Chase Walker, Robyn Carter-Pendleton, Jian Joyner, Brandn Green, Virna Little
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) 2024 APA, all rights reserved).
导言:协作护理(CoCM)已被用作通过初级医疗机构改善行为健康治疗的一种策略。然而,尽管患病率、服务需求和行为健康在初级保健中的扩展都在增加,但仍有一些患者在开始治疗后,因不明原因和未与护理团队沟通而中断治疗。本研究通过比较因已知原因和未知原因而脱离 CoCM 的患者,对治疗因素进行分析,以确定哪些因素可提高医疗服务提供者实施策略的能力,从而留住那些已开始接受治疗的患者。该分析利用了 Concert Health 的临床数据,Concert Health 是一家在 19 个州提供 CoCM 的全国性行为健康医疗集团:完整的患者脱离数据集包含 3317 个患者级别的观察结果。采用逆向逐步逻辑回归分析患者特征和护理水平如何影响患者因未知原因而脱离医疗服务的情况:结果:患者接受的临床接触点数量与不明原因的脱离有显著关联。具体来说,更多的接触点和治疗初期的接触点似乎对防止不明原因脱离治疗非常重要。与不明原因脱离治疗相关的其他重要变量包括年龄、主要诊断和合并症,以及以广泛焦虑症-7 和患者健康问卷-9 评分衡量的病情改善情况:讨论:本分析揭示了影响患者因不明原因脱离治疗的因素。讨论:该分析揭示了影响患者脱离医疗服务的未知原因,文章最后根据这些发现提出了一系列加强医疗服务和留住患者的建议。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
{"title":"Factors leading to patient disengagement for unknown reasons in virtual collaborative care.","authors":"Chase Walker, Robyn Carter-Pendleton, Jian Joyner, Brandn Green, Virna Little","doi":"10.1037/fsh0000923","DOIUrl":"https://doi.org/10.1037/fsh0000923","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019745","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}
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) 2024 APA, all rights reserved).
导言:系统层面的倡议是促进年轻家庭健康和幸福的关键,然而支持这些家庭的机构和组织往往没有协调他们提供的支持性服务和资源。我们介绍了南卡罗来纳州(SC)两代人实践社区(CoP)及其为促进全州采用以 "整个家庭 "为中心的方法所做的早期努力:这项混合方法研究评估了实践社区的影响。从合作伙 伴关系参与者那里收集了定量数据,以评估其对 2Gen 方法知识增长和使用的影响,以及对新的同伴联系和个人专业发展的影响。此外,还收集了定性数据,以了解 CoP 的感知价值以及成长机会:结果:数据表明,南加州大学 2Gen CoP 会议深受与会者欢迎。会议评估数据表明,这些信息增加了与会者对 2Gen 方法的了解,有助于他们的成长和专业发展。会议还有效地促进了志同道合的专业人员之间的联系,并为将 2Gen 方法融入他们的工作提供了有用的信息:这些早期研究结果表明,南卡罗来纳州 2Gen CoP 仍有存在的必要,并有可能发展成为一个强大的渠道,为南卡罗来纳州的家庭服务专业人员提供支持。需要做出更多努力,促进家庭服务专业人员之间的系统协调和整合。CoPs 是整合系统级战略的一种方式,如 2Gen 方法,以支持家庭服务专业人员并加强为家庭提供的资源整合。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
{"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":"https://doi.org/10.1037/fsh0000906","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-08-22","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}
Brittany H Eghaneyan, Katherine Sanchez, Cante Nakanishi, Tai J Mendenhall
Introduction: In 2022, Families, Systems, & Health (FSH) issued a statement of purpose to equity, diversity, and inclusion (EDI) and developed a strategic plan for promoting EDI in scientific communication and publishing. The purpose of this review was to evaluate a decade of research published in FSH prior to the journal's initiatives to improve EDI.
Method: We utilized a scoping review to broadly review literature published in FSH that focused on topics of race, ethnicity, racism, and/or BIPOC (Black, Indigenous, and people of color) groups. All research studies published in FSH between 2012 and 2021 were independently assessed by two reviewers for inclusion. Charting of data from each study was based on a diversity accountability index.
Results: Of the 360 research studies identified, 41 were included in the review. Characteristics and frequencies of keywords, research designs, and samples among the included studies were examined, alongside the reporting of results that focused on the differences between racial/ethnic groups and within BIPOC groups.
Discussion: Research focused on race, ethnicity, racism, and diversity science is not well represented among published studies in FSH prior to the implementation of the above-described EDI efforts. Among articles that did focus on these topics, comparisons largely were of a racial/ethnic minority sample to a White sample. Action steps for FSH and other journals wishing to promote EDI include a thorough examination of current journal review procedures paired with the establishment of procedures for combatting bias and racism. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
导言:2022 年,《家庭、系统与健康》(Families, Systems, & Health, FSH)发表了一份关于公平、多样性与包容性(EDI)的宗旨声明,并制定了在科学交流与出版中促进 EDI 的战略计划。本综述旨在评估在《家庭、系统与健康》杂志采取改善 EDI 的举措之前,该杂志发表的十年研究成果:方法:我们采用了范围界定审查的方法,广泛审查了发表在《科学新闻》上的以种族、民族、种族主义和/或 BIPOC(黑人、土著人和有色人种)群体为主题的文献。2012 年至 2021 年间在《家庭健康》上发表的所有研究报告均由两名审稿人进行独立评估,以决定是否纳入。每项研究的数据图表均基于多样性责任指数:在确定的 360 项研究中,有 41 项被纳入审查范围。对所纳入研究的关键词、研究设计和样本的特征和频率进行了审查,同时还对结果报告进行了审查,重点关注种族/民族群体之间以及 BIPOC 群体内部的差异:讨论:在实施上述电子数据交换工作之前,以种族、民族、种族主义和多样性科学为重点的研究在已发表的家庭健康研究中并不多见。在关注这些主题的文章中,主要是将少数种族/族裔样本与白人样本进行比较。FSH和其他希望促进EDI的期刊的行动步骤包括彻底检查当前的期刊审查程序,同时建立打击偏见和种族主义的程序。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
{"title":"Establishing an accountability benchmark for equity, diversity, and inclusion: A 10-year scoping review of Families, Systems, & Health.","authors":"Brittany H Eghaneyan, Katherine Sanchez, Cante Nakanishi, Tai J Mendenhall","doi":"10.1037/fsh0000922","DOIUrl":"https://doi.org/10.1037/fsh0000922","url":null,"abstract":"<p><strong>Introduction: </strong>In 2022, <i>Families, Systems, & Health</i> (FSH) issued a statement of purpose to equity, diversity, and inclusion (EDI) and developed a strategic plan for promoting EDI in scientific communication and publishing. The purpose of this review was to evaluate a decade of research published in FSH prior to the journal's initiatives to improve EDI.</p><p><strong>Method: </strong>We utilized a scoping review to broadly review literature published in FSH that focused on topics of race, ethnicity, racism, and/or BIPOC (Black, Indigenous, and people of color) groups. All research studies published in FSH between 2012 and 2021 were independently assessed by two reviewers for inclusion. Charting of data from each study was based on a diversity accountability index.</p><p><strong>Results: </strong>Of the 360 research studies identified, 41 were included in the review. Characteristics and frequencies of keywords, research designs, and samples among the included studies were examined, alongside the reporting of results that focused on the differences between racial/ethnic groups and within BIPOC groups.</p><p><strong>Discussion: </strong>Research focused on race, ethnicity, racism, and diversity science is not well represented among published studies in FSH prior to the implementation of the above-described EDI efforts. Among articles that did focus on these topics, comparisons largely were of a racial/ethnic minority sample to a White sample. Action steps for FSH and other journals wishing to promote EDI include a thorough examination of current journal review procedures paired with the establishment of procedures for combatting bias and racism. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019744","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}
Pub Date : 2024-06-01Epub Date: 2023-11-13DOI: 10.1037/fsh0000857
Jeremy B Yorgason, Naomi M Noorda, Danielle Steeger, Jennifer Saylor, Cynthia Berg, Adam Davey, Susannah Rellaford, Daylee Kirkham, James Saunders, Evangeline Taylor
Introduction: Young adulthood is a time when persons with Type 1 diabetes (T1D) become more fully responsible for diabetes management. Establishing healthy diabetes routines during this period is foundational for successful management across adulthood. Although partner support is generally considered helpful in T1D management, less is known about specific partner behaviors that could benefit glucose levels. The aim of this study was to explore associations between communal coping behaviors and T1D glucose management.
Method: During 2018-2020, 23 young married opposite-sex couples (Mage = 25.7 years), wherein one spouse had T1D, completed daily measures of communal coping for 9 consecutive days. Daily average glucose and time-in-range were computed from the person with T1D's glucose meter or continuous glucose monitor.
Results: Multilevel model results suggested that higher time-in-range on a given day was predicted by reports of lower daily spousal instrumental support, lower overprotective and controlling behaviors, and by higher emotional support. Controlling spousal behavior on one day was associated with higher time-in-range the next day. At the same time, patient reports of higher average spousal controlling behavior (across all days) were associated with lower time-in-range and higher average glucose. Average glucose was also predicted by communal coping behaviors (especially within-person higher instrumental support), yet results were less robust after covariates were considered.
Discussion: Some young romantic partners may engage in behaviors that are associated with higher average blood glucose and lower time-in-range for the person with T1D. Persons with T1D could communicate to their partners types of support that are helpful versus not. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Communal coping and glycemic control: Daily patterns among young adult couples with type 1 diabetes.","authors":"Jeremy B Yorgason, Naomi M Noorda, Danielle Steeger, Jennifer Saylor, Cynthia Berg, Adam Davey, Susannah Rellaford, Daylee Kirkham, James Saunders, Evangeline Taylor","doi":"10.1037/fsh0000857","DOIUrl":"10.1037/fsh0000857","url":null,"abstract":"<p><strong>Introduction: </strong>Young adulthood is a time when persons with Type 1 diabetes (T1D) become more fully responsible for diabetes management. Establishing healthy diabetes routines during this period is foundational for successful management across adulthood. Although partner support is generally considered helpful in T1D management, less is known about specific partner behaviors that could benefit glucose levels. The aim of this study was to explore associations between communal coping behaviors and T1D glucose management.</p><p><strong>Method: </strong>During 2018-2020, 23 young married opposite-sex couples (<i>M</i><sub>age</sub> = 25.7 years), wherein one spouse had T1D, completed daily measures of communal coping for 9 consecutive days. Daily average glucose and time-in-range were computed from the person with T1D's glucose meter or continuous glucose monitor.</p><p><strong>Results: </strong>Multilevel model results suggested that higher time-in-range on a given day was predicted by reports of lower daily spousal instrumental support, lower overprotective and controlling behaviors, and by higher emotional support. Controlling spousal behavior on one day was associated with higher time-in-range the next day. At the same time, patient reports of higher average spousal controlling behavior (across all days) were associated with lower time-in-range and higher average glucose. Average glucose was also predicted by communal coping behaviors (especially within-person higher instrumental support), yet results were less robust after covariates were considered.</p><p><strong>Discussion: </strong>Some young romantic partners may engage in behaviors that are associated with higher average blood glucose and lower time-in-range for the person with T1D. Persons with T1D could communicate to their partners types of support that are helpful versus not. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"239-253"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157419","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}
Introduction: In Japan, approximately 90% of kidney transplantations involve living donors who are relatives. Selection of a living donor from potential family member donors could affect the entire family. However, reports focusing on preliving-related kidney transplant (LRKT) family functioning are lacking. Family functioning comprises ways that family members communicate and cooperate with each other. The Family Assessment Device (FAD) was used to measure family functioning from the perspective of donors and recipients just prior to LRKT.
Method: A total of 122 donor-recipient pairs (244 participants in total) who planned to have LRKT were recruited consecutively from July 2020 to July 2021 and included in the analysis.
Results: There was no significant difference in FAD scores between donors and recipients, with approximately 20% of both groups reporting poor family functioning. Differences in family functioning according to types of relatives were shown in recipients. The rate of poor family functioning was significantly lower in the spouse group than in the parent-to-child group (recipient: 6.6%, 29.3%; donor: 8.2%, 34.1%, respectively). However, agreement regarding good or poor family functioning assessment was high in the parent-to-child pairs and low in the spouse pairs.
Discussion: Most LRKT donors and recipients reported good family functioning; however, some perceived poor family functioning. Evaluations by donors did not always align with that of recipients, especially among spouse pairs. It is important to treat them as independent entities. Preoperative assessment to connect them with appropriate support can enhance recovery after LRKT. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Family functioning before kidney transplantation from living-related donors: Perspectives of donors and recipients in Japan.","authors":"Rumiko Kamba, Sayaka Kobayashi, Rie Akaho, Kosuke Takano, Junko Tsutsui, Satoko Ito, Hidehiro Oshibuchi, Katsuji Nishimura","doi":"10.1037/fsh0000831","DOIUrl":"10.1037/fsh0000831","url":null,"abstract":"<p><strong>Introduction: </strong>In Japan, approximately 90% of kidney transplantations involve living donors who are relatives. Selection of a living donor from potential family member donors could affect the entire family. However, reports focusing on preliving-related kidney transplant (LRKT) family functioning are lacking. Family functioning comprises ways that family members communicate and cooperate with each other. The Family Assessment Device (FAD) was used to measure family functioning from the perspective of donors and recipients just prior to LRKT.</p><p><strong>Method: </strong>A total of 122 donor-recipient pairs (244 participants in total) who planned to have LRKT were recruited consecutively from July 2020 to July 2021 and included in the analysis.</p><p><strong>Results: </strong>There was no significant difference in FAD scores between donors and recipients, with approximately 20% of both groups reporting poor family functioning. Differences in family functioning according to types of relatives were shown in recipients. The rate of poor family functioning was significantly lower in the spouse group than in the parent-to-child group (recipient: 6.6%, 29.3%; donor: 8.2%, 34.1%, respectively). However, agreement regarding good or poor family functioning assessment was high in the parent-to-child pairs and low in the spouse pairs.</p><p><strong>Discussion: </strong>Most LRKT donors and recipients reported good family functioning; however, some perceived poor family functioning. Evaluations by donors did not always align with that of recipients, especially among spouse pairs. It is important to treat them as independent entities. Preoperative assessment to connect them with appropriate support can enhance recovery after LRKT. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"157-168"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10204401","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}
Pub Date : 2024-06-01Epub Date: 2023-10-23DOI: 10.1037/fsh0000845
Spring Chenoa Cooper, Andrew Porter, Raz G Edwards, Julia Keegan, Jennifer Gallo, Kirsten McCaffery, S Rachel Skinner
Introduction: The purpose of our research was to explore how parents and their adolescent children make decisions about the human papillomavirus (HPV) vaccine, and to inform future interventions that aim to facilitate inclusive decision-making processes.
Method: Purposive and snowball sampling strategies targeted parents and their adolescent children (ages = 11-13) in a large city in Australia. We conducted separate and joint semistructured interviews in 2013 with six mother-adolescent dyads (50% female adolescents and 50% male). Interviews were analyzed using a grounded theory approach.
Results: Factors that both facilitate and impede decision making emerged, including: background knowledge, values, historical experiences, parenting style, and opinion weights.
Discussion: New interventions, strategies, and tools that are informed by these decision-making factors can be used to aid productive, mutual decision making between parents and adolescents and support adolescent autonomy and self-sufficiency in health decision making. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Exploring human papillomavirus vaccination decision making through mother and adolescent dyad interviews.","authors":"Spring Chenoa Cooper, Andrew Porter, Raz G Edwards, Julia Keegan, Jennifer Gallo, Kirsten McCaffery, S Rachel Skinner","doi":"10.1037/fsh0000845","DOIUrl":"10.1037/fsh0000845","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of our research was to explore how parents and their adolescent children make decisions about the human papillomavirus (HPV) vaccine, and to inform future interventions that aim to facilitate inclusive decision-making processes.</p><p><strong>Method: </strong>Purposive and snowball sampling strategies targeted parents and their adolescent children (ages = 11-13) in a large city in Australia. We conducted separate and joint semistructured interviews in 2013 with six mother-adolescent dyads (50% female adolescents and 50% male). Interviews were analyzed using a grounded theory approach.</p><p><strong>Results: </strong>Factors that both facilitate and impede decision making emerged, including: background knowledge, values, historical experiences, parenting style, and opinion weights.</p><p><strong>Discussion: </strong>New interventions, strategies, and tools that are informed by these decision-making factors can be used to aid productive, mutual decision making between parents and adolescents and support adolescent autonomy and self-sufficiency in health decision making. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"182-192"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694265","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}
Due to the rapid proliferation of vape stores and their ubiquity across the country, many consumers assume that their products are safe, well-studied, and accurately labeled. However, there is rapidly emerging evidence that Delta 8, sold as an alternative to high concentrate tetrahydrocannabinol (THC) marijuana (still illegal in most states) is associated with severe depression, psychosis, and even suicide, particularly in vulnerable adolescent and young adult populations. This trend is well-known to emergency room physicians and psychiatry, and the number of online family advocacy groups is increasing. Delta 8 effects have recently been featured in popular media by the New York Times, Discover, USA Today, and more. The United States Food and Drug Administration (FDA) has reported an increase in complaints and Substance Abuse and Mental Health Services Administration (SAMHSA) released an advisory warning in 2023 about cannabidiol which included Delta 8. For those already affected and their families, however, any regulation will come too late as they face an uncertain future and much anxiety about whether the psychosis will abate or prove permanent. This 55-word story illustrates one mother's rage at the devastation Delta 8 has caused her family. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"A mother's call to arms.","authors":"Jodie Castellani","doi":"10.1037/fsh0000850","DOIUrl":"https://doi.org/10.1037/fsh0000850","url":null,"abstract":"<p><p>Due to the rapid proliferation of vape stores and their ubiquity across the country, many consumers assume that their products are safe, well-studied, and accurately labeled. However, there is rapidly emerging evidence that Delta 8, sold as an alternative to high concentrate tetrahydrocannabinol (THC) marijuana (still illegal in most states) is associated with severe depression, psychosis, and even suicide, particularly in vulnerable adolescent and young adult populations. This trend is well-known to emergency room physicians and psychiatry, and the number of online family advocacy groups is increasing. Delta 8 effects have recently been featured in popular media by the <i>New York Times</i>, <i>Discover</i>, <i>USA Today</i>, and more. The United States Food and Drug Administration (FDA) has reported an increase in complaints and Substance Abuse and Mental Health Services Administration (SAMHSA) released an advisory warning in 2023 about cannabidiol which included Delta 8. For those already affected and their families, however, any regulation will come too late as they face an uncertain future and much anxiety about whether the psychosis will abate or prove permanent. This 55-word story illustrates one mother's rage at the devastation Delta 8 has caused her family. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 2","pages":"287"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592173","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}
The author presents a short story about doctors listening to patients and remaining committed to to their patients health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
作者通过一个小故事讲述了医生倾听患者的心声并始终致力于患者健康的故事。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
{"title":"Enough.","authors":"Benjamin W Frush","doi":"10.1037/fsh0000863","DOIUrl":"10.1037/fsh0000863","url":null,"abstract":"<p><p>The author presents a short story about doctors listening to patients and remaining committed to to their patients health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 2","pages":"290-291"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592233","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}
Reviews the book, Connections in the Clinic: Relational Narratives from Team-Based Primary Care edited by Randall Reitz, Laura E. Sudano, and Mark P. Knudson (2021). This book is an edited collection of poems and stories reflecting the personal nature of the mission, vision, and practice of integrated primary care. This collection reflects the biopsychosocial model, which has been growing steadily in research and practice over the last few decades. These stories from the frontlines illustrate the increased awareness of the strong mind-body-interpersonal and team connections that are a critical part of a successful primary care system. This book is intended to be inspirational for anyone working in a primary care clinic. The editors describe the central purpose of the book is to find meaning in the relationships that are created in team-based primary care. This is a book where these stories are collected to expand our recognition and appreciation of the full diversity of patterns in our personal and work lives. The collection of stories is intended to inspire readers to actively practice their own reflections and learnings and encourages sharing them with others. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
评论《诊所中的联系》一书:Randall Reitz、Laura E. Sudano 和 Mark P. Knudson 编辑(2021 年)。本书是一本诗歌和故事的编辑合集,反映了综合初级保健的使命、愿景和实践的个人性质。这本诗集反映了生物心理社会模式,该模式在过去几十年的研究和实践中稳步发展。这些来自第一线的故事说明,人们越来越意识到强大的身心-人际和团队联系是成功的初级保健系统的关键部分。本书旨在为在初级医疗诊所工作的任何人提供启发。编者介绍说,本书的核心目的是在以团队为基础的全科医疗中建立的关系中寻找意义。本书收集了这些故事,以扩大我们对个人和工作生活中各种模式的认识和欣赏。故事集旨在激励读者积极实践自己的反思和学习,并鼓励读者与他人分享。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
{"title":"Review of Connections in the clinic: Relational narratives from team-based primary care.","authors":"William B Gunn","doi":"10.1037/fsh0000866","DOIUrl":"https://doi.org/10.1037/fsh0000866","url":null,"abstract":"<p><p>Reviews the book, <i>Connections in the Clinic: Relational Narratives from Team-Based Primary Care</i> edited by Randall Reitz, Laura E. Sudano, and Mark P. Knudson (2021). This book is an edited collection of poems and stories reflecting the personal nature of the mission, vision, and practice of integrated primary care. This collection reflects the biopsychosocial model, which has been growing steadily in research and practice over the last few decades. These stories from the frontlines illustrate the increased awareness of the strong mind-body-interpersonal and team connections that are a critical part of a successful primary care system. This book is intended to be inspirational for anyone working in a primary care clinic. The editors describe the central purpose of the book is to find meaning in the relationships that are created in team-based primary care. This is a book where these stories are collected to expand our recognition and appreciation of the full diversity of patterns in our personal and work lives. The collection of stories is intended to inspire readers to actively practice their own reflections and learnings and encourages sharing them with others. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 2","pages":"278-279"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592236","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}
Comments on the article by Shaidullah, et al. (see record 2024-13778-001). Shahidullah and team describe the utilization of the hospital-school-community telepartnership (HSCT), a telehealth program aimed to increase rapid crisis response and interagency care coordination for students with suicidality safety risk. The HSCT team followed both crisis mental health (SAFE-T) and telebehavioral health best practices, with a licensed teleclinician conducting virtual crisis evaluation at the student's school, often on the same day. The HSCT maximized telebehavioral health by simultaneously supporting and consulting with school staff who often serve as de facto crisis mental health with little training or supported time. This collegial cross-system approach resonates with the current author team's experience of the importance of training, including opportunities to validate the supports that school personnel have provided as well as problem solving together to support students in crisis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Clinician commentary on addressing suicidality safety risk in students through a hospital-school-community telepartnership program.","authors":"Eve-Lynn Nelson","doi":"10.1037/fsh0000902","DOIUrl":"https://doi.org/10.1037/fsh0000902","url":null,"abstract":"<p><p>Comments on the article by Shaidullah, et al. (see record 2024-13778-001). Shahidullah and team describe the utilization of the hospital-school-community telepartnership (HSCT), a telehealth program aimed to increase rapid crisis response and interagency care coordination for students with suicidality safety risk. The HSCT team followed both crisis mental health (SAFE-T) and telebehavioral health best practices, with a licensed teleclinician conducting virtual crisis evaluation at the student's school, often on the same day. The HSCT maximized telebehavioral health by simultaneously supporting and consulting with school staff who often serve as de facto crisis mental health with little training or supported time. This collegial cross-system approach resonates with the current author team's experience of the importance of training, including opportunities to validate the supports that school personnel have provided as well as problem solving together to support students in crisis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 2","pages":"275-277"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592230","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}