Important Source Of Support Research Articles

Adult children's responsiveness to parental needs during the pandemic

AbstractObjectivesGuided by the life‐course principles of linked lives embedded in historical time and place, we investigated whether nonresident adult children provided financial and time assistance to parents in response to their needs during the COVID‐19 pandemic.BackgroundAdult children are an important source of support for older adults during crises, yet their ability to help parents may have been constrained during the pandemic.MethodData were extracted from the 2016, 2018, and 2020 waves of the Health and Retirement Study. We employed three analytic strategies. First, we examined how nonresident adult children responded to parental needs during the pandemic. Second, we compared the financial and time assistance received during the pandemic with earlier periods. Third, we assessed whether support patterns varied depending on the severity of the pandemic in places where parents lived. All analyses used linear probability models, adjusting for pre‐pandemic characteristics.ResultsParents facing economic hardship more often received money help and those experiencing difficulty buying food for nonfinancial reasons more often received time help from adult children compared to those without such challenges. Moreover, both financial and time assistance from adult children increased during the pandemic compared to pre‐pandemic levels. Hardships increased the probability of receiving money and time help from adult children when parents lived in areas with a high level of pandemic severity.ConclusionAdult children became more responsive to parental needs during the COVID‐19 pandemic, underscoring the importance of linked lives across generations during times of crisis.

A Narrative Review on the Impact of Teachers’ Support in the Prevention of Death by Suicide Among Young People

Background: Death by suicide among young people is a growing issue worldwide. Every year, 46000 children (10–19 years old) take their lives. Lack of social support is one of the causes of suicide in young people. This narrative review aims to highlight the impact of teachers’ support in the prevention of death by suicide among young people. Methods: A literature search was conducted in Scopus, PubMed, Embase, and Web of Science to find out the relevant studies using the keywords and synonyms of “social support,” “young,” “suicide,” and “teacher.” The original articles published in indexed and peer-reviewed English language journals in the last 10 years (2014–2023) were included in this review. The included articles were focused on teachers’ support in terms of the prevention of suicide among young people. Results: After screening the title-abstract and full-text articles, the review findings revealed that support from teachers has a positive impact on the prevention of suicide among young people. Young people who have higher teachers’ support show lower suicidal behaviors. Hence, teachers’ support acts as a protective factor against suicide in young people. Conclusion: The review concludes that teachers’ support has shown a positive impact on reducing suicidal behaviors among young people. Teachers are important sources of support in understanding suicidal behaviors in young people. Holistic support from each one of us is the enormous need to reduce the number of suicides. Studies have recommended that teachers’ support should be the focus of intervention, for example, school-based psychoeducation on young people’s suicide.

Negative ties, social support buffering, and loneliness: Findings from a cross-national survey

This study examines the independent and interactive effects of perceived social support (positive ties) and relational stress (negative ties) on loneliness in later life. To that end, we differentiate the sources of social support, tap multiple items to measure relational stress, and analyze a large cross-national dataset containing probability samples of older adults across 28 countries ( N = 12,449). Our analysis demonstrates that the relationship between perceived social support and loneliness is source specific. A key finding is that perceived social support particularly from family is negatively associated with loneliness. Older adults who name friends and ‘others’ (e.g., coworkers, neighbors, acquaintances) as the most important source of support exhibit higher levels of loneliness than those who choose kin members. By contrast, relational stress, regardless of its source, is positively associated with loneliness. Moreover, this positive relationship between relational stress and loneliness is stronger for those who select others as the primary source of social support, lending credence to the concept of reverse buffering. Taken together, our findings underscore the importance of the sources of social positivity and social negativity in examining the interrelationships between positive ties, negative ties, and loneliness in later life.

Abstract B158: Sources of support and strain in Latino patients with advanced cancer and their family caregivers

Abstract Background: Latino patients with advanced cancer and their caregivers are an understudied and underserved population that experiences high levels of psychological distress and impaired quality of life. As part of a larger effort to culturally adapt a mindfulness intervention for this population, this study qualitatively explored sources of support and strain, with a particular focus on the social context, among Latino patient-caregiver dyads undergoing cancer treatment. Methods: Twenty Latino patients undergoing treatment for a metastatic solid malignancy and their family caregivers were recruited from a county hospital and participated in semi-structured interviews. Interviews were conducted by a trained, bilingual and bicultural staff member and explored participants’ cancer-related experiences, psychosocial needs, and sources of support. Interviews were digitally recorded, transcribed verbatim by a professional external vendor, and translated into English, where applicable. Atlas.ti was used to conduct a thematic descriptive analysis. Results: Patients (55% male) and caregivers (60% female) were predominantly born outside the U.S. (93%) and reported low levels of education (59% < high school graduate) and income (63% household income < $30,000). Preliminary analyses revealed how family can be both an important source of support and strain. Many participants described how the cancer diagnosis brought the family closer while others shared negative experiences including discrimination and distancing by family members. Participants’ religious faith, their church community, friends, work colleagues, and other cancer patients were highlighted as additional sources of support. Reported strains included financial stress (e.g., loss of income, healthcare costs, transportation costs), changes in household dynamics and family roles, and challenges navigating healthcare. In particular, caregivers reported strains managing work, family responsibilities, and caregiving tasks with limited resources. Ongoing analyses are examining differences between caregivers and patients and men and women. Male patients in particular expressed despair over the inability to work and the impact this had on their self-identity and perceived burden to others. Conclusion: Participants emphasized the important role of family and religion as a way of coping with the cancer diagnosis and related challenges. Stress associated with economic challenges and changes in family roles was prevalent and appeared to contribute to depression and anxiety. In conclusion, study findings highlight key sources of support and strain among Latino patient-caregiver dyads that can inform culturally relevant and equity-based cancer-related interventions. Citation Format: Larkin L. Strong, Josheili Llavona-Ortiz, Hilary Ma, Maria E. Fernandez, Elizabeth Dominguez, Rosangela Silva, Jaquelin Hernandez, Kathrin Milbury. Sources of support and strain in Latino patients with advanced cancer and their family caregivers [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B158.

Online paedophiles and the criminal justice experience: A qualitative perspective

BackgroundOnline forums provide a conduit for anonymous communication within deviant subcultures, such as online paedophiles. This helps to build virtual communities of support. ObjectiveThis study explores the experience of paedophiles in the criminal justice system as reported by those who experienced it on such a forum. By analysing and understanding the experiences disclosed by these individuals, we may be able to design more targeted prevention strategies and treatment options.Participants and Setting.Data are from one online forum discussion thread that includes 595 online forum posts by 212 unique usernames ranging over 11 years from 2012 to 2023. This forum claims to be an anonymous “therapeutic community” for paedophiles and does not allow the sharing of media (e.g., videos or images). MethodsThis study uses an inductive approach to analyse the posts and discover the perspective and concerns of users who have experienced or are faced with prosecution and punishment. ResultsSeven main themes emerged from the posts on this thread: support and praise, techniques of neutralisation, life in prison, anxiety and mental health, relationships, therapy, and difficulties post-prison. ConclusionsThe forum provided an important source of support among a virtual community of people who shared similar sexual interest in children and feel rejected and demonised by mainstream society. The thread functioned like an “echo chamber” that reinforced a positive view of users' deviant interest. Individuals who had been prosecuted for their offending were returning to the forum, which may encourage reoffending. Parole boards and probation officers may need to consider limiting or restricting access to the Internet, particularly the Tor network, when setting release conditions. Implications for treatment focus on challenging the justifications and excuses used by paedophiles.

Health professionals’ presence and attributes in connecting with parents of children with cancer: A qualitative study through the lens of compassion

PurposeThroughout a child's cancer treatment, health professionals (HPs) constitute an important source of support for the entire family. However, the understanding of their presence and essential attributes is unclear. This study explored HPs' presence and attributes in connecting with parents and identified facilitators and barriers for connectedness. MethodsThis qualitative study was undertaken in a compassion paradigm, designed and guided by Heidegger's and Gadamer's philosophical concepts, and employed compassionate methods. Data were generated through ethnographic fieldwork (144 h), parent interviews (n = 16), and focus group interviews with parents of cancer survivors (n = 2) and HPs (n = 3). Inductive content analysis was utilised to analyse data. ResultsMany HP-parent contacts developed into close, genuine connections based on HPs' great commitment and ability to balance the act of closeness and distance. This involved HPs’ sensitivity, humanity, humility, honest communication, genuine interest, and high clinical competencies; all promoting trust. Adapting and ending close relationships when approaching the end of treatment had little attention and was difficult for families, making some find ways of keeping contact on a personal level. Barriers disclosed were structural work changes, busyness, dishonest, poor, or lack of communication, and poor or lack of interpersonal chemistry. ConclusionHuman interconnectedness is powerful in long-term professional relationships and strengthens the parents. More research and clinical attention are needed to develop the understanding and help target actions toward building, maintaining, and ending relationships. Further, cultivating being present in the moment, through mindfulness and compassion, may support HPs in maintaining a receptive mind and a caring role.

Lifetime Experiences of Housing Insecurity among Gay Men Living with HIV at Midlife: An Exploratory Study Utilizing a Social Determinants of Health Perspective

Understanding the socioecological contexts of gay men living with HIV is critical to addressing the environmental conditions that influence their lifetime experiences of housing insecurity and homelessness. In line with the strategies of the US Center for Disease Control and Prevention to end the HIV epidemic, it is of utmost importance to recognize how the allocation of available resources impacts health inequities affecting gay men living with HIV who experience housing insecurity and homelessness. Drawing from the World Health Organization’s social determinants of health (SDoH) framework, we used an exploratory, community-based research (CBR) approach to examine the lifetime experiences and important sources of support of gay men living with HIV at midlife who have experienced housing insecurity in Southern Nevada. Thematic analysis of our semi-structured interviews with 12 gay men living with HIV at midlife revealed three overarching themes: (1) challenges to obtaining housing and related support, (2) informal support from friends, and (3) formal support from community-based sources employing diverse support strategies. In this article, we discuss the different sub-themes we identified under these overarching themes and the implications of our findings from an SDoH perspective. We conclude with a discussion on the dire need to (1) highlight the considerable value of both informal and formal sources of support for the housing insecure, and (2) generate recommendations for interventions to address housing insecurity and homelessness with greater consideration for the impacts of SDoH in the work dedicated to helping gay men living with HIV at midlife overcome housing insecurity as they age.

Crowded‐out? Changes in informal childcare during the expansion of formal services in Germany

AbstractInformal childcare care by grandparents, other relatives or friends is an important source of support in many Western countries, including Germany. Yet the role of this type of care is often overlooked in accounts of social policies supporting families with children, which tend to focus on formal childcare. This article examines whether the large formal childcare expansion occurring in Germany in the last two decades has been accompanied by similar or opposite trends in informal childcare usage. It argues that accounting for both formal and informal childcare can offer a more accurate assessment of defamilisation effects of family policies. Drawing on representative data from the German Socio‐Economic Panel the analysis identifies long‐run developments of childcare arrangements for children aged 1–10 between 1997 and 2020, offering for the first time a comprehensive picture of how families with children of different ages mix informal care and service provision. Results show that on average the expansion of formal childcare was not associated with an equal reduction in informal childcare, lending little support to the crowding‐out hypothesis. Further analyses distinguishing between population groups with different propensity to use formal childcare reveal, unexpectedly, remarkable similarities in the use of informal care throughout the period examined. The only exception are families with a migrant background, who tend to use informal childcare less than their counterparts. The general trend is, however, one whereby informal and formal care are increasingly combined.

Engagement with reservation-based Head Start teachers to explore their stress and coping: A qualitative study

BackgroundNative Americans residing in remote reservation communities find strength in connection to place, culture, language, and sovereignty; they also face challenges as their communities struggle with historical and contemporary traumas that have resulted in poverty, high crime and suicide rates and drug misuse. The psychological well-being of Head Start teachers who teach and support the needs of Native American children, is overlooked. MethodsQualitative interviews (n = 18) and focus groups (n = 9) were conducted with Head Start teachers, supervisors, parents, and ancillary staff to identify risk and protective factors at each level of the socioecological model (individual, relationships, community, society). Using content analysis and F4 analyse software two coders identified recurring themes. ResultsIndividually teachers are resilient, focused more on the children's well-being than their own. Family was both significant support and stressor. Community struggles with drug and alcohol misuse and homelessness were the most frequent stressors. Workplace support included their supervisors and the mentorship they provided each other. Spirituality in the form traditional cultural practices, prayer and Christen faith were important sources of support and well-being. ConclusionsThis paper provides insight into the stress and coping mechanisms of reservation-based Head Start teachers, identifying ways to protect and promote their health and well-being. It is important to provide support at all levels of the socioecological model to enable these teachers to strengthen their physical and psychological health and wellbeing so that they may support the children and families of Head Start to help strengthen Native American health overall.

Discussions About Binge Eating and Type 2 Diabetes in a Facebook Group: A Qualitative Analysis.

Binge eating has adverse health effects and may be 10 times more common in people with type 2 diabetes (T2D) than in the general population. Still, binge eating is not consistently addressed in diabetes treatment. People with T2D and binge eating may, therefore, seek guidance on the topic on social media. The study objective was to explore discussions about binge eating among members of a T2D-specific Facebook group. Interactions among members of the Facebook group were observed over 8 months and supplemented by keyword searches within group content. The data were imported into NVivo12 and analyzed using Interpretive Description. The overarching theme described how group members exchanged guidance concerning co-existing T2D and binge eating based on personal experiences while trying to resolve co-members' misapprehensions regarding binge eating. Two subthemes were generated, describing frequently discussed topics relating to binge eating triggers and inhibitors. Triggers were confusion about the health impacts of carbohydrates and encounters with unsupportive clinicians, while inhibitors included the possibility of speaking openly about binge eating with peers and hunger cues being suppressed by glucagon-like peptide 1 receptor agonists. Social media may constitute an important source of support for people with T2D and binge eating, as the topic is typically not addressed in routine care. Besides being aware of the extent of binge eating in people with T2D and the health risks involved, clinicians should keep in mind that people with both conditions may seek information on social media that can affect diabetes management.

MEANS OF INTERNATIONAL LAW TO ELIMINATE CORRUPTION THREATS TO NATIONAL SECURITY

The subject of the article is the means of international law to eliminate corruption threats to national security. The research methodology involved the use of logical, historical and legal, systemic, natural law, formal and dogmatic, hermeneutical, economic and legal (analysis, comparison), axiological, statistical and economic methods. The purpose of the article is to reveal the means of international law to eliminate corruption threats to national security. Carrying out the study made it possible to draw the following conclusions. It was found that most countries of the world have implemented international anti-corruption norms into their national legal frameworks and have the support of international organisations specialising in the fight against corruption. The resources of foreign legal doctrine become an important source of support for domestic scientists to convince of the correctness of their scientific conclusions regarding successful anti-corruption measures. An extensive system of international anti-corruption assistance allows to minimise the costs of own relevant infrastructure. On this basis and against the background of access to powerful anti-corruption resources at the European and world level, there is essentially sabotage of anti-corruption policy in Ukraine, which has critically affected the security of the Ukrainian nation. It was emphasised that military threats from the outside are an exceptional danger for corrupt countries. At the same time, even the stabilising effect of microcorruption becomes dangerous for them in today's unstable development environment. All the positive effects of corruption in the form of improved communication through small gifts that comply with legal customs disappear when top corruption spreads in a country. Then this level of corruption multiplies a series of official crimes, treason and other crimes that destroy the foundations of national security. Already after the point of no return – the beginning of military aggression from outside against the background of prolonged high-level corruption inside the country – external support for anti-corruption reforms becomes a condition for the survival of the nation, the reduction of human losses in the war, and so forth. The need to neutralise these two challenges to national security becomes urgent after years of procrastination on accountability and other dimensions of integrity in public positions. In these cases, the national legal standard falls under the critical conditions of ultra-fast transformation, according to the successful anti-corruption models of countries that saved their nation from war and high-level corruption. It is noted that the standards set for Ukraine are quite close. These are EU standards, which are achieved through the adoption and implementation of those legal norms that reflect the current state of ensuring human opportunities. It is stressed that the specification of anti-corruption norms and the structural units of their implementation in legal reality are nativemorphic. They always differ in the degree of unification within the contexts common to nations, namely, legal traditions, mentality, historical conditions, economy, etc. Transnational anti-corruption assistance in the mutual enrichment of some nations through the possibility of using the experience of other nations. The author concludes that knowledge about the practices of building virtuous relations is the capital of the nation that possesses it. Conscious disregard of this knowledge by the recipient should be remedied by charging a fee for it. It is proposed to establish an International Organisation for Integrity Development, which would include the top 20 countries in terms of corruption and rule of law perception indices.

Beyond Cronyism: Local Governance and Welfare Provision by Large Companies in Russian Monotowns

In the 2000s, rather than choosing between abandonment and restructuring, Russian authorities opted to maintain the socio-economic status quo in monotowns, an important source of support for the Putin regime. Yet, this status quo is not a given equilibrium; it needs constant maintenance through cooperation between state and business actors, especially under the severe financial constraints of regional and local budgets. This single case study explores how and why local authorities and large companies cooperate in monotowns to provide public goods at the nexus of vertical pressures and horizontal incentives. We show that public goods are produced through resource pooling in a network-like cooperation between public and private actors.

Dual career through the eyes of university student-athletes in the Republic of Kosovo.

The successful combination of a sports career and education, known as the dual career, requires cooperation and a multi-dimensional approach. Although extensive research has been conducted on dual career programs and services in developed countries, there is limited information available on the dual-career phenomenon in developing countries. This study aimed to explore the dual career experiences of university student-athletes in the Republic of Kosovo. A 30-item online survey was distributed to student-athletes, addressing various aspects of the dual career. A total of 121 student-athletes (males: 63.6%; females: 36.4%) voluntarily participated in the survey. These student-athletes represented 13 different sports, with 102 (84.3%) participating in team and 19 (15.7%) in individual sports. Between individual and team sports no significant differences were found regarding university and sports engagement, and the time required to travel from the university to the training venue, whereas a significant difference (p = 0.019) emerged for the time needed to travel from home to the training venue. Significant differences (p < 0.05) were found between university majors in terms of sports engagement. The present findings highlight a lack of familiarity with dual career programs among student-athletes (89.3%) and the need for dual-career policies at the university (16.5%), sport (9.9%), and national (13.2%) levels. Student-athletes faced various challenges, mainly related to limited leisure time (62.8%), academic overload (60.3%), frequent absence from classes (59.6%), and financial uncertainty (35.5%). Recommended improvements included increased financial support (66.1%), the availability of sports facilities at or near the university (48.8%), greater educational flexibility (26.4%), tutoring services at the university (25.6%), and sports clubs (19%) levels, as well as improved communication regarding existing initiatives and legal aspects (53.7% and 47.1%, respectively). The study also identified parents (98.3%), coaches (86%), and siblings (60.3%) as important sources of support for student-athletes at personal, sports, and university levels. In conclusion, to enhance the potential of future student-athletes in the Republic of Kosovo, relevant stakeholders in sports and higher education should collaborate closely and implement programs and services based on international best practices for dual-career support.

Minority stress, perceived social support, and depression in people diverse in sexual and gender minority status

ABSTRACT The study examines the relationships between experienced heterosexism, perceived social support, and depression in people diverse in sexual and gender minority (SGM) identity. The cross-sectional online study was performed in Poland among 509 SGM people, with an average age of 22 years (M = 22.39, SD = 4.78). Minority stress was assessed using the Daily Heterosexist Experiences Questionnaire (DHEQ), perceived social support was measured by the Multidimensional Scale of Perceived Social Support (MSPSS), and depression symptoms were evaluated using the Center for Epidemiologic Studies Depression Scale – Revised (CESD-R). The study supported a buffering effect of social support from family and friends in the relationship between minority stress and depression symptoms. Network analysis (NA) showed that minority stress from family of origin, mediated by low family support, plays a key and bridging role in increasing suicidal ideation, especially in dual SGM individuals. Friends are the most important source of support for people with a single SGM identity. Therefore, to prevent suicidal thoughts in LGBTQ+ people at increased risk of depression, systemic therapy should be used in addition to interventions focusing on coping with minority stress and symptoms of depression.

In Case You Haven't Heard…

The support of grandparents who are in good health and close by correlates with a lower use of antidepressants in mothers, a new study finds, CNN Health reported on Feb. 16. “Mothers are less likely to purchase antidepressants if their own parents are younger than 70, employed and do not have severe health problems,” said the study's lead author, Dr. Niina Metsä‐Simola, a lecturer and demographics researcher at the University of Helsinki in Finland. Researchers tracked 488,000 mothers of young children in Finland between 2000 and 2014, according to the report published Feb. 15 in Population Studies. The research team collected demographic data, including whether the mother had a partner or was separated, as well as the age, health, distance and employment status of the grandparents, both maternal and paternal. The connection between access to grandparents' help and a lower use of antidepressants was especially strong in mothers who were separated from their partners, the study said. “Grandparents are an important source of support to families with children, and support from others is well known to protect individuals from depression,” Metsä‐Simola said via email.

Who is supporting the parents during their child's cancer treatment? A qualitative study through the lens of compassion

PurposeParents of children/adolescents with cancer are placed in a state of severe suffering due to serious concerns, fears, and radical daily life changes. Human support is an important source of support for successful coping. This study explored fundamental aspects of parents' daily, social, and personal life during their child's treatment to deepen our understanding of ‘who’ plays a significant role in supporting parents, and how, and to what extent this support is provided. MethodsThis qualitative study was undertaken in a compassion paradigm, designed and guided by Heidegger's and Gadamer's philosophy and compassionate methods. Data were generated through ethnographic observations (144 h), focus group interviews (n = 2), and individual/couple interviews (n = 16) at two Danish hospitals. Inductive content analysis was used to analyse data. ResultsOverall, support from peers, health professionals, and social networks constituted significant sources of support. Especially peers and health professionals had a continuous support role, which was fundamental for establishing interpersonal closeness and relieving suffering. Sharing responsibilities between parents and among social networks seemed to ease the emotional and practical burden. However, to ensure effectiveness, social networks must be available, outreach, and responsive to needs. Moreover, parents disclosed little self-awareness and resources and options for self-care due to a combination of lack of awareness, time, and space in the hospitals. ConclusionSafeguarding interpersonal and interparental understanding and closeness in parental care is essential. One way is building resilience and a broader human-to-human-based safety net around the family, including social networks and professional psychosocial support, advantageously using compassion.

The Effect of Family Characteristics on the Functioning of a Child with an Autistic Spectrum Disorder in Bedouin Society in Israel.

Autism spectrum disorders (ASD) are neurodevelopmental disorders characterized by difficulties in communication and social-emotional interaction. It is associated with an increase of parental stress and poor family functioning, both of which are harmful for a child's functioning and adaptive behavior. An important source of support to parents are grandparents, especially in traditional populations. One such population is the Bedouin population. The present study tested the association between emotional support from mother and mother-in-law to the adaptive behavior of children with ASD, and whether this relation is serially mediated by family functioning and satisfaction in life as reported by Bedouin mothers of children with ASD. 100 mothers of children with ASD fulfilled a questionnaire about emotional support from their mothers and mother-in-law, family functioning, satisfaction in life and child's adaptive behavior. We found that indeed, family functioning and satisfaction in life serially mediated the relations between emotional support from mother and mother-in-law and child adaptive behavior. These findings indicate that intergenerational solidarity between women can improve not only the functioning of the nuclear family and wife's satisfaction with life, but also, indirectly, the adaptive behavior of a child with ASD. It highlights the importance of women solidarity, especially in traditional society, where women are kept marginal.

The Perceived Informational Needs of Family Caregivers of Children Hospitalized in a Burn Department: A Cross-sectional Study.

Children are most vulnerable to burn injuries, and their families are their most important source of support. Therefore, it is necessary to identify the information needs of such parents and support them to help children adapt to the new situation, recover to pre-accident conditions, and reintegrate into school and society. This study aimed to investigate the perceived information needs of family caregivers of children admitted to the burn wards of hospitals. This cross-sectional study was conducted on 200 family caregivers of children admitted to the burn ward of a hospital in Tabriz, Iran. Participants were selected through convenience sampling, and the required data were collected by using questionnaires on socio-demographic information, information needs, information resources, and information acquisition methods. The obtained data were analyzed statistically using descriptive statistics (mean, standard deviation, frequency, and percentage) and inferential statistics (Mann-Whitney, Kruskal-Wallis, and Spearman correlation tests). Results indicated that the greatest informational need among family caregivers was related to the child's condition. The treatment team was identified as the most important source of information for them. It was found that information should be provided in a comprehensive and understandable manner, while maintaining honesty and human dignity. The study findings contribute to our understanding of the specific information needs of family caregivers in managing the medical care of children with burns. These findings can serve as a basis for interventions and support services aimed at meeting the needs of these families and improving the quality of care for children with burns.

"The third wing of the plane": Fathers' perceptions of their role in the treatment process for daughters with eating disorders.

Eating disorders are complex mental health conditions exacerbated by high mortality rates. International and national guidelines recommend family involvement in the treatment process, recognising the family as an important source of support to young people. Research suggests fathers engage less in the process compared to mothers. In studies exploring parental perspectives, most samples consisted of mothers, with fathers minimally represented. Few studies explore family involvement from the perspective of fathers. This study aimed to explore the experiences of fathers regarding their involvement in the treatment process. Qualitative descriptive methods were used, involving focus group interviews of seven fathers. Interviews were assisted by a semi-structured interview guide. A qualitative content analysis approach was used to analyse the data regarding paternal experiences of engagement in the treatment process. Fathers understood the importance of the whole family working together but viewed mothers as taking a more central role in the treatment process, with fathers more at the periphery. Gender emerged as an influencing factor in paternal involvement, with mothers primarily taking on responsibility for the child with the eating disorder and fathers providing secondary support. Healthcare providers need to be aware of the contribution of gendered roles within the family system and consider this when working with families within the treatment process. Consequently, mental health nurses have an important role in encouraging fathers to become actively involved in the treatment process.

Grandparenting children with typical development and special educational needs and disabilities

ABSTRACT The study compares the experiences of two groups of grandparents, one with a typically developing (TD) grandchild and one with a grandchild with special educational needs and disabilities (SEND). The extent and the kind of grandparents’ involvement, the quality of their relationship and the factors that could contribute to the quality were assessed. The study took place in Greece, a country with strong familial ties. 104 grandparents with a TD and 53 with a grandchild with SEND completed a structured questionnaire. The results revealed that grandparents are an important source of support in both groups. They are actively involved in the care and daily life of their grandchild. They are mentors and provide financial support especially to their grandchild with SEND. They enjoy a close relationship with their grandchild but the quality of the relationship was higher in the TD group. The knowledge of the grandchild and a close relationship with the parents were predictors of an emotionally close relationship with the grandchild in both groups. The findings of the study suggest that grandparents are actively involved in the upbringing of their grandchildren. Professionals and community services should recognize their contribution and provide them with skills, support and encouragement.