Desire For Involvement Research Articles

Advanced Practice Providers (APPs) in Hematology: Work Practices, Interactions with Physicians, and Opportunities for Collaboration within the American Society of Hematology (ASH)

Background: Advanced Practice Providers (APPs) - Nurse Practitioners (NPs) and Physician Assistants (PAs) - play a critical role in hematology practice. APPs receive variable specialty-specific training, practice in a variety of environments, and interact in variable ways with their physician colleagues and professional societies. Evidence suggests that hematologists in community practice that work with APPs frequently may have lower rates of burnout than colleagues who do not. However, little is known about APPs in hematology regarding scope of practice, challenges and opportunities in APP-physician interactions, and potential involvement and desire for involvement with the American Society of Hematology (ASH) specifically. In 2021, ASH convened a Task Force to examine hematology-specific aspects of APP practice and further inform ASH's policies and programs related to APPs in hematology. Methods: The ASH Hematology Task Force, in collaboration with researchers at the GW Mullan Institute for Health Workforce Equity, conducted a series of focus groups with APPs and collaborating physicians practicing in hematology-oncology in the United States. Participants were recruited via email, and focus groups were conducted from April through June 2022. Questions focused on education/training in hematology, practice experience (scope and degree of independence in practice), interactions with physician colleagues, and specific interactions with ASH. Thematic analysis was performed using Dedoose, a qualitative analysis software. Results: 49 APPs and 7 physicians participated in 9 focus groups. Participants primarily practiced in academic settings, and represented a mix of classical/benign hematology, malignant hematology, and oncology. APPs reported receiving relatively extensive on-the-job training in their clinical focus areas, with most sites creating their own training programs due to limited availability of outside resources. While most APPs reported feeling trusted and respected by physician colleagues, some also reported current or past experience working with physicians who minimized APP contributions. Many reported limited career advancement opportunities. Although APPs reported attending other professional conferences for APPs in hematology-oncology and finding them valuable, barriers to attending the ASH annual meeting were identified including: the requirement for physician sponsorship to attend, the need to provide clinical coverage for physicians attending, and a perceived lack of focus on clinical care. APPs and physicians strongly support increased APP programming at ASH annual meetings and support APPs becoming ASH members and serving on ASH committees. APPs/physicians also support ASH's involvement in the creation of hematology training resources for APPs and "best practice" guidelines for APP-physician collaboration in hematology. APPs and physicians feel hematology will benefit from improved APP-physician collaboration as APPs take on more responsibility due to hematology-oncology workforce shortages and increases in the hematology-oncology patient population over time. Conclusions: APPs in hematology practice in a variety of clinical areas/roles and most feel that they work in a collaborative environment with physicians. APPs expressed interest in future interactions with ASH in multiple domains. The ASH APP Task Force plans to use the themes identified in these focus groups to develop two national surveys, one of APPs and one of physicians. These results will inform the Task Force's final recommendations to ASH regarding APPs in hematology.

Spiritual values and work-related wellbeing of Indian pharmaceutical scientists

The current research article aims to investigate spiritual values a predictor of the work-related well-being of pharmaceutical scientists in Indian Pharmaceutical companies. For the same, 150 scientists working in different pharmaceutical companies in India were asked to respond to questionnaires viz., the Spiritual Values Scale (SVS) - Husain, Zehra and Jahan (2013), and Index of Psychological Well-being at Work (IPWBW) - Sandilya and Shahnawaz (2018). The findings suggest spiritual values and its dimensions (values fostering high quality work, intrinsic qualities and natural qualities) as significant predictors of the work-related well-being as well as its facets (interpersonal fit at work, thriving at work, feeling of competency at work, perceived recognition at work and desire for involvement at work) of pharmacy scientists. It was found that spiritual values and its dimensions had significant predictive influence on work-related well-being.

Culture, Self, and Medical Decision Making in Australia and China: A Structural Model Analysis.

Objective. To explore and compare the influences of individual-level cultural values and personal attitudinal values on the desire for medical information and self-involvement in decision making in Australia and China. Methods. A total of 288 and 291 middle-aged adults from Australia and China, respectively, completed an online survey examining cultural and personal values, and their desired level of self-influence on medical decision making. Structural equation modeling was used to test 15 hypotheses relating to the effects of cultural and personal antecedents on the individual desire for influence over medical decision making. Results. Similar factors in both Australia and China (total variance explained: Australia 29%; China 35%) predicted desire for medical information, with interdependence (unstandardized path coefficient βAustralia = 0.102, P = 0.014; βChina = 0.215, P = 0.001), independence (βAustralia = 0.244, P < 0.001; βChina = 0.123, P = 0.037), and health locus of control (βAustralia = −0.140, P = 0.018; βChina = −0.138, P = 0.007) being significant and positive predictors. A desire for involvement in decisions was only predicted by power distance, which had an opposite effect of being negative for Australia and positive for China (total variance explained: Australia 11%; China 5%; βAustralia = 0.294, P < 0.001; China: βChina = −0.190, P = 0.043). National culture moderated the effect of independence on desire for medical information, which was stronger in Australia than China (Z score = 1.687, P < 0.05). Conclusions. Study results demonstrate that in both countries, desire for medical information can be influenced by individual-level cultural and personal values, suggesting potential benefits of tailoring health communication to personal mindsets to foster informed decision making. The desired level of self-involvement in decision making was relatively independent of other cultural and personal values in both countries, suggesting caution against cultural stereotypes. Study findings also suggest that involvement preferences in decision making should be considered separately from information needs at the clinical encounter.

Collaborative health service planning: A stakeholder analysis with social network analysis to develop a community pharmacy service.

Stakeholder participation optimizes health planning, fostering the acceptability and integration of new health services. Collaborative approaches may help overcome existing challenges in the development, implementation and evaluation of community pharmacy services (CPSs). Stakeholder analyses lay the foundation for building collaboration in the integrated delivery of health care. This stakeholder analysis was performed to organize a collaborative initiative to develop a CPS aimed at preventing cardiovascular diseases in Andalucía (Spain). It aimed to identify stakeholders, differentiate/categorize them, and analyze stakeholder relationships. Stakeholders were identified using the snowballing technique. To differentiate/categorize stakeholders and analyze the relationships (i.e., collaboration) an online web-based questionnaire was sent to 186 stakeholders. Stakeholders were asked for: (1) their influence, interest and attitude toward the initiative; (2) stakes/interests; (3) capacity to contribute to the initiative; (4) desire for involvement; (5) concerns; (6) whom they considered a key stakeholder; and (7) the level of collaboration they had with other stakeholders. Data analysis combined descriptive qualitative content analysis, descriptive quantitative analysis and social network analysis. Of the 186 stakeholders approached, 96 (51.6%) participated. The identification process yielded 217 stakeholders (individuals, organizations or collectives), classified into 10 groups. Fifty-seven stakeholders were considered critical to the intended initiative. Most participant stakeholders supported the initiative and were willing to collaborate in the development of the CPS. Public health and science were the main driving interests. A collaboration network existed between the 96 stakeholders. This study revealed the magnitude of the social system surrounding the development of a CPS aimed at preventing cardiovascular disease. A large array of stakeholders was identified and analyzed, and a group of critical stakeholders selected. Stakeholder characteristics such as attitude toward the initiative, potential contribution, desire for involvement, and the existing collaboration network, provided complementary information that was helpful for planning the process and stakeholder engagement.

Respect, trust and continuity: A qualitative study exploring service users' experience of involvement at a Healthy Life Centre in Norway.

BackgroundTo meet the challenges caused by non‐communicable diseases, Norway has established Healthy Life Centres within primary care to encourage a healthy lifestyle. To promote people's health and ensure high‐quality services, user involvement in contemporary health care is regarded as essential.ObjectiveTo explore the experience of user involvement among Healthy Life Centre users participating in individual health consultations, followed by physical activity groups and/or diet courses.MethodsThis was a qualitative study based on twenty semi‐structured individual interviews conducted between September 2015 and May 2016 at a Healthy Life Centre in Norway. Data were analysed using systematic text condensation.ResultsBeing respected and having a trustworthy relationship with the professionals were found to be essential for the service users’ involvement. Building a trustworthy relationship was disrupted for some service users by a lack of relational continuity. This lack of continuity jeopardized the continuation of professionals’ awareness of the service users’ challenges and personal goals. The service users’ preferred levels of user involvement varied. Some service users did not always want to play an active part and instead wanted the professionals, as “experts,” to decide.ConclusionsThe findings imply that the professionals need to assess each service user's desires for involvement and consider how these can be met. Thus, user involvement cannot be understood without considering the particular setting and each individual service user's preferences for involvement. Relational continuity is needed to maintain the service users’ challenges and goals throughout the services and to promote health behaviour changes.

Who wants to be involved in health care decisions? Comparing preferences for individual and collective involvement in England and Sweden

BackgroundPatient and public involvement (PPI) is framed as positive for individuals, the health system, public health, as well as for communities and society as a whole. We investigated whether preferences for PPI differed between two countries with Beveridge type health systems–Sweden and England. We measured willingness to be involved in individual treatment decisions and in decisions about the organization and provision of local health and social care services.MethodsThis was a comparative cross-sectional study of the general population’s preferences. Together, the two samples included 3125 respondents; 1625 in England and 1500 in Sweden. Country differences were analysed in a multinomial regression model controlling for gender, age and educational attainment.ResultsOverall, 68% of respondents wanted a passive patient role and 44% wanted to be involved in local decisions about organization and provision of services. In comparison with in Sweden, they were in England less likely to want a health professional such as a GP or consultant to make decisions about their treatment and also more likely to want to make their own decisions. They were also less likely to want to be involved in local service development decisions. An increased likelihood of wanting to be involved in organizational decision-making was associated with individuals wanting to make their own treatment decisions. Women were less likely to want health professionals to make decisions and more likely to want to be involved in organizational decisions.ConclusionsAn effective health system that ensures public health must integrate an effective approach to PPI both in individual treatment decisions and shaping local health and social care priorities. To be effective, involvement activities must take in to account the variation in the desire for involvement and the implications that this has for equity. More work is needed to understand the relationship between the desire to be involved and actually being involved, but both appear related to judgements of the impact of involvement on health care decisions.

Exploring Women's Preferences for the Mode of Delivery in Twin Gestations: Results of the Twin Birth Study.

The Twin Birth Study, an international, multi-center randomized controlled trial was conducted to compare the risks of planned cesarean with planned vaginal delivery for twin pregnancies. The aim of this component of the trial was to understand participants' perspectives of study participation and preferences for the mode of delivery. A mixed-methods questionnaire was distributed to study participants 3 months after giving birth. The questionnaire contained Likert scales and open-ended questions about the experience of being enrolled in a clinical trial and of childbirth, including the mode of delivery. Quantitative data were analyzed using SAS to generate descriptive statistics. Qualitative data were analyzed to identify categories and themes. Ninety-one percent of trial participants completed the questionnaire. Across all groups, the majority of women would participate in a study like this one again if given the opportunity. Main benefits of participating were as follows: benefits to one and one's babies, altruism, and receiving quality care. Randomization for the mode of delivery was challenging for women because of the desire to be involved in decision-making. Findings related to childbirth experience and the mode of delivery demonstrated a preference for vaginal birth across all groups. Those who had a vaginal birth were more satisfied with their birth experience. This study provides evidence to inform practitioners about what women who have twin pregnancies like or dislike about birth and their desire for involvement in decision-making. Vaginal birth was preferred across all study groups and was associated with greater satisfaction with childbirth experience.

A Prospective Evaluation of Shared Decision-making Regarding Analgesics Selection for Older Emergency Department Patients With Acute Musculoskeletal Pain.

Musculoskeletal pain is a common reason for emergency department (ED) visit by older adults. Outpatient pain management following ED visits in this population is challenging as a result of contraindications to, and side effects from, available therapies. Shared decision-making (SDM) between patients and emergency physicians may improve patient experiences and health outcomes. Among older ED patients with acute musculoskeletal pain, we sought to characterize their desire for involvement in the selection of outpatient analgesics. We also sought to assess the impact of SDM on change in pain at 1 week, patient satisfaction, and side effects. This was a prospective study of adults aged 60 years and older presenting to the ED with acute musculoskeletal pain. Participants' desire to contribute to outpatient analgesic selection was assessed by phone within 24 hours of ED discharge using the Control Preferences Scale and categorized as active, collaborative, or passive. The extent to which SDM occurred in the ED was also assessed within 24 hours of discharge using the 9-item Shared Decision Making Questionnaire, and scores were subsequently grouped into tertiles of low, middle, and high SDM. The primary outcome was change in pain severity between the ED visit and 1 week. Secondary outcomes included satisfaction regarding the decision about how to treat pain at home, satisfaction with the pain medication itself, and side effects. Desire of participants (N = 94) to contribute to the decision regarding selection of outpatient analgesics varied: 16% active (i.e., make the final decision themselves), 37% collaborative (i.e., share decision with provider), and 47% passive (i.e., let the doctor make the final decision). The percentage of patients who desired an active role in the decision was higher for patients who were college educated versus those who were not college educated (28% vs. 11%; difference 17%, 95% confidence interval [CI] = 0% to 35%), received care from a nurse practitioner versus a resident or an attending physician (32% vs. 9%; difference 23%, 95% CI = 4% to 42%), or received care from a female versus a male provider (24% vs. 5%; difference 19%, 95% = CI 5% to 32%). After potential confounders were adjusted for, the mean decrease in pain severity from the ED visit to 1-week follow-up was not significantly different across tertiles of SDM (p = 0.06). Higher SDM scores were associated with greater satisfaction with the discharge pain medications (p = 0.006). SDM was not associated with the class of analgesic received. In this sample of older adults with acute musculoskeletal pain, the reported desire of patients to contribute to decisions regarding analgesics varied based on both patient and provider characteristics. SDM was not significantly related to pain reduction in the first week or type of pain medication received, but was associated with greater patient satisfaction.

A Survey of Canadian Early Childhood Educators’ Psychological Wellbeing at Work

The study aims to describe early childhood educators’ psychological wellbeing at work in terms of their interpersonal fit, thriving, feeling of competency, perceived recognition and desire for involvement. The study approach draws links between perceptions of autonomy at work and wellbeing. The analysis examines the results of a survey conducted among 1,535 early childhood educators in the province of Quebec, Canada, using the Index of Psychological Well-Being at Work, developed by Dagenais-Desmarais (2010), an instrument presenting good internal consistency indicators, with alphas varying between .72 and .86. Additionally, a measure of perceived autonomy at work, producing an internal consistency of .83, has been adapted from an instrument originally designed to measure basic needs satisfaction in sports contexts (Gillet et al. 2008). The study results show that overall levels of wellbeing among early childhood educators are high, both among those working in centre-based settings and those working in home-based settings (private homes), throughout all career stages. However, a decrease in wellbeing levels is observed following the first 5 years of work, later followed by an increase in wellbeing levels among educators with 20 years of experience or more, in both work settings. The perception of autonomy proves to be related to wellbeing, accounting for 23 % of variance. The autonomy dimension, therefore, calls for greater attention from administrators concerned with the psychological wellbeing of workers in this sector of activity. The authors argue for the relevance and necessity of further research into the work lives of early childhood educators by emphasising that the issues raised in the study overlap with three areas of concern for a significant part of the population: early childhood educators’ profession, community family services, and the accumulation of knowledge in work psychology.

Teachers’ Commitment and psychological well-being: implications of self-beliefs for teaching in Hong Kong

Despite ample research on commitment in industrial settings, there has been no systematic attempt to investigate outcomes associated with teacher commitment. Therefore, the aim of this study was to examine the relationship between teacher commitment and psychological well-being in the work place using questionnaires. Hong Kong teachers (N = 857) participated. Hierarchical regression analyses were used to investigate how the three aspects of commitment pertaining to the organisation and occupation predicted relevant outcomes. Results showed that affective and normative commitment positively predicted psychological well-being in the work place: interpersonal fit at work, thriving at work, feeling of competency, perceived recognition at work, desire for involvement at work and job satisfaction. Continuance commitment was a negative predictor of some outcomes. Results of the current study provide support to Meyer’s 3 × 2 factor model of commitment. Findings are discussed in relation to the situation of teachers in the Hong Kong context.

Addressing health literacy in patient decision aids

BackgroundEffective use of a patient decision aid (PtDA) can be affected by the user’s health literacy and the PtDA’s characteristics. Systematic reviews of the relevant literature can guide PtDA developers to attend to the health literacy needs of patients. The reviews reported here aimed to assess:1. a) the effects of health literacy / numeracy on selected decision-making outcomes, and b) the effects of interventions designed to mitigate the influence of lower health literacy on decision-making outcomes, and2. the extent to which existing PtDAs a) account for health literacy, and b) are tested in lower health literacy populations.MethodsWe reviewed literature for evidence relevant to these two aims. When high-quality systematic reviews existed, we summarized their evidence. When reviews were unavailable, we conducted our own systematic reviews.ResultsAim 1: In an existing systematic review of PtDA trials, lower health literacy was associated with lower patient health knowledge (14 of 16 eligible studies). Fourteen studies reported practical design strategies to improve knowledge for lower health literacy patients. In our own systematic review, no studies reported on values clarity per se, but in 2 lower health literacy was related to higher decisional uncertainty and regret. Lower health literacy was associated with less desire for involvement in 3 studies, less question-asking in 2, and less patient-centered communication in 4 studies; its effects on other measures of patient involvement were mixed. Only one study assessed the effects of a health literacy intervention on outcomes; it showed that using video to improve the salience of health states reduced decisional uncertainty. Aim 2: In our review of 97 trials, only 3 PtDAs overtly addressed the needs of lower health literacy users. In 90% of trials, user health literacy and readability of the PtDA were not reported. However, increases in knowledge and informed choice were reported in those studies in which health literacy needs were addressed.ConclusionLower health literacy affects key decision-making outcomes, but few existing PtDAs have addressed the needs of lower health literacy users. The specific effects of PtDAs designed to mitigate the influence of low health literacy are unknown. More attention to the needs of patients with lower health literacy is indicated, to ensure that PtDAs are appropriate for lower as well as higher health literacy patients.

FRI0542 Preferences of maltese patients with rheumatic diseases for information on drug adverse events and shared decision making

BackgroundIncreasing importance is being given to a shared medical decision making (DM) process. However, not all patients desire the same level of participation in medical DM.1 There are no studies...

The desire for involvement in healthcare, anxiety and coping in patients and their partners after a myocardial infarction

There is a lack of data about the information preferences of patients and their partners after a myocardial infarction. This paper explores anxiety, depression, coping and the desire to be actively involved in care in relation to age, gender and education level in myocardial infarction patients and partners. One hundred and twenty-eight patients and their partners answered the Swedish version of the Krantz Health Opinion Survey, the Hospital Anxiety and Depression Scale, and the Mastery Scale one year after the patient's myocardial infarction. More active roles in decision-making during care were desired by females, younger patients and partners, and patients and partners with higher education levels. Female partners reported more anxiety than male partners, and female patients reported more depression than male patients. No differences between groups were detected in coping; overall coping was rated high. Secondary prevention should consist of person-centred support to both the patients and their partners, since factors such as age, gender and education level can influence information preferences during patient care.

Fathering to Ensure Child’s Success

In a globalizing urban India, middle-class parents are extremely anxious about their child’s success and future in a competitive world. In this context, the present article attempts to capture middle-class educated Indian fathers’ thoughts, feelings, and contributions in ensuring children’s success, through primary research conducted in the city of Baroda in western India using qualitative and quantitative methods. Descriptive data and fathers’ voices highlight their notions of achievement, the nature and extent of their involvement in different areas of their children’s lives, namely, providing, guiding and mentoring, practical and emotional support, communication, education, and extracurricular activities. Fathers’ vision of a successful child, nature of involvement and their reasoning are in consonance with their desire for involvement in promoting the child’s cognitive and social competence, and passing on sanskar, a unique aspect of Hindu culture.

Patient desire to be involved in medication treatment decisions

To identify unmet needs of patients taking medications for chronic health conditions and identify medication-related services that patients with chronic health conditions would desire. Descriptive, exploratory, nonexperimental study. Large midwestern state in spring 2010. 465 patients 45 years or older taking one or more prescriptions for chronic health problems. Cross-sectional survey. Patient-reported usefulness of, satisfaction with, and intention to use medication-related services. Respondents wanted to be highly involved in treatment decisions but found medication information they received to be moderately useful and satisfactory. Medication-related services fell into three groups based on reported intention to use: therapy advice, cost advice, and medication organization. Desire to be involved in treatment decisions was a key factor in predicting reported intention to use therapy advice and cost advice services. The perceived affordability of medications was another important factor in patients' intention to use cost advice and medication organization services. Age, chronic conditions, number of prescription drugs, and the cost of therapy were not important in predicting the intention to use medication-related services in this population. Patient desire to be involved in treatment decisions was a key factor in explaining intention to use medication-related services. Identifying individuals with desire for involvement in treatment decisions may increase medication therapy management (MTM) participation. Strategies to provide personalized MTM services to these individuals should be developed and evaluated.

Parental Involvement in Neonatal Pain Management: An Empirical and Conceptual Update

New findings are emerging about parental perceptions and desires for involvement in infant pain management in the neonatal intensive care unit (NICU) setting, and the importance of building greater knowledge about this aspect of the patient care is beginning to be appreciated. The study had two aims: (a) to describe perceptions and feelings of parents who participated in a randomized controlled trial of an intervention to increase parent knowledge and involvement in infant pain management; and (b) to further refine the conceptual representation of the parental experience of involvement in infant pain management (or lack thereof) and the influencing factors. Thematic analysis was used to explore the content of parents' written comments and to integrate the present and previous research findings. Parents expressed strong preferences for more information about all aspects of infant pain care, improved timing of information giving, and involvement opportunities. They further desired increased sensitivity and consistency in infant care giving and increased use of specific pain-relieving interventions by NICU staff. Contextual factors such as parents' emotional state and the communication and support from NICU staff influenced parents' ability to achieve their desired level of involvement. The role of parents in infant pain management is a relatively new area of research. The discussion of conceptual models to guide research and practice is an important milestone representing new opportunity for further scientific developments with important clinical implications for the nursing care of critically ill infants and their families. New data continue to emerge about parental perceptions and desires for involvement in infant pain management. A new empirically based model may be useful to nurses in providing optimal pain management for NICU infants in partnership with parents.

Who, when, and how? Marine planning stakeholder involvement preferences – A case study of the Solent, United Kingdom

The introduction of a marine planning system throughout English territorial waters over the next decade provides an opportunity for stakeholder input to the management of the marine environment. Stakeholder involvement has been identified as an important component of successful development and subsequent implementation of marine planning but it has to be recognised that the views and interest of stakeholders can vary greatly, thus the desire for involvement with the process is unlikely to be uniform. This paper presents the views of stakeholders within the Solent, United Kingdom on their potential involvement with the marine planning process. Interestingly, it highlights a strong variability of views within and across sectors. Assuming the situation in the Solent is typical of groups of stakeholders throughout the country, the lack of uniformity in the potential involvement from different stakeholders may present a challenge in achieving a representative and truly collaborative marine planning process.

“All eyes are on you”: anorexia nervosa patient perspectives of in-patient mealtimes

The aim of this qualitative study was to investigate in-patient perceptions of mealtimes on eating disorders units. Individual interviews were conducted with 12 women with anorexia nervosa. Using thematic analysis, three themes emerged as important: 1) Mealtime delivery (logistical factors influencing meals); 2) Individual outcomes (cognitions, emotions, behaviours and physical sensations during meals); and 3) Mealtime characteristics (including disengagement, perceived battlegrounds, and a desire for involvement in mealtimes). Future research should focus on areas of treatment delivery identified as important by patients. Recommendations are made regarding mealtime protocols based on patients' views, with increased recognition of behavioural, cognitive, physical and emotional aspects.

What is Psychological Well-Being, Really? A Grassroots Approach from the Organizational Sciences

Research on psychological well-being (PWB) in organizational settings is now facing two major challenges. First, conceptual confusion surrounds PWB (Danna and Griffin 1999; Diener 1994; Ryff 1989), and the debate about the superiority of concurrent hedonic, eudaimonic, and integrative approaches is still open. Second, researchers in the organizational sciences mainly study context-free PWB while measuring organizational correlates, despite contextualized non-cognitive measures having proven their incremental validity over context-free measures (e.g. English 2001; Hunthausen et al. 2003). In an attempt to address these issues from a new perspective, an inductive approach was proposed. To confer good content validity to our model of PWB at work (PWBW), a preliminary bottom-up qualitative phase was carried out. On this basis, a quantitative study was conducted. From the 80 manifestations of PWBW obtained, a new instrument was generated and administered to 1,080 workers, supplemented by measures of context-free PWB and distress, of positive and negative affect, and of life satisfaction. Exploratory factor analyses revealed that PWBW can be conceptualized through 5 dimensions, namely, Interpersonal Fit at Work, Thriving at Work, Feeling of Competency at Work, Desire for Involvement at Work, and Perceived Recognition at Work. The questionnaire showed satisfactory internal consistency. Correlational analyses support the “related but distinct” nature of PWBW with regard to context-free hedonic and eudaimonic PWB dimensions and psychological distress indicators. In sum, the study led to the development of a grounded conceptualization of PWBW based on a work frame-of-reference and tied to a reliable and valid measure.

Adolescent Mothers’ Perceptions of Fathers’ Parental Involvement: Satisfaction and Desire for Involvement*

Abstract: Grounded in family systems and ecological theories, this study examined teenage mothers’ perceptions of fathers’ parental involvement and the role of teenage mothers’ gatekeeping beliefs. Fathers’ involvement was perceived to be greater when teenage parents were romantically involved (n = 55). When they no longer shared a romantic relationship (n = 59), mothers’ satisfaction with and desire for fathers’ involvement (i.e., gatekeeping beliefs) mediated the association between mothers’ perceptions of developmental and contextual factors and their perceptions of fathers’ involvement. Overall, the proposed developmental‐contextual model was not significant for romantically involved teenage parents. Findings underscore the need to account for and incorporate issues related to relationship status, grandparent support, historical support, and maternal gatekeeping beliefs when developing programs for adolescent parents.