Families Systems & Health最新文献

{"title":"Assessing the effects of prenatal enrollment into HealthySteps on dyadic health outcomes.","authors":"Jaya Mishra, Ronald Sanchez, Hannah Brody, Laura Harford, Reyna Payero, Caroline Cummings, Evelyn Berger-Jenkins","doi":"10.1037/fsh0001063","DOIUrl":"10.1037/fsh0001063","url":null,"abstract":"<p><strong>Introduction: </strong>HealthySteps (HS) is a national evidence-based, pediatric behavioral health model designed to improve comprehensive mental and psychosocial health care during early childhood in marginalized communities. Our study sought to examine the effects of extending the HS intervention to the prenatal period, embedded within outpatient obstetric care from 2020 to 2022.</p><p><strong>Method: </strong>A sample of 611 families was included; 120 families enrolled prenatally (extended model) and 491 families enrolled postnatally (traditional model). Baseline, follow-up (over a 15-month period), and change in rates of maternal depression, social drivers of health (SDOH), breastfeeding practices, pediatric well visit completion, and HS engagement were compared between prenatally and postnatally enrolled groups.</p><p><strong>Results: </strong>Families in the prenatally enrolled group had a 20% decrease in SDOH risk score compared with 7% in the postnatally enrolled group (<i>p</i> = 0.003). A higher percentage of prenatally enrolled families (83%) reported breastfeeding compared with 46% of postnatal families (<i>p</i> < 0.001), and specifically at their infant's 2-4-month visit (66% compared with 38% in postnatal group, <i>p</i> = 0.004). Furthermore, subanalysis of Tier 3 (high-risk) families revealed greater follow-up with scheduled pediatric appointments for prenatal families (91% compared with 78%, <i>p</i> = 0.011). After controlling for covariates, regression analyses revealed that prenatal enrollment resulted in greater odds of reduced SDOH risk (<i>p</i> = 0.003), reported breastfeeding practices (<i>p</i> < 0.001), and completed pediatric visits for Tier 3 families (<i>p</i> = 0.021).</p><p><strong>Discussion: </strong>These results provide some evidence that expanding the HS intervention into obstetric care is linked to improved outcomes for young children and their caregivers. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594751","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":"A mixed-methods feasibility pilot study of a psychoeducation program for caregivers of autistic children with type 1 diabetes.","authors":"Jessica Stacey, Hayley Thompson, Chris Ashwin","doi":"10.1037/fsh0001068","DOIUrl":"https://doi.org/10.1037/fsh0001068","url":null,"abstract":"<p><strong>Introduction: </strong>Autism spectrum disorder is more prevalent in children with Type 1 diabetes (T1D) than the general population, and autistic children with T1D encounter additional challenges compared with children with either condition alone. This presents unique challenges for their caregivers, and key models emphasize the need for the expansion of social networks to support caregivers and improve their physical and mental health. The present study aimed to evaluate the feasibility of a psychoeducation compassion-focused therapy (CFT)-based program developed for caregivers of autistic children with T1D.</p><p><strong>Method: </strong>A total of 11 caregivers attended the program, delivered by an assistant psychologist and trainee clinical psychologist (both English-speaking), which included three 90-min psychoeducation workshops utilizing CFT principles to target caregivers' specific needs. Feasibility was evaluated using recruitment, attendance, retention, and data completion metrics, and a thematic analysis was completed on qualitative data collected in August 2023 from seven participants (six mothers and one grandmother).</p><p><strong>Results: </strong>The thematic analysis developed five themes, including perceived value from peer support, gaining knowledge, developing coping skills, managing emotional states, and long-term peer support. The metrics related to recruitment, attendance, and retention supported the feasibility of program delivery, along with moderate feasibility for research data collection.</p><p><strong>Discussion: </strong>The findings offer evidence for the feasibility of delivering the psychoeducation CFT-based program within U.K. health care services and perceived benefits in social support, well-being, and self-efficacy, which reflects the perceived usefulness and appropriateness of the program to the participants. Further research is required to improve data collection procedures and evaluate program effectiveness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581189","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":"Clinician adopter profiles of behavioral mobile health apps: A two-profile typology for integrated primary care implementation.","authors":"David J Johnson, Tania Perez Rodriguez","doi":"10.1037/fsh0001065","DOIUrl":"10.1037/fsh0001065","url":null,"abstract":"<p><strong>Objective: </strong>Mobile health (mHealth) applications can extend behavioral health care in integrated primary care (IPC), yet clinician adoption is inconsistent. This mixed-methods study examined IPC clinicians' attitudes toward mHealth apps, identified adopter profiles, and explored contextual factors shaping behavioral intention.</p><p><strong>Method: </strong>We surveyed 69 clinicians using the technology acceptance model and the unified theory of acceptance and use of technology. Survey results analysis used k-means clustering to identify adopter profiles. Semistructured interviews with a purposive subsample (<i>n</i> = 10) explored perceived benefits, barriers, and implementation needs. We integrated quantitative and qualitative results using joint displays.</p><p><strong>Results: </strong>Two clusters emerged: Enthusiasts (<i>n</i> = 25) and Skeptics (<i>n</i> = 44). Enthusiasts scored higher on behavioral intention and facilitating conditions. Interviews contextualized these differences: Enthusiasts emphasized clinical fit and workflow solutions (e.g., electronic health record integration and digital navigator roles), whereas Skeptics cited liability, relational concerns, and equity barriers (e.g., device access and digital literacy). Both groups endorsed apps as adjunctive rather than replacement tools. Mixed-methods integration highlighted actionable strategies: boundary-setting norms, curated app formularies, and equity-first implementation.</p><p><strong>Conclusion: </strong>Adoption of mHealth in IPC depends less on persuasion than on enabling technical, organizational, and ethical conditions that preserve relational care and promote equity. Findings identify Consolidated Framework for Implementation Research-aligned strategies that strengthen team coordination and family-centered equity in IPC. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581183","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":"Aligning maternal-child health: Designing dyadic care across a large academic medical system.","authors":"Maya E Ross, Beth Maletz, Hannah Brody, Ronald Sanchez, Evelyn Berger-Jenkins, Liora Hoffman, Ana G Cepin, Emma Hulse, Amanda Esteves, Dodi Meyer","doi":"10.1037/fsh0001069","DOIUrl":"10.1037/fsh0001069","url":null,"abstract":"<p><strong>Introduction: </strong>Historical disparities in maternal and infant health, exacerbated over the COVID-19 pandemic, necessitate investment in a systematic and community-based approach to dyadic care. NewYork-Presbyterian sought to build an innovative, 2-generation program integrating obstetric, pediatric, behavioral health, and community services.</p><p><strong>Method: </strong>This report outlines the development of the Maternal and Child Integrated Mental Health Program (MAC-IMP) from 2020 to 2024, utilizing the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, informed by deidentified patient data collected during this period.</p><p><strong>Results: </strong>Through multidisciplinary collaboration, data and health record optimization, risk stratification, and comprehensive service alignment, an equitable and patient-centered model was developed.</p><p><strong>Discussion: </strong>Lessons learned include methods for multisystem clinical and administrative coordination, communication, and community-partnership building. These lessons can be adapted for multispecialty health care systems across the country to build a more patient-centered, preventative, and holistic model of maternal and infant care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521565","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":"Types of family support persons and links to self-efficacy and disease severity among underserved Latino/a primary care patients with type 2 diabetes.","authors":"Angela R Hiefner, Sarah B Woods","doi":"10.1037/fsh0001064","DOIUrl":"10.1037/fsh0001064","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess whether <i>who</i> patients report as their primary family support person is linked to diabetes self-efficacy and disease severity.</p><p><strong>Research design and method: </strong>A total of 177 Latino/a patients with type 2 diabetes completed surveys regarding diabetes-related family support, diabetes self-efficacy, and self-management behaviors. Hemoglobin A1c (HbA1c) was collected from each patient's medical record. Associations were analyzed using multivariate analysis of covariance and analysis of covariance.</p><p><strong>Results: </strong>Patients without a support person had significantly higher HbA1c values. These patients reported receiving significantly less diabetes-related support than patients with a spouse, parent/sibling, or son/daughter support person. This lack of support person created a significant support deficit for these patients. Patients with a spouse support person reported significantly greater diabetes self-efficacy than patients with a parent/sibling, son/daughter, or no support person.</p><p><strong>Conclusions: </strong>Patients without family support may be at risk of worse outcomes, and certain sources of family support may be tied to diabetes self-efficacy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474502","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":"Effects of interventions for siblings of children with physical and psychological chronic health conditions: A systematic review.","authors":"Tatum S Zeleznik, Christine A Limbers","doi":"10.1037/fsh0001061","DOIUrl":"10.1037/fsh0001061","url":null,"abstract":"<p><strong>Introduction: </strong>Research indicates that siblings of children with chronic health conditions (CHCs) are a vulnerable population that faces various challenges, and interventions have been developed to mitigate the potential for adverse outcomes. This systematic review evaluated the efficacy of interventions developed for siblings of children with CHCs across a wide spectrum of outcomes.</p><p><strong>Method: </strong>A systematic search of APA PsycInfo, PubMed, and Scopus was conducted in September 2023 to review the literature on interventions for siblings (birth to 18 years old) of children with physical or mental CHCs. Inclusion criteria consisted of online and in-person interventions, controlled and uncontrolled studies, and the assessment of at least one sibling outcome. The Effective Public Health Practice Project Quality Assessment Tool was used to assess study bias.</p><p><strong>Results: </strong>Twenty-one studies covering 19 interventions were included, with a total of 1,627 participants and over 17 childhood chronic illnesses. Results from the review evidenced support in improvements in sibling self-esteem (<i>n</i> = 6), social support (<i>n</i> = 2), knowledge of illness (<i>n</i> = 9), and internalizing and externalizing symptoms (<i>n</i> = 10) postintervention. There were no remarkable differences between interventions for siblings of children with physical, mental, or a combination of CHCs.</p><p><strong>Discussion: </strong>The evidence largely indicates that interventions for siblings can be beneficial across a range of outcomes. Nonetheless, there were some inconsistencies in findings, which likely were an artifact of the variability in study designs, the diversity of interventions, and poor study methodologies. The findings highlight the need for well-designed intervention studies for their effective integration into clinical practice. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220490","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":"Resilience.","authors":"Nidhi Agrawal","doi":"10.1037/fsh0001028","DOIUrl":"https://doi.org/10.1037/fsh0001028","url":null,"abstract":"<p><p>Resilience is a poem about the unraveling of memory in Alzheimer's disease. Using medical images alongside personal encounters, it explores how physicians, patients, and families perceive memory loss differently. The poem suggests that resilience is not defeating the disease but finding meaning in its slow erasure. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"232-233"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201299","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":"Integrated care-The way of the generalist.","authors":"Kurt C Stange","doi":"10.1037/fsh0001071","DOIUrl":"10.1037/fsh0001071","url":null,"abstract":"<p><p>Sandy Blount's Opinion piece in this issue of <i>Family, Systems, & Health</i> is worthy of a slow and thoughtful read (see record 2027-80995-002). What if we acted on his assertion that \"mind and body are different realms of description rather than different entities\"? Blount notes that the mind-body dichotomy doesn't fit what we see. Indeed, when we are not wearing reductionist hats as scientist, health care organizer, or clinician-when we just see and act as regular human beings-we seldom divide people into mind or body. We start with the whole. Our mental model is holistic (Lynch et al., 2022, 2023; Scott et al., 2009; Stewart et al., 2013). Blount says, \"So much of what we need to understand doesn't fit neatly into these two realms of description\" (Blount, 2026). (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"126-131"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201235","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":"The value of evening chats.","authors":"Donald Pine","doi":"10.1037/fsh0001019","DOIUrl":"10.1037/fsh0001019","url":null,"abstract":"<p><p>The author offers advice for physicians, to take time to talk with colleagues. Brief moments of connection at the end of the day will share wisdom, provide support, and sustain us for the long run. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"227-228"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201316","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":"Brief introductions to increase engagement with integrated psychology services in primary care.","authors":"Erin T Tobin, Eve DePascale, McKenzie N Berezin, Michael Evitts, Emily Thomas, Anupama Nair, David Willens","doi":"10.1037/fsh0001033","DOIUrl":"10.1037/fsh0001033","url":null,"abstract":"<p><strong>Background: </strong>Warm handoffs have shown to improve engagement in care for integrated services; however, often patients cannot stay for an additional appointment. The current work set out to understand if a brief introduction-a nonbillable encounter where a psychology team member meets with the patient and schedule a future appointment-can improve attendance in care for patients.</p><p><strong>Method: </strong>Participants included 171 patients who were referred to an integrated psychology team with behavioral health consultants (BHCs) within a primary care clinic. Data was tracked from December 2023 until February 2024. Team members were asked to notify the psychology team when placing a referral to complete a warm handoff or brief introduction. Referrals, brief introductions, and attendance were pulled from the electronic medical record.</p><p><strong>Results: </strong>About 38.6% of patients referred to the psychology team completed a brief introduction with a BHC. About 80.3% of patients who completed a brief introduction went on to complete a visit with a BHC whereas 57.1% of those who were referred for an appointment without a brief introduction completed an appointment. There is a significant relationship between the brief introduction and attendance at a future appointment (McNemar's test χ² = 28.99, <i>p</i> < .01).</p><p><strong>Discussion: </strong>Briefly meeting with a BHC is linked with attendance at future visits. The current work extends research with warm handoffs to show that a brief nonbillable encounter is associated with engagement in psychological services in an integrated care setting with a diverse patient population and calls for specificity in strategies to increase patient engagement. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"192-196"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758331","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}