Improve Family Well-being Research Articles

The association of problematic smartphone use with family well-being mediated by family communication in Chinese adults: A population-based study.

Background and aimsFew studies have investigated the effects of problematic smartphone use (PSU) in the family context. We studied the association of PSU as a predictor with family well-being and the potential mediating role of family communication in Hong Kong Chinese adults.MethodsWe analyzed data of 5,063 randomly selected adults [mean age (SD) = 48.1 (18.2) years; 45.0% men] from a dual landline and mobile telephone survey in 2017. PSU was assessed by the Smartphone Addiction Scale-Short Version with higher scores indicating higher levels. Family well-being was assessed by three questions on perceived family health, harmony, and happiness (3Hs) with higher scores indicating greater well-being. Perceived sufficiency and quality of family communication were rated. Multivariable regression analyses examined (a) associations of PSU with family 3Hs and well-being and (b) mediating role of family communication, adjusting for sociodemographic variables.ResultsPSU was negatively associated with perceived family health (adjusted β = −0.008, 95% CI = −0.016, −0.0004), harmony (adjusted β = −0.009, 95% CI = −0.017, −0.002), happiness (adjusted β = −0.015, 95% CI = −0.022, −0.007), and well-being (adjusted β = −0.011, 95% CI = −0.018, −0.004). Perceived family communication sufficiency (adjusted β = −0.007, 95% CI = −0.010, −0.005) and quality (adjusted β = −0.009, 95% CI = −0.014, −0.005) mediated the association of PSU with family well-being, with 75% and 94% of total effects having mediated, respectively.Discussion and conclusionsPSU was negatively associated with family well-being, which was partially mediated by family communication. Such findings provide insights for health programs to prevent PSU and improve family well-being.

Reiki as nursing care to increase self-esteem, improve family well-being and decrease the consumption of alcohol, tobacco and marijuana in young adults

Reiki as nursing care to increase self-esteem, improve family well-being and decrease the consumption of alcohol, tobacco and marijuana in young adults

Solution-focused brief therapy to improve child well-being and family functioning outcomes with substance using parents in the child welfare system

This study examined the effectiveness of solution-focused brief therapy (SFBT) on child well-being and family functioning outcomes for child welfare involved parents. A randomized controlled trial design was used to evaluate the effectiveness of SFBT as compared to treatment-as-usual in an outpatient substance abuse treatment center. Mixed linear models tested within and between-group changes using intent-to-treat analysis ( N = 180). Hedges’s g effect sizes examined the magnitude of treatment effects. Both conditions reported improvements on the child well-being measures (Behavior Rating Inventory of Executive Function [BRIEF]-Parent Report and Child Behavior Checklist-School Age Form [CBCL-SA]) and family functioning measures (Adult-Adolescent Parenting Inventory [AAPI-2] and Center for Epidemiologic Studies-Depression [CES-D] Short Form) at posttest. While none of the between group analyses were statistically significant on either outcome domains, effect sizes did show improvements in the small to medium range for both groups. SFBT effect sizes for BRIEF subscales ranged from .024 to .267 and for control group ranged from .136 to .363. SFBT effect sizes on CBCL-SA subscales ranged from .059 to .321 and for control group ranged from .101 to .313. SFBT effect sizes on AAPI-2 subscales ranged from .006 to .620 and control group ranged from .023 to .624. SFBT effect sizes on CES-D measure were .428 and for control group were .317. Results show SFBT to be an effective intervention for helping parents around child well-being and family functioning outcomes similar to current empirically-supported therapies. SFBT provides a more strengths-based approach to help families improve family well-being and thus help improve their child’s well-being.

The Effect of Mindfulness on the Family Well-Being in Mother who Works as a Nurse

Background : Mothers who work as nurses are one of the vulnerable groups and are at risk of imbalance of roles in work and family due to multiple roles. The dual role requires working mothers to carry out their duties as mothers and wives at home, while at work can carry out duties as nurses. This is a stressor for mothers who work as nurses in adapting to their roles. This condition can reduce family well-being by decreasing the relationship of family structure, the ability of the role and function of the mother in the family, and the ability to prevent family vulnerability. Interventions that can be carried out to improve the family well-being are Mindfulness STOP (Stop, Take a Breath, Observed, Proceed). Objective : This study aimed to determine the effect of mindfulness on family well-being in mothers who work as nurses at X Hospital Semarang. Method : The design of this study was a quasi-experiment pre-post test with a control group, involving 52 respondents obtained by purposive sampling technique based on the results of inclusion criteria screening, consisting of 26 respondents in the intervention group (given Mindfulness exercises) and 26 respondents in the control group (without treatment). Mindfulness STOP is given for 4 sessions totaling 4 meetings in 1 month. Data analysis used Wilcoxon and Mann-Whitney tests. Results : The results of this study are mindfulness effect on improving family well-being in the intervention group of mothers who work as nurses with a p-value of 0 . 000. Conclusion : The conclusion of this research is mindfulness can improve family well-being in mothers who work as nurses. Mindfulness is recommended as an intervention to improve employee well-being, especially in carrying out roles in the family and as a basis for further research

What Affects Attendance and Engagement in a Parenting Program in South Africa?

Parenting programs are a promising approach to improving family well-being. For families to benefit, programs need to be able to engage families actively in the interventions. Studies in high-income countries show varying results regarding whether more disadvantaged families are equally engaged in parenting interventions. In low- and middle-income countries (LMICs), almost nothing is known about the patterns of participation in parent training. This paper examines group session attendance and engagement data from 270 high-risk families enrolled in the intervention arm of a cluster-randomized controlled trial in South Africa. The trial evaluated a 14-week parenting intervention aiming to improve parenting and reduce maltreatment by caregivers. The intervention was delivered in 20 groups, one per study cluster, with 8 to 16 families each. Overall, caregivers attended 50% of group sessions and children, 64%. Using linear multilevel models with Kenward-Roger correction, we examined child and caregiver baseline characteristics as predictors of their attendance and engagement in the group sessions. Variables examined as predictors included measures of economic, educational, and social and health barriers and resources, as well as family problems and sociodemographic characteristics. Overall, the study yielded no evidence that the level of stressors, such as poverty, was related to attendance and engagement. Notably, children from overcrowded households attended on average 1.2 more sessions than their peers. Our findings suggest it is possible to engage highly disadvantaged families that face multiple challenges in parenting interventions in LMICs. However, some barriers such as scheduling, and alcohol and substance use, remain relevant.

The health promoting conversations intervention for families with a critically ill relative: A pilot study

BackgroundAfter intensive care unit treatment, patients often have prolonged impairments that affect their physical, cognitive and mental health. Family members can face overwhelming and emotionally challenging situations and their concerns and needs must be addressed. ObjectiveWe investigated the outcomes of pilot randomised control trial, a nurse-led family intervention, Health Promoting Conversations, which focused on family functioning and wellbeing in families with a critically ill member. Study designThis randomised controlled pilot study used a pre-test, post-test design with intervention and control groups to investigate the outcomes of the nurse-led intervention in 17 families. Outcome measuresThe Health Promoting Conversations intervention was evaluated using validated instruments that measure family functioning and family wellbeing: the General Functioning sub-scale from the McMaster Family Assessment Device; the Family Sense of Coherence, the Herth Hope Index, and the Medical Outcome Short-Form Health Survey. Descriptive and analytical statistical methods were used to analyse the data. ResultsAfter 12 months, the intervention group reported better family functioning than the control group. The intervention group also had better social functioning and mental health after 12 months. ConclusionThis intervention may improve family wellbeing by improving family function, reducing stress, and promoting better mental health.

Validating of the Interpersonal Mindfulness in Parenting Scale in Hong Kong Chinese

Mindfulness-based interventions are increasingly being used in parent training and family-based programs to improve family well-being. The Interpersonal Mindfulness in Parenting (IM-P) scale was adopted as a measure to investigate the quality of interpersonal mindfulness in parenting. We conducted a study to validate IM-P in Hong Kong Chinese community samples. In this study, n = 837 Chinese parents were recruited. Using a random sampling procedure, sample A (n = 419) was used for Parallel Analysis and Exploratory Factor Analysis, and sample B (n = 418) was used for Confirmatory Factor Analysis. We confirmed a four-factor structure for the 23-item Chinese version of the IM-P scale, which included Compassion for Child, Nonjudgmental Acceptance in Parenting, Emotional Awareness in Parenting, and Listening with Full Attention. The IM-P was found to have negative moderate correlations with parental depression and stress, and child behavioral problem. It also showed moderate positive correlations with parental mindfulness, happiness, and mental health, but no correlations with physical health, and positive religious coping. The unique factor structure in Hong Kong Chinese samples was discussed. Result of this study indicated that the IM-P scale is a valid measure among Chinese populations but more studies are recommended to evaluate the psychometric properties and utility of the Chinese version of the IM-P.

A Community-Based Intervention Program to Enhance Family Communication and Family Well-being: The Learning Families Project in Hong Kong.

Family communication is important to maintain family relationships and family well-being. To enhance family communication and family well-being, a community-based "Learning Families Project," based on the social ecological model was developed in Kwun Tong in Hong Kong, a district with high prevalence of family problems. This quasi-experimental study included two nearby government subsidized low-rent housing estates separated by busy main roads, as the intervention [Tsui Ping (South) Estate] and control (Shun Tin Estate) estate. The main intervention was resident training programs, such as talks, day camps, and thematic activities. No program was implemented in the control estate. Participants in the intervention group received assessments before the intervention (T1), immediately after the intervention (T2), and 6 weeks after the intervention (T3). Control group participants were assessed at baseline (March to April 2011) and follow-up (December 2011 to March 2012). Assessments of family communication (time and perceived adequacy) and family well-being (harmony, happiness, and health) at T1 and T3 were obtained in the intervention group to examine within-group changes. In addition, these differences in outcomes in the intervention group were compared with those in the control group to examine the effectiveness of the intervention. Family communication time and perceived communication adequacy increased significantly in the intervention group (n = 515) with a small effect size (Cohen effect d: 0.10 and 0.24, respectively). Compared with the control group (n = 476), the improvements in family communication time and perceived communication adequacy (Cohen effect d: 0.13 and 0.14, respectively), and perceived family harmony and happiness (Cohen effect d: 0.12 and 0.12, respectively) were significantly greater in the intervention group, adjusting for age and education, suggesting the intervention was effective in improving family communication and family well-being. Mediation analysis showed that perceived communication adequacy mediated the effects of the intervention on family harmony [β = 0.10, 95% confidence interval (CI) 0.03, 0.18], happiness (β = 0.12, 95% CI 0.04, 0.20), and health (β = 0.10, 95% CI 0.02, 0.17), adjusting for age and education. This community intervention based on the social ecological model improved family well-being through improving family communication, which could be an effective target to promote family well-being in other communities. This study was registered under ClinicalTrials.gov, identifier NCT02851667. URL: https://clinicaltrials.gov/ct2/show/NCT02851667?term=02851667&rank=1.

Mental health screening of fathers attending early parenting services in Australia.

Paternal perinatal depression and anxiety is a common, though under-recognized mental health condition experienced by men during their transition to fatherhood. An opportunity to screen for paternal mental health issues occurs when parents present for assistance with the care of their baby at early parenting services (EPSs). There are 10 EPSs located across Australia that provide specialist, multidisciplinary interventions to support parents experiencing complex parenting difficulties. Using structured telephone interviews, this qualitative study explored the views of 18 professional staff from nine EPSs regarding screening, referral processes and acceptability of screening fathers for mental health issues. A thematic analysis revealed that most EPSs screened fathers for depression. Participants agreed screening was important and that routine approaches to screening would help normalize the process for both men and services. Despite this, no uniform, comprehensive approach to identifying the mental health needs of fathers was found. EPSs provide a unique opportunity to address the mental health needs of fathers. Results from this study point to the need for a national approach to the development of father-specific screening guidelines for EPSs to improve family well-being, in parallel to those informing the Australian National Perinatal Mental Health Initiative for mothers.

Emotional well-being in children with epilepsy: Family factors as mediators and moderators.

Our objective was to examine the relationships of factors associated with children's emotional well-being 2 years after diagnosis, and to examine if these relationships are mediated or moderated by family factors. Data came from a multicenter prospective cohort study of children with newly diagnosed epilepsy from across Canada (Health-Related Quality of Life in Children with Epilepsy Study; HERQULES, n = 373). Emotional well-being was assessed using the Quality of Life in Childhood Epilepsy Questionnaire (QOLCE-55). The relationships between clinical factors, family factors, and emotional well-being were assessed using multiple regression analyses. Family functioning, family stress, and repertoire of resources that the families had to adapt to stressful events were significantly associated with poor emotional well-being 2 years after diagnosis (p < 0.05) in the multivariable analysis. The effect of parental depressive symptoms was partially mediated by family functioning and family stress (p < 0.01 and p = 0.02, respectively). Family resources acted as a moderator in the relationship between severity of epilepsy and emotional well-being (p < 0.05). Based on our findings, efforts to strengthen the family environment may warrant attention. We suggest that clinicians take a family centered care approach by including families in treatment planning. Family centered care has been shown to improve family well-being and coping and in turn may reduce the impact of clinical factors on emotional well-being to improve long-term health-related quality of life.

Learning About Parenting Together: A Programme to Support Parents with Inter-generational Concerns in Pune, India

Rapid developments in the last few decades have brought about dramatic changes in Indian social life, particularly affecting new middle-class families. Inter-generational conflicts, high academic pressures, and modern anxieties lead to stress both in parents and in children. There is a need for parenting programmes that respond to these specific concerns, in order to reduce parenting stress and improve family well-being. This study aimed to develop and evaluate a parenting programme in Pune, India, based on a ‘theory of change’. In this pilot programme, parents were encouraged to learn in a group format about fostering autonomy in children, promoting academic potential in a stress-free manner and remaining in connection with adolescents. Facilitated by a psychologist, parents participated in four sessions involving ‘creativity and play’, ‘self-awareness and bonding’, and ‘communication’. The intervention was based on validated psychotherapeutic approaches and parenting methods to support parents in their learning. Some 16 in-depth interviews were conducted with parents before and eight interviews after the intervention to understand their learning experiences. Additional feedback was gathered from observation notes and debriefings after each session. The results show that the attention for playful quality time helped parents to (re)gain a more creative and flexible attitude towards spending time with their children. Second, parents learned to reflect on their frameworks of meaning (rooted in their own upbringing), listen attentively and communicate more mindful with their children. Furthermore, this study shows that an activity-based approach, connecting parents in co-creating new parenting paradigms, while supporting them with stress-reducing tools, is a useful way of engaging this target group. The study concludes by offering new perspectives for counsellors working with families in countries undergoing rapid change.

What Works for Parents: How Parents Support Their Children with Math Homework in Rural Ghana

Family and Consumer Sciences programs target families in deprived rural and urban communities with the objective of equipping them with skills to improve family well-being, education, and relationships. In recent years, the focus of FCS in Ghana has been on parental styles and education that foster parents’ involvement in their children's school work. Using a child-parent interactive model, a series of math activities were delivered to children between the ages of 6 and 10 years. Group activities were also facilitated by the FCS staff. Parents used local materials, such as small empty cans, bottles, leaves, stones, sticks, old newspapers, and sand, to explain math concepts. Staff, parents, and children used fun activities and role plays to demonstrate developmental processes that enhance effective child development. The lessons identified were tied to the understanding of appropriate parenting styles that foster acquisition of skills for basic math concepts. Parents reported increased interest and confidence in math and were more proactive in supervising their children to complete their homework. The importance of the model lies in its simplicity in conveying fundamental knowledge that relates to the interwoven aspect of developmental domains to ensure children experience maximal success with math-related activities.

Development and Two-Year Follow-Up Evaluation of a Training Workshop for the Large Preventive Positive Psychology Happy Family Kitchen Project in Hong Kong.

Evidence-based practice and capacity-building approaches are essential for large-scale health promotion interventions. However, there are few models in the literature to guide and evaluate training of social service workers in community settings. This paper presents the development and evaluation of the “train-the-trainer” workshop (TTT) for the first large scale, community-based, family intervention projects, entitled “Happy Family Kitchen Project” (HFK) under the FAMILY project, a Hong Kong Jockey Club Initiative for a Harmonious Society. The workshop aimed to enhance social workers’ competence and performance in applying positive psychology constructs in their family interventions under HFK to improve family well-being of the community they served. The two-day TTT was developed and implemented by a multidisciplinary team in partnership with community agencies to 50 social workers (64% women). It focused on the enhancement of knowledge, attitude, and practice of five specific positive psychology themes, which were the basis for the subsequent development of the 23 family interventions for 1419 participants. Acceptability and applicability were enhanced by completing a needs assessment prior to the training. The TTT was evaluated by trainees’ reactions to the training content and design, changes in learners (trainees) and benefits to the service organizations. Focus group interviews to evaluate the workshop at three months after the training, and questionnaire survey at pre-training, immediately after, six months, one year and two years after training were conducted. There were statistically significant increases with large to moderate effect size in perceived knowledge, self-efficacy and practice after training, which sustained to 2-year follow-up. Furthermore, there were statistically significant improvements in family communication and well-being of the participants in the HFK interventions they implemented after training. This paper offers a practical example of development, implementation and model-based evaluation of training programs, which may be helpful to others seeking to develop such programs in diverse communities.

Perceived influence, decision-making and access to information in family services as factors of parental empowerment: a cross-sectional study of parents with young children.

Parental empowerment is known to increase parents' resources and to reduce stress, and therefore to improve family well-being. Professionals working in family services (child health clinics, school health care, day care, preschool and primary school) encounter families in various everyday settings and can significantly support parental empowerment. This study aimed (i) to identify associations between parental empowerment and demographic and family service characteristics (i.e. parents' participation and perceived influence, decision-making and access to information) and (ii) to identify predictors of maternal and paternal empowerment. Study design was cross-sectional. Participants were mothers (n=571) and fathers (n=384) of children aged 0-9 who were selected by stratified random sampling in 2009. Associations were analysed by t-test, one-way analysis of variance and multiple linear regression analysis. Sufficient perceived influence and joint decision-making by family and professionals on family service appointments emerged as significant variables of increased parental empowerment. Access to adequate information about municipal services was also associated with high empowerment. These family service characteristics were associated with parents' sense that they were able to manage in everyday life and had influence on specific service situations and family services in general. Mothers with a child aged under 3 or a child in home care or primary school, and fathers with a lower education feel less empowered in family services than other parents. Knowledge about the factors associated with parental empowerment can contribute to further reinforce parental empowerment, help identify parents who need special attention and contribute to the development of family services.

Home for now: A mixed-methods evaluation of a short-term housing support program for homeless families

The use of short-term rental subsidy vouchers offers a new approach to addressing the housing needs of families facing homelessness. In Massachusetts, the Family Home pilot program placed homeless families in housing instead of shelter, providing two years of rental subsidy plus support services with the goal of enabling families to maintain market rate housing. This mixed-method case study complements staff and participant interview data with participant survey and administrative data to evaluate the implementation and short-term outcomes of Family Home in one region. Data point to improved family well-being in housing but also persistent barriers to achieving longer-term housing and economic stability. Of the families who had exited the program at the end of the study, one quarter were able to retain their housing at market rate, only 9% returned to shelter, and one in five moved in with families/friends. Lack of affordable housing in a high rental cost region and jobs that pay living wages were among the major reasons that families struggled to maintain housing. This research points to the need for integrating supportive services from the program's start, including targeted workforce development, to plan for the end of the short-term rental subsidy.

Do joint custody laws improve family well-being?

Custody laws governing living arrangements for children following their parents’ divorce have changed dramatically since the 1970s. Traditionally, one parent—usually the mother—was assigned sole custody of the child. Today, many divorced parents continue to share parental rights and responsibilities through joint custody arrangements. While joint custody laws have improved the situation of divorced fathers, recent empirical research has documented intended and unintended consequences of joint custody laws for families in such areas as family formation, labor force participation, suicide, domestic violence, and child outcomes.

Nitsiyihkâson: The Brain Science behind Cree Teachings of Early Childhood Attachment

The Nitsiyihkâson project was conceived in order to develop a resource to promote attachment and development in a manner culturally appropriate to the Indigenous (specifically Cree) people of Alberta. Promoting secure attachment between a child and his/her caregivers is crucial to ensuring positive mental health, and improving family well-being. Working collaboratively with the community of Saddle Lake, the process began by launching the project in traditional ceremony. Following this, a talking circle was held with Saddle Lake Elders to share their memories and understanding of child-rearing practices that promote attachment. Using their guidance, we produced the document “awina kiyanaw”, which focuses on Cree stories and teachings , for parents to share with their young children. This document will be shared within the community, and agencies interested in promoting a culturally-appropriate approach to parenting. We then examined the cross-cultural applicability of these practices and produced a Resource Manual for service providers, comparing traditional ways-of-knowing with current neurobiological and epigenetic scientific understanding. We believe this helps those working with Indigenous families better understand their culture, and appreciate the wisdom in its teachings. In this paper, we present those findings and their ramifications.

P.2.20 Prioritizing the worries of parents of children with Duchenne muscular dystrophy using best-worst scaling

Duchenne muscular dystrophy (DMD) is a rare, progressive disorder with significant emotional and care-related burden on caregivers. Affected individuals typically lose ambulation at 8–12 years and die in the third decade. We identified and prioritized the most significant DMD-related parental worries. Based on input from parent advisors and previous research, we identified 16 DMD-related parental worries – child-related and parent/family worries. Best-worst scaling (BWS) was used to prioritize worries in a survey of parents of children with DMD in the U.S. Participants were recruited from advocacy organizations, the DuchenneConnect Registry, and snowball recruiting. Parents responded to 16 BWS choice tasks consisting of subsets of 6 possible worries generated from a Youden design. Parents assessed the most and least significant worries over the past 7 days, which were given the value of +1 and −1 respectively. Across the sample, the average score was then estimated for each possible concern. 119 parents of children with DMD completed the survey. The mean age of the affected child was 12.1 (SD 6.4). The worry rated as the most significant was “My child getting weaker” (utility score 0.637), followed by “Getting the right care for my child over time” (0.254) and “My child missing out on new treatments” (0.245). Of the top 8 worries, only one was parent-directed, “Managing my uncertainty about my child’s future” (0.127) and only one included family effects, “Affording care my child needs within the family budget” (0.065). The worry least prioritized was “Having time for myself” (−0.557). Parents prioritized worries about the health and care of their child, which collectively scored higher than factors relating to their own and their family wellbeing. Interventions to improve family wellbeing, even if focused on parental psychosocial status, should address worries about illness progression and treatment access.

Job Strain and Family Well-being Among Public Health Nurses in Bangkok Metropolitan Administration, Thailand

This study aimed to examine job strain and family well-being among public health nurses. A total of 239 public health nurses participated in the study. Data were collected using a questionnaire. One-way ANOVA and Pearson's correlation coefficients were used to assess the association of each factor with family well-being. It was found that there was a correlation between job strain and family well-being. Individual and family factors were also associated with family well-being. In all, 67% of nurses had a high rating for family well-being. A large portion of nurses belonged to the category of "active job" (51.5%). More than 50% of nurses were exposed to high "job demand" and 97.5% were in high "job control." The study suggests that nurses should be promoted with the ability to be in authority and display decision-making skills and should receive support and encouragement from supervisors and coworkers in order to improve family well-being.

Stretched Thin: Poor Families, Welfare Work, and Welfare Reform. By Sandra Morgen, Joan Acker, and Jill Weigt. Ithaca, NY: Cornell University Press, 2010. Pp. 256. $59.95 (cloth); $22.95 (paper).

<i>Stretched Thin: Poor Families, Welfare Work, and Welfare Reform</i>. By Sandra Morgen, Joan Acker, and Jill Weigt. Ithaca, NY: Cornell University Press, 2010. Pp. 256. $59.95 (cloth); $22.95 (paper).