Family Welfare Research Articles

Family integrated care: State of art and future perspectives.

Family integrated care (FICare) represents a contemporary approach to health care that involves the active participation of families within the healthcare team. It empowers families to acquire knowledge about the specialised care required for their newborns admitted to neonatal intensive care unit (NICU) and positions them as primary caregivers. Healthcare professionals in this model act as mentors and facilitators during the hospitalisation period. This innovative model has exhibited notable enhancements in both short- and long-term health outcomes for neonates, alongside improved psychological well-being for families and heightened satisfaction among healthcare professionals. Initially designed for stable premature infants and their families, FICare has evolved to include critically ill premature and full-term infants. Findings from recent studies affirm the safety and feasibility of FICare as a NICU-wide model of care, benefiting all infants and families. The envisioned expansion of FICare focusses on sustainability and extending its implementation, recognising the necessity for tailored adaptations to suit varying diverse cultural and socio-economic contexts.

Parental perspectives on the management of online learning and school readjustment for children with SEN during the COVID-19 pandemic: lessons and applications for possible school closures

ABSTRACT The COVID-19 pandemic resulted in worldwide school closures and disrupted education – which was extended in the Republic of Ireland – and some children with SEN may be more adversely impacted by prolonged school closures than others. Despite this, and possible future pandemics, experiences of Irish children with SEN have not been explored to date. The current research utilised semi-structured interviews to explore parental perspectives (n = 10) of online learning and the subsequent return to education for children with SEN. Reflexive Thematic Analysis resulted in the identification of three global themes: [1] Balancing Act, pertaining to a lack of support and educational provision, [2] Prioritising Wellbeing over Education, whereby parents made the decision to stop engaging in online learning to promote familial wellbeing, and [3] The Return to School and its Challenges, highlighting academic, behavioural, and mental health concerns on return to education. Inclusion of parental feedback was noted as important for the success of home-schooling during future school closures and is a clear application of this work. Finally, suggestions are made for research to examine the links between support for parents and children’s academic attainment and wellbeing, as well as child insight directing provision for school closures.

Home-Visiting Programming in Kindergarten-Readiness Interventions: Retention and Loss of Families

Abstract Background Home-visiting programs are an often-used intervention for supporting the well-being of families with young children, and there is long-standing interest among researchers in ensuring the effectiveness of this practice. Especially, retention and attrition play important roles in achieving desired outcomes of the intervention. Objective This study aims to examine home-visit participation levels among low-income families and explore correlates of the participation levels. It also aims to evaluate patterns of attrition over time and to investigate child and family characteristics that potentially contribute to completion of the program. Methods We examined data from 113 families whose children participated in a 15-month kindergarten-transition intervention. All families received supplemental home-visiting activities as a key component of the intervention, beginning at the start of preschool and extending through middle of kindergarten year. Results We found that, on average, families completed four out of nine planned home visits, with large dispersion in the number of visits completed. Survival analyses suggested that families who dropped out were most likely to do so at the beginning of the program, with 39% of caregivers maintained to the final visit. Participation in the home-visiting program was related to children’s age and race, as well as children’s academic skill levels. Conclusion Study findings have implications for the design and implementation of kindergarten-readiness initiatives targeting low-income families, especially in terms of advancing strategies to maintain families in longitudinal activities.

Use of Digital Technologies: Family Perspectives on Children's Health

The increasing use of digital technologies among children and adolescents prompts concerns about their impact on development and necessitates family mediation. This study explored primary caregivers’ views on the effects of screen exposure on child health through a focus group with 20 caregivers (17 mothers and 3 grandmothers, aged 20 to 40) from an elementary school in Irecê, Bahia. Findings indicate that children’s screen time, including TV and mobile phones, often lacks proper time and content control due to caregivers’ extensive responsibilities such as remote work and household chores. Major concerns were exposure to violent games, deceptive online profiles, and potential interactions with abusers. Notable behavioral issues in children included irritability, aggression, and sleep problems. Caregivers implemented mediation strategies like setting rules, time restrictions, content filters, and discussing digital self-care. The discussion also addressed addiction mechanisms, family screen habits, gender differences in electronic device usage, and their health impacts on children. An agreement was made to limit screen use across the family, especially an hour before bedtime, aiming to enhance children’s sleep quality and thereby improve their mood and academic performance. This condensed study underscores the challenges caregivers face with children’s digital access and stresses the importance of effective mediation strategies. Enhanced parental engagement and school collaboration are crucial for fostering healthier digital habits that benefit children’s health and family well-being.

Principal’s Involvement of Parents in Student’s Discipline; Assessing its Relationship with Teenage Pregnancy in Public Secondary Schools in Kenya

Teenage pregnancy remains a persistent global crisis that profoundly affects the socio-economic wellbeing of nations, citizens and families. The purpose of this study was to assess the relationship between principals’ involvement of parents in students discipline and teenage pregnancy in public secondary schools in Kenya. The article is an extract of a study done in public secondary schools in Machakos County, Kenya. The study was guided by the social learning theory postulated by Albert Bandura. The research utilized a descriptive research design. The research target population comprised of 360 principals, 360 Heads of Department (HoDs) Guidance and Counseling (G&C), 360 Parent Association (PA) chairpersons and, 103,517 students. The study sample size was 450 comprising of 189 principals, 189 HoDs G&C, 36 PA chairpersons and 36 FGD. Questionnaires were used to collect data from the principal’s and HoDs G&C. Interview schedules collected data from the PA chairperson while Focused Group Discussions (FGD) collected data from form three students. Data was analyzed using SPSS software version 25.The correlational analysis findings from the principal and HoDs G&C responses showed a positive and significant relationship between principal’s engagement of parents in student’s discipline and teenage pregnancy (rp =.379 & rh = 0.564; p≤ .01). The study concludes that involving parents enhances learner discipline and can help curb cases of teenage pregnancies. The study recommended that PAs should work collaboratively with principals to make sure that parents are engaged in all matters affecting their children.

The Healthy Start scheme in England “is a lifeline for families but many are missing out”: a rapid qualitative analysis

BackgroundHealthy Start (HS) is a government scheme in England, Wales and Northern Ireland that offers a financial payment card and free vitamins to families experiencing low income. Pregnant women and families with children < 4 years can use the HS card to buy fruit, vegetables, cow’s milk, infant formula and pulses. HS was fully digitalised in March 2022. While digitalisation has improved the user experience for many families, in the context of the cost-of-living crisis and increasing dietary inequalities, it is important to understand why HS is not reaching more families. This study aimed to (i) assess the perceptions and experiences of HS from stakeholders across the system including those who promote, implement and are eligible for HS, and (ii) identify recommendations to improve the scheme’s effectiveness and uptake.MethodsThe study design was a post-implementation rapid qualitative evaluation using stakeholder interviews. Data were collected between January and June 2023 via semi‐structured interviews (50% online; 50% in person) with 112 stakeholders, including parents (n = 59), non‐government organisations (n = 13), retailers (n = 11) and health and community professionals (n = 29) at national and local levels. Findings were confirmed by a sub-sample of participants.ResultsSix core themes cut across stakeholders’ perceptions and experiences, and stakeholders collectively outlined seven recommendations they felt could be acted upon to maximise uptake and efficiency of HS, with actions at both national and local levels. A novel finding from this study is that raising awareness about HS alone is unlikely to result automatically or universally in higher uptake rate. Recommendations include: continuing to provide this scheme that is universally valued; the need for many families to be provided with a helping hand to successfully complete the application; reframing of the scheme as a child’s right to food and development to ensure inclusivity; improved leadership, coordination and accountability at both national and local levels.ConclusionsHS provides benefits for child development and family wellbeing. The study’s recommendations should be actioned by national and local governments to enable all families eligible for the scheme to benefit from this nutritional safety net.

Caregiver Burden and Family Quality of Life in Early Intervention: The Role of Mothers and Family Confidence

(1) Background: Because life events when there is a family member with a disability can affect the overall family wellbeing, contributing to enhance family quality of life (FQoL) in the field of early childhood intervention has become a priority. However, it is a distal outcome that needs other short-term outcomes to be addressed, some of them under the potential impact of support services. This study examines the relationships between caregiver burden, family confidence, and FQoL, as well as the influence of child and family variables. (2) Method: A total of 58 families with children in early intervention from four Spanish communities participated. Hierarchical regression was conducted to assess the relevance of each predictor. Also, a mediation was performed to investigate the mediating role of family confidence. (3) Results: The family income impacted FQoL scores, and when burden and confidence were added, it was no longer relevant. Mothers with higher levels of confidence predicted a higher FQoL. Finally, we found a complete mediation of family confidence in the relations between severity and caregiver burden on FQoL. (4) Conclusions: Caregiver burden and family confidence affect FQoL. Building families’ confidence contributes to attenuating the impact of burden on FQoL.

Development of Teaching Factory Model to Enhance Creativity of Students in the Home Economics Department of the Faculty of Engineering, UNM, Indonesia

The research aims to (1) develop an appropriate 6M teaching factory model for practical learning in the Department of Family Welfare Education, Faculty of Engineering, Universitas Negeri Makassar with a concentration in Cosmetology, (2) produce a 6M teaching factory model that is valid, practical, and effective for practical learning in the Department of Family Welfare Education, Faculty of Engineering, Universitas Negeri Makassar with a concentration in Cosmetology. This study is an R &amp; D (Research and Development)-based development research. The subjects used were 20 students from the Cosmetology concentration. The development method adapted in this study is derived from the Borg and Gall Model, which includes three main stages, namely: preliminary study covering field surveys, document analysis, and theoretical considerations; the design phase involving the creation of a teaching factory model draft and the improvement of the model; and the experimental phase that includes initial inspection, large-scale testing, and final refinement of the product. The results of this research are the creation of a teaching factory learning model called the TEFA 6M, along with operational tools including the TEFA 6M model book, Syllabus, modules, jobsheet, and LPPO. This model is designed to strengthen the practical abilities of students. The TEFA 6M model is divided into seven phases in one round, starting from pre-order, pre-production, production, post-production, packaging, to order delivery. One TEFA 6M model cycle combines soft skill and hard skill activities. The implementation of this model uses a block and rotating system and is concluded with a competency assessment. The developed TEFA 6M model has been validated by experts, revised, and tested on both small and large scales. Based on the t-test results, it is known that the Sig. (2-tailed) value of 0.000 is smaller than the probability of 0.05, so it can be concluded that there is a difference in test results between the experimental class posttest and the control class posttest. Furthermore, for the average score of the experimental group, a score of 78.38 was obtained, and 42.36 in the control group; thus, the 6M Teaching Factory Learning Model can be said to be effective in the experimental class in improving student competencies in the Facial Makeup Techniques course. The research indicates that the TEFA-6M model has met the standard of validity. Based on the evaluations carried out, it is known that this teaching approach is practical, in terms of management abilities by the lecturer, and effective, as seen from the level of student activity, student reactions to the functionality and implementation of the model, and from test results that assess task completion.

A Comprehensive Literature Review of Marital Dissolution in the Philippines: Legal, Socio-Cultural, and Feasibility Perspectives

This research provides an overview of the topic of annulment and the possibility of divorce in the Philippines. The study used a qualitative approach through case studies to collect and identify experiences and to explore the legal framework of annulment, socio-cultural factors influencing attitudes towards annulment, the impact of annulment on individuals and families, public perceptions and stigmatization, the feasibility of introducing divorce as an alternative, and international practices and case studies of divorce. Defined by Executive Order No. 209, under the Family Code of the Philippines, outlined the grounds for annulment. Due to the country’s predominantly Catholic population, the Philippines’ socio-cultural influences have shaped the attitudes of its fellow citizens towards annulment, with an additional increasing acceptance of divorce as a practical solution. Meanwhile, impact studies show positive and negative consequences on individuals and families, showing that coping mechanisms play a crucial role in reducing difficulties. On the other hand, public perceptions and stigmatization of annulment require further research. Lastly, the feasibility of introducing divorce within the Philippines may encounter challenges due to different factors. Further research on international cases may offer additional insights into the legalization of divorce and managing its social implications. The study highlights the difficulties of ending marriages in the Philippines. The researchers wanted to recommend this work to future researchers conducting a study about divorce and the Philippine system to create support connections and legal reforms to ensure the protection and well-being of individuals and families when going through relationship changes.

Bioprinting in cardiovascular medicine: Possibilities, challenges, and future perspectives for low and middle-income countries.

Cardiovascular diseases (CVD) stemming from various factors significantly impact the quality of life (QoL) and are prevalent with high mortality rates in both developed and developing countries. In cases where pharmacotherapy proves insufficient and end-stage disease ensues, a heart transplant/surgical repair becomes the only feasible treatment option. However, challenges such as a limited supply of heart donors, complications associated with rejection, and issues related to medication compliance introduce an additional burden to healthcare services and adversely affect patient outcomes. The emergence of bioprinting has facilitated advancements in creating structures, including ventricles, valves, and blood vessels. Notably, the development of myocardial/cardiac patches through bioprinting has offered a promising avenue for revascularizing, strengthening, and regenerating ventricles. Employment loss in developing countries as a circumstance of disability or death can severely impact a family's well-being and means for sustainable living. Innovations by means of life sustaining treatment options can provide hope for the impoverished and help reduce disability burden on the economy of low- to middle-income countries (LMICs). Such developments can have a significant impact that can last for generations, especially in developing countries. In this review, the authors delve into various types of bioprinting techniques, exploring their possibilities, challenges, and potential future applications in treating various end-stage cardiovascular conditions in LMICs.

Advance Care Planning for Children With Rare Diseases: A Pilot RCT.

Pediatric rare diseases are often life-limiting conditions and/or require constant caregiving. Investigators assessed the initial efficacy of the FAmily CEntered (FACE) pediatric advance care planning (pACP), FACE-Rare, intervention on families' quality of life. A pilot-phase, single-blinded, intent-to-treat, randomized controlled clinical trial enrolled families from 1 pediatric quaternary hospital between 2021 and 2023. Intervention families received 3 weekly 60-minute (FACE-Rare pACP) sessions: (1) Carer Support Needs Assessment Tool or Action Plan, (2) Carer Support Needs Assessment Tol Action Plan Review, and (3) Pediatric Next Steps: Respecting Choices pACP. Controls received treatment as usual (TAU). Outcome measures were Beck Anxiety Inventory, Family Appraisal of Caregiving, Functional Assessment of Chronic Illness Therapy (FACIT)-Spirituality, and health care utilization. Generalized mixed effect models with γ response assessed the intervention effect at 3-month follow-up. Children (n = 21) were aged 1 to 10 years, 48% male, 24% Black; and 100% technology dependent. Primary family caregivers (n = 21) were aged 30 to 43 years, 19% male, 19% Black; and 27% household income below the Federal poverty level. Dyads underwent 1:1 randomization: 9 to FACE-Rare and 12 to TAU. TAU caregivers reported statistically lower meaning and peace than FACE-Rare caregivers (0.9, P = .03, confidence interval [CI]: 0.75-0.99). Black caregivers reported significantly less caregiver distress (0.7, P = .04, CI: 0.47-0.98) than non-Black caregivers. Poor families reported more anxiety (3.5, P = .002, CI: 1.62-7.94), more caregiver strain (1.2, P = .006, CI: 1.07-1.42); and less family well-being (0.8, P = .02, CI: 0.64-0.95). FACE®-Rare was feasible, acceptable, safe, and demonstrated initial efficacy, providing greater feelings of meaning and peace to caregivers. Poverty impacted well-being. A multisite trial is needed to determine generalizability.

Impact of Divorce on Parent-Child Relationships

Purpose: The general objective of this study was to explore the impact of divorce on parent- child relationships. Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library. Findings: The findings reveal that there exists a contextual and methodological gap relating to the impact of divorce on parent- child relationships. Preliminary empirical review revealed that divorce significantly influenced these dynamics, often leading to challenges in communication, emotional bonding, and co-parenting. Children of divorced parents experienced various emotional and psychological difficulties, such as insecurity and anxiety, with the disruption of family routines exacerbating these issues. However, the consequences varied based on factors like child age, gender, and family functioning. Despite these challenges, many children showed resilience over time, with factors like parental warmth and effective communication buffering the negative effects. Overall, understanding these complexities allowed for the development of strategies to support families during the transition process, promoting positive outcomes for children and families. Unique Contribution to Theory, Practice and Policy: The Attachment theory, Family Systems theory and Social Learning theory may be used to anchor future studies on the impact divorce has on parent- child relationships. By integrating multiple theoretical perspectives such as attachment theory and family systems theory, researchers gained a comprehensive understanding of the complexities surrounding divorce's effects on parent-child relationships. Evidence-based interventions, including parent education programs and family therapy, were recommended to support families during the divorce process. Moreover, policy reforms advocating for the protection of children's rights and access to supportive services were proposed. These recommendations aimed to enhance the well-being of children and families navigating the challenges of divorce, fostering healthier family dynamics and parent-child relationships.

Using spirometry for screening and diagnosis of chronic respiratory diseases in primary health care: findings from a community health project in rural India

Background Chronic respiratory diseases (CRDs) such as Chronic obstructive pulmonary disease (COPD), Asthma and post-tuberculosis lung disease (PTLD) are a growing public health concern in India. Early diagnosis and management of CRDs require a good quality spirometry test, a technician to conduct spirometry and a chest physician to interpret the results. In India, these are not available at the primary care level. This study reports the feasibility of a large-scale CRD diagnosis and management program in primary care using a unique point-of-care spirometry solution, Briota PFT in a Box™. # Methods A community-based cross-sectional study was conducted among 15,602 adults in Dindori Taluka (subdivision), Nashik, Maharashtra state. This study was part of a holistic CRD diagnosis and management program SAVE™ (Spirometry Assisted Virtually Early). Make In India point of care solution Briota PFT in a Box™ was used. A House‐to‐house community-based assessment checklist (CBAC) survey, 4-parameter spirometry test, 15-parameter pre and post-bronchodilator spirometry test and a software-assisted medical examination by the medical officer at primary care were conducted. Software was used to generate CRD diagnosis and lung health score (LHS™). The diagnosis was verified by the chest physician. Confirmed diagnosed patients were provided treatment and offered a patient support program. Interviews were conducted with the patients, nurses, doctors and public health officials for understanding feasibility and documenting learning from program SAVE™. # Results Out of 15,602 adults surveyed, total 4,937 (31.6%) were identified as “CRD high risk”. 1231 participants based on medical examination, spirometry tests and software analysis were identified as CRD candidates by medical officers at primary care. 1154 participants out of 15,602 (7.4%) were confirmed diagnosed as CRD patients post independent evaluation by chest physicians. At the time of follow-up, 537 patients (75% of 712 patients enrolled in patient support program) reported improvement in symptoms and high satisfaction with the program. District health officer, Medical officers, nurses, Accredited Social Health Activist (ASHA) from the primary health care centers confirmed ease of use and feasibility of using Briota PFT in a Box™ in program SAVE™. Outcome and learning from program SAVE™ was documented and submitted to Ministry of Health and Family Welfare Government of India. # Conclusions CRD diagnosis and management in large scale settings in primary healthcare level using a point of care spirometry solution Briota PFT in a Box™ is highly feasible.

Unveiling Socioeconomic Disparities: Understanding Pregnancy Awareness and Family Well-being among Middle-Late Adolescent Mothers across Diverse Socioeconomic Strata in Urban Manila, Philippines

This research study examines the real-life experiences of adolescent mothers within the age group of 13-17 years old (middle adolescence) to 18-21 years old (late adolescence), coming from middle and low socioeconomic backgrounds. Using different qualitative research techniques, this study aims to uncover unique obstacles, coping strategies, and support networks encountered by teenage mothers from different economic strata. A total of 6 teenage mothers from middle-class (n=3) and low-income (n=3) settings is conducted to gather their stories and perspectives. Thematic analysis is employed to discern common threads and distinctions between the two groups, creating themes to categorize the similarities between their responses. The outcomes of this inquiry offer valuable insights into how socioeconomic status intersects with teenage parenthood, underscoring four significant factors that emerged through the data analysis: Support Systems, Educational and Career Trajectory, Family Dynamics and Expectations, and Awareness and Perception. Having identified these themes can design a path towards creating customized interventions and support mechanisms for both vulnerable demographics while advocating for more inclusive and educational programs in raising awareness and removing the stereotypes about teenage pregnancy. For future researchers interested in studying the real-life experiences of adolescent mothers from different economic backgrounds, it is essential to consider the myriad of factors that shape their lives. These factors include race, culture, and geographical location, all of which intersect with their socioeconomic status to influence their experiences.

Providing optimal care in the neonatal care units in India: How Covid-19 exacerbated existing barriers.

Nearly one quarter (600,000) of all neonatal deaths worldwide per year occur in India. To reduce neonatal mortality, the Indian Ministry of Health and Family Welfare established neonatal care units, including neonatal intensive care units and specialized neonatal care units to provide immediate care at birth, resuscitation for asphyxiation, postnatal care, follow up for high-risk newborns, immunization, and referral for additional or complex healthcare services. Despite these efforts, neonatal mortality remains high, and measures taken to reduce mortality have been severely challenged by multiple problems caused by the Covid-19 pandemic. In this qualitative study, we conducted seven focus group discussions with newborn care unit nurses and pediatric residents and 35 key informant interviews with pediatricians, residents, nurses, annual equipment maintenance contractors, equipment manufacturers, and Ministry personnel in the Vidarbha region of Maharashtra between December 2019 and November 2020. The goal of the study was to understand barriers and facilitators to providing optimal care to neonates, including the challenges imposed by the Covid-19 pandemic. Covid-19 exacerbated existing barriers to providing optimal care to neonates in these newborn care units. As a result of Covid-19, we found the units were even more short-staffed than usual, with trained pediatric nurses and essential equipment diverted from newborn care to attend to patients with Covid-19. Regular training of neonatal nursing staff was also disrupted due to Covid-19, leaving many staff without the skills to provide optimate care to neonates. Infection control was also exacerbated by Covid-19. This study highlights the barriers to providing optimal care for neonates were made even more challenging during Covid-19 because of the diversion of critically important neonatal equipment and staff trained to use that equipment to Covid-19 wards. The barriers at the individual, facility, and systems levels will remain challenging as the Covid-19 pandemic continues.

Beyond Immune Balance: The Pivotal Role of Decidual Regulatory T Cells in Unexplained Recurrent Spontaneous Abortion.

Recurrent spontaneous abortion (RSA) is defined as two or more consecutive pregnancy failures, which brings tremendous stress to women of childbearing age and seriously affects family well-being. However, the reason in about 50% of cases remains unknown and is defined as unexplained recurrent spontaneous abortion (URSA). The immunological perspective in URSA has attracted widespread attention in recent years. The embryo is regarded as a semi-allogeneic graft to the mother. A successful pregnancy requires transition to an immune environment conducive to embryo survival at the maternal-fetal interface. As an important member of regulatory immunity, regulatory T (Treg) cells play a key role in regulating immune tolerance at the maternal-fetal interface. This review will focus on the phenotypic plasticity and lineage stability of Treg cells to illustrate its relationship with URSA.

An evaluation of job satisfaction levels among ASHA workers at the Raipur PHC, Nagpur

Background ASHA (Accredited Social Health Activists) are an essential connection between the community and health care providers, these guidelines were established by The Ministry of Health and Family Welfare, Government of India. An ASHA worker’s level of job satisfaction is influenced by societal, cultural, and economic factors. An ASHA worker who does not receive a sufficient salary will find it difficult to support their family. The ASHA employee is not at all satisfied with this issue. In earlier research investigations, ASHAs voiced unhappiness with the incentives and expectations of greater or regular income. Objectives To assess the job satisfaction of the ASHA workers in the selected area of Nagpur, Maharashtra and find the association between levels of job satisfaction with selected variables. Methods The sample for the study will be conducted by using Multistage Random sampling techniques. Data will be collected by using semi- questionnaires. All responses from the questionnaires will be collated in a Microsoft Excel file, encoded, and processed using chi squared test and SPSS version 26.

Parents' disclosure to their donor-conceived children in the last 10 years and factors affecting disclosure: a narrative review.

Disclosure of donor conception has been advocated in several jurisdictions in recent years, especially in those that practice identity-release donation. However, research on disclosure decisions has not been consolidated systematically in the last 10 years to review if parents are telling and what factors may be impacting their decisions. Are parents disclosing to their donor-conceived children, and what factors have influenced their disclosure decisions across different contexts and family forms in the last 10 years? A bibliographic search of English-language, peer-reviewed journal articles published between 2012 and 2022 from seven databases was undertaken. References cited in included articles were manually scrutinized to identify additional references and references that cited the included articles were also manually searched. Inclusion criteria were articles focused on parents (including heterosexual, single mothers by choice, same-sex couples, and transsexual) of donor-conceived persons in both jurisdictions with or without identity-release provisions. Studies focused solely on surrogacy, donors, donor-conceived persons, or medical/fertility staff were excluded as were studies where it was not possible to extract donor-recipient parents' data separately. Both quantitative and qualitative studies were included. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed and Joanna Briggs Institute Critical Appraisal Tools for Systematic Reviews were used to assess article quality and bias. Thirty-seven articles met the inclusion criteria representing 34 studies and 4248 parents (including heterosexual, single, same-sex, and transsexual parents although the majority were heterosexual) from countries with anonymous donation and those with identity-release provisions or who had subsequently enacted these provisions (Australia, Belgium, Finland, France, Hong Kong, Middle East, Spain, Sweden, the UK, and the USA) A general trend towards disclosure was noted across these groups of parents with most disclosing to their donor-conceived children before the age of 10 years. Further, the majority of those who had not yet told, reported planning to disclose, although delayed decisions were also associated with lower disclosure overall. Same-sex and single parents were more likely to disclose than heterosexual parents. There was recognition of disclosure as a process involving ongoing conversations and that decisions were impacted by multiple interacting intrapersonal, interpersonal, and external contextual and social factors. Methodological limitations, such as the different population groups and contexts from which participants were drawn (including that those parents who choose not to disclose may be less likely to participate in research), are acknowledged in integrating findings. This review has reinforced the need for a theoretical model to explain parents' disclosure decisions and research exploring the role of legislative provisions, culture, and donor/family type in decision-making. Greater ongoing access to psychological support around disclosure may be important to promote parent and family well-being.

Satisfaction with Elderly in Multigenerational Family Living in Kuala Lumpur

Malaysia is a blend of multiracial ethnic societies in addition to communities where there are families who have married across races and traditions. As such, within the family living in the city of Kuala Lumpur, the different races and religions necessitate multigenerational relationships. Also, the lifestyles in a city and the rural areas are different in Malaysia. Those who live in rural areas own a house with land where their relatives are within their surroundings, giving a sense of well-being. In contrast, those living in the city would rent or buy a family-size house that is designed for only one family generation. Correspondingly, the aim of this research is to focus on the well-being of multigenerational families living in the city of Kuala Lumpur and their lifestyles in landed property or high-rise housing. The research’s objective is to identify the level of satisfaction with the facilities housing multigenerational living in Kuala Lumpur. The findings that are discussed in this research focus on the level of people's satisfaction and well-being with multigenerational living in a city where the surrounding has fewer facilities for senior citizens. A new generation living in the city needs to develop a social family who are living together, comprising parents, adults and children, whereby relationships are more intimate. This research has shown the impact of the situation of multigenerational living in Kuala Lumpur housing area where the house design is not suitable for multigenerational families living together because some people need privacy in their lives.

The Quality Analysis of Of Rolled Pancake with Carrot Extract Substitution as Natural Food Colouring

This research aims to analyze the effect of 0%, 15%, 30% and 45% substitution of carrot extract to the quality of rolled pancakes in terms of shape, color, aroma, texture and taste. This research was conducted in August 2023 at the Culinary Workshop, Department of Family Welfare Sciences, Faculty of Tourism and Hospitality, Padang State University. This type of research is a pure experiment using a completely randomized design method consisting of 4 treatments and 3 repetitions. The data used is primary data obtained from 3 expert panelists using an organoleptic test format on the quality of rolled pancakes with the substitution of carrot extract. The data obtained was then tabulated in table form and analysis of variance (ANOVA) was carried out. If F count &gt; F table then proceed with the Duncan test. The results of this research show that there is a significant effect of substitution of 0%, 15%, 30% and 45% carrot extract on the quality of color and aroma of rolled pancakes. The results of data analysis obtained the highest overall achievement scores, namely: neat shape 3.56 (45%), uniform shape 3.44 (30%), color 3.44 (45%), aroma 3.67 (45%), texture 3.67 (45%) and taste 4.00 (45%). The results of the quality test for rolled pancakes with the best carrot extract substitution were 45% (X3).