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Families, Systems & Health: the Journal of Collaborative Family Healthcare

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https://www.readbyqxmd.com/read/30148377/caregiver-health-literacy-predicting-healthcare-communication-and-system-navigation-difficulty
#1
Beth Fields, Juleen Rodakowski, A Everette James, Scott Beach
INTRODUCTION: The role of caregiver health literacy in predicting difficulty communicating with health care professionals and navigating services and supports for older adults was examined and informed by the health literacy skills framework (Squiers, Peinade, Berkman, Boudewyns, & McCormack, 2012). METHOD: Secondary analyses of cross-sectional data from the Pittsburgh Regional Caregivers Survey in 2017 were conducted. A total of 761 caregivers of older adults reported communicating with health care providers and accessing services and supports...
August 27, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30137999/examining-family-and-neighborhood-level-predictors-of-sleep-duration-in-urban-youth
#2
Nancy White Street, Marie C McCormick, S Bryn Austin, Natalie Slopen, Rima Habre, Beth E Molnar
INTRODUCTION: Shortened sleep duration in adolescence has been found to be associated with adverse health outcomes. While several studies have explored individual predictors, few have examined the role of neighborhood-level factors, family, and peer contexts as predictors of sleep among adolescents. METHOD: We examined contextual factors of sleep duration in a sample of 1,614 urban, public high school students from the 2008 Boston Youth Survey. Neighborhood data came from the 2008 Boston Neighborhood Survey of 1,710 adult Boston residents, the 2009 American Community Survey Census (ACS), and Boston Police...
August 23, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30070545/primary-care-integration-in-rural-areas-a-community-focused-approach
#3
Emily M Selby-Nelson, Joshua M Bradley, Rebekah A Schiefer, Alysia Hoover-Thompson
Current and developing models of integrated behavioral health service delivery have proven successful for the general population; however, these approaches may not sufficiently address the unique needs of individuals living in rural and remote areas. For all communities to benefit from the opportunities that the current trend toward integration has provided, it is imperative that cultural and contextual factors be considered determining features in care delivery. Rural integrated primary care practice requires specific training, expertise, and adjustments to service delivery and intervention to best meet the needs of rural and underserved communities...
August 2, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29999342/a-qualitative-enquiry-of-hypoglycemia-and-the-social-determinants-of-health-the-inhypo-dm-study-canada
#4
Judith Belle Brown, Sonja M Reichert, Yashoda Valliere, Susan Webster-Bogaert, Alexandria Ratzki-Leewing, Stewart B Harris
INTRODUCTION: A significant body of research exists on the impact of the social determinants of health (SDoHs) on diabetes care and general health outcomes. However, less is known about health care practitioners' (HCPs') perspectives and experiences regarding the impact of the SDoHs on their patients with Type I and Type 2 diabetes mellitus and how this affects the prevention and treatment of hypoglycemia. METHOD: A descriptive qualitative study, derived from the InHypo-DM (Canada) research program...
July 12, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30198744/integrated-primary-care-could-play-a-starring-role-in-the-amazon-jp-morgan-buffet-health-care-enterprise
#5
Christine N Runyan
Earlier this year, Amazon, J. P. Morgan, and Berkshire Hathaway announced plans to launch a joint health care company with more than a million covered lives. Dr. Atul Gawande, the prominent Boston-based surgeon and health care thought leader, will become the first chief executive officer of this health care venture, with a mission to get the best results at the lowest costs and remain free from profit-making incentives and constraints. In this presidential column, the author explores what this has to do with the mission in the Collaborative Family Health care Association (CFHA) and the promulgation of integrated health care...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30198743/scanxiety
#6
Diane Portman
Scanxiety is a term that has penetrated the vernacular medical vocabulary as a descriptor of the particular distress reported by patients who are scheduled for imaging to assess disease status. Patients fear failure of current treatments, return of disease or progression, the need for new treatments, and the prospect of demise. Stress related to imaging is frequent, may be persistent, and is linked to decreased quality of life. (PsycINFO Database Record
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30198742/addressing-suicide-risk-in-primary-care-a-next-step-for-behavioral-health-integration
#7
Ian M Bennett
Comments on two articles by A. R. Dueweke et al. (see records 2018-24944-001 and 2018-24945-001). The first article reviews evidence for interventions in primary care and the second assesses the ubiquitous two-question "prescreen" of the Patient Health Questionnaire-9 (PHQ-9) for detecting patients with thoughts of self-harm. In the second article the authors assess the ability of this measure to identify thoughts of self harm, the ninth question on the full PHQ-9, and show that a substantial number of patients would be missed...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30198741/can-quality-improvement-be-optional
#8
Leif I Solberg
Comments on the article by J. C. Fortney et al. (see record 2018-24946-001) describing their relatively unsuccessful efforts to implement improved care for patients with complex mood disorders in safety net clinics. It is unusual for scientists to submit papers describing their unsuccessful studies and even more unusual for journals to publish them. More importantly, Fortney and this journal have provided us with an unusually detailed and thoughtful description of many of the factors that may have contributed to this result...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30198740/journal-editing-reflections-on-6-years-of-collaborative-practice
#9
Colleen T Fogarty, Larry Mauksch
In this editorial, the authors reflect on their 6 years of serving as coeditors of Families, Systems, and Health . The uncertain and delightful product of these 6 years is that their relationship transcended personal and professional boundaries to evolve into a rich collaborative experience. Leaving this role prompts them to reflect on their work, their field, on challenges they faced, and on recurring themes. They want to share some of these reflections with journal readers in the hope that some of this will benefit readers in their work...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30138000/review-of-the-three-stages-of-a-physician-s-career-navigating-from-training-to-beyond-retirement
#10
Svetlana Kahle
Reviews the book, The Three Stages of a Physician's Career: Navigating From Training to Beyond Retirement edited by Neil H. Baum, Joel M. Blau, Peter S. Moskowitz, and Ronald J. Paprocki (2017). This step-by-step guide for physicians (although somewhat germane to other health care providers) advises clinicians about molding and self-managing their career to cultivate the most satisfying trajectory. Uniquely, the book provides a detailed examination of physicians' career development, highlighting challenges and expectations physicians encounter while matriculating through critical career changes...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29999343/is-relationship-quality-linked-to-diabetes-risk-and-management-it-depends-on-what-you-look-at
#11
Patricia N E Roberson, Frank Fincham
Although the quality of marriage and marriage-like relationships (e.g., cohabitation) has been linked to the risk of developing diabetes and being able to effectively manage the disease once developed, it is unclear which aspects of marital quality drive these associations. METHOD: Using nationally representative data (Midlife in the United States, N = 800), the present study therefore examines how aspects of marriage (e.g., strain, support, marital risk, and constructive communication) are linked to diabetes outcomes and whether these links vary as a function of sociodemographic characteristics related to health (e...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29999341/the-role-of-partner-autonomy-support-in-motivation-well-being-and-weight-loss-among-women-with-higher-baseline-bmi
#12
Katelyn M Gettens, NoƩmie Carbonneau, Richard Koestner, Theodore A Powers, Amy A Gorin
INTRODUCTION: The association of partner autonomy support with women's motivation for healthy eating, weight-related health behavior change, and psychological well-being has been largely overlooked. Results of 2 studies showed that the positive association between autonomy support and a variety of motivational and psychological outcomes was especially pronounced for women with high body mass index (BMI) (+1 SD ) compared to low BMI (-1 SD ). METHOD: In Study 1, autonomy support was measured as male partners' report of their behavior in a cross-sectional design...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29999340/parent-adolescent-dyadic-diabetes-distress-associations-with-a1c-and-diabetes-related-strengths
#13
Anthony T Vesco, Marissa A Feldman, Meredyth A Evans, Jill Weissberg-Benchell
INTRODUCTION: This study examined concordance and discordance between parent-adolescent report of diabetes-specific emotional distress and associations with A1c and diabetes-related strengths. Diabetes strengths refer to adaptive behaviors and attitudes that enhance resilience in living with diabetes. METHOD: One thousand two hundred sixteen adolescent-parent dyads completed measures of diabetes distress and adolescent-reported diabetes strengths. Polynomial regression with response surface analysis assessed concordant and discordant reports of adolescent-parent distress and independent associations of each reporter's distress on measures of diabetes strengths and A1c...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29999339/pediatric-primary-care-providers-reported-likelihood-to-refer-to-mental-health-specialists
#14
Emma L Peterson, Anne E Pidano, Lisa Honigfeld
INTRODUCTION: Pediatric primary care providers (PPCPs) play an increasingly important role in addressing mental health concerns. Yet PPCPs are limited in the services they can provide because of constraints in training, time, and reimbursement. Whereas some patients may be appropriately treated in primary care, others require referrals to mental health specialists. The current study evaluated patient, clinician, and situational factors associated with PPCPS' reported likelihood to refer hypothetical patients with mental health concerns to mental health specialists...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29878797/behavioral-medicine-interventions-for-adult-primary-care-settings-a-review
#15
Jennifer S Funderburk, Robyn L Shepardson, Jennifer Wray, John Acker, Gregory P Beehler, Kyle Possemato, Laura O Wray, Stephen A Maisto
INTRODUCTION: Health care organizations are embracing integrated primary care (IPC), in which mental health and behavioral health are addressed as part of routine care within primary care settings. Behavioral medicine concerns, which include health behavior change and coping with medical conditions, are common in primary care populations. Although there are evidence-based behavioral interventions that target a variety of behavioral medicine concerns, integrated behavioral health providers need interventions that are sufficiently brief (i...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29809039/implementation-of-evidence-based-practices-for-complex-mood-disorders-in-primary-care-safety-net-clinics
#16
John C Fortney, Jeffrey M Pyne, Susan Ward-Jones, Ian M Bennett, Joan Diehl, Kellee Farris, Joseph M Cerimele, Geoffrey M Curran
INTRODUCTION: Use quality improvement methods to implement evidence-based practices for bipolar depression and treatment-resistant depression in 6 Federally Qualified Health Centers. METHOD: Following qualitative needs assessments, implementation teams comprised of front-line providers, patients, and content experts identified, adapted, and adopted evidence-based practices. With external facilitation, onsite clinical champions led the deployment of the evidence-based practices...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29809038/suicide-interventions-in-primary-care-a-selective-review-of-the-evidence
#17
Aubrey R Dueweke, Ana J Bridges
INTRODUCTION: About half of people who die by suicide visit their primary care provider (PCP) within 1 month of doing so, compared with fewer than 1 in 5 contacting specialty mental health. Thus, primary care is an important setting for improving identification and treatment of suicide risk. This review identifies and summarizes evidence for the effectiveness of intervention components for suicide risk in primary care. METHOD: We searched the PsycINFO database to identify relevant articles...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29809037/inadequacy-of-the-phq-2-depression-screener-for-identifying-suicidal-primary-care-patients
#18
Aubrey R Dueweke, Mikenna S Marin, David J Sparkman, Ana J Bridges
INTRODUCTION: The Patient Health Questionnaire-2 (PHQ-2) depression screener has been praised for its brevity and ability to identify depressed primary care patients. Additionally, it is often used as the first of a two-step screening process for suicide risk. Despite its decent performance as a depression screener, the PHQ-2 cannot be assumed to be an adequate screener for suicide risk. In the present study, we examine the utility of the PHQ-2 for identifying suicidal patients. METHOD: We examined data from 548 adult primary care patients at a Federally Qualified Health Center in the mid-Southern region of the United States who completed the PHQ-2 as part of the full administration of the Patient Health Questionnaire-9 (PHQ-9)...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29389146/mother-father-adolescent-triadic-concordance-and-discordance-on-home-environment-factors-and-adolescent-disordered-eating-behaviors
#19
Katharine Wickel Didericksen, Jerica M Berge, Peter J Hannan, Steven M Harris, Richard F MacLehose, Dianne Neumark-Sztainer
INTRODUCTION: This study utilizes triadic data to examine the association between mother-father-adolescent concordance (agreement) and discordance (disagreement) on home environment factors (i.e., parental encouragement of dieting, family functioning) and adolescent unhealthy weight control behaviors and binge eating. METHOD: A subsample of adolescent-mother-father triads (n = 833; adolescents ages 10-22) from two coordinated population-based studies (EAT 2010 and F-EAT) were used...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29199842/a-preliminary-survey-of-pediatricians-experiences-with-and-preferences-for-communication-with-mental-health-specialists
#20
Duncan G Campbell, Andrew Downs, William J Meyer, Megan M McKittrick, Nicole M Simard, Patricia O'Brien
INTRODUCTION: Pediatricians are more likely than mental health (MH) specialists to manage children's MH concerns, and multiple factors complicate their abilities to do so adequately. Integrated care initiatives mitigate systems-related shortcomings that hamstring MH management in primary care. These initiatives, which improve outcomes for adults, are not widespread for youth. Integrated health care for children with MH concerns requires regular collaborative communication among pediatricians and MH specialists...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
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