Families Systems & Health最新文献_第3页

Shifting sands in rural New Mexico. 新墨西哥州农村的流沙。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000914

Devon Fisher-Chavez

{"title":"Shifting sands in rural New Mexico.","authors":"Devon Fisher-Chavez","doi":"10.1037/fsh0000914","DOIUrl":"https://doi.org/10.1037/fsh0000914","url":null,"abstract":"The author describes his first day on the obstetrics unit of a rural hospital in New Mexico. As a fourth-year medical student, he was excited to show all that he knew about pregnancy and delivery. He recounts the delivery of a fetus via c-section that was stillborn. There was a post-mortem one hour later with the surgeons, nurses, and residents. The patient spoke only Spanish, which put an enormous strain on the interpreter who the author noticed sitting near the center of the room. The team of nurses, doctors, and surgeons argued around her, obviously upset about how the case was handled. The author watched the translator for a moment and noticed a tear rolling down her left cheek. The bickering stopped abruptly when the translator's quiet tears suddenly turned into heavy sobs. The room turned silent, and everyone's attention shifted toward the translator. For a moment, the events of the morning were forgotten, and everyone's anger turned into empathy. The author learned all he could about the medical aspects of this pregnancy and why it went so wrong. But the interpreter taught him something that can't be found in any medical textbooks; she taught him about the pain of loss. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"168-169"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082315","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

Welcome everyone: Cultivating a sense of belonging. 欢迎大家：培养归属感。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000976

Jason Herndon, Deepu George

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 : 2025-03-01 Epub 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":"10.1037/fsh0000917","url":null,"abstract":"Introduction: 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.Method: 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.Results: 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.Discussion: 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) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"27-37"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","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

The development and early success of the South Carolina two-generation community of practice to support family-serving professionals. 南卡罗来纳州两代人实践社区的发展和早期成功，以支持家庭服务专业人员。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 Epub Date: 2024-08-22 DOI: 10.1037/fsh0000906

Lauren Workman, Doug Taylor, Megan Austin, Maria McClam, Pamela Gillam, Joey Dockery

{"title":"The development and early success of the South Carolina two-generation community of practice to support family-serving professionals.","authors":"Lauren Workman, Doug Taylor, Megan Austin, Maria McClam, Pamela Gillam, Joey Dockery","doi":"10.1037/fsh0000906","DOIUrl":"10.1037/fsh0000906","url":null,"abstract":"Introduction: System-level initiatives are key to promoting health and well-being among young families, yet agencies and organizations who support those families often do not coordinate their delivery of supportive services and resources. We describe the South Carolina (SC) two-generation (2Gen) community of practice (CoP) and its early efforts to foster statewide adoption of \"whole family\" centered approaches.Method: This mixed-methods study evaluated the impact of the CoP. Quantitative data were gathered from CoP participants to assess its impact on their increased knowledge and use of the 2Gen approach, as well as on new peer connections and individual professional development. Qualitative data were gathered on the perceived value of the CoP, as well as opportunities for growth.Results: Data indicate that SC 2Gen CoP meetings have been well received by participants. Data from meeting evaluations demonstrate that the information increased participants' knowledge on the 2Gen approach and that it contributed to their growth and professional development. Meetings have also been effective in promoting connections between like-minded professionals, as well as in providing useful information to integrate 2Gen approaches into their work.Discussion: These early findings demonstrate the continued need for the SC 2Gen CoP and its potential to grow into a robust outlet to support family-serving professionals in SC. More efforts are needed to promote systems coordination and integration among family-serving professionals. CoPs are one way to integrate system-level strategies, such as the 2Gen approach, to support family-serving professionals and enhance the integration of resources provided to families. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"49-59"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019747","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 : 2025-03-01 Epub 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":"10.1037/fsh0000920","url":null,"abstract":"Background: 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.Method: Graduate-level health professions students (N = 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.Results: Quantitative results indicated statistically significant changes for drug perceptions (p < .001), interprofessional competency (p < .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.Conclusions: 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) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"60-73"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","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

Advancing integrated health care through family, systems, and health: A brief report. 通过家庭、系统和健康推进综合卫生保健：简要报告。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000983

Ruth N Faucette, Sandra Bertram Grant, Tai Mendenhall, Hanna Yu, C R Macchi

{"title":"Advancing integrated health care through family, systems, and health: A brief report.","authors":"Ruth N Faucette, Sandra Bertram Grant, Tai Mendenhall, Hanna Yu, C R Macchi","doi":"10.1037/fsh0000983","DOIUrl":"https://doi.org/10.1037/fsh0000983","url":null,"abstract":"Introduction: Despite continued efforts to substantiate models and measures, primary care organizations continue to struggle with the implementation of integrated health care (IHC). The incoming editors of Families, Systems, & Health (FSH), a peer-reviewed journal that promotes IHC, seek to define practical and applicable processes and structures that can be adopted to improve patients' mental and behavioral health outcomes vis-a-vis IHC. This brief report assessed coverage of the IHC content areas in articles published in FSH between 2018 and 2023 and informs the coeditors next steps in adopting a framework focused on sustainable integration efforts.Method: To assess coverage, we conducted a rigorous and comprehensive analysis following the PSALSAR method. A total of 357 articles were analyzed and categorized across 15 thematic content areas operationalized according to the Lexicon for Behavioral Health and Primary Care Integration.Results: Findings showed that practice management (17.8%), family systems (14.6%), workforce development (13.2%), and diversity (13.2%) have been the most common content areas published in FSH. The least identified content areas included technology (5.6%), personal narratives (6.1%), and dissemination and implementation (7.4%).Conclusion: We recommend that FSH maintains its emphasis on practice management, workforce development, and related other topics informative to the effective practice(s) of IHC. Moving forward, we also encourage a more balanced pairing of these works with research regarding ways to organize and financially sustain said practice(s) effectively. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"22-26"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082129","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

Rare but not alone. 罕见但并不罕见。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000910

Sara Moore

引用次数: 0

Opportunity, creativity, access, and teamwork. 机会、创造力、接触和团队合作。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000980

Michelle E Mlinac

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 : 2025-03-01 Epub 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":"10.1037/fsh0000929","url":null,"abstract":"Introduction: 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.Method: 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 (N = 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.Results: 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.Discussion: 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) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"157-161"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","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

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 Epub 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":"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":"99-111"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","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