Families Systems & Health最新文献

{"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}

{"title":"Psychiatric Health, Life Skills, and Opportunities for Wellness Program: Addressing psychiatric need through integrated consultation, collaboration, and brief episodes of care.","authors":"Rosa Ruggiero, Kyle Rutledge, Kevin Hoeper, Laura Bridges","doi":"10.1037/fsh0000930","DOIUrl":"https://doi.org/10.1037/fsh0000930","url":null,"abstract":"<p><strong>Introduction: </strong>Integrated behavioral health programs bring strong benefits to patients and health organizations including reductions in overall costs. However, obstacles to funding prevent the implementation and maintenance of these programs across the country.</p><p><strong>Method: </strong>The Psychiatric Health, Life Skills and Opportunities for Wellness (PHLOW) Program is based on the collaborative care model and seeks to provide psychiatric care through an integrated model that is financially sustainable for the organization. This pilot observational study included patients who received psychiatric care indirectly via consultations with primary care providers and directly through brief episodes of care.</p><p><strong>Results: </strong>Patient outcomes were demonstrated by score changes on the nine-item Patient Health Questionnaire and Generalized Anxiety Disorder 7 before and after participation in brief episodes of care. Overall cost of care savings was demonstrated through change over time in risk-adjusted per-member-per-month.</p><p><strong>Discussion: </strong>Patients participating in the PHLOW program showed potential drops in anxiety and depression ratings, coinciding with a reduction in mental health claims. In addition, participation in the program involved a small number of patient visits and prevented referrals to long-term psychiatry, preserving access for higher acuity presentations. This demonstration of the value of the PHLOW program has led to additional financial support of the program through the primary regional Medicaid payor, enhancing sustainability, and potentially modeling a collaboration that may be feasible for other organizations implementing integrated behavioral health programs. (PsycInfo Database Record (c) 2024 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":"142481752","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":"Piloting the role of the chief well-being officer in Veterans Health Administration: The auspicious start.","authors":"Tamara M Schult, Mary Gallagher-Seaman, Jana Boehmer, David C Mohr, Susan Stockdale, Taylor Harris, Kavitha Reddy","doi":"10.1037/fsh0000918","DOIUrl":"10.1037/fsh0000918","url":null,"abstract":"<p><strong>Introduction: </strong>Emerging evidence from private sector hospitals indicates that a chief well-being officer (CWO) can be an impactful role to lead organizational burnout mitigation efforts in health care systems. A descriptive process evaluation was conducted to learn about facilitators and barriers of integrating this role within the Veterans Health Administration (VA). A pilot intervention inclusive of three domains-culture of well-being, efficiency of practice, and personal resilience-was implemented.</p><p><strong>Method: </strong>Eight VA medical centers and two regional network offices received 18 months of implementation support from October 2021 to March 2023. Appointed CWOs were tasked with implementing key interventions in at least two work units at each location. Administrative records were used to track implementation progress. Surveys were administered to participating work units pre- and postintervention to assess changes in key measures. Qualitative interviews elicited information about intervention implementation including barriers and facilitators.</p><p><strong>Results: </strong>Not formally hiring CWOs in the role resulted in limited time to work on intervention implementation. This was insufficient and it impacted their ability to truly function in the role. Several work units experienced multiple challenges and were unable to implement the full intervention. Despite these challenges, when examining work unit changes, improvements in culture of health and well-being and change readiness were observed.</p><p><strong>Conclusion: </strong>The results support the importance of a formalized CWO role; however, findings highlight important factors that must be addressed for successful integration of role to drive intervention effectiveness. Comprehensive interventions addressing both system- and individual-level drivers of burnout show promise for improving VA workforce well-being but warrant further study. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"304-316"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481770","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":"Rural healthcare workers' well-being: A systematic review of support interventions.","authors":"Mansoor Malik, Martina Penalosa, Isolde Martina Busch, Haroon Burhanullah, Christine Weston, Kristina Weeks, Cheryl Connors, Henry J Michtalik, George Everly, Albert W Wu","doi":"10.1037/fsh0000921","DOIUrl":"10.1037/fsh0000921","url":null,"abstract":"<p><strong>Introduction: </strong>Although there is increased awareness about healthcare workers' (HCWs') stress and burnout after the COVID-19 pandemic, support interventions should be tailored according to the needs of HCWs. Given the unique challenges rural HCWs face, we sought to systematically identify the types of interventions specifically designed and utilized to support the well-being of HCWs practicing in rural settings.</p><p><strong>Method: </strong>We conducted a comprehensive search of the existing literature through electronic databases to identify quantitative, qualitative, and mixed-methods studies describing supportive interventions for rural HCWs with well-being-related outcomes between January 1, 2023 and March 31, 2023. We used the Effective Public Health Practice Project, Mixed Methods Assessment Tool, and Joanna Briggs Institute Critical Appraisal Checklist to evaluate the study quality.</p><p><strong>Findings: </strong>Out of 1,583 identified records, 25 studies were included in the analysis. The studies described a wide range of supportive interventions and outcomes. The overall quality of the studies was weak to moderate. None of the studies were randomized and only six included controls. Included interventions were generally well- accepted. Quantitative and qualitative themes identified shared decision making, effective supervision, and proactive cultural change as promising interventions that warrant further exploration. Financial interventions alone were not effective. Most of the studies were either unfunded or were funded internally by the institutions.</p><p><strong>Conclusions: </strong>There is limited research in support interventions for rural HCWs. Larger, well-designed studies are needed to explore promising interventions to promote well-being of rural healthcare workforce. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"355-374"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481772","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":"Effectively addressing burnout, well-being, and resilience: Individual, team, and system approaches.","authors":"Abbie O Beacham, Megan Call, Norah Janosy, Emily DeBoer","doi":"10.1037/fsh0000926","DOIUrl":"https://doi.org/10.1037/fsh0000926","url":null,"abstract":"<p><p>This is an introduction to the special section \"Effectively Addressing Burnout, Well-being and Resilience.\" In this special section, we aimed to present work that is uniquely pertinent to the mission of <i>Families, Systems and Health</i>. While the authors welcomed work that focused on the study of burnout, well-being, and/or resilience among individual clinicians, they were especially interested in more \"upstream\" study of these topics among health care teams and systems-level interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"299-303"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481763","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":"How can a growth mindset-supportive learning environment in medical school promote student well-being?","authors":"Zachary M Himmelberger, Yoi Tibbetts, Kenneth E Barron, Chris S Hulleman, Gevork Harootunian, Mark R Speicher","doi":"10.1037/fsh0000915","DOIUrl":"https://doi.org/10.1037/fsh0000915","url":null,"abstract":"<p><strong>Introduction: </strong>There is a growing concern for physician and medical student well-being and burnout. Growth mindset, or the belief that ability can be developed, as well as students' perception of their instructors' growth mindset, have been associated with better academic outcomes for a wide range of students. The primary purpose of the present study was to investigate the effects of growth mindset on medical student well-being.</p><p><strong>Method: </strong>We recruited all graduating osteopathic medical students in the class of 2023. This survey included items about student demographics (including identifiable items), experiences in medical school, practice plans, along with financial and other information. The survey of 667 items required a median time of 33 min to complete. Our sample consisted of 4,180 students. Students self-reported growth mindset, perception of instructor growth mindset, and four measures of well-being: flourishing, resilience, burnout, and maladaptive psychological symptoms.</p><p><strong>Results: </strong>Growth mindset and perception of instructor growth mindset were significant predictors of medical student well-being. Further, significant interactions showed that these effects were strongest for students from historically marginalized backgrounds.</p><p><strong>Discussion: </strong>Our work provides a first step toward addressing physician burnout by targeting medical students, which could prevent them from beginning their careers already in a state of burnout. We argue that systemic change is needed to improve student well-being, such as emphasizing growth mindset-supportive pedagogy, which places the emphasis on changing systems instead of individuals. Future research should include causal analyses to better understand the effect and persistence of growth mindset-supportive environments on student well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"343-354"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481764","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 identity: Evolutionary leaps and future directions.","authors":"Deepu George, Jason Herndon","doi":"10.1037/fsh0000925","DOIUrl":"https://doi.org/10.1037/fsh0000925","url":null,"abstract":"<p><p>As integrated care becomes mainstream, adaptively framing team members' identities based on their work context will help align their attitudes and required competencies. This article explores the emergence of integrated care identity, focusing on behavioral health professionals, and offers suggestions for future development. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"478-483"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481765","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}