Families Systems & Health最新文献

{"title":"A descriptive examination of international family/shared meals: Prevalence, meal types, media at meals, and emotional well-being.","authors":"Jerica M Berge, William J Doherty, Kristen C Klemenhagen, Derek Hersch, Tai J Mendenhall, Christine Danner","doi":"10.1037/fsh0000874","DOIUrl":"10.1037/fsh0000874","url":null,"abstract":"<p><strong>Introduction: </strong>Studies in the United States have shown associations between family/shared meal frequency and child health and well-being. Less is known about family/shared meal characteristics (e.g., frequency, meal type, meal activities) in adults and international samples and whether there are protective associations between family/shared meal frequency and emotional well-being. Also unknown, is whether family meals provide protective associations for other family members in the household.</p><p><strong>Method: </strong>In a 2022 cross-sectional study, an online survey was administered in the United States, Italy, and Germany. One adult respondent (49.5% female; Mage = 45.6) from each household (<i>n</i> = 1,983) reported on family/shared meals and well-being. A second family member (e.g., partner, child) responded in a subset of households (<i>n</i> = 1,915). Descriptive statistics by country, Spearman correlations between meal frequency and well-being, and Kruskal-Wallis comparisons of mood indicators across countries were run.</p><p><strong>Results: </strong>The majority of adults across countries engaged in six or more family/shared meals per week, with more meals on weekends. Breakfast, lunch, and dinner family/shared meals were more common on weekends, and European countries reported engaging in a higher prevalence of all meal types. Higher frequency of family/shared meals was significantly correlated with fewer depressive symptoms, more connectedness, and higher levels of happiness in adults across countries and in a second household member.</p><p><strong>Discussion: </strong>Family/shared meals were beneficial across an international sample and may provide protective spillover effects for multiple household members. Clinicians and researchers who work with families may want to consider assessing for and intervening on family meal frequency. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"525-537"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061426","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":"Life of a Type 1 diabetic.","authors":"Audrey Kilbreath","doi":"10.1037/fsh0000907","DOIUrl":"10.1037/fsh0000907","url":null,"abstract":"<p><p>This article discusses the life of a Type 1 diabetic. Everything is a danger. Stress, flu, infection, or a common cold could all lead to a hospital stay. There are many negative long-term effects: blindness, loss of a limb, heart attacks, etc. Every day is an effort to keep on top of things. The diabetes cannot be forgotten or ignored. The cost of living with diabetes is atrocious, between the devices, insulin, and other needed supplies. It is expensive to be sick. On top of the insulin pump, there are numerous supplies, such as reservoirs to hold the insulin, the infusion sets to put the plastic needle into the body, along with tubing to carry the insulin from the pump to the insertion point on the abdomen. There are also continuous glucose monitors (CGM), which include a transmitter, as well as sensors that have to be changed weekly. These items are much needed for people like the author, who after having diabetes for 24 years, find it difficult to feel low blood sugars. This difficulty feeling low blood sugars is quite dangerous, and may lead to seizures, brain damage, or even death if unnoticed and untreated. With CGM technology, the transmitter and sensors have saved the author on multiple occasions from seizures, or worse. They are a necessity, and the author needs the CGMs to protect her life. The author highlights a promise of hope in the Canadian Government's plan to financially cover \"diabetic medications and supplies.\" And while it would not cover the expensive drugs not currently covered by the author's insurance, it does mean insulin and oral medications for Type 2 diabetes will no longer be paid out of pocket. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"649-650"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762939","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":"Reducing death by suicide by addressing well-being and firearm access: A both/and policy approach.","authors":"Sarah Kassabian, Maura Gissen, Jessica Kenny","doi":"10.1037/fsh0000943","DOIUrl":"https://doi.org/10.1037/fsh0000943","url":null,"abstract":"<p><strong>Objective: </strong>Firearm-related suicide is an alarming and growing issue in the United States, accounting for over 25,000 deaths annually. Unfortunately, public perception often underestimates the pervasiveness of this issue, despite widespread support for common sense strategies that could help address it, such as upstream preventative and well-being approaches and reducing access to firearms.</p><p><strong>Method: </strong>Examining recent evidence,this policy brief highlights the critical need for effective policies to prevent and reduce suicide by firearm.</p><p><strong>Results: </strong>Evidence suggests that reducing access to firearms, especially for individuals at heightened risk, is a critical factor in preventing suicide. Additionally, addressing social determinants of health and ensuring equitable access to behavioral health care are holistic, upstream approaches to reduce suicide death by firearm. A both/and policy approach helps to integrate both of these necessary and evidence-based pathways by both investing in upstream approaches to improve mental well-being and increasing firearm safety and restricting access for those most at risk.</p><p><strong>Discussion: </strong>This policy brief serves as a call to action for policymakers, clinicians, mental health advocates, and community members alike to advocate for and implement solutions that save lives. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 4","pages":"651-655"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883307","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":"Directional value statements: Collaborative Family Healthcare Association's refined values.","authors":"Deepu George, Jason Herndon","doi":"10.1037/fsh0000948","DOIUrl":"https://doi.org/10.1037/fsh0000948","url":null,"abstract":"<p><p>In my column in last year's December issue (George, 2023), I asked you to engage with us to ask bold, uncomfortable questions informed by the ecocycle framework (Liberating Structures: Including and Unleashing Everyone, 1991). At the same time last year, the Collaborative Family Healthcare Association (CFHA) board of directors began our strategic planning. While all parts of the strategic plan are important, this article will present our work to update CFHA's values. These values represent directional statements and offer a framework to chart our future growth. The term \"directional statements\" signifies that the values presented here inform us where we need to look or what to look for. They help us locate ourselves and direct us on how to be in a community and in relation to each other and the world. They have already been informative in critical conversations this past year. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 4","pages":"656-661"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883092","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 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":"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":" ","pages":"548-558"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","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}

{"title":"Patient perspectives on primary care behavioral health integration in an urban mental health professional shortage area: Benefits, facilitators, and barriers.","authors":"Anya Agrawal, Erin M Staab, Fabiana S Araújo, Daily Desenberg, Neda Laiteerapong","doi":"10.1037/fsh0000912","DOIUrl":"10.1037/fsh0000912","url":null,"abstract":"<p><strong>Introduction: </strong>While studies have described the benefits of integrating behavioral health (BH) into primary care (PC), few have examined patients' perspectives, especially in large, urban health systems. In 2015, the University of Chicago Medicine launched the Primary Care Behavioral Health Integration Program, located in a mental health professional shortage area.</p><p><strong>Method: </strong>In 2021, semistructured interviews were conducted with adult patients who had discussed their depression symptoms with their primary care clinician (PCC). Participants were asked about their experiences of being screened for depression, discussing BH, and being referred to behavioral health clinicians (BHCs). Interviews were analyzed using thematic analysis and constant comparison, and they were conducted until theme saturation was achieved.</p><p><strong>Results: </strong>Fifteen participants were interviewed, the majority of whom were women and African American/Black, with an average age of 52. Participants expressed that PC-BH integration helps patients recognize BH problems and navigate the BH care system, emphasizes the connection between physical and mental health, and eases conversations through familiar setting and established trust. Patients enumerated barriers to integration, including barriers to BH care in the PC setting, barriers to BH conversations with PCCs/BHCs, and barriers to referrals to psychiatry/external therapy. Patients highlighted facilitators of integration, including trust with their PCC, collaboration between PCCs and BHCs, and population-level screening.</p><p><strong>Discussion: </strong>These perspectives affirm the core strength of PC-BH integration: making BH more accessible and destigmatizing, especially for underserved communities. They also emphasize the importance of collaboration between PCCs and BHCs, shared identities, and actively involving patients in program design and quality improvement interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"570-581"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019746","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 real truth in dementia.","authors":"Lorraine Mesagna","doi":"10.1037/fsh0000880","DOIUrl":"https://doi.org/10.1037/fsh0000880","url":null,"abstract":"<p><p>The author describes their experiences with 2 loved ones suffering from dementia and the decline of their cognitive abilities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 4","pages":"637-638"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882977","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 wait to remember.","authors":"Grazianne-Geneve V Mendoza","doi":"10.1037/fsh0000892","DOIUrl":"10.1037/fsh0000892","url":null,"abstract":"<p><p>The author shares a short story about their experience of the possibility of having a serious eye condition and losing their sight. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 4","pages":"642-643"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882985","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":"Development and evaluation of a caregiver checklist for primary care.","authors":"Catherine Riffin, Jennifer L Wolff, Karl A Pillemer","doi":"10.1037/fsh0000937","DOIUrl":"https://doi.org/10.1037/fsh0000937","url":null,"abstract":"<p><strong>Introduction: </strong>Family caregivers serve vital functions in older adults' health care, but their own needs are not systematically assessed in routine care delivery. The present study employed a user-centered approach to develop and evaluate a pragmatic checklist to support proactive identification and discussion of caregivers' concerns in primary care.</p><p><strong>Method: </strong>Checklist development proceeded according to a preestablished methodology involving domain identification, item generation, overall construction, and revision. The checklist subsequently underwent formal evaluation by 25 subject matter experts (SMEs), including primary care clinicians, family caregivers, and health services researchers who assessed the checklist's content validity and appraised its overall utility, ease of use, and mode of administration.</p><p><strong>Results: </strong>The checklist showed excellent content validity. None of the items were found to be superfluous, indicating that the checklist covered relevant content domains. Subject matter experts reported that the checklist was easy to use, just the right length, and would be helpful in identifying and prompting a discussion about caregivers' needs. Their preferences regarding how the checklist should be administered were variable. Minor revisions to the checklist focused on enhancing its applicability to caregivers from low- and middle-income families and those from underrepresented backgrounds.</p><p><strong>Discussion: </strong>Results indicate that the checklist is an appropriate tool for identifying caregivers' needs and concerns. Findings lay the groundwork for pilot testing in primary care to confirm the checklist's clinical feasibility and evaluate its preliminary impact on family-centered care quality and outcomes for primary care clinics. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689718","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":"Adaptation of a couples intervention to promote coparenting and reduce hazardous drinking during transition to parenthood.","authors":"Stephanie Godleski, Kurt Dermen, Mark E Feinberg, Craig R Colder, Emily Verdaasdonk, Rina D Eiden","doi":"10.1037/fsh0000936","DOIUrl":"https://doi.org/10.1037/fsh0000936","url":null,"abstract":"<p><strong>Introduction: </strong>Hazardous drinking by fathers poses a significant risk for negative family interactions and child outcomes. The transition to parenthood may be a time when expectant parents are potentially motivated for health behavior change, suggesting that implementing preventive interventions during this period may be particularly effective. This article provides an overview of the rationale for an innovative prevention strategy incorporating alcohol-use intervention with a family-focused program.</p><p><strong>Method: </strong>We describe the process of integration and adaptation of two evidence-based interventions beginning in pregnancy: (a) Family Foundations, a universal transition-to-parenthood intervention for couples to enhance coparenting and couple dyadic functioning, and (b) brief intervention to address alcohol use delivered using a couples-focused motivational interviewing style.</p><p><strong>Results: </strong>Lessons learned from pilot testing (conducted October 2020-March 2021) included the importance of softened framing of the discussions and language used around alcohol use given that parents were not specifically seeking treatment for alcohol use and the program was described as a parenting program that included discussion of health behaviors, including drinking. In addition, we found that evoking discussion and communication within dyads and supporting autonomy in decision making regarding alcohol use also facilitated engagement.</p><p><strong>Conclusion: </strong>Pilot testing demonstrated the acceptability and feasibility of an adapted, integrated intervention program designed to strengthen coparenting skills and dyadic functioning and promote lower risk levels of alcohol use among couples during the transition to parenthood. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647762","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}