Family Communication Processes Research Articles

Clinician perspectives on policy approaches to genetic risk disclosure in families

Genomic sequencing has emerged as a powerful tool with significant implications for patients and their relatives, however, empirical evidence suggests that effective dissemination of risk information within families remains a challenge. Policy responses to address this issue vary across countries, with Belgium notably lacking specific regulations governing nondisclosure of genetic risk. In this study, we conducted semi-structured interviews with clinicians from Belgian clinical genetics centers to gain insight into their perspectives on policy approaches to the disclosure of genetic risk within families. Using real-world examples of legislation and court rulings from France, Australia, and the UK, we explored clinician viewpoints on the roles and responsibilities of both patients and clinicians in the family communication process. Clinicians expressed confusion regarding what was legally permissible regarding contacting at-risk relatives. While there was a consensus among participants that patients have a responsibility to inform their at-risk relatives, participants were hesitant to support the legal enforcement of this duty. Clinicians mostly recognized some responsibility to at-risk relatives, but the extent of this responsibility was a subject of division. Our findings highlight the need for a comprehensive policy that clarifies the roles and responsibilities of clinicians and patients to inform at-risk relatives. Furthermore, the study underscores the practical challenges clinicians face in supporting patients through the complex process of family communication, suggesting a need for additional resources and the exploration of alternative approaches to communication.

Development of a theory-based family resilience intervention program for parents of children with chronic diseases: A Delphi study

BackgroundLong-term illness exposes children with chronic diseases to a high risk of deterioration of physical and mental health. Developing an effective family resilience intervention program is a critical concern. ObjectiveTo develop a theory-based family resilience intervention program for parents of children with chronic diseases and provide a reference for clinical intervention. MethodsA two-phased research design, guided by the Walsh family resilience process model, was employed to develop the intervention program. In phase 1, a scoping literature review was conducted to identify the possible elements of family resilience interventions. In phase 2, a three-round Delphi survey was conducted with experts (n = 14) using an online electronic survey to obtain their consensus on the intervention content. ResultsThree main components were identified: (1) strengthening family beliefs, (2) adjusting the family organization pattern, and (3) improving the family communication process. And 8 modules were developed: “introducing adversity and family resilience”, “finding and strengthening positive family beliefs, and building confidence to live with the disease”, “analyzing and adjusting family structure”, “assisting families to increase and utilizing internal and external resources”, “optimizing communication skills”, “strengthening collaborative problem-solving capacity”, “enhancing the family narrative ability”, and “enhancing emotional expression”. After 3-round Delphi, the findings indicated that the intervention program is applicable and feasible for parents of children with chronic diseases in China. ConclusionThe principal merit of this study lies in the development of a family resilience intervention program for parents of children with chronic diseases. The intervention's usability and efficacy should be investigated in future studies. Implications to practiceDeveloping a family resilience intervention program is a critical first step toward providing effective care for parents of children with chronic diseases, and evaluating the program's feasibility and suitability in the target population is warranted.

Cultural Acculturation: Forms, Processes, and Communication Strategies in Multicultural Families in Central Sulawesi

Diversity in diversity, but still one, has become the founding oath of the Indonesian nation so it must be avoided from cracks, let alone riots triggered by weak cultural acculturation. This study aims to describe the forms, processes, and communication strategies of immigrant communities who are culturally acculturated with indigenous people in Central Sulawesi Province, Indonesia. With a qualitative approach, this type of research is a document study on acculturation of multicultural cultures and a study of centralized interviews with informants from ethnic groups in Central Sulawesi Province, namely Javanese, Kaili, Touna, Toli-toli, and Bugis. For this reason, the source of data is in the form of text documents as evidence of published cultural acculturation, as well as information from the interview process. Simultaneously with data collection, content analysis was carried out on verbal data presented in a descriptive-qualitative manner. The results showed that the cultural acculturation of ethnic-ethnic multicultural communities in Central Sulawesi Province took the form of social gatherings (family gatherings, clan gatherings, and cultural arts performances) with a family communication process (multilingual, namely Indonesian and regional languages, as well as media) that utilized strategies cross-promotional communication (introduction, engagement, and marriage). Thus it can be concluded that acculturation of multicultural family culture in Central Sulawesi Province can be carried out by forming a new (multicultural) family. As a demographic implication, inter-ethnic differences still exist, but the formation of new cross-ethnic families can support the unity of multicultural society so that peace and harmony among citizens in Central Sulawesi is more humane

Dysfunctions of family communication as an object of incrimination under the Criminal Code

Communication–as the transmission of information (message) between people, is an essential element of family life. The interpersonality–the relationality of family communication and the systemicity–the functioning of the individual within the subsystems husband-wife, parent-child and child-child should be emphasized. The realities of everyday life, including the cohabitation of family members, imply the frequency, intensity and regularity of communication processes. Abnormal communication implies disruptions in the functioning of the family. An extreme manifestation of such disruptions will be the committing of criminal offences. The aim of the article is to identify and characterize the most important criminal-law aspects of family communication–from the perspective of substantive criminal law. Family communication may be an element of the causative activity of crimes under the Criminal Code. In particular, it is necessary to mention crimes against the family and custody: bigamy (article 206 of the Criminal Code), domestic violence (article 207 of the Criminal Code) and debauching a minor (article 208 of the Criminal Code), as well as a crime against life and health–euthanasia (article 150 of the Criminal Code). The subjects of proceedings will be: declarations of intent by people entering into a marriage (the crime of bigamy); threats, bullying and insults carried out by perpetrators of domestic violence; incitement of minors to consume alcohol (by parents or legal guardians), as well as demands and requests whose object is the will to end life (in the case of euthanasia). Criminally relevant is the context and the relationship of the communication participants–especially the husband (father) as sender in the husband-wife and parent-child communication process. The intensity, persistence and frequency of family communication processes, resulting from cohabitation and other life realities, affect the specificity of the incriminated actions. The analysis of family communication may influence the finding of the accused guilty or the legal qualification of the action. As an example, consider the problem of defining a communication as a request or demand when it is necessary to decide whether the crime of euthanasia has been committed.

Family Resilience in the Context of Migration: Exploring the Lived Experience of Filipino Migrants' School-Going Older Adolescent Children

Using Froma Walsh's Family Resilience Framework, this study explored the experiences of overseas Filipino workers' (OFWs) families as narrated by adolescent children of migrant parents. Ten (10) Filipino college-level older adolescents (five were female) served as participants in an in-depth interview. Their narratives explored key family resilience processes using a Deductive Qualitative Analysis using various domains of family resilience (i.e., family belief system, communication processes, and organizational patterns). The study found that: (1) The family adjusts belief systems to accommodate unsettling realities of international labor migration; (2) Roles change in the family to compensate for responsibilities fulfilled by the parent before leaving for another country; and (3) Communication processes were strained, but family members serve as moderators to ease tensions and maintain a pre-migration relationship. This study concluded that the family resilience framework is a robust lens through which migrant families' experiences can be understood. Families generally exert effort to maintain homeostasis and cope with migration's psychological and social costs. A resilience-focused model for addressing psychosocial needs is proposed. Processes more apparent to the Filipino family and opportunities for future research are also discussed.

KOMUNIKASI KELUARGA DALAM PROSES KEPUTUSAN PERNIKAHAN (STUDI PADA PELAKU PERNIKAHAN DINI DI BOGOR)

This study was conducted with the aim of knowing the description of the family communication process in deciding early marriage, early marriage which is increasingly happening in adolescents. Early-age marriage. The communication concept used is family communication. This research method is a qualitative descriptive approach. The subjects in this study were couples who married at an early age in Cibinong District, Bogor Regency, totaling 4 couples. The data were analyzed using observations and interviews in the field. Parents of early couples initially did not approve of their children's early marriage plans on the grounds that they wanted their children to have a higher education and a better standard of living, but economic factors were one of the main reasons why education could not continue to higher education.

573: FAMILY COMMUNICATION IN THE ICU: CHALLENGES AND SOLUTIONS

Introduction: The COVID-19 pandemic created major barriers to communication with patient families, impacting patient care and staff satisfaction. We surveyed an interprofessional group of medical intensive care unit (MICU) stakeholders to identify their concerns surrounding family communication and solicited recommendations for performance improvement. Methods: An anonymous survey was distributed electronically to 260 MICU physicians, advanced practice providers (APPs), nurses, and physical, occupational, and respiratory therapists, with a 1 week reminder. The results were analyzed using thematic analysis. Results: Thirty-nine participants (response rate 15%) completed the survey, providing 95 unique comments. Major themes included challenges created by visitor policy restrictions (providers unable to connect well with families by phone; families not understanding how to work video platforms; frequent misunderstandings); medical system distrust (antivaccine and overall hostility, unrealistic expectations, challenging treatment decisions); trainee communication concerns (lack of communication training, not seeing the “big picture”, nurse not knowing whether families were contacted/what was discussed), and A2F bundle failures (F component not organized, family updates too infrequent, distorted messages). This feedback prompted a quality improvement initiative to strengthen our family communication process. The responsible resident or APP is now encouraged to use a “Get to Know Me Board” to structure the collection of relevant social history with patient and family on admission, establishing an initial relationship and line of communication. Our rounding template was modified to discuss the family communication plan each day using a tiered structure (brief summary/introduction on admission; update; serious update/acute event; goals of care; transition to comfort) and clarify which team members will be present for the conversation. Afternoon rounds were also modified to routinely confirm successful family contact and address any concerns. Conclusions: We describe the results of our interprofessional survey to define the barriers to family communication during the COVID-19 pandemic, and process improvements in our MICU to make daily family involvement and contact feasible and efficient within our daily workflow.

‘Never time to do anything well’: mothers’ reported constraints during a pandemic

ABSTRACT Mothers’ perceptions of mothering could potentially influence several aspects of their home and work commitments. This study explores how mothers perceive their mothering experiences during the COVID-19 pandemic via 18 in-depth interviews. The authors use constraint theory and negotiation frameworks to discuss how family communication processes and perceptions of mothering are related within the context of the early days of the COVID-19 pandemic in the United States. Findings demonstrated how working from home increased perceptions of family tensions, especially with the lack of home/work separation. Throughout the narratives, participants describe specific constraints at the intrapersonal, interpersonal, and structural levels, as well as how they were negotiated. This study extends past research centering mothers within the context of family communication, specifically through the rich experiences described by participants on work and home balance and provides directions for future research while discussing practical implications for family and gender issues researchers.

Stop arguing! How childhood exposure to interparental conflict affects consumer response toward product review dispersion

This paper explores how exposure to interparental conflict (IPC) during one's childhood impacts online buyer behavior later in adulthood. We show that people who report having witnessed higher (vs. lower) levels of IPC as children evaluate products less favorably when they are associated with product reviews exhibiting a higher (vs. lower) dispersion of opinion. This result is driven by a desire to avoid conflict. The research deepens the understanding consumer responses to review dispersion by identifying a novel psychological factor. It also contributes to the developmental psychology and socialization literatures by documenting the long-lasting impact of early childhood family communication processes on adult consumer behavior. Future research avenues are discussed.

Communication processes about predictive genetic testing within high-risk breast cancer families: a two-phase study design

The detection of a pathogenic variant in the BRCA1 or BRCA2 gene has medical and psychological consequences for both, affected mutation carriers and their relatives. A two-phase study with explanatory sequential mixed methods design examined the psychological impact of genetic testing and associated family communication processes. Analyzing a survey data of 79 carriers of a BRCA1 or BRCA2 mutation, the majority had general psychological distress independent of cancer diagnosis in the patients’ history. The point prevalence of depression was 16.9%. Contrary to their subjective perception, the respondents’ knowledge about those mutations was moderate. Despite the high rate of information transfer to relatives at risk (100%), their reported uptake of genetic testing was low (45.6%). Communication about the mutation detection was more frequent with female than with male relatives. In-depth focus group interviews revealed significant barriers to accessing genetic counseling including anxiety, uncertainty about the benefits of testing and about the own cancer risk, particularly among males. This study suggests that an adequate knowledge of the genetic background and psychological support is required to reduce emotional distress, to support familial communication and to facilitate genetic testing.

A Structure Model of Family Empowerment in Preventing Smoking Initiation among Adolescent: An Empirical Study Conducted in Urban Area of Indonesia

BACKGROUND: Family empowerment is a critical component for smoking prevention efforts among adolescents. Few information regarding the family empowerment model developed in preventing smoking initiation among adolescents in Indonesia. AIM: The aim of this study was to identify determinants of the family empowerment model in preventing smoking initiation among adolescents in Indonesia. METHODS: A cross-sectional research design was used for families with adolescent girls and boys (aged 10–14 years) in West Java, Indonesia. The convenience sampling procedure was employed. The study analyzed family demands and parenting stress as stressors. Family resources were divided into family functioning and communication process. The perception or judgment factor was assumed as parenting efficacy. Family empowerment has been identified as an indicator of adaptation. Structural equation modeling was used for data analysis. RESULTS: The survey respondents consisted of 175 respondents. The mean age was 40.56 (SD = 11.73) and 57.2% had graduated from above high school. These findings suggest that family demands and parenting stress have an indirect effect on family empowerment through parenting efficacy, family functioning, and communication processes. The contribution of the effect of family demands, parenting stress, parenting efficacy, family function, and communication process on family empowerment was 68%. CONCLUSION: The family empowerment could be defined in the Double ABCX model in the prevention of smoking in adolescents and that the numerous adverse effects of stress can be modulated through parental efficacy as well as the ability to function of the family and communication. It recommends making family interventions an integral part of public health initiatives for the prevention of smoking initiation, as well as health policy formation.

Sosyal Medyanın Toplumsal Dönüştürücülüğü: Sosyal Medya Kullanan Ergenlerin Aile İçi İletişim Süreçlerine Katılım Düzeyleri Üzerine Nicel Bir Araştırma

İnternetin gelişimi ile birlikte hızla artmaya devam eden sosyal medya kullanımı günlük hayatımızı farklı şekillerde etkilemeye başlamıştır. Olumlu ve olumsuz etkilerinin sürekli tartışıldığı sosyal medya, günümüzde insanların günlük rutinleri arasında bulunan ve kullanan insan sayısının devamlı bir artış gösterdiği bir araçlar bütünü durumuna gelmiştir. Bu artış ile birlikte bireylerde de farklı dönüşümler yaşanmış ve kişilerarası iletişim özelinde özellikle aile içi iletişimin dijital ortamlara taşınmasına neden olmuştur. Bu çalışmada da bireyin teknoloji ile olan ilişkisi temelinden yola çıkılarak, 2018-2019 Eğitim Öğretim yılı bahar döneminde Hatay ilinde eğitimlerine dört ortaöğretim kurumunda değişik sınıf seviyelerinde devam etmekte olan 356 öğrencinin sosyal medya kullanım düzeylerine göre aile içi iletişimin farklılaşma durumu araştırılmıştır. Araştırmada sosyal medya ve aile içi iletişim ölçeği kullanılmış ve veriler yüz yüze anket yöntemi kullanılarak elde edilmiştir. Araştırma sonucunda ergen bireylerin aile içi iletişim süreçlerine katılım düzeylerindeki azalma sebepleri arasında sosyal medyanın % 22’lik bir etkisi bulunduğu, özellikle gün içinde ergen bireylerin sosyal medyayı kullanım süreleri arttıkça fiziksel katılım sağlanan ilişki pratiklerinde azalma olduğu sonuçlarına ulaşılmıştır.

Family Communication in Mixed Marriage Couples Between Indonesia-Australia

The way each person communicates depends on culture; language, rules, and norms of each. Culture has the responsibility for all communicative behavior and meaning that everyone has. Communication difficulties faced by the individuals involved are caused by differences in their respective cultural expectations. Differences in cultural expectations can lead to fatal risks, one of which is a misunderstanding. In intermarried family life there will be a misunderstanding of intercultural communication, which involves all family members. This situation can lead to an agreement to recognize one culture that will dominate or develop another culture which is a fusion of the two cultures (third culture), or even both cultures can go together in one family. This study discusses family communication in mixed marriage couples between Indonesia and Australia. The research carried out is intended to find out and analyze the negotiation of self-identity in interactions, conflict management mediated by face and culture, family communication processes, inhibiting factors, and supporting family communication in mixed marriage couples between Indonesia and Australia. Using advanced negotiation theory and symbolic interaction theory. In this study, the authors used a descriptive qualitative method. The data collection techniques used are through observation, interviews, and documentation. Data obtained shows that Mindfulness: Acceptance of new cultures, in terms of language (using both languages), nature (Australia: Individualism-Indonesia: collectivism). Mindlessness: Stereotype, perspective, building tolerance, dealing with habits, opening up to accept a new culture.

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study

ObjectiveTo determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure of healthcare provider-family communication on family centered rounds.DesignProspective, multicenter before...

OUR FAMILY, OUR WAY: IMPACT OF A STRUCTURED GUIDE ON FAMILY CAREGIVING COMMUNICATION BARRIERS

The ability of many older adults to remain at home with care needs is especially dependent on a “primary” family caregiver; other family members are often underutilized or marginalized. Inequitable care arrangements are one consequence of poor communication, including perceptual incongruence about what is needed, wanted and possible; and implicit and exclusionary decision making. In a study funded by the Retirement Research Foundation, we developed and tested a family communication and care coordination guide for aging parents and their adult children, designed to address these communication challenges. In a self-guided, highly structured process, family members complete individual tools prior to a family meeting where tools are exchanged, a shared assessment is conducted, and a family care plan is established. Nine families (each including a parent with care needs, one primary filial or spousal caregiver, and at least one secondary filial or spousal caregiver) (n=36) participated in the intervention. Individual interviews, including scales and open-ended questions, were conducted pre-and post-intervention; completed tools and guides were also analyzed. We found that: the process for inclusive and explicit decision making can work; the independent completion of individual tools and their exchange in the family meeting facilitated the recognition/reconciliation of perceptual incongruence; and families were able to negotiate a shared assessment and either affirm or make changes in their care arrangement. Finally, when changes were made, they were generally more equitable. The study has implications for applications to different family compositions, to professionals supporting caregiving families, and to further studies of family communication processes.

Internalisasi Nilai-Nilai Keagamaan dalam Membentuk Komunikasi Keluarga Islami di Era Digital

Family communication is a communication process experienced by every individual in the life of his family. Every good family will want to provide the best education and care for their children. It even manifests itself based on religious values in the family communication process. Religion is certainly the main foundation, not only in family communication, but in every aspect of human life. In this digital era, every family also has its own way in building religious values that are established through the process of family communication islamic. Therefore, the authors raised this research with the title "Internalization of Religious Values in Shaping Islamic Family Communications in the Digital Era". In this study, the authors use qualitative research method of case study. The data collection techniques used are participatory observation, in-depth interviews, and documentary tracking from various related sources. The result of the research shows that there is an effort to internalize religious values in shaping the Islamic family communication in this digital era which consists of: (1) The role of parent as communicator, very dominant in the pattern of family communication that is Islamic; (2) religious values embedded in Islamic families through the context of verbal and non verbal messages, ranging from education, health, association, and Islamic lifestyle; (3) The existence of social media use Whatsapp Group in spreading the message containing religious values to other family member

The development of a family resilience-strengthening programme for families in a South African rural community.

The aim of this study was to develop a contextually based family resilience program. Also presented here is a literature review of family resilience interventions suggesting that these 3 processes are the basis for effective family functioning. A close collaboration with the community ensured an adequate understanding of the presenting family challenges and this article describes the process in developing a program based on these challenges. A 3-round Delphi design was used for the study with international and local experts (n=10) in the field of family and resilience studies and community stakeholders (n=5). The program has three main aims: to increase family connectedness, family communication processes and social and economic resources. Based on the findings of this study, 4 modules will be presented to participants, "about family," "talking together," "close together," and "working together." A description is provided of the program content and decisions regarding logistical program concerns.

Exploring approaches to facilitate family communication of genetic risk information after cystic fibrosis population carrier screening.

Population carrier screening for cystic fibrosis (CF) enables individuals with no known family history of the condition to ascertain their risk of having a child with CF. When an individual is identified as a carrier of CF, a life-shortening condition, they are encouraged to inform their relatives who are at increased risk of being a carrier. Research suggests that the uptake of CF carrier testing amongst relatives of carriers or people with CF is low. This study aimed to explore approaches to facilitate the process of family communication of genetic information after an individual is identified as a carrier of CF through population screening. Five key informants were interviewed to inform the development of a telephone survey which was administered to 21 individuals identified as carriers of CF through population carrier screening at Victorian Clinical Genetics Services. This study suggests that providing carriers with additional information and follow-up support would be appreciated by carriers and could result in more accurate information being disseminated more widely within families, which could lead to more at-risk relatives accessing testing. Suggested strategies to enhance current practice include mailing a fact sheet to carriers and a follow-up telephone call provided by a genetic counsellor to carriers to offer further support in communicating this information to their relatives.

The Evolving Nature and Process of Foster Family Communication: An Application and Adaptation of the Family Adoption Communication Model

In the current article I call for a better understanding of the process and evolution of foster family communication across the life span. First, I expose the communicative complexities of foster families. Second, I illuminate the importance of communication openness and birth family contact in both adoptive and foster family contexts. Third, through an application of the family adoption communication (FAC) model, I propose a framework for understanding how the process of foster family communication may evolve (i.e., foster family communication model). Last, I set forth directions for future research on foster family communication.

ХАРАКТЕРИСТИКА КОМУНІКАТИВНИХ ПРОЦЕСІВ В РОДИНАХ ЖІНОК ІЗ ПОРУШЕННЯМ ЗДОРОВ’Я СІМ’Ї ТА РІЗНИМ АДИКТИВНИМ СТАТУСОМ

Метою роботи було дослідження стану комунікативних процесів у родинах жінок із порушенням здоров’я сім’ї та різним адиктивним статусом, для виявлення мішеней подальшої психокорекційної роботи. З використанням клініко-психологічного та психодіагностичного методів обстежено 371 подружню пару (ПП), яка звернулася за допомогою з приводу порушення сімейних стосунків, серед яких у 321 родині мали місце прояви адиктивної поведінки (АП) у жінок (ДГ1), а в інших 50 сімей – нормативні показники АП у жінки (ДГ2). В якості групи порівняння (ГП) обстежено 50 умовно гармонійних ПП. Серед загальної кількості обстежених ПП встановлено два можливих варіанти стану комунікаційних родинних процесів: адекватно-адаптивний, що характеризувався адекватною зрілою згуртованою родинною комунікацією за усіма її параметрами, характерний для ПП ГП, і дезадаптивний, притаманний ПП дослідницьких груп. У свою чергу, серед родин із викривленням внутрішньосімейної взаємодії, виявлена спільність комунікативних порушень за змістом та структурою, але, відмінність за виразністю, що мала прямий кореляційний зв’язок із рівнем подружньої конфліктності (чим вище рівень конфліктності, тим виразніші порушення комунікації). Крім того, з’ясовано, що наявність соціально-прийнятних видів АП у жінки зменшує виразність подружніх та комунікаційних порушень, корелюючи з помірним рівнем подружньої конфліктності та менш вираженими порушеннями комунікативних процесів у родині. Враховуючи наявність у ПП ДГ2 високого рівня подружньої конфліктності та низького рівню родинної комунікації, можна говорити про наявність у них тяжкого ступеня порушення сімейної взаємодії. Для подружжів ДГ1 були характерними помірний рівень подружньої конфліктності та низько-середній рівень родинних комунікаційних процесів, що, в цілому, формувало середній ступінь порушення сімейної взаємодії. Показовим виявився факт “буферизації” тяжкості проявів порушень сімейної взаємодії за умови наявності АП у дружини, як патологічного способу псевдокомпенсації та каналізації негативних ефектів викривлення родинних стосунків. Отримані дані були покладені нами в основу при розробці системи психологічної корекції та психопрофілактичної підтримки здоров’я сім’ї за наявності АП у жінок.