Family Empowerment Intervention Research Articles

The effect of family empowerment on hemoglobin levels in pregnant women

Empowering families can enhance their ability to detect high-risk pregnancies early, which can improve the health status of pregnant women. This study aimed to analyze the effect of the family empowerment model on the hemoglobin levels of pregnant women. It employed a quasi-experimental method with a cross-sectional study approach, implementing a family empowerment intervention to examine its impact on the health of pregnant women. Sampling was conducted using probability sampling with simple random sampling, resulting in 60 pregnant women divided equally into an intervention group and a control group. The independent variable was the family empowerment model intervention, and the dependent variable was the hemoglobin level of the pregnant women. Data were collected using a questionnaire and analyzed with the Wilcoxon test statistic, which indicated a significant effect (p=0.000) of the family empowerment model on the hemoglobin levels of pregnant women. The statistical analysis revealed that the intervention group’s hemoglobin levels showed a significant difference (p<0.05) before and after the intervention. In summary, the treatment involving the family empowerment model significantly affected the hemoglobin levels in pregnant women. After the intervention, nearly all respondents demonstrated increased family involvement in maintaining and caring for pregnant women, facilitating the early detection of high-risk pregnancies, and contributing to increased hemoglobin levels among these women.

Pengaruh Intervensi Family Empowerment terhadap Lama Rawat Pasien Skizofrenia

This study aims to analyze the effect of Family Empowerment (Psychoeducation) intervention on the length of stay of schizophrenic patients. This research method is quantitative research with a quasi-experimental research design with a control group. Research sampling technique with accidental sampling. The number of samples was 80 respondents from February to March 2023, schizophrenic patients at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan. The research instrument used a questionnaire and a long patient record form. Univariate and bivariate data analysis with the Mann-Whitney test. The results showed the average length of stay of schizophrenic patients at the Prof. Mental Hospital. Dr. Muhammad Ildrem 10-30 days. The statistical test results showed that there was an effect of Family Empowerment (Psychoeducation) intervention on the length of stay of schizophrenic patients at the Prof. Mental Hospital. Dr. Muhammad Ildrem. In conclusion, there is an effect of Family Empowerment (Psychoeducation) intervention on the length of stay of schizophrenic patients.
 Keywords: Family Empowerment, Length of Stay, Schizophrenia.

EFFECTIVENESS OF FAMILY EMPOWERMENT INTERVENTION WITH HOME CARE SERVICE MODEL ON SELF MANAGEMENT OF TYPE 2 DIABETES MELLITUS PATIENTS

Type 2 DM can affect aspects of the sufferer's quality of life and has a risk of complications. DM requires continuous therapy to be able to control glucose levels properly, in addition to pharmacological therapy, non-pharmacological therapy is also needed to maximize blood glucose control, including in this case self-management measures. One of the efforts that can be made to improve the self-management of DM patients in managing their disease is through family empowerment with a home care service model. The purpose of this study was to examine the effect of family empowerment interventions using the home care service model on self-management of type 2 DM patients. The quasi-experimental research design used a one group pre and posttest approach without a control group. The research was conducted in the Andalas Padang Health Center Work Area. Sampling with consecutive sampling technique with a sample size of 19 people. The intervention was given for 2 weeks. Self-management was assessed using The Summary of Diabetes Self Care Activities (SDSCA) questionnaire. The results of the difference in self-management scores before and after giving the intervention amounted to 34.26. Based on the t-dependent test statistic (paired test) it was found that p value = 0.000 (?<0.05), meaning that the family empowerment intervention using the home care service model is effective in improving the self-management of type 2 DM patients. Family empowerment using the home care service model can be applied to community nurses to ensure continuity of patient care and prevent complications.

Improving complementary feeding practice and child growth in Indonesia through family empowerment intervention.

This study aimed to evaluate the effectiveness of family empowerment intervention in improving complementary feeding practices and child growth in Indonesia. A quasi-experimental design was used to gather data from 60 mothers and their youngest children, aged 6-11 months, who participated in this project from two urban areas in Surabaya, East Java, Indonesia. The independent variable was an eleven-week family empowerment intervention, including pre- and post-test. The dependent variable was complementary feeding practice and child growth. Complementary feeding practice indicators consist of minimum dietary diversity (MDD), meal frequency (MMF), acceptable diet (MAD), energy, protein, and zinc adequacy, assessed using a 3x24 hour food recall. Child growth indicators consist of weight-for-age (WAZ), length/height-for-age (HAZ), and weight-for-length/height (WHZ) measured using an infantometer and baby scales. The data obtained were then analysed using the McNemar test, the Wilcoxon Signed-Rank test, and the Mann Whitney U test, with a significance level of a<0.05. Family empowerment intervention significantly improved complementary feeding practice indicators, including MDD, MMF, MAD, energy, protein, and zinc adequacy. It also significantly increased the child's WAZ, HAZ, and WHZ scores (p<0.05). The family empowerment intervention can be used as a nursing intervention to improve a family's ability to provide appropriate complementary feeding practices and support a child's optimal growth.

Effectiveness of a peer group-based online intervention program in empowering families of children with disabilities at home.

The empowerment of families raising children with disabilities (CWD) is crucial in maintaining their health. We developed an evidence-based, family empowerment intervention program focusing on social resource utilization and reducing care burden. This study aimed to determine the program's effectiveness in promoting family empowerment. We compared an intervention group that started the online intervention program a week after initial evaluation and a group that received delayed intervention (waitlist-controlled group) at three time points: initial (T1), post-course (T2), and follow-up (T3). The required sample size was 52. There were 60 participants who applied to the program. One participant dropped out due to scheduling issues, and the others were assigned to either the intervention group (n = 29) or the waitlist-controlled group (n = 30). Those who responded to the baseline questionnaire (T1: 26 from the intervention group; 29 from the waitlist-controlled group) comprised the final sample. Among them, 20 members of the intervention group and 20 of the waitlist-controlled group attended all four sessions (completion rates of 77% and 69%, respectively). The attendance rate for sessions 1-4 was 94%, 89%, 81%, and 83%, respectively. The participant numbers in each session ranged from 5 to 18 per month. The baseline outcome score did not differ between the groups. The primary outcome, family empowerment, measured using the family empowerment scale (FES), was significantly higher at T2 for the intervention group than in the waitlist-controlled group and was sustained in the sensitivity analysis. The intervention group's FES, in the family relationships (FA) and relationships with service systems (SS) subdomains, increased significantly, unlike involvement with the community (SP). The intervention group experienced lower care burden and higher self-compassion, especially in the isolation and over-identification items of the self-compassion scale-short form (SCS-SF). The intervention group's FES (total, FA, SS) and SCS-SF (total, common humanity, isolation) changed significantly between T1 and T2, and all, except common humanity, were sustained up to T3; this group's FES (SP) and SCS (negative score, over-identification) changed significantly between T1 and T3. The waitlist-controlled group's FES (total, FA) and SCS (total) changed significantly and were sustained between T2 and T3. The developed intervention program promotes family empowerment in families of CWD. This study is registered as a clinical trial in the UMIN Clinical Trials Registry (https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000050422, UMIN000044172).

Reducing Psychological Impacts on Children with Chronic Disease via Family Empowerment: A Scoping Review.

Chronic diseases cause physical and psychological impacts on sufferers. In dealing with illness, the family is not involved in the treatment of chronic diseases. Children also do not receive support from their families in dealing with their illness. Family empowerment is an important thing to implement in treating children with chronic diseases. The purpose of this study was to explore family empowerment interventions as potential methods to reduce the impact of chronic disease. This study used the scoping review method. A literature review was conducted via CINAHL, PubMed, and ProQuest databases. The keywords used in English were “family empowerment OR family center empowerment” AND “child OR children” AND “chronic disease”. The criteria for articles in this study were full text, free access, randomized control trial or quasi-experiment research design, English language, population and samples of chronic disease, and the publication period of the last 10 years (2013–2022). We found nine articles that used a family empowerment intervention in an effort to reduce the impact of chronic disease on children. Most of the study designs were randomized control trial and quasi-experiment. Some of the benefits of family empowerment interventions were quality of life, family care, and self-ability. The interventions helped the families to be empowered and actively participate in caring for children with chronic diseases. There were nine articles that discussed family empowerment interventions that have an impact in dealing with the impact of chronic disease on children, namely improving quality of life, family care, and self-ability.

EFFECTIVENESS OF FAMILY EMPOWERMENT EDUCATION ON SCHOOL ABSENTEEISM IN CHILDREN WITH ASTHMA: A RANDOMIZED CONTROLLED TRIAL

TYPE: Late Breaking Abstract TOPIC: Allergy and Airway PURPOSE: This study aimed to assess the effect of a family empowerment intervention on school absenteeism in children with asthma. METHODS: A monocentric study using a randomized controlled design was conducted in the pediatric outpatient clinic of Farhat Hached University Hospital from May 2018 to September 2019. Eighty-two families were randomly assigned in the intervention group (n=41) of eight weeks of group training sessions or to a control group (n=41) of usual care education. Thirty-seven families in the intervention group and 39 families in the control group received allocated intervention at baseline. Thirty-four families in each group completed the study at the 12-month follow-up. RESULTS: At baseline, there was no significant difference between the intervention and the control group in term of sociodemographic data. The results showed that the number of children who had missed school days was reduced at follow-up in the intervention and the control group with a significant difference within time (p= 10⁻³; p=10⁻³, respectively). However, there was no significant difference between groups at baseline and follow-up (p=0.7; p=0.3, respectively) CONCLUSIONS: This study suggested that family empowerment education with group discussion sessions and feedback can reduce missed school days in children aged 7 to 17 years with mild to moderate asthma. CLINICAL IMPLICATIONS: This study suggested that family empowerment education with group discussion sessions and feedback can reduce missed school days in children aged 7 to 17 years with mild to moderate asthma. DISCLOSURE: No significant relationships. KEYWORD: Asthma

El efectivo modelo de comportamiento de adaptación postapoplejía requiere un sistema de apoyo familiar

PurposeThis study aimed to explain the effective post-stroke adaptation behavior based on the Roy's adaptation model (RAM) through the patient experiences when undergoing the adaptation process after stroke. MethodsThis study was qualitative used a phenomenological approach. The participants were patients undergoing post-stroke recovery at home with the following inclusion criteria: post-discharge from the hospital 2–3 months, and in stable medical condition. The data were collected through in-depth interviews. The data analysis was performed through content analysis. We used Lincoln and Guba's criteria to establish the trustworthiness of the study. ResultsThree thematic categories structured the meaning of the stroke survivor's experience: (1) Problems after stroke; (2) Adaptive coping strategies and (3) Effective adaptation response. ConclusionA thematic analysis integrated with Roy's adaptation model generated an effective post-stroke adaptation model. We recommend the development of a family empowerment intervention framework to improve the adaptation behavior of stroke survivors.

Digital interventions with families - a case study

This article discusses the responses developed in Portugal during the state of emergency by a family empowerment and intervention team and how this team actively integrated contingency plans and challenges through information and communication technology (ICT). We also explain what was learned during this period and what could have been done better. The family empowerment intervention teams of this organization are specialized multidisciplinary teams that act from a perspective to teach parenting skills to families to ensure that the rights of their children and adolescents are guaranteed. These teams’ interventions normally take place in the home environment. However, the state of emergency meant that this procedure had to be adapted by incorporating digital practices, while home visits and consultations were carried out only in emergencies and other duly justified situations. The result of this experience was extremely positive in terms of the relationships established with the families and couples, the skills developed, and the resilience shown by all.

Intervensi Pemberdayaan Berbasis Keluarga terhadap Peningkatan Perilaku Perawatan Diri Pasien dengan Diabetes Mellitus Tipe 2

This study aims to identify the effect of family empowerment intervention on the self-care of patients with type 2 diabetes mellitus. The research method used was quantitative with a Quasy Experimental Non-Equivalent Control Group Pretest-Postest Design. Respondents in this study were patients with type 2 diabetes mellitus totaling 70 respondents. Data were collected using the Summary of Diabetes Self Care Activities (SDSCA) questionnaire consisting of 14 question items. Data were analyzed using parametric tests (paired t-test and t-test for independent groups). The results of this study indicate a difference between the mean value of self-care in the intervention group and the control group after being given treatment with a p-value of 0.001 (t = -19,027; p-value = 0.001). In conclusion, family empowerment intervention affects self-care in DMT2 patients.&#x0D; Keywords: Type 2 Diabetes Mellitus, Family Empowerment, Self Care

Effect of Family Empowerment Nursing Intervention on Caregivers' Strains and Health-Related Quality of Life of Children with Hepatitis C

Background: Hepatitis C virus infection is a community and pediatric problems, needs for supporting their mothers to decrease their strains and powering their children quality of life. Aim: To examine effect of family empowerment nursing intervention on caregivers' strains and health-related quality of life of children with hepatitis C. Design: A quasi-experimental research design. Setting: The study was carried out at outpatient clinics in National Liver Institute at Shebin El-Kom, Menoufia University, Egypt. Sample: Purposive sample composed of 160 caregivers and their children with hepatitis C were recruited. Tools of the study: 1. Structured interviewing questionnaire. 2. Modified Index of Caregivers' Strain 3. Pediatric Quality of Life Inventory Version 4. Results: The main findings of current study showed that at pre family empowerment intervention, most (90%) of family caregivers had suffering from high level of strains while only 10% had low level of strains compared to post family empowerment intervention, there was statistically significant decreased in high level of caregivers' strain. Additionally, there was statistical significance improvement in the quality of life of children having hepatitis C; at post family empowerment intervention compared to pre intervention. Conclusion: Family empowerment intervention was effective in reducing family caregivers' feeling of strain and enhances health related quality of life in children with hepatitis C. Recommendations: The need for establishing health education units in every outpatient clinics to provide therapeutic education to children and their family caregivers

The effective post-stroke adaptation behavior model requires a family support system.

This study aimed to explain the effective post-stroke adaptation behavior based on the Roy's adaptation model (RAM) through the patient experiences when undergoing the adaptation process after stroke. This study was qualitative used a phenomenological approach. The participants were patients undergoing post-stroke recovery at home with the following inclusion criteria: post-discharge from the hospital 2-3 months, and in stable medical condition. The data were collected through in-depth interviews. The data analysis was performed through content analysis. We used Lincoln and Guba's criteria to establish the trustworthiness of the study. Three thematic categories structured the meaning of the stroke survivor's experience: (1) Problems after stroke; (2) Adaptive coping strategies and (3) Effective adaptation response. A thematic analysis integrated with Roy's adaptation model generated an effective post-stroke adaptation model. We recommend the development of a family empowerment intervention framework to improve the adaptation behavior of stroke survivors.

Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial.

In pediatric asthma, family empowerment education has been beneficial for the quality of life, pulmonary function, and family functioning. Few studies addressed the impact of a family empowerment program on asthma symptom control, acute healthcare use (AHCU), and medication use in children with asthma. This study aimed to assess the effect of a family empowerment intervention on asthma symptom control, AHCU, inhaler technique, and controller adherence in children with asthma. A single-center study using a randomized controlled design was conducted in a university hospital in the center of Tunisia from May 2018 to September 2019. Eighty-two families were randomly assigned to the intervention group (n = 41) of 8 weeks of group training sessions, or to the control group (n = 41) of usual care education. Thirty-seven families in the intervention group and 39 families in the control group received allocated intervention at baseline. Thirty-four families in each group completed the study at the 12-month follow-up. At baseline, the intervention and control groups were statistically comparable (p > .05). At follow-up, there were significant differences between the intervention and the control group in asthma symptom control, χ2 (1, N = 34) = 9.950, p = .002, and inhalation technique, χ2 (1, N = 34) = 5.916, p = .01. For AHCU and adherence to asthma controller, there was no significant difference between groups, χ2 (1, N = 34) = 3.219, p = .07, χ2 (1, N = 34) = 0.541, p = .46, respectively. The difference within time in asthma symptom control and inhalation technique was significant (p = 10-3 , p = .001; respectively). This study demonstrated that a family empowerment program significantly improved asthma symptom control and inhaler technique in children with asthma aged 7-17 years. This intervention could be clinically useful and time-saving for pediatric nurses.

A Teacher-family Consultation Approach to School-based Intervention and Support

ABSTRACT Advances in school psychology and mental health highlight the role of collaborative teacher-parent engagement to ensure optimal psychoeducational support. The objective of this South African study was to explore the views of parents and learners regarding Adelman and Taylor’s Initial Assessment and Consultation (IAC) shared problem-solving approach to psychoeducational intervention. This approach promotes a paradigm shift from a reductionist and individual deficit orientation to a model which places emphasis on family empowerment and systemic intervention. Data was collected using focus group interviews with 44 parents as well as by administering pre- post-IAC intervention questionnaires to 72 learners who experienced a range of barriers to learning. The research was conducted in 18 under-resourced mainstream regular education schools. Despite acknowledging challenges, parents felt that they had actively participated in the problem-solving and decision-making process with respect to their children. Paired t-test results showed a significant improvement in the views of learners regarding their school work, behaviour and home situations after participation in the IAC family sessions. While further research is recommended, the findings of this exploratory study suggest that the IAC is an adaptable approach which can potentially be applied within diverse school contexts to foster teacher-family collaboration.

Effects of Family Empowerment on Increasing Family Support in Patients with Type-2 Diabetes Mellitus

Background: Patients with type-2 Diabetes Mellitus (DM) need support from their families to perform self-care to prevent complications; however, not all families have effective support. Family empowerment is a family-based strategic intervention which can improve family support to those patients.Purpose: This study aimed to determine the effects of family empowerment on increasing family support in patients with type 2 DM.Methods: This study used a quasi-experiment with non-equivalent control group design. Forty-six respondents were recruited using a consecutive sampling technique and assigned to the control and intervention groups. Respondents in the intervention group were given family empowerment intervention by visiting their homes four times, for 120 minutes each. In contrast, the control group was given the intervention of standard booklets. The Hensarling Diabetes Family Support Scale (HDFSS) was used to observe the family support on both groups. Data were analyzed by independent t-test.Results: Results showed that there was a significant difference between the intervention and the control group with t=7.86 and p-value of 0.00. There were mean differences of 2.29 and 0.28 between the intervention and the control group, respectively.Conclusion: Family empowerment affected family support in patients with type-2 DM. Based on this study, it is recommended that the health workers advocate and encourage the family in the planning management of patients with diabetes mellitus.

Prevention of adolescent drug abuse: Targeting high-risk children with a multifaceted intervention model— The Early Risers “Skills for Success” Program

This article describes a comprehensive drug abuse preventive intervention called the Early Risers “Skills for Success” Program. Early Risers is an example of an indicated prevention strategy designed to alter the developmental trajectory leading to drug use and abuse in high-risk children as indexed by the presence of early-onset aggressive behavior. An “early-starter” developmental model to alcohol, tobacco, and other drugs provides the theoretical underpinnings for selection of the program's child and family intervention targets. Social development and social ecology theories provide the conceptual foundation for content of the major intervention components, CORE and FLEX, respectively. CORE is a coordinated set of standardized child-focused interventions that promote developmental competence by teaching skills pertinent to emotional regulation, prosocial peer affiliation, and school adjustment. This component is delivered within the context of child- and parent-focused education and skills training programs during summer and regular school year periods. The FLEX component is a family support, empowerment, and service-brokerage intervention that is individually tailored in response to the unique assets and needs of individual families. Access to services is organized by home-visiting family advocates who provide consultation, support, and brief interventions to assist families in solving daily hardship and stress-related problems. When more serious basic living and health problems are identified, family advocates broker specialized services with community agencies.

Book Review: Family Empowerment Intervention: An Innovative Service for High-Risk Youths and Their Families

Book Review: Family Empowerment Intervention: An Innovative Service for High-Risk Youths and Their Families

‘Must try harder?’: A family empowerment intervention for acquired brain injury

This paper describes an intervention aimed at empowering parents of child survivors of acquired brain injury (ABI) in their interaction with teachers and other professionals involved in their child's education. The particular characteristics of the late morbidity of child ABI led to the design of an intervention in the form of a video and informational booklet that is the property of the family. Early response to the intervention has been extremely positive, although formal evaluation has been unexpectedly challenging.

Impact of a Family Empowerment Intervention on Delinquent Behavior

We report the results of a growth model analysis of the impact of a Family Empowerment Intervention (FEI) on the self-reported involvement in delinquency among youths processed at the Hillsborough County Juvenile Assessment Center who entered a NIDA funded project between September 1, 1994, and January 31, 1998. Families involved in the project were randomly assigned to either receive an Extended Services Intervention (ESI) or the FEI. Families in the ESI group received monthly phone contacts and, if indicated, referral information; FEI families received three one-hour, home-based meetings per week for approximately 10 weeks from a clinician-trained paraprofessional. By seeking to improve family functioning by empowering parents, it was hypothesized that target youths' behavior and psychosocial functioning would improve. Analysis indicated that reported frequency of involvement in delinquency declined more over time for FEI completers than other youths in the study. The results provide support for the impact of FEI services on reported frequency of delinquent behavior over a 36-month follow-up period.

Innovative Approaches to Identifying and Responding to the Needs of High Risk Youth

Following a critical review of key issues facing the delivery of effective, cost-attractive services to high-risk youth, and research addressing these experiences, we identify some innovative approaches to identify and respond to the multiple needs of these youth. The importance of providing family services with an ecological focus is stressed. Further, some exciting developments occurring in juvenile assessment centers, involving screening and in-depth assessment, as well as intervention strategies are presented. These innovative developments include for the Tampa Juvenile Assessment Center: 1) a family empowerment intervention service for arrested youth; 2) a family-focused early-intervention, intensive case management service for youth entering a diversion program; and 3) for the Miami-Dade Juvenile Assessment Center, the comprehensive program of research and program development occurring in the context of the National Demonstration Project. We conclude with a discussion of major issues facing the field and the continuing need for a national commitment to help the many troubled youths entering the juvenile justice system.