Families Systems & Health最新文献

{"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":"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":"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":"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":"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":"Development and evaluation of a caregiver checklist for primary care.","authors":"Catherine Riffin, Jennifer L Wolff, Karl A Pillemer","doi":"10.1037/fsh0000937","DOIUrl":"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) 2025 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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092731/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Familism and well-being across 48 countries.","authors":"Qingke Guo, Wang Zheng","doi":"10.1037/fsh0000938","DOIUrl":"https://doi.org/10.1037/fsh0000938","url":null,"abstract":"<p><strong>Introduction: </strong>Familism varies across cultures, with some societies placing greater emphasis on family ties and obligations than others. Despite its variability, the precise impact of familism on psychosocial functioning remains inconclusive and requires further exploration to clarify its effects in different cultural contexts. Understanding the role of familism in a cross-cultural context can help health care providers enhance patient care by considering familial influences on mental health and well-being.</p><p><strong>Method: </strong>This study used World Values Survey data (Wave 7) to investigate familism's effects on psychological well-being, physical well-being, and life satisfaction across 48 countries. Hierarchical linear models were employed to analyze data from 69,578 adult participants (52.4% female, <i>M</i>_age = 42.59, <i>SD</i> = 16.28). The study examined the relationship between familism and well-being outcomes, with consideration of urbanization and individualism as moderators.</p><p><strong>Results: </strong>Findings revealed a positive association between familism and well-being outcomes, indicating potential universality in this relationship across cultures. Urbanization and individualism did not significantly influence the relationship between familism and well-being, suggesting its stability across different societal contexts.</p><p><strong>Discussion: </strong>These results suggest that familism may have universal benefits for well-being, as it fosters connections within families, providing individuals with a sense of purpose and meaning in life. This is particularly significant in the contemporary context of shrinking household sizes, epidemic of loneliness, and increasing social isolation. Integrating insights on familism can help health care providers better support patients and improve mental health and well-being. (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":"142647824","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":"Implementing a pain psychology screening process in primary care.","authors":"Erin T Tobin, Jan T Mooney, Eve DePascale, Sandra Maxwell, David E Willens, Jordan M Braciszewski, Lisa R Miller-Matero","doi":"10.1037/fsh0000935","DOIUrl":"https://doi.org/10.1037/fsh0000935","url":null,"abstract":"<p><strong>Background: </strong>Integrating pain psychology in primary care has the potential to improve symptom burden; however, identifying those who may benefit is a challenge. The purpose of this study was to gather feedback from a multidisciplinary team to optimize digital screening and referral for psychological treatment of chronic pain distress within primary care.</p><p><strong>Method: </strong>Team members in a primary care clinic were introduced to the proposed screening process and offered the opportunity to complete a feedback survey. The proposed workflow involved the customer service representative providing patients with digital screeners on an iPad, results transferring to the electronic health record, and a medical assistant (MA) returning the iPad. Positive screens would alert the MA to start the referral process in the electronic health record then signaling the physician to discuss the referral to the psychology team with the patient.</p><p><strong>Results: </strong>Sixty-eight percent of individuals agreed or strongly agreed that screening for chronic pain and distress is important. Sixty six percent of the respondents selected the customer service representatives as the ideal team member to give the iPad to patients and 84% responded that MAs should be responsible for returning the iPad to the front desk. Some thought a positive screen should directly alert physicians (58%) whereas 40% indicated a preference for signaling the MAs to start the referral process.</p><p><strong>Discussion: </strong>Team members had favorable opinions about integrating digital chronic pain distress screening. The logistics of the screening and referral process were finalized based on this feedback and will be integrated into the clinic. (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":"142648769","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":"Identifying the need for a nurse-driven palliative care intervention for American Indian and rural family caregivers.","authors":"Madison Fitch, Sarah Mollman, Brandon M Varilek","doi":"10.1037/fsh0000931","DOIUrl":"10.1037/fsh0000931","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this qualitative study was to understand the needs of family caregivers (FCGs) from the perspectives of health care professionals delivering cancer care to American Indian and rural populations.</p><p><strong>Method: </strong>A descriptive content analysis of 18 interviews with multidisciplinary health care professionals delivering cancer care at a rural cancer institute in the Great Plains region was conducted.</p><p><strong>Results: </strong>We identified three themes: access, support, and awareness with six subthemes. Consideration of these core needs, coupled with the individual cultural circumstance, is critical in addressing disparities faced by American Indian/Alaska Native and rural FCGs.</p><p><strong>Conclusions: </strong>The availability of specialized health care services, like palliative care, can positively impact the experience of FCGs providing care. However, access is limited. The needs and challenges faced by American Indian/Alaska Native and rural FCGs described in this study can inform the development of a culturally responsive palliative care intervention. Nurses are well positioned to develop and lead this intervention, which will be the first of its kind. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}