Family Benefits Research Articles

The distress and benefits of the Bereaved Family Survey: A mortality follow-back survey

ContextThe Bereaved Family Survey is an important method for evaluating the quality of palliative care. ObjectivesTo examine the distress and benefits of bereaved families of patients with or without cancer, who participated in a Bereaved Family Survey, and identify factors associated with distress and benefits. MethodsWe conducted a nationwide cross-sectional, self-reported questionnaire mail survey among the bereaved families of patients who died of cancer, heart disease, cerebrovascular disease, pneumonia, or kidney failure. Participants answered questions on a four-point Likert scale measuring the distress and benefit associated with participating in the Bereaved Family Survey. We conducted a qualitative analysis of responses to open-ended questions about the distress and benefits of participating in the survey to comprehensively examine the distress and benefits of participating in the survey. ResultsQuestionnaires were distributed to 115,816 eligible bereaved family members between February 2019 and February 2020; 62,576 (54.0%) family members returned valid responses. Distress and benefits accounted for 51.4% and 49.3%, respectively. The results of the binomial logistic analysis for distress were significantly higher among cancer patients (p<0.001–0.003), 20–39-year-old patients (p<0.001), female bereaved family members (p<0.001), and bereaved family members with poor mental health statuses (p<0.001). Factors related to “benefit” were significantly higher among over-80-year-old bereaved family members (p<0.001), higher care evaluation scale (CES) scores (p<0.001), and higher good death inventory (GDI) scores (p<0.001). ConclusionBereaved family members experience both distress and benefits. There is need to devise ways to reduce distress and increase its benefits to continue assessing the quality of palliative care.

A method and approach for evaluating coparenting events during couples group interventions.

When interventionists stimulate productive father-mother dialogues around coparenting, there are numerous potential benefits for families. Families stand to benefit from more positive involvement of fathers with both coparents and children, key contributors to healthy child developmental outcomes. In this report, we introduce a new strategy and rating system for helping practitioners and supervisors assess the nature and quality of coparenting-related dialogues and conversations in the context of couples group interventions. The system derives from analysis of 24 relationship-enhancement groups, 13 enrolling English-speaking couples and 11 enrolling Spanish-speaking couples, all parents of young children. All groups were co-led by a male-female team explicitly trained to focus on marital and parenting themes and supervised to address couples issues - not coparenting issues explicitly. All co-leaders spoke the native language of group participants. We documented how frequently coparenting events occurred, and how the nature and quality of events varied within and across groups. Overall, in both English- and Spanish-speaking groups expressly assembled to focus on marital and parenting issues, coparenting events occurred relatively infrequently. At the same time, both mothers and fathers appeared motivated to raise and discuss issues associated with their coparenting, and extended discussions about coparenting issues broached by the parents blossomed in approximately 37% of all instances. Process-oriented (rather than didactic) co-leader responses appeared especially helpful in scaffolding prolonged coparenting discussions. We propose that use of the system as a training, supervision and self-assessment tool can help clinicians become more consciously aware of how well their interventions succeed in promoting and scaffolding coparenting conversations during group interactions.

Introduction to the Special Issue: Focus on Families

Engaging with families to support their children’s social, emotional, and behavioral development is a key feature of positive behavior supports (PBSs). The purpose of this Special Series is to disseminate research on the application of PBSs with families and in home contexts. This issue contains five articles, including single case experimental designs, survey design, mixed-methods, and a literature synthesis. These articles provide a deeper understanding and clear implications for improving research and practice to increase family access, involvement, and benefit from PBSs.

Cost Analysis of Avoiding Gastrostomy Tube in Robin Sequence Neonates that Undergo Mandibular Distraction.

To evaluate costs associated with perioperative gastrostomy tube (G-tube) placement for neonates with Robin sequence (PRS) that undergo mandibular distraction osteogenesis (MDO). Retrospective chart review was performed to examine the medical records of neonates with RS who received treatment at our institution between 2012 and 2021. Patients under 6 months of age that underwent MDO for RS were included. Billing records of hospital costs over a 2-year period were analyzed. The study included 26 total patients with 11 in the MDO-only group, 9 in G-tube after MDO group, and 6 in G-tube before MDO group. There was a significant difference (p < 0.001) in total hospital costs between groups with MDO-only group averaging $119,532 (SD 33,503), the G-tube after MDO group averaging $245,315 (SD 102,327), and G-tube before MDO group averaging $252,300 (SD 84,990). Multiple linear regression was performed controlling for genetic syndrome and birth weight, which still showed a statistically significant difference in total cost between the MDO-only group and G-tube after MDO (p = 0.006), and between the MDO-only group and G-tube prior to MDO (p = 0.01). There was a significant difference in costs between all three groups for total inpatient/outpatient costs with MDO-only group averaging $78,502 (SD 30,953), the G-tube after MDO group averaging $176,125 (SD 84,315), and the G-tube prior to MDO group averaging $156,309 (SD 95,746). MDO performed without perioperative G-tube placement may reduce charges by >$100,000. The associated improvement of dysphagia after MDO surgery and potential for avoiding a G-tube has tremendous downstream cost and social benefits for families. NA Laryngoscope, 2024.

Taking shared parenting seriously: a comparative study of how family policies accommodate shared physical custody in post-separation households

Shared physical custody (SPC) is a care arrangement following parental separation, whereby children alternatively reside with their mother and father. Very little is known about how family policies accommodate SPC, which is all the more unfortunate, as it represents a key opportunity to understand how family policies can efficiently facilitate shared parenting. To address this gap, this article presents a modest attempt at designing a new comparative family policy approach that considers SPC arrangements, by examining the extent to which Belgian, French and Italian family policies accommodate a more equal sharing of parenting post-divorce. In so doing, we encourage studies of defamilialization to take better account of the diversity of contemporary family forms. The theoretical section traces back key feminist debates around defamilialization and proposes to consider SPC arrangements as an ‘atypical’ family configuration that best illustrates contemporary tensions around defamilialization and gender equality. It also takes stock of the few studies of family policy and SPC to highlight key issues at stake. The analysis section starts with the main characteristics of the family law, welfare regime and family policies of the three countries. Then, we examine a selection of emblematic and national-level family policies from the following areas: (1) Family benefits; (2) Financial support to access to services; and (3) Tax measures. Our comparison focuses on three main criteria: scope; entitlement; and shareability of benefits between parents in the context of SPC. Our analysis reveals the variety of approaches to SPC in family polices across countries and policy areas, and the significant lack of support for a more equitable distribution of parenting within SPC. We conclude by highlighting the usefulness of taking SPC into account in reflecting on and evaluating the implementation of defamilialization policies, and by identifying some of the challenges to be met by future research.

Wife’s Obligations According to Marriage Law: Perspective of Legal Purpose Theory

Background. The wife’s obligations under marriage law are contrary to Islamic law.. This difference raises questions about the suitability of the law with social values. Social history records significant developments in the role of the wife in the dynamics of household affairs. Aims. To analyze the basis of Article 34 paragraph 2 of the Marriage Law concerning the wife's obligation to manage household affairs and theoretical views on the purpose of the law on the article. Methods. Normative legal research uses a conceptual approach to explore the understanding of the basis of law. Data were obtained through literature studies and analyzed descriptively based on the theory of the purpose of law. Results. Article 34 paragraph 2 iin terms of justice, reflects distributive and commutative justice. The fair division of roles between husband and wife is reflected and affirms equality in lineage and family identity. Justice will be achieved by avoiding exploitation or inequality in the exchange of roles. The wife's obligations in terms of benefits are considered an effort to achieve the greatest possible benefits for individuals and families. Consistent and clear application of the law is very important in terms of certainty. The history of marriage law shows the complexity in the interpretation and application of the law. Efforts to create legal certainty have been made through the unification and simplification of laws, as well as the affirmation of norms that regulate the wife's obligations firmly and unambiguously.

Family benefits public spending: Centralization or decentralization?

In order to overcome negative demographic trends in the Russian Federation, measures to stimulate the birth rate have been developed and financed at the federal and sub-federal levels. At the moment, on the one hand, there is a tendency to centralize expenditures for these purposes at the federal level, on the other hand, the coverage of the subjects of the Russian Federation, which introduce sub-federal (subnational) maternity capital (SMC), is expanding. The study was recognized to answer the question: whether the widespread introduction of SMC is justified, whether the effect of its use depends on the level of subsidization of the region and the degree of decentralization of expenditures.

A Randomized Controlled Trial of a Virtually Delivered Group Parent Training for Parents of Children with ADHD During an Intensive Summer Treatment Program

ABSTRACT Background Behavioral Parent Training (BPT) is a widely implemented evidence-based treatment for youth with Attention-Deficit/Hyperactivity Disorder (ADHD) and related behavioral problems. During the COVID-19 pandemic, BPT was rapidly scaled for remote delivery via video conferencing platforms to enhance reach and engagement among families in need. Objective The purpose of the present study was to conduct a randomized controlled trial of a remotely delivered group-based BPT implemented in tandem with the Summer Treatment Program (STP) during the summer of 2021, the first year our clinic returned to in-person services following initial pandemic-related lockdowns. Method Children ranged in age from 6 to 12 years (M = 8.23, SD = 1.51) and were primarily male (93%) and Hispanic/Latine (74.4%). Families were randomly assigned to either receive the virtually delivered BPT during the summer (N = 23) or to a wait-list control group (N = 20), who received virtually delivered BPT in the fall. Results All families reported significant improvements in ADHD symptoms, related impairments, negative parenting behaviors, and knowledge of effective parenting skills from pre- to post-STP. Parents in the BPT group demonstrated additional improvements in managing difficult home situations. Conclusions Results of the study suggest that participating in BPT alongside the STP produces unique benefits for families above the standard behavioral treatment. Additionally, this study demonstrates the feasibility and utility of virtual group-based BPT to reduce burden associated with in-person services while providing evidence-based care in an inclusive manner.

Postseparation Financial Abuse Perpetrated Through Government Systems: A Survey of Australian Mothers' Experiences of Child Support.

Financial abuse is a form of violence that can extend well beyond intimate partner relationship breakdown. A survey of 540 Australian separated parents examined how financial abuse was perpetrated, with a focus on child support and other government systems. Women reported that their ex-partners minimized and withheld child support payments to inflict direct financial harm, while interactions between the family court, taxation, and benefit payment systems were taken advantage of to threaten or control them. Findings revealed how the mandatory and complex Australian child support system provided perpetrators with a useful means of perpetrating financial abuse across households.

Urban Sprawl and Intergenerational Mobility: City- and Neighborhood-Level Effects of Sprawl

Characteristics of sprawl, like decreased social cohesion and lower accessibility to jobs and services, could negatively affect economic opportunity and intergenerational mobility. City-level studies have found mixed results, but neighborhood effects have been largely ignored. This study uses census tract and city-level data in a multilevel model to develop a richer understanding of the scale-dependent relationship between sprawl and intergenerational mobility. The authors found that a 1 standard deviation (SD) increase in sprawl at the tract level is associated with a 0.07 SD decrease in upward economic mobility, while a 1 SD increase in city-level sprawl is associated with a 0.08 SD decrease. Sprawl negatively affects upward intergenerational mobility at the metropolitan level and the census tract level. The negative relationship of economic outcomes to sprawl does not hold for high-income children, indicating that there may be conflicting benefits for different income families. Policy makers should understand these conflicting pressures.

Agency Penalties From Taking Parental Leave for Women in Men-Dominated Occupations: Archival and Experimental Evidence.

Organizations have started more progressively using and offering family benefits including parental leaves to address the issues of balancing work and family life. Although such leaves are fundamental for supporting, attracting, and retaining women, we examine whether such leaves may also inadvertently affect women's careers in occupations that overly value masculine traits, unless managed carefully. Drawing on the literature on gender stereotypes (micro factors) and occupation gender type (macro factors), we argue that longer (vs. shorter) parental leaves negatively affect women's work outcomes (i.e., annual income, salary recommendation, hireability, and leadership effectiveness) in men-dominated but not in women-dominated occupations because it lowers perceptions of women's agency. We find support for our hypotheses across three studies in the Australian context with an archival data set and two experiments. Our work shows that men-dominated organizational structures reinforce traditional gender stereotypes, whereas such reinforcement does not happen in women-dominated organizational structures. Our research equips leaders and organizations with insights into the unintended negative consequences of parental leave for women. This understanding serves as a crucial first step in developing strategies and programs to mitigate these effects, thereby supporting women in men-dominated occupations and fostering more inclusive and healthy workplaces.

A family enterprise: The Shonubis of Ikorodu, 1919–1949

Abstract The impact of the Shonubi family on the economic and commercial interrelations between the Ikorodu district and Lagos during the colonial period is indelible. Two prominent personalities, a mother and her son, distinguished themselves in trade, commerce, agro-allied and the transportation sub-sectors of the economy by harnessing indigenous entrepreneurial ingenuity. The mother, Patricia Efun, was not only the «king of women» in the traditional political realm, but she was also indeed a leader in other dimensions. The son, Joseph Shonubi (popularly known as Owolowo), took the opportunity of his mercantile background to make a mark in the business world. However, apart from the personal and family benefits, their entrepreneurial exploits contributed to laying the foundation of post-colonial economic developments in Ikorodu and Lagos. This paper highlights the connections between family wealth and entrepreneurial exploits in the colonial Ikorodu district of the Lagos Colony. It is based on archival materials, oral interviews and newspaper reportage among others.

School Perceptions and Attendance for Children With Medical Complexity During COVID-19 Over Time.

Disparities in school attendance exist for children with medical complexity (CMC) due to COVID-19. Longitudinal changes in family-reported school safety perceptions and predictors of full-time, in-person school attendance are unknown. This was a prospective, longitudinal cohort study with 3 survey waves (June 2021-June 2022) among English- and Spanish-speaking families of CMC aged 5 to 17 years and pre-pandemic school attendance. Changes in Health Belief Model perceptions and full-time in-person school attendance were estimated using multivariate generalized linear modeling with repeated measures. Among 1601 respondents (52.9% of 3073 invited), 86.8% participated in all 3 surveys. School safety perceptions improved with time; however, perceived susceptibility to COVID-19 increased. Full-time in-person school attendance rose from 48.4% to 90.0% from wave 1 to 3 (p < .0001), and was associated with motivation, benefits, and cues. For example, families with low compared to high motivation for in-person attendance had 76% versus 98% predicted probability for child's school attendance, respectively at wave 3 (p < .0001). Probability of full-time in-person school attendance was associated with several health belief model perceptions. School health policy and programs may benefit from promoting family motivation, benefits, and cues during future respiratory illness epidemics including COVID-19. In-person school attendance improved for CMC over time. Opportunities exist to continue optimizing in-person attendance and family-perceived safety for CMC at school.

Employee Well-being: An Emerging Strategy for Human Capital Management

Wellbeing is fundamentally associated with numerous aspects in one's life say health, job, family, community, environment, and financial benefits to name a few of them. The term employee wellbeing is very comprehensive and hence it has a widespread impact not only on the employee's performance at the workplace and her/his life at home but also creates a great impact on the organizations where they are working. After the COVID-19 pandemic employers are focusing more on wellbeing now than ever before. On one side it is seen that this pandemic has introduced the Work from Home (WFH) concept more rigorously and employees could balance work and life profoundly. In contrast, on the other side, some found juggling between work and life, as there are no distinctive boundaries between work and life. When employees can maintain healthy and positive mental states, they can take on their roles confidently and enthusiastically, leading to higher productivity and job satisfaction. This article explores the concept of employee well-being, examining its advantages for organizations and current practices in Indian companies. Further, it offers recommendations for strategies that organizations can implement to enhance employee well-being.

Efekt redystrybucyjny świadczeń rodzinnych w Polsce – wykorzystanie monetarnych i wielowymiarowych wskaźników zamożności

The aim of the study discussed in the article is the evaluation of the impact of family benefits and their modifications on the household wealth distribution. The key research question reads: which of the two characteristics of the benefits – their relative size or regressive character (i.e. the volume of benefits decreasing while the recipient’s income grows) – is more conductive to the analysed effects? The Kakwani decomposition, which makes it possible to split the total effect into the two above-mentioned components, was adopted to answer the research question. As wealth measures, the study employed three kinds of equivalent income, i.e. income declared by households, income declared by households plus money remaining from the previous month and income corrected by means of non-monetary wealth determinants, as well as the multidimensional indicator. The study was based on data for 2015–2020, drawn from subsequent editions of Statistics Poland’s Household Budget Survey. Therefore, a period before the launch of the ‘Family 500 plus’ programme in 2016 was analysed, and modifications, such as waivering in 2019 the income criterion for granting the benefit for the first child, were taken into account. The results of the analyses demonstrate that the redistributive effect of the benefits was mostly affected by the relative size of the benefits, while their regressivity played a secondary role. The comparison of the computations for four wealth indicators leads to the conclusion that the selection of the method of evaluating the wealth of households does not significantly impact the assessment of the redistributive effect of family benefits, which stands in opposition to some other studies employing monetary and multidimensional wealth indicators.

The Use of Complementary and Integrative Medicine in Combination With Pharmacological Antiemetics to Address Chemotherapy-Induced Nausea and Vomiting in Pediatric Oncology: A Scoping Review.

Background: Chemotherapy is a common treatment in childhood cancer but causes significant side effects, among the most notable being nausea and vomiting, known as chemotherapy-induced nausea and vomiting (CINV). Pharmacological antiemetics and complementary and integrative medicine (CIM) have been studied separately to manage CINV, but a gap exists in understanding their use together. We aimed to investigate the potential multimodal effects of CIM and pharmacological antiemetics on CINV in pediatric oncology patients undergoing chemotherapy. Method: Systematic searches were conducted in four databases to identify studies evaluating the efficacy of CIM in combination with pharmacological antiemetics in patients ages 0-21 with cancer undergoing chemotherapy. Relevant data were extracted from each study and evaluated. Results: Eighteen sources examining CIM therapies in three distinct categories (herbal, physical, and psychological) were identified. Three of four herbal interventions yielded significant results, all of which implemented oral ginger. Physical interventions included manual and wristband acupressure, auricular acupuncture, and needle and laser acupuncture. Significant results were found in only four of these 10 studies. Among psychological interventions, two of four yielded significant results. Discussion: There is no clear evidence of benefit from CIM therapies in addition to pharmacological antiemetics to better control CINV. However, this review provides support and direction for future research to examine potential effects. Complementary therapies generally have little potential for harm, are relatively low cost, and low burden. Therefore, if there is a perceived benefit for patients and families, complementary and integrative therapies should be considered.

Targeted transfers, a left-wing policy? The impact of left-wing governments and corporatism on transfers to low-income families (1982–2019)

In the last decades, several countries introduced new income-tested child benefits and targeted in-work tax credits to boost the income of low-income families. Inspired by the power resource theory, I postulate that left-wing governments tend to increase benefits to low-income families because their ideology favours redistribution and to consolidate the vote of low-income families, but that both right- and left-wing governments increase benefits for middle-income families. The impact of left-wing governments should be stronger in countries with a weak bargaining system as social partners are unable to reduce inequalities between families. To demonstrate this argument, I use statistical analyses based on OECD data to measure the effect of government ideology and corporatism on the level of benefits received by low- and middle-income families in OECD countries from 1982 to 2019. The results indicate that left-wing parties have a significant impact on benefits received by low-income families, but not on benefits received by middle-income families. Also, even though corporatism is associated with different types of child benefits, it does not influence the relationship between left-wing governments and benefits received by low-income families.

Noticing ‘them things that may have gone amiss otherwise’: exploring social work placements in schools in England

ABSTRACT Schools play a crucial in the lives of children, families and communities and are increasingly used by social work programmes in England for practice learning. This qualitative study involved in-depth semi structured interviews with ten social work students who had undertaken at least one placement in a school in England. The aim of this study was to understand social work students’ experiences of placements in schools and to explore the benefits and challenges associated with school-based placements. Interviews were recorded, transcribed, manually coded and analyzed for broad themes. The findings indicate a lack of clarity about the roles and tasks expected of student social workers in schools and highlights some benefits for children and families. Implications for social work education and practice are identified.

The mediating roles of caregiver needs and caregiver readiness in the relation between family resilience and benefit finding in family caregivers of patients with stroke in China

ABSTRACT Objectives The purpose of this study was to assess the effects of family resilience, caregiver needs, and caregiver readiness on benefit finding for family caregivers of patients with stroke and to examine the mediating role of caregiver needs and caregiver readiness between family resilience and benefit finding. Methods In this cross-sectional study, convenience sampling was designed and used to recruit participants from three general hospitals in Jinan, Shandong Province, China, from February to September 2022, in which 340 participants completed the General Information Questionnaire, Chinese version of the Family Resilience Assessment Scale (C-FRAS), Caregiver Needs Assessment Scale (CNAS) Chinese version of the Caregiver Preparedness Scale (C-CPS), and Caregiver Benefit Finding Scale (CBFS). Model 6 in process version 4.0 was used to test the chain mediation model between family resilience and benefit finding for caregiver needs and caregiver readiness. Results Correlation analysis showed that benefit finding in family caregivers was positively associated with family resilience and caregiver readiness and negatively associated with caregiver needs; mediation model tests showed that the total indirect effect of family resilience on benefit finding was 0.163, with the specific mediating effects of caregiver needs and caregiver readiness accounting for 33.74% and 59.51%, and the chain mediating effect of both accounting for 6.75%. Conclusions Family resilience not only directly influences benefit finding for family caregivers but also indirectly affects benefit finding through caregiver needs and caregiver readiness. Caregiver needs and caregiver readiness have a mediating role between family resilience and benefit finding in family caregivers.

Large and/or single‐parent families: Public attitudes towards pronatalist and anti‐poverty family policies in Hungary

AbstractIn the 2010s, new family benefits were introduced in Hungary, focusing on large families to halt population decline. However, poverty reduction became sidelined, as these schemes benefited higher‐income earners. Based on poverty statistics, the article investigates how two family types associated with a higher risk of poverty—large families and single‐parent families—fare under this new selective pronatalist system. Furthermore, based on new representative national survey data, the article explores public support for the reforms. Although the income poverty rate for large families significantly decreased during the 2010s, it remained persistently high for single‐parent families, especially large single‐parent families. The findings indicate strong public support for state assistance to large, single‐parent and poor families and state pronatalism. However, the public prioritises support for poor, single‐parent families. This underscores a partial mismatch between public attitudes and government policy. Nonetheless, this policy probably secured public legitimacy, chiefly due to the general support for state pronatalism and large families, which were vigorously implemented in family policies, albeit selectively.