Client Families Research Articles

LIFE AFTER STROKE AND THE KEY ROLE OF COORDINATED REHABILITATION FROM THE PERSPECTIVE OF THE STROKE SURVIVOR FAMILIES

Introduction. Stroke significantly affects the lives of survivors, requiring adaptation to lost capabilities while impacting physical, mental, and emotional well-being. Stroke is a leading cause of acquired disability in adults and a significant contributor to mortality, particularly among older individuals and in low-income countries. A stroke is described as a neurological deficit caused by acute damage to the central nervous system. Aim. The study's main aim was to explore the use of coordinated stroke rehabilitation before, during, and after hospital discharge. It examined components of coordinated rehabilitation, focusing on the needs of the client's family. This study was conducted as part of the GAJU 066/2022/S project and approved by the ethics committee under 6/2022. Materials and methods. This study used a qualitative research approach and semi-structured interviews with family members caring for stroke patients. The data collected was then analyzed using various coding strategies with the assistance of ATLAS.ti software. This rigorous methodology ensured the reliability and validity of the study's findings. Results. The effects of strokes are profound, not only on patients but also on their families and caregivers. Adapting to life after a stroke necessitates significant changes in family dynamics, values, and norms. The importance of effective communication and support from healthcare staff during patient hospitalization cannot be overstated. Respondents highlighted the role of quality care and communication in ensuring a positive hospital stay. However, they also pointed out certain deficiencies, such as delayed stroke diagnosis and inadequate information about post-discharge care and rehabilitation. The study underscored the importance of at-home rehabilitation in familiar environments for functional improvement. Conclusions. Life after a stroke presents a substantial challenge for patients and their families, requiring physical, psychosocial, and emotional adaptation. Coordinated rehabilitation facilitates post-stroke adjustments for patients and families and increases overall quality of life. Improved coordination and communication among healthcare providers, development of multidisciplinary rehabilitation teams, and effective post-discharge monitoring and support systems are essential for comprehensive care tailored to the needs of the patient and their families. Stroke patient family members advocate for enhanced support and services for better rehabilitation and for coping with post-stroke challenges.

Exploring the Experiences of Midwives in the Provision of Postpartum Contraceptive Counselling to Rural Women in Pakistan: A Qualitative Approach

This study was conducted to examine the challenges faced by midwives in providing postpartum contraceptive counseling services to women in the rural area of Lahore city of Punjab Province, Pakistan. A qualitative research method was used wherein twenty study participants (midwives) purposively selected in the targeted locale were interviewed using a Semi-Structured Interview (SSI). The collected data was secured in the form of field notes which were subsequently analyzed while extracting four themes including (i) involvement of the client's family (ii) misinterpretation about the use of contraception (iii) contraception availability (iv) religious perspective on contraception. This study concluded that midwives are facing challenges from family, culture, and community while providing postpartum contraceptive counseling to rural women. Furthermore, the study also concluded that the personal choices, values, and religious beliefs of women also pose a significant challenge for midwives in providing contraceptive counseling to rural women in Pakistan.

Sociological analysis of the functioning of early assistance services for children under 3 years in the Krasnoyarsk Krai

The purpose of the study is a comprehensive sociological analysis of the functioning of early intervention services for children under 3 years of age in the Krasnoyarsk Territory. The tasks of the analysis include: 1) studying the structure of the early intervention service as a social organization, the functions of its elements, systemic connections and relationships between them; 2) studying the satisfaction of representatives of client families with the work of early intervention services; 3) studying the subjective perceptions of employees of early intervention services and representative’s client families about the content and meaning of the services. The authors used the methods of a sociological survey, in-depth interviews, participant observation. Based on a number of indicators, the authors concluded that early intervention services were predominantly highly effective. The article shows the problem area of the functioning of early intervention services, which lies in the difference in understanding the goals and results of working with children on the part of client families and early intervention service specialists. Specialists see as the main goal the development of functional skills by children that contribute to socialization and independence, and then the improvement, the acquisition of educational, cognitive skills. Parents often prioritize learning skills when setting class goals. This difference may reduce parental satisfaction with the results of early intervention and the effectiveness of classes. The authors revealed the dependence of the level of involvement of parents in work with children together with specialists from early intervention services on the length of service and the age of the child. The more experience and the older the child, the less parents are involved in working with children. The authors proposed a social typology of representatives of client families on the grounds of their involvement in work with children and their attitude to the results of work with a child.

SUBJECTIVE ECONOMIC WELL-BEING OF BANK EMOK CUSTOMERS' FAMILIES: AN ANALYSIS OF DEBT BEHAVIOR, LIFESTYLE, ECONOMIC PRESSURE, AND FAMILY FINANCES

The utilization of money is not optimal, making the family's financial condition inefficient, which is why the family decides to get into debt at the Bank Emok. This study aims to analyze the influence of the family's debt behavior, lifestyle, economic pressure, and financial conditions (literacy and management) on the subjective economic well-being of Bank Emok customers in Bogor City. The research used a cross-sectional study design involving 150 families of Bank Emok customers selected by simple random sampling. The research instrument has adequate reliability and validity. The results of the analysis show that there are Bank Emok customers who are not categorized as poor. Many client families do not fulfill 12 years of primary education. Loans range from 2-16 million, with an average weekly installment of 138 thousand. As many as 26,7 percent of families fall into the category of high economic pressure, which is characterized by the difficulty of families in fulfilling food, education, and life skills. The results of the regression test show that the subjective economic welfare of families is positively influenced by lifestyle, financial literacy, financial management, number of dependents, length of wife's education, and length of loan. The analyzed model contributed 27,2 percent to the subjective economic well-being of families. Families are advised to start making financial plans and implement saving habits to be used in emergencies to improve the subjective economic well-being of the family.

Opening up the ‘black-box’: what strategies do community mental health workers use to address the social dimensions of mental health?

PurposeCommunity-based workers promote mental health in communities. Recent literature has called for more attention to the ways they operate and the strategies used. For example, how do they translate biomedical concepts into frameworks that are acceptable and accessible to communities? How do micro-innovations lead to positive mental health outcomes, including social inclusion and recovery? The aim of this study was to examine the types of skills and strategies to address social dimensions of mental health used by community health workers (CHWs) working together with people with psychosocial disability (PPSD) in urban north India.MethodsWe interviewed CHWs (n = 46) about their registered PPSD who were randomly selected from 1000 people registered with a local non-profit community mental health provider. Notes taken during interviews were cross-checked with audio recordings and coded and analyzed thematically.ResultsCHWs displayed social, cultural, and psychological skills in forming trusting relationships and in-depth knowledge of the context of their client's lives and family dynamics. They used this information to analyze political, social, and economic factors influencing mental health for the client and their family members. The diverse range of analysis and intervention skills of community health workers built on contextual knowledge to implement micro-innovations in a be-spoke way, applying these to the local ecology of people with psychosocial disabilities (PPSD). These approaches contributed to addressing the social and structural determinants that shaped the mental health of PPSD.ConclusionCommunity health workers (CHWs) in this study addressed social aspects of mental health, individually, and by engaging with wider structural factors. The micro-innovations of CHWs are dependent on non-linear elements, including local knowledge, time, and relationships. Global mental health requires further attentive qualitative research to consider how these, and other factors shape the work of CHWs in different locales to inform locally appropriate mental health care.

Index Case HIV Testing Uptake and its Associated Factors at Oromia, Ethiopia.

Lack of index case testing increased the risk of contracting HIV among the families of index clients, partners, and biological children. The aim of this study was to determine the prevalence of index case HIV testing uptake and its associated factors at Oromia, Ethiopia. An institutional-based cross-sectional study was conducted. A face-to-face interviewer administered structured questionnaire and chart review checklist were used to collect data. The data were analyzed using SPSS version 25. Logistic regressions were executed and statistical significance was declared at P < .05. The prevalence of index case testing was 80.2%. Factors associated with index case HIV testing uptake included HIV status disclosure (AOR = 5.4, 95% CI: 2.1, 14.0), discussed about HIV with family (AOR = 3.1, 95% CI: 1.2, 7.5), counseling of the index case (AOR = 3.3, 95% CI: 1.7, 10.6), perceived benefit of the index case tested (AOR = 3.2, 95% CI: 1.5, 8.7), being on ART 12 months or more (AOR = 2.6, 95% CI: 1.1, 6.1), and maintained privacy (AOR = 3.1, 95% CI: 1.3, 7.1). The uptake of index case HIV testing was moderately high. Additionally, factors such as HIV status disclosure, discussion of HIV with family, counseling of the index case, perception of the benefits of HIV testing for the index case, duration of clients on ART, and privacy maintenance during service delivery were significantly associated with index case HIV testing. To enhance index case testing, it is crucial to raise awareness and ensure client privacy during the initial HTC visit. Encouraging HIV status disclosure through discussion and promoting adherence to HIV medication is also recommended.

Terapi Suportif terhadap Keluarga Klien Skizofrenia

This study aims to determine the effectiveness of supportive therapy for families of schizophrenia clients. The research method uses a systematic review approach. The research results show that supportive therapy is effective for families in clients treating schizophrenia. In conclusion, providing supportive therapy helps families understand obstacles and problems in treatment by resolving them using adaptive coping by utilizing internal and external sources of support.&#x0D; &#x0D; Keywords: Family, Schizophrenia, and Supportive Therapy

Home school at the edge of chaos during the lockdown: Social workers’ perspectives

As a response to prevent the spread of COVID-19, during the spring of 2020, home schooling replaced classroom education. From the social worker’s perspective, this paper explores how home school was organised among the social work client families and what types of resources were needed and launched to control the complexity of home schooling during the first wave of COVID-19 pandemic. The conceptual frameworks applied to theorise the self-organisation of home school and how resources were mobilised are complexity theory and social capital theory. The empirical analysis is based on digital diaries written by 33 Finnish social workers and analysed using a thematic qualitative content analysis.The findings demonstrate the intertwined combination ofsocial (social environment and communication), human (cultural, psychological andpedagogical) and physical (technological, spatial and biological) capital needed for the successful self-organising of home schooling. These capitals cannot predict the emergence of successful home schooling, nor can they function as a resource alone because self-organisation requiresinteractions between all essential dimensions. The results provide a deeper understanding for social work professionals regarding schooling and organising multidimensional support for children and their families.

Upaya Penanganan Kesulitan Membaca Permulaan pada Anak di Rumah Belajar Dusun IV Lamtoro II RT. V

This field work practice is motivated by problems which show that children's reading skills are not yet optimal in their ability to recognize simple words, children are not yet able to arrange letters into words, arrange syllables into words. The street vendors are held at the Children's Learning House which is located in Dusun IV Lamtoro II, RT. V Bandar Klippa Village, Kec. Percut Sei Tuan, Deli Serdang Regency, North Sumatra. The aim of this street vendor is that students are expected to be able to apply the groupwork method to a mini project which will be one of the assessments in this street vendor activity. By using social work intervention methods with groups (groupwork). Mezzo (groupwork) interventions help individuals, groups, families, organizations and communities in order to strengthen and improve their capacities in order to overcome problems or restore client social functioning. With this mini project, it is hoped that it will improve children's reading skills in the Learning House, which totals 5 people. The data obtained in this study is through the results of the assessment that is carried out is a generalist assessment that includes the realm of mezzo practice in one client case. The mezzo assessment is carried out on the conditions of the client's closest social environment such as the client's family or peers accompanied by observations or observations of children's activities while learning to read through programs that have been designed. Data on children's learning outcomes has increased significantly. Children's reading ability has increased. Thus it can be concluded that a series of programs to build children's study habits can improve children's reading skills at the Children's Learning House in Dusun IV Lamtoro II RT. V

Community Involvement in the Rehabilitation and Treatment of Persons Deprived of Liberty (PDL): A Case Study of the Iriga District Jail, Philippine

This study focuses on evaluating community involvement in rehabilitating and caring for Persons Deprived of Liberty (PDL) at the Iriga District Jail in Camarines Sur's Fifth District, Philippines. The research employed a quantitative-methods of survey questionnaire, utilizing purposive and random sampling techniques to select participants of total 100 however 89 respondents replied considered and data were analyzed using descriptive statistics. The findings revealed that community involvement activities were partially implemented, encompassing work and livelihood programs, moral and spiritual programs, education and training programs, sports and recreation programs, behavior modification programs, and health and welfare programs. Challenges identified included limited funds, inadequate physical facilities, limited government and community support, insufficient staff training, and organizational issues. To strengthen community involvement in prisoner rehabilitation, this study recommends psychological evaluations, job placement or referral, community service programs, client self-help organizations, environmental awareness programs, volunteer probation aides, and involving the client's family in the rehabilitation process. These findings offer insights into the current state of community involvement in prisoner rehabilitation and propose measures for improvement in Camarines Sur's Fifth District.

Impact of occupational therapy on comprehensive care in pediatric oncology.

e22018 Background: Children with cancer can experience difficulties in performing and engaging in their usual activities and the families can also experience interruptions to their daily routines as well as family dynamics. Yet, current cancer rehabilitation tends to focus more on the aspect of bodily repair and functional restoration. This study intends to illustrate the impact of occupational therapy approaches that were identified to have positive influence on the children with cancer and their family. Methods: Three cases of children with brain tumor of age 1, 4 and 16 were reviewed and their caregivers were interviewed. Family education on disease progression, caregiver burden, unhealthy caregiving style, and activity participation facilitation, and coping strategies for the teenaged survivor were included in the regular occupational therapy sessions. Results: Of the three cases, two families of the younger clients who later deceased, reported being supported with the occupational therapy service from emotional support to facilitating activity participation. The other case was reported to have resumed activity participation both in the hospital and at home following a client-centered occupational therapy approach. Conclusions: Although it is important to facilitate functional restoration or preservation, it does not facilitate activity participation on children with cancer if psychological and/or contextual factors are not taken into consideration. It is equally important to meet children’s developmental needs and educate their caregiver/family to provide the proper care they need. Coping is required for both child survivor and their caregiver/family. Client-centered approach that is used in occupational therapy can provide comprehensive care to both children and their family in meeting the needs of the child and family and facilitating activity participation.

Photovoice as Counseling Intervention and Research Method: One Family’s Experience of Barriers to Implementing Mindfulness Skills

This photovoice study was conducted simultaneously for the purpose of research and clinical intervention with one client family to explore their experiences of barriers to implementing mindfulness skills learned in counseling into their everyday lives. Photovoice is an ideal research methodology for investigating clients’ perspectives on the counseling process because it centralizes the client worldview, minimizes researcher interpretation, and empowers clients toward action. The sample consisted of four participants (one family) whose ages were 16, 18, 41, and 43, and all identified as White or Caucasian. The family identified (a) What Life Does to Us and What We Do to Ourselves, (b) Schedules- What We Have to Do and Not Have to Do, and (c) Resistance to Change is Natural as themes representing barriers to implementing mindfulness skills at home. Authors collaborated as researcher and practitioner in this endeavor and discuss implications for scholarship and practice.

The feasibility of increasing the success of tuberculosis programs through drug ingestion supervisors in remote areas

called PMO) program is a signal of novelty to increase the acceleration of the success of the tuberculosis eradication program. However, the certainty of its feasibility in remote areas is not yet known. The purpose of this study is to find out the feasibility of the PMO program in remote areas. This quantitative method research was conducted in Biak Numfor, Papua, with total respondents of 23. The primary data was obtained from instruments of a set of questionnaires which were distributed randomly to family members of TB patients. The inclusion criteria were family members of TB patients who were currently on treatment and lived in Yendidori district, Biak. The exclusion criteria were family members of TB patients outside Yendidori, and not taking TB drugs. Secondary data was obtained from reputable journals. Data analysis was carried out descriptively. The results of the study showed that the PMO program had great support from TB client families, and were willing to be part of the program. Found cases of multidrug-resistance (26%), ignorance of drug consistency (100%) considering that 5 out of 18 clients were toddlers. The other major challenges were infrastructure conditions and geography, and lack of means of communication. In conclusion, the PMO program was considered to provide benefits and was feasible to implement to support the increase in the success of TB eradication programs involving family members.

Helping families heal in substance use treatment: A qualitative study about the role of peer support specialists with client families

IntroductionPeer support specialists (PSS) are people with previous psychiatric illness or substance use disorders who use their experience to support those facing similar hardships. PSS offer a range of beneficial outcomes to both the PSS and clients. The most immediate social connections to those seeking treatment are often their families, yet no PSS studies are inclusive of family involvement. Strong theoretical and empirical support exists for family involvement in addiction treatment, but no studies to date on families in substance use treatment include PSS. This study offers a first look at PSS's experiences with client families. We aimed to describe experiences and attitudes of PSS in working with families of those seeking substance use treatment. MethodsThis qualitative study included 25 adult PSS with at least 1 year of work experience in substance use treatment and state credentialing board certification. Participants had one interview either in a focus group format or individually. The recruitment and data collection phase lasted from November 2020 to June 2021. The semi-structured interview protocol included six main questions and interviews lasted 60 to 75 min. Upon completion of each interview, the recordings were transcribed and inductively coded. Thematic analysis of the codes identified overarching themes and their implications were described with associated quotes. ResultsThematic analysis generated three interrelated themes. First, participants described the various ways they often work with the families of their clients, which seemed to be dependent on the age of the client. Second, participants identified the negative aspects of working with families such as family drama, stress, and co-dependency issues. Last, the third theme identified the ways in which PSS assist families in healing from the effects of addiction. The themes identify a complicated and conflicting approach to work with families. Overall, it seemed PSS were operating on their own experiences or suggestions given by supervisors to guide them with no training on how to approach families. ConclusionsThis study highlights a deficit in PSS training on their role with families, family intervention, and the impact of family on substance use treatment for adults and youth. More research needs to establish the PSS role with families and with clients from marginalized backgrounds. Credentialing and national associations that support PSS should develop additional training and education opportunities related to working with families for PSS, supervisors, and organizational leadership who employ PSS for substance use treatment.

Correlation Between Knowledge and Self-Efficacy with Family Skills in Exercising Range of Motion for Post-Stroke.

Stroke is the third largest cause of death after heart disease and cancer. Post-stroke patients who have disabilities will lose independence and become dependent on others. The role of the family is significant in helping patients meet psychological, social and spiritual needs. In addition, the family plays a role in recovery and optimizing the client's motor skills. A family member is the primary support system of direct service providers in every situation. This study aimed to examine the relationship between knowledge, self-efficacy and family skills in doing a range of motion exercises post-stroke. Correlational research method with a Cross-Sectional Study approach with post-stroke client family research samples was taken in total sampling with 55 respondents. Analysis using bivariate analysis with Spearman's-rho correlation test. The results showed that family knowledge was above average with a Median value of 15.00 (IQR = 2), family self-efficacy was above average with a Mean value of 51.47 (SD = 11.67), and family skills were above average with a mean value of 7.73 (SD = 2.70). The results of bivariate analysis stated that there was a relationship between family knowledge and family skills in doing a range of motion exercises with p-value = 0.00 (r = 0.613), and there was a relationship between family self-efficacy and family skills in doing a range of motion exercises with p-value = 0.00 (r = 0.497). This research has implications for community nurses to provide interventions and enhance visite to family members with post-stroke.

Clients' Perspective towards Family-centered Care Health Services of Family-provider Partnership

Abstract&#x0D; Objective: The purpose of this study is to investigate the family-centered care health services of family-provider partnership in Baghdad/ Iraq.&#x0D; Methods: A descriptive cross-sectional study is conducted in Baghdad Province. A cluster samples of 440 clients who review family centered care for the purpose of health services. The instruments underlying the study phenomenon deals with client's socio-demographic characteristics and family centered care questionnaire which include (partnership related to decision-making team, supporting the family as the constant in the child’s life, family-to-family and peer support and supporting transition to adulthood). The reliability of the questionnaire was achieved through a pilot study and then presented to experts to prove its credibility. The data were collected by using interview techniques method and analyzed through the application of descriptive and inferential statistical analysis.&#x0D; Results: Findings show participants age, the mean age for clients' is 39, the age 20-29 years old were recorded the highest percentage among (n=179; 40.7%), female were predominated among clients who reviews family-centered care (n=281; 63.9%), the illiterate clients were records the highest percentage (n=97; 22%), most of reviews health services in terms of vaccines (n=188; 42.7%). The clients who included in the study sample were expressed a poor level of family-provider partnership. There were significant differences in family-provider partnership health services with regard to clients' education level and types of services were received at p-value &lt;0.05.&#x0D; &#x0D; Conclusion: Partnerships between family and providers are out of the ordinary. In order for a fast evolving health care system to be effective, family-provider collaboration in care design, delivery, and assessment is essential. To improve care and results, stakeholders are increasingly recognizing the importance of focusing care on the patient and incorporating patient and family viewpoints.&#x0D; Recommendations: Family health centers need to be monitored and evaluated periodically with regards to providing health care services according to the standard, which is reflected in gaining the confidence of the individual in the health center. , Further researches need to be conducted in evaluating the quality of health services of family health care centers, based on international standards approved by international health organizations.

Aide and Client Safety "Should Go Hand-In-Hand": Qualitative Findings From Home Care Aides, Clients, and Agency Leaders.

Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could increase job retention. This study objective was to explore qualitatively the connection between aide and client safety and factors impacting this care relationship. Data consisted of audio-recorded, verbatim responses to open-ended questions of two focus groups with aides (n = 10), two in-person interviews with HC agency managers, and 37 phone interviews with those working in (aides, n = 16; managers, n = 12) and receiving (clients, n = 9) HC. Clients reported home layout and accessibility as safety concerns. Aides and managers reported that client family members can make the care job more challenging. The aide-client connection was affected by communication style, family and HC agency support, allotted care time, and job task boundaries. Interventions that address the safety of both clients and aides can influence HC job satisfaction and retention.

Family Coaching terhadap Pelaksanaan Tugas Kesehatan Keluarga pada Klien Stroke

&#x0D; This study aims to determine the effect of family coaching on the implementation of family health tasks for stroke clients. This research method uses experimental research with a pretest-posttest control group design method. The results showed that the average score of the stroke client family health task implementation in the control group during the pre-test was 50.23 with a standard deviation of 5.217, while the post-test was 51.06 with a standard deviation of 3.162. The average score of the stroke client's family health task implementation in the intervention group at the pre-test was 48.09, with a standard deviation of 7.199. At the same time, the average score for implementing family health tasks during the post-test was 61.66, with a standard deviation of 1.578. The average score of the stroke client's family health task implementation in the control group was 51.06 with a standard deviation of 3.162, while in the intervention group, it was 61.66 with a standard deviation of 1.578. The results of statistical tests showed that the p-value &lt;0.05. In conclusion, there is an effect of family coaching on the implementation of five family health tasks for stroke clients at home.&#x0D; &#x0D; Keywords: Family Coaching, Stroke, Family Health Tasks

Persuasive Dakwah on the Development of Ex-Commercial Sex Workers in the Mattirodeceng Women's Social Organization Makassar City (A Sociological Approach)

Persuasive da'wah is one of the approaches taken by officers in fostering ex-commercial sex workers while being rehabilitated. This type of research is qualitative with a sociological approach and data sources are five informants. Data obtained through observation, in-depth interviews and documentation, then analyzed by data reduction, data presentation, and drawing conclusions. The results showed that the form of application of persuasive da'wah to the development of ex-commercial sex workers, namely; a). Delivery of persuasive da'wah in the form of providing social guidance; self-interity and da'wah material, b). Delivery of persuasive da'wah in the form of advanced guidance, c). the application of persuasive da'wah in the form of fardiyah; coaching in the form of Islamic tabligh, coaching in the form of tajuiya, coaching in the form of tabligh khitabah, coaching in the form of Islamic irsyad; da'wah guidance activities, coaching with takwin; have the ability to communicate, have the ability to do social guidance, have the ability to provide skills guidance. The social reality of the implementation of persuasive da'wah whose output orientation is from fostering former commercial sex workers is certainly expected to return to the reality of life in accordance with the social order. So the initial step of coaching must be in accordance with the mechanism of the coaching stages such as acceptance, assessment, intervention, and termination, so that the client is first identified to find out the client's family background, the potential of each client, age, education level, religion, marital status, and social status. The economy

German Princes in the Prussian Army: Political Patronage and Family Networks under Frederick II, 1740–1786

Abstract Drawing primarily on Frederick II of Prussia’s correspondence, which was filtered through his cabinet secretaries, this article explores how the king used his army in constructing patronage networks that reached beyond the limits of Brandenburg-Prussia. He not only appointed members of German families as officers but also expected them to train with and command their men. Frederick II’s army was certainly a vital means of exercising power, but it also proved a viable tool for integrating and discipling client families within the Holy Roman Empire.