focusing on family capacities and resources, including family health. This study aimed to assess (a) current practices for collecting family information in pediatric primary care settings, and (b) the feasibility, acceptability, and utility of a validated Family Health Scale-Short Form (FHS-SF) to screen for family health from clinic staff and parent perspectives.Method: We piloted the FHS-SF in two urban pediatric clinics in 2022. We interviewed four pediatricians and six staff members and piloted the survey with 25 parents. We employed an exploratory qualitative design that included data from provider and staff interviews and a descriptive quantitative component, including surveys with parents/caregivers. We analyzed interview transcripts with the Framework Analysis method and presented survey results with descriptive statistics.Results: Clinic providers and staff endorsed the importance of the family context in pediatric care and regularly asked household economic questions but did not routinely assess interpersonal health except during transitions (e.g., newborn/infancy and adolescent visits) and in the context of a custody change. Caregivers were, on average, 34 years old, primarily mothers (92%) and Black/African American (56%) or white (20%). Providers, staff, and caregivers found the FHS-SF questions to be acceptable. Providers suggested using the FHS-SF as a \"conversation starter\" or a tool to identify referrals. Staff provided suggestions for implementation.Discussion: The FHS-SF could be an effective tool in primary care pediatric settings, contributing to more family-focused care as a foundation for well-being early in the life course. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597973","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

Pain and mental health variables for youth with chronic pain: The role of caregiver stress, pain, and resilience. 慢性疼痛青少年的疼痛和心理健康变量：照顾者压力、疼痛和恢复力的作用。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-10 DOI: 10.1037/fsh0000971

Theresa L Kapke, Spencer Nehls, Brynn LiaBraaten, Jian Zhang, Ke Yan, Steven J Weisman, Keri Hainsworth

{"title":"Pain and mental health variables for youth with chronic pain: The role of caregiver stress, pain, and resilience.","authors":"Theresa L Kapke, Spencer Nehls, Brynn LiaBraaten, Jian Zhang, Ke Yan, Steven J Weisman, Keri Hainsworth","doi":"10.1037/fsh0000971","DOIUrl":"https://doi.org/10.1037/fsh0000971","url":null,"abstract":"Introduction: The primary aim of this study was to examine the way in which parent stress, including adverse childhood experiences (ACEs) and emotional distress, pain, and resilience, relates to child pain and mental health variables when families are establishing pediatric pain management care.Method: Participants included 50 parent/patient dyads who were recruited from an outpatient pediatric pain clinic. The study utilized an observational design, including self-report questionnaires (parents, youth) and chart review. Questionnaires gathered information on parent ACEs, recent emotional distress, pain, and resilience, as well as child pain, anxiety, depression, and global health. The area deprivation index was used to assess family socioeconomic disadvantage, and all data were collected in 2021.Results: Results indicated that higher levels of parent pain severity, disability, and generalized pain were associated with child pain and mental health variables, including higher levels of child generalized pain, anxiety, depression, and worse child global health. Results also indicated that high parent pain disability coupled with higher levels of ACEs increased the risk for child generalized pain.Discussion: Parent factors may impact child pain and mental health variables for youth with chronic pain. Improved understanding of the way in which these parent variables relate to child variables may provide opportunities for improved assessment and care for youth and their families. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598033","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

Multigenerational health-related turning points and impact on health and social outcomes: A systematic review. 多代人健康相关转折点及其对健康和社会结果的影响：一项系统综述。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-10 DOI: 10.1037/fsh0000970

Rebecca J Mitchell, Shalini Wijekulasuriya, Gifty Varghese, Alicia Xerri, Reidar Lystad, Yvonne Zurynski, Reema Harrison, Jeffrey Braithwaite

{"title":"Multigenerational health-related turning points and impact on health and social outcomes: A systematic review.","authors":"Rebecca J Mitchell, Shalini Wijekulasuriya, Gifty Varghese, Alicia Xerri, Reidar Lystad, Yvonne Zurynski, Reema Harrison, Jeffrey Braithwaite","doi":"10.1037/fsh0000970","DOIUrl":"https://doi.org/10.1037/fsh0000970","url":null,"abstract":"Introduction: Some individuals over their life course will experience significant health-related events, such as a physical or mental illness, that can alter their life pathways or trajectories, known as \"turning-point\" events. This systematic review aimed to synthesize the evidence from population-based data collections for: (a) parent health-related turning point events and the impact of these events on offspring health and social outcomes; and (b) offspring health-related turning point events and the impact of these events on parent health and social outcomes.Method: A review of four databases (MEDLINE, CINAHL, PsycINFO, and Scopus) from January 1, 2010 to February 23, 2023 was conducted. Abstracts and full-text articles were screened by four reviewers and critically appraised.Results: Of 114 articles, 98 (86%) examined the effect of a parental health-related turning point on offspring, 11 (10%) examined the effect of an offspring turning point on parents, and five (4%) investigated bidirectional impacts of a turning point event. For parents and offspring, mental health disorders (50%), physical health (26%), and death (24%) were common turning point events examined. For parents and offspring, common health outcomes included mental disorders (n = 50), physical health (n = 11), substance use (n = 9), and death (n = 7), and common social outcomes included educational performance (n = 14), employment or income level (n = 7), and involvement of child protective services (n = 5).Discussion: The ability to disentangle relationships between turning point events and adverse health and social outcomes is required, as is the development of strategies to disrupt intergenerational disadvantage. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598028","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

Marital adjustment and quality of life in fibromyalgia. 纤维肌痛患者的婚姻调整与生活质量。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-10 DOI: 10.1037/fsh0000962

M Graça Pereira, Ana Cristina Bernardo, Mafalda Silva, Ana C Almeida

{"title":"Marital adjustment and quality of life in fibromyalgia.","authors":"M Graça Pereira, Ana Cristina Bernardo, Mafalda Silva, Ana C Almeida","doi":"10.1037/fsh0000962","DOIUrl":"https://doi.org/10.1037/fsh0000962","url":null,"abstract":"Introduction: Fibromyalgia is a disease that impacts the daily lives of patients and their partners with an impact on quality of life (QoL) and marital adjustment. The purpose of this study was to analyze the relationship among sociodemographic, clinical, and psychological variables on QoL and marital adjustment.Method: This cross-sectional study included patients (n = 76) and partners (n = 58) assessed on psychological morbidity (anxiety and depression symptoms), fatigue severity, family coping, QoL, and marital adjustment.Results: Pain control beliefs had an indirect effect in the relationship between psychological morbidity and marital adjustment and between family coping and marital adjustment, and a direct effect in the relationship between psychological morbidity/fatigue severity and QoL and between family coping and marital adjustment, revealing an indirect effect in this latter relationship. Also, the dyadic analysis showed an actor effect between family coping and marital adjustment of both patients and partners and a partner effect between family coping in partners' and patients' marital adjustment.Discussion: The results of this study underline the need for interventions to address the dyad and be focused on pain beliefs and on the importance of family coping to promote patients and partners' marital adjustment and QoL. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598024","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

In our words: Patient reports of the utility of primary care behavioral health services. 用我们的话说患者对初级保健行为健康服务效用的报告。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-02-17 DOI: 10.1037/fsh0000956

Emily L Allen, Alyssa J Hartley, Ana J Bridges

{"title":"In our words: Patient reports of the utility of primary care behavioral health services.","authors":"Emily L Allen, Alyssa J Hartley, Ana J Bridges","doi":"10.1037/fsh0000956","DOIUrl":"https://doi.org/10.1037/fsh0000956","url":null,"abstract":"Background: The primary care behavioral health (PCBH) model of integrated care has been successfully implemented and evaluated in diverse settings. The most common metrics of PCBH service outcomes include provider and patient satisfaction, patient symptom changes, provider productivity, and utilization rates. Missing is the broader perspective of the patient. To address this gap, we solicited qualitative feedback from PCBH patients about the benefits of PCBH services.Method: Primary care patients (n = 135; Mage = 28.31, 52.6% White, 25.9% Hispanic/Latinx, 72.6% female) seen by six behavioral health interns at two primary care clinics over a 13-month period responded to an open-ended question about what they found most helpful about that day's session.Results: Roughly half of patient responses about PCBH session benefits encompassed nonspecific aspects of therapy (49.6%), while nearly two-thirds (63.0%) mentioned specific therapeutic techniques delivered by clinicians in session as most helpful. In terms of nonspecific benefits of PCBH, many patients described benefitting from having space to talk, receiving validation, and instillation of hope. Specific aspects of treatment patients reported were helpful included skill building, resource sharing, goal setting/treatment planning, psychoeducation/guidance, and specific cognitive behavioral therapy techniques.Conclusion: PCBH relies on both nonspecific relational components and special therapy techniques; both are useful to patients, and neither is frequently included in routine evaluations of the effectiveness of PCBH and other models of integrated care. Our findings support the benefits of including patient input when conducting outcome monitoring within the PCBH model. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442904","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