Families Systems & Health最新文献_第9页

Predicting health-related quality of life in Iranian married couples: The role of family functioning, spirituality, and gender. 预测伊朗已婚夫妇的健康相关生活质量：家庭功能、精神和性别的作用。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-02-10 DOI: 10.1037/fsh0000969

Mansoureh Zarean, Zeinab Zaremohzzabieh

{"title":"Predicting health-related quality of life in Iranian married couples: The role of family functioning, spirituality, and gender.","authors":"Mansoureh Zarean, Zeinab Zaremohzzabieh","doi":"10.1037/fsh0000969","DOIUrl":"10.1037/fsh0000969","url":null,"abstract":"Introduction: Health-related quality of life (HRQoL) is crucial in marital well-being, especially in contexts like Iran where traditional values and religious beliefs strongly influence family dynamics. While quality-of-life research is broad, there is a specific gap in understanding how spirituality and gender roles impact HRQoL in Iranian married couples. This study aims to fill the gap by investigating how spirituality and gender moderate the association between family functioning and HRQoL.Method: A survey was conducted with 371 married couples in Iran, using a cross-sectional approach. The Family Assessment Device was used to assess family functioning, the World Health Organization quality of life-BREF questionnaire was utilized to measure HRQoL, and spirituality was gauged with the Spiritual Value questionnaire. To reduce the influence of common method bias, the study utilized Harman's single-factor test. The impact of moderators was then examined through the use of partial least squares structural equation modeling.Results: Findings showed no significant common method bias. Factors such as problem-solving, family roles, behavioral control, and general family functioning were found to have a positive influence on HRQoL. In contrast, family communication, affective involvement, and affective responsiveness were not significant predictors of HRQoL. Spirituality moderated the association between HRQoL problem-solving and general family functioning. Gender did not moderate the association between family functioning and HRQoL.Discussion: These findings highlight the significance of family dynamics and spirituality in shaping HRQoL in non-Western settings. They emphasize the importance of conducting more research on the quality of life in married couples in various cultural and societal settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392405","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

Quality improvement study of collaborative care model services at a federally qualified health center: A uniform data system-informed approach. 联邦合格医疗中心协作护理模式服务的质量改进研究：统一的数据系统知情方法。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-02-10 DOI: 10.1037/fsh0000955

Amber Flanigan-Bodrick, Phyllis Solomon

{"title":"Quality improvement study of collaborative care model services at a federally qualified health center: A uniform data system-informed approach.","authors":"Amber Flanigan-Bodrick, Phyllis Solomon","doi":"10.1037/fsh0000955","DOIUrl":"10.1037/fsh0000955","url":null,"abstract":"Introduction: The Collaborative Care Model (CoCM) is an evidenced based approach to integrating behavioral health into primary care to improve depression outcomes. This quality improvement study explores the utility of implementing CoCM with fidelity at a federally qualified health center to improve depression remission outcomes based on Uniform Data System metrics. Uniform Data System defines depression remission as Patient Health Questionnaire-9 (PHQ-9) score below 5 at 12 months ± 60 days after initial positive depression screening.Method: This study used the CoCM registry and medical record data to generate a sample of 251 patients between 2021 and 2022. PHQ-9 was employed to evaluate depression outcomes. Multiple regression and repeated measures t tests were used for hypothesis testing.Results: The sample consisted of almost three-quarters of women and over half African American with a mean age of 40. CoCM was associated with a 12.60-point reduction in PHQ-9 scores between enrollment and follow-up at 12 months ± 60 days. A 1-point increase in fidelity was associated with a ∼4-point lower PHQ-9 score at posttest, and 1-point increase in treatment adherence was related to a 1-point decrease. Each 25 additional days of enrollment was associated with ∼1/2 point decrease.Discussion: CoCM delivered with fidelity can support federally qualified health centers in improving depression remission rates at 12 months ± 60 days after initial positive depression screen. Fidelity, treatment adherence, length of enrollment, and time in care can positively impact outcomes. Further research is needed to evaluate additional study variables including psychopharmacology, psychiatric, and medical conditions in depression outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392409","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

Ultra-brief cognitive-behavioral therapy (for routine primary care visits: Feasibility and acceptability of a brief provider training workshop. 超简短的认知行为疗法(用于常规初级保健访问):简短的提供者培训研讨会的可行性和可接受性。

IF 1 4区医学

Families Systems & Health Pub Date : 2024-12-01 Epub Date: 2023-11-30 DOI: 10.1037/fsh0000862

Julia M Terman, Kelly J Rohan, Raquel Castillo Cruz, Emily Greenberger

{"title":"Ultra-brief cognitive-behavioral therapy (for routine primary care visits: Feasibility and acceptability of a brief provider training workshop.","authors":"Julia M Terman, Kelly J Rohan, Raquel Castillo Cruz, Emily Greenberger","doi":"10.1037/fsh0000862","DOIUrl":"10.1037/fsh0000862","url":null,"abstract":"Introduction: Most Americans with symptoms of depression and anxiety receive treatment exclusively from their primary care providers (PCPs). Existing primary care interventions typically do not occur within the initial patient interaction, rely on delivery by mental health specialists, and have lengthy training programs. This study evaluated the feasibility and acceptability of the training workshop for an ultra-brief cognitive-behavioral therapy (UB-CBT) single-session intervention for depression and anxiety symptoms that was developed to address these barriers.Method: The 1-hr UB-CBT training workshop was piloted in 2021 with 38 providers at three adult primary care and five family medicine sites in Vermont. PCPs completed questionnaires after the training workshop. Data were collected in 2021 with a sample of participants who were primarily women (66%) and white (82%). We used a concurrent triangulation design integrating mixed-methods data.Results: Most providers found the training highly feasible and acceptable. The majority agreed or strongly agreed that the workshop provided sufficient training for using the intervention (91%), they were satisfied with the UB-CBT intervention (92%), and the intervention seemed easy to administer (97%). Qualitative findings highlighted that providers especially liked the user-friendliness and general feasibility of the intervention, but had some concerns about time.Discussion: We outlined several steps that will address PCPs' concerns to improve the UB-CBT training experience and intervention. Future research should examine the effectiveness of the UB-CBT intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"559-569"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464635","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

Step back. 退一步。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-12-01 DOI: 10.1037/fsh0000889

Angel Ogbeide

引用次数: 0

Longitudinal associations of diabetes-specific family conflict and diabetes management in adolescents with type 1 diabetes. 1 型糖尿病青少年患者的糖尿病家庭冲突与糖尿病管理的纵向联系。

IF 1 4区医学

Families Systems & Health Pub Date : 2024-12-01 Epub Date: 2024-06-17 DOI: 10.1037/fsh0000901

MaryJane S Campbell, Qinxin Shi, Jonathan Butner, Deborah J Wiebe, Cynthia A Berg

{"title":"Longitudinal associations of diabetes-specific family conflict and diabetes management in adolescents with type 1 diabetes.","authors":"MaryJane S Campbell, Qinxin Shi, Jonathan Butner, Deborah J Wiebe, Cynthia A Berg","doi":"10.1037/fsh0000901","DOIUrl":"10.1037/fsh0000901","url":null,"abstract":"Introduction: Diabetes-specific family conflict is a risk factor for diabetes indicators (e.g., higher hemoglobin A1c (HbA1c), lower adherence), but little longitudinal data are available to understand associations across time. To better inform targets and timing of interventions, we examined (a) whether fluctuations in conflict covary with diabetes indicators within adolescents across time; (b) whether reciprocal associations exist; and (c) whether aspects of the parent-adolescent relationship (e.g., parental acceptance) buffer associations across time.Method: Adolescents (N = 235, ages 11.5-15.5 at baseline, 53.6% female) completed measures of diabetes-related conflict with mothers and with fathers (separately), parental acceptance, and adherence every 6 months across 1 year (three time points). HbA1c was obtained from medical records. Data were collected in 2009.Results: Bivariate between-person correlations indicated that at each time point, adolescents who reported more conflict with mothers and fathers also had higher HbA1c and lower adherence. Within-person correlations (fluctuations across three time points) indicated that fluctuations in conflict with mothers were associated with fluctuations in HbA1c but not adherence. Actor-partner multilevel models indicated that fluctuations in family conflict at each time point were not associated with future diabetes indicators. Parental acceptance did not moderate associations of family conflict and diabetes indicators.Discussion: While findings corroborate extant literature noting that adolescents with high average diabetes-specific family conflict may benefit from interventions designed to reduce conflict, conflict at one time point may not be predictive of future diabetes indicators. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"538-547"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332543","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

Traveling by night. 夜间旅行。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-12-01 DOI: 10.1037/fsh0000891

Elizabeth A Fleming

引用次数: 0

Social connectedness and diabetes self-management across the COVID-19 pandemic: A mixed methods study. COVID-19大流行期间的社会联系与糖尿病自我管理：混合方法研究。

IF 1 4区医学

Families Systems & Health Pub Date : 2024-12-01 Epub Date: 2024-05-02 DOI: 10.1037/fsh0000896

Zachary Harrison, Dean A Seehusen, Christy J W Ledford

{"title":"Social connectedness and diabetes self-management across the COVID-19 pandemic: A mixed methods study.","authors":"Zachary Harrison, Dean A Seehusen, Christy J W Ledford","doi":"10.1037/fsh0000896","DOIUrl":"10.1037/fsh0000896","url":null,"abstract":"Introduction: Structural social connectedness is the structure and size of a person's social network, including whether persons live with or have regular contact with others. The COVID-19 pandemic disrupted structures that facilitate social connectedness. This study investigated how a person's structural social connectedness influenced diabetes self-management strategies through the COVID-19 pandemic.Method: The study followed an explanatory sequential mixed methods design. First, quantitative data were collected via surveys of 54 patients living with diabetes (67% female, Mage of 60 [12] years) in 2021. Then in 2022, we interviewed 25 patients (64% female, Mage of 62 [9] years) as a follow-up to the survey to help explain quantitative findings. Longitudinal mixed methods analysis integrated both phases to offer a holistic view of the factors influencing diabetes self-management.Results: A full-factorial analysis of covariance tested home and workplace social connectedness effects onto glycemic control and four self-management measures. In integrated analysis, researchers categorized patients into four groups by level of home and workplace social connectedness. Individuals with home social connectedness were more likely to overcome pandemic-related self-management challenges than those without home social connectedness. Although the workplace provided social connectedness, it imposed structural barriers to self-management.Discussion: Structural social connectedness influenced how patients navigated diabetes self-management challenges through the COVID-19 pandemic. Results suggest clinicians should consider how home and workplace connectedness interact to facilitate or impede patient self-management. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"594-607"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856704","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

Children's behavioral and mental health in primary care settings: A survey of self-reported comfort levels and practice patterns among pediatricians. 初级医疗机构中的儿童行为和心理健康：儿科医生自我报告的舒适度和实践模式调查。

IF 1 4区医学

Families Systems & Health Pub Date : 2024-12-01 Epub Date: 2024-01-22 DOI: 10.1037/fsh0000867

Anne Elizabeth Brisendine, Elizabeth Taylor, Susan Griffin, Jane Duer

{"title":"Children's behavioral and mental health in primary care settings: A survey of self-reported comfort levels and practice patterns among pediatricians.","authors":"Anne Elizabeth Brisendine, Elizabeth Taylor, Susan Griffin, Jane Duer","doi":"10.1037/fsh0000867","DOIUrl":"10.1037/fsh0000867","url":null,"abstract":"Introduction: Despite the well-documented youth mental health crisis, there has been a lag in the development of a specialized workforce to meet needs of young people experiencing these challenges. Little is known about the comfort of primary care pediatricians when faced with children and adolescents with mental health care concerns.Method: A brief online survey was conducted to assess patterns of behavioral and mental health concerns in pediatric practices affiliated with a pediatric health system in Alabama. The survey asked about frequency of conditions that providers encountered, comfort treating these conditions, and frequency of external referrals.Results: Pediatric providers reported high volumes of children with mental health concerns and varying levels of comfort treating independently. Providers frequently refer externally.Conclusions: High rates of referrals could further stress an already overloaded system of specialty care. Interventions must be implemented to ensure a workforce prepared to meet the growing needs of youth requiring support for mental and behavioral health conditions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"608-613"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513917","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

Increasing access to behavioral health care: Examples of task shifting in two U.S. government health care systems. 增加行为健康护理的可及性：两个美国政府医疗系统的任务转移实例。

IF 1 4区医学

Families Systems & Health Pub Date : 2024-12-01 Epub Date: 2024-03-18 DOI: 10.1037/fsh0000886

Kathryn E Kanzler, Mark E Kunik, Chase A Aycock

{"title":"Increasing access to behavioral health care: Examples of task shifting in two U.S. government health care systems.","authors":"Kathryn E Kanzler, Mark E Kunik, Chase A Aycock","doi":"10.1037/fsh0000886","DOIUrl":"10.1037/fsh0000886","url":null,"abstract":"Introduction: Addressing U.S. health disparities in behavioral health care requires innovative solutions to expand access beyond the traditional specialty behavioral health (BH) service model. One evidence-based strategy to increase access is task shifting, whereby tasks usually reserved for licensed clinicians are delegated to less specialized but uniquely capable health workers. Health care systems in the United States have been slow to adopt this approach, despite the widespread success of task shifting in other countries. However, two large government health care systems have employed unique task-shifting models for decades, integrating nonclinician health workers into BH settings: the Defense Health Agency (behavioral health technicians) and the Veterans Health Administration (peer specialists).Method: This conceptual article provides overviews of these successful approaches. Challenges and opportunities, and the potential for other U.S. health care systems to adopt task shifting for behavioral health care with paraprofessionals such as community health workers (CHWs), are discussed.Results: CHWs and other paraprofessionals are ideally situated to increase access to behavioral health care, but barriers must be overcome. Recommendations are provided based on lessons from these federal system approaches to task shifting.Discussion: Expanding task-shifting paradigms as the Defense Health Agency and Veterans Health Administration have done may be vital to reaching more people who could benefit from BH intervention and prevention strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"626-636"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144710","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}

引用次数: 0

How to whistle. 如何吹口哨。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-12-01 DOI: 10.1037/fsh0000903

Nicholas M Raposo

引用次数: 0