Families Systems & Health最新文献

In this narrative the author, writing on behalf of six women who were group therapy participants, explores what she has learned about how to talk to your doctor about your pain. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: Collaborative care (CoCM) has been utilized as one strategy for improving access to behavioral health treatment through the primary care setting. However, despite the increased prevalence rates, need for services, and expansion of behavioral health into primary care, there are patients who initiate treatment but disengage for unknown reasons and without communication with their care team. This study analyzes treatment factors by comparing patients who disengage from CoCM for known versus unknown reasons to identify factors that may enhance the ability of providers to implement strategies for retaining those who have initiated care. The analysis utilizes clinical data from Concert Health, a national behavioral health medical group providing CoCM across 19 states.

Method: The full patient disengagement data set contains 3,317 patient-level observations. A backward stepwise logistic regression was used to analyze how patient characteristics and level of care impacted patient disengagement for unknown reasons relative to known reasons.

Results: The number of clinical touchpoints a patient receives has a significant association with disengagement for unknown reasons. Specifically, more touchpoints and touchpoints early in treatment appear to be important in preventing unknown disengagement. Other significant variables associated with disengagement for unknown reasons include age, primary diagnosis and comorbidities, and improvement as measured by Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 scores.

Discussion: This analysis sheds light on factors that impact patient disengagement from care for unknown reasons. The article concludes with a series of implications for enhancing care and patient retention based on these findings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Aim: Considering that parents' lifestyle choices also affect children, it is important to evaluate and improve these effects. In this study, we aimed to determine the effects of parents' nutrition and physical activity behaviors, which have an important role in the acquisition and maintenance of positive health habits in primary school children on growth and development.

Method: A descriptive and quantitative cross-sectional design was used in this study. We recruited 200 dyads (a mother with a child) conveniently. The Family Nutrition and Physical Activity Behaviors and Family Health Behaviors scales were administered to the parents. Anthropometric measurements, body mass index, and 3-day food consumption of children and their parents were recorded. Measurements were compared with scale scores. Anthropometric measurements were grouped according to the international obesity classification.

Results: The parents of 200 children with a mean age of 11.2 years were included in the study. Family Nutrition and Physical Activity Scale score and health behaviors scale score of the parents were above the average. Anthropometric measurements and nutrient intakes such as carbohydrate, protein, and fatty acids were found to affect the scale scores. There was a moderate positive correlation between health behaviors and nutrition and physical activity.

Conclusion: This study shows the results of health indicators of children involved in sports and their parents' behaviors. Nutrition and physical activity, which are the main health behaviors, affect the child as well as the parent. Health behaviors of families should be monitored by anthropometric measurements and food intake and positive habits should be gained. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: 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.

Method: 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.

Results: 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.

Discussion: 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).

The author, who is a physician, describes attending Mass and noticing an unhoused man. His hygiene suggests a socially isolated illness. The author muses on his resources, his conditions, and what has brought him to Mass today. Does he suffer from substance misuse, schizoaffective disorder? Does he have family members who care about him? Does he have reliable health care? As the sign of peace approached, the author silently hoped, prayed, even, that they wouldn't encounter each other. Thus far in Mass, the author noticed this man and put together a series of hypotheses about his life and possible health and social conditions. While the author's thinking had been hypothesis generating and diagnostic, without intention of judgement, he'd nevertheless had the impulse to avoid interacting with him. He'd felt ashamed. As he and his family returned to their seats from communion, he heard a booming tenor nearby, belting out the communion hymn. The author looked up from his meditation, and the voice was his. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

This brief, 55-word story describes Jenny, who is hospitalized with a fever. She whispers to her mother, "Tomorrow, we'll dance in the sun again." As morning broke, Jenny smiled; the fever lifted. Hope, blooming in hues, thawed her mother's heart. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Practice management, as a content area within Families, Systems, & Health (FSH), includes the multiple aspects of managing the clinical, financial, and operational elements of integrated behavioral health. Our field will advance when more of us embrace research methods and models found in dissemination and implementation science. We seek significant contributions to the dissemination and implementation literature as it is applied in integrated behavioral health settings. We at FSH look forward to harnessing the energy of clinicians and researchers who will move us forward to better understand how what we do works and how to maximize our impact on improving health care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Introduction: Improving child health involves focusing on family capacities and resources, including family health. This study aimed to assess (a) current practices for collecting family information in pediatric primary care settings, and (b) the feasibility, acceptability, and utility of a validated Family Health Scale-Short Form (FHS-SF) to screen for family health from clinic staff and parent perspectives.

Method: We piloted the FHS-SF in two urban pediatric clinics in 2022. We interviewed four pediatricians and six staff members and piloted the survey with 25 parents. We employed an exploratory qualitative design that included data from provider and staff interviews and a descriptive quantitative component, including surveys with parents/caregivers. We analyzed interview transcripts with the Framework Analysis method and presented survey results with descriptive statistics.

Results: Clinic providers and staff endorsed the importance of the family context in pediatric care and regularly asked household economic questions but did not routinely assess interpersonal health except during transitions (e.g., newborn/infancy and adolescent visits) and in the context of a custody change. Caregivers were, on average, 34 years old, primarily mothers (92%) and Black/African American (56%) or white (20%). Providers, staff, and caregivers found the FHS-SF questions to be acceptable. Providers suggested using the FHS-SF as a "conversation starter" or a tool to identify referrals. Staff provided suggestions for implementation.

Discussion: The FHS-SF could be an effective tool in primary care pediatric settings, contributing to more family-focused care as a foundation for well-being early in the life course. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Background: Suicide often arises from a collapse of personal identity and life narrative; yet, traditional risk assessments frequently overlook these deeper disruptions. Narrative identity theory offers a lens to understand suicidality as a crisis of selfhood and meaning.

Aim: This article introduces a clinically applicable method to assess suicide risk through three core narrative domains: character (who the person is), setting (where they come from), and script (where they believe they are going).

Method: Drawing on narrative identity theory and existential psychology, the proposed approach guides clinicians to identify disconnections in role, belonging, and future orientation. Story-based tools for assessment and intervention are presented to support the reconstruction of narrative coherence and personal agency.

Results: Mapping narrative disruptions across character, setting, and script enables early identification of suicide risk, especially in individuals who may not meet traditional thresholds for acute risk. Narrative reauthoring interventions help reestablish continuity, coherence, and hope.

Conclusion: This narrative framework enhances suicide prevention by moving beyond symptom management toward meaning-centered engagement. By helping individuals reweave fragmented life stories, clinicians can more effectively intervene in the existential and identity-based dimensions of suicidality. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

This poem describes a patient whose chest rises and falls, breaths as steady as ripples on a spring lake or the song of a sparrow searching for sanctuary. White linens layer on the patient's delicate frame, wrinkled in places impressed by the palms of family and strangers. The morning is still. The patient is tethered to shore by clear tubes and white lines, prattling raspy melodies into stale air. (PsycInfo Database Record (c) 2025 APA, all rights reserved).