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

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https://www.readbyqxmd.com/read/29999343/is-relationship-quality-linked-to-diabetes-risk-and-management-it-depends-on-what-you-look-at
#1
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...
July 12, 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
#2
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/29999341/the-role-of-partner-autonomy-support-in-motivation-well-being-and-weight-loss-among-women-with-higher-baseline-bmi
#3
Katelyn M Gettens, Noémie 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...
July 12, 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
#4
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...
July 12, 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
#5
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...
July 12, 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
#6
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...
June 7, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29809040/enhancing-residents-compassionate-communication-to-family-members-a-family-systems-breaking-bad-news-simulation
#7
Jacqueline Williams-Reade, Elsie Lobo, Abel Arvizú Whittemore, Laura Parra, Joanne Baerg
INTRODUCTION: Surgical residents often need to break bad news (BBN) to patients and family members. While communication skills are a core competency in residency training, these specific skills are rarely formally taught. We piloted a simulation training to teach pediatric surgical residents how to compassionately BBN of an unexpected, traumatic pediatric death to surviving family members. This training was unique in that it was influenced by family systems theory and was a collaborative effort between our institution's surgery residency and medical family therapy (MedFT) programs...
May 28, 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
#8
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...
May 28, 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
#9
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...
May 28, 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
#10
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)...
May 28, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902046/dissolving-the-dichotomy-in-health-and-healthcare
#11
Christine N Runyan
The New England Journal of Medicine Catalyst recently published an article entitled "It's Time to Treat Physical and Mental Health With Equal Intent" (Compton-Phillips & Mohta, 2018). The article describes a survey of the NEJM Catalyst Insights Council, a qualified group ( n =565) of U.S. executives, clinical leaders, and clinicians who are directly involved in health care delivery. Ninety nine percent of council members responded that mental health should not only be integrated into ambulatory medical care settings but also embrace a "shared concept of mutual responsibility" (p...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902045/-imagine-a-clinical-world-without-family-systems-thinking-response
#12
Colleen T Fogarty, Larry B Mauksch
Replies to comments made by B. J. Jacobs (see record 2018-27937-015) on the authors' original editorial (see record 2017-56601-001). While Fogarty and Mauksch agree with Dr. Jacobs that reviving the Doherty and Baird Levels of family involvement would be helpful, as would training clinicians to engage family members as partners in care, Fogarty and Mauksch want to reemphasize that helping trainees recognize systemic thinking and learn systemic problem solving is a necessary precursor to any form of family focused action...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902044/-imagine-a-clinical-world-without-family-systems-thinking-comment
#13
Barry J Jacobs
Comments on an editorial by C. T. Fogarty and L. B. Mauksch (see record 2017-56601-001). The editorial discussed collaborative family health care and the importance of family and social context to yield a comprehensive understanding of health. Jacobs agrees that family systemic thinking is an extremely helpful tool for clinicians, even if there's limited data to prove that. But he also thinks that systemic thinking in and of itself doesn't flatten the health care hierarchy and empower family members. (PsycINFO Database Record...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902043/after-spine-surgery-for-dr-borges
#14
Katherine Fiveash
This poem describes the author's healing from spine surgery with a real walk through nature, from her own eyes, and a figurative walk through her body, from the eyes of her surgeon. The world of body and beauty--the place to go over and over to find oneself, both patient and surgeon. (PsycINFO Database Record
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902042/mom-doesn-t-think-so
#15
Phillip B Hawley
This poem describes a client who is asked "Are you okay?" as the one year anniversary of her friend's suicide approaches. Sitting in the moment together, her glassy eyes, a falling tear, and silence, are followed by laughter after the smirk is renewed with the answer, "My mom doesn't think so." (PsycINFO Database Record
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902041/it-hurts-to-move-on-a-family-s-experience-with-chronic-pain-grief-and-healing
#16
Grace S Kao
This article describes a family that had to deal with grief from losing a family member. They sought help for 13-yr-old Katie's prolonged pain following a sprain. The family's unresolved grief over their second child's passing continued to emerge, peeping through the small talk, the wry smiles, the daily efforts to move and do, despite physical pain. As the demands of Katie's rehabilitation stripped away reserves of politeness and energy, the family's emotional pain became more fully uncovered.The author describes the 6-week course of physical and occupational therapies, pain medicine management, and individual and family behavioral health support...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902040/integrated-care-models-for-adhd-in-children-and-adolescents-a-systematic-review
#17
Jeffrey D Shahidullah, John S Carlson, Danielle Haggerty, Blake M Lancaster
INTRODUCTION: Attention-deficit/hyperactivity disorder (ADHD) in children and adolescents is commonly managed in primary care. Changes in United States health care have led to the integration of behavioral health services within a patient's "medical home" to improve access to, engagement in, and continuity of quality health care. Despite proliferation of these integrated care models, no studies have specifically examined models for managing ADHD in children and adolescents within primary care...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902039/the-value-of-medical-students-in-support-of-asylum-seekers-in-the-united-states
#18
(no author information available yet)
The global refugee/migrant crisis of displacement because of persecution and conflict carries staggering implications of ambiguity and loss for the individuals affected. In 2013, approximately 25,000 displaced people sought asylum in the United States; many of whom have experienced state-sponsored physical and psychological torture. With Physicians for Human Rights (PHR), several medical student clinics work closely with immigration attorneys and University and Community based clinicians to assist U.S. asylum seekers in their asylum claims...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902038/coping-strategies-and-support-structures-of-addiction-affected-families-a-qualitative-study-from-goa-india
#19
Sydney Church, Urvita Bhatia, Richard Velleman, Gill Velleman, Jim Orford, Anil Rane, Abhijit Nadkarni
INTRODUCTION: Despite the large burden of a relative's drinking on their family members, the latter's perspectives and experiences are largely neglected. The aims of this article are to assess the coping strategies used by affected family members (AFMs) in Goa, India, and to examine the nature of the support they have for dealing with their drinking relative. METHOD: In-depth interviews were conducted with adult AFMs selected through purposive and maximum variation sampling...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29902037/introducing-supported-self-management-for-depression-to-primary-care-in-vietnam-a-feasibility-study-in-preparation-for-a-randomized-controlled-trial
#20
Jill Murphy, Pham Thi Oanh, Charles H Goldsmith, Wayne Jones, Vu Cong Nguyen
INTRODUCTION: Although depression is a major contributor to the global burden of disease, services remain scarce in many low- and middle-income countries. In Vietnam, depression services are limited, and the government has recently prioritized primary care and community-based service integration. We conducted a pilot study in 2 districts of Hanoi to test the feasibility of (a) introducing a supported self-management (SSM) intervention for adult depression in primary care in Vietnam, and (b) conducting a randomized controlled trial (RCT) to test the effectiveness of the intervention...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
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