Family Members In Treatment Research Articles

INCREASING PUBLIC AWARENESS IN DRUG USE THROUGH SMART COMMUNITY MOVEMENT USING DRUGS (SCMUD)

The community tends to try to overcome health problems through easier and more cost-efficient methods. This triggers the tendency of the community to self-medicate. Self-medication is the use of drugs by individuals, not based on a doctor's prescription, but based on the individual's initiative. This community service aims to increase awareness of using drugs through Smart Community Movement Using Drugs (SCMUD) in the Bulakdawung community, Parang village, Banyakan district, Kediri regency. The activity was carried out on May 17, 2024, by providing Health Counseling to mothers who accompany their children to study groups, with lecture and question and answer methods, the media used was the leaflet of awareness of using drugs. The results of the activity were 21 mothers with most elementary school education backgrounds (80.95%), work as housewives (95.23%), less knowledge about awareness of using drugs (71.42%), good attitudes awareness of using drugs (66.67%) and drug use behavior in the family (80.9%) and those lacking 19.1%. After being given health education regarding the safe use of drugs through the Smart Community Movement Using Drugs, the community increasingly understands and carries out awareness to avoid the negative impacts of self-medication and provide appropriate treatment for family members who are sick and utilize health service centers appropriately. It was concluded that the activity can increase public awareness in the use of drugs through health counseling.

Culturally adapted cognitive behavioral therapy for psychosis (CaCBTp): A review of key features of cultural adaptation and considerations for psychologists.

Cognitive behavioral therapy for psychosis is an effective treatment for psychosis. However, psychosis presents differentially according to an individual's cultural context, and it is currently unclear which methods have been used to formulate culturally adapted cognitive behavioral therapy for psychosis (CaCBTp). The current systematic review examines the approaches to CaCBTp that have been evaluated to date and comments on preliminary evidence for the efficacy of CaCBTp. Key features of CaCBTp interventions are discussed in reference to broader cultural adaptations of psychosocial interventions for psychosis and culturally adapted cognitive behavioral therapy for other disorders. Overall, our results identified 12 studies and highlighted five overarching themes of cultural adaptation that clinicians should integrate into the design of future CaCBTp interventions, including family members in treatment, targeting stigma, relying on spiritual leaders, using multifaceted models of mental health, and ensuring adequate language match. The results of this review also highlight the paucity of literature in global CaCBTp interventions, as only 10 studies examining CaCBTp interventions were found. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Interrelatedness of women's health-behaviour cognitions: A dyadic study of female family members on carrying heavy loads during pregnancy in Nepal.

Decisions about reproductive health are often influenced by women's female family members, particularly in low-resource contexts. However, previous research has focused primarily on individual behavioural determinants. We investigated the interrelatedness of female family members' reproductive health behaviour with a dyadic version of an extended health action process approach. We investigated this for carrying heavy loads during pregnancy and postpartum, a risk factor for reproductive health in many low-income countries such as Nepal. This cross-sectional study included dyads of daughters-in-law and mothers-in-law in rural Nepal (N = 476, nested in 238 dyads). Dyads of daughters- and mothers-in-law were surveyed about avoiding carrying heavy loads during pregnancy and postpartum. The effects of a woman's cognitions and her female dyadic partner's cognitions on their intention and behaviour about avoiding carrying loads were estimated using linear mixed models. The results showed that a mother-in-law's cognitions were related to her daughter-in-law's intentions and vice versa. The mother-in-law's cognitions were also related to the daughter-in-law's behaviour. The mother-in-law's self-efficacy and injunctive norms related to the daughter-in-law's intention and behaviour over and above the daughter-in-law's own self-efficacy and injunctive norms. Female Nepali family members' cognitions about carrying heavy loads during pregnancy and postpartum are interrelated. Including female family members in interventions to help women manage their reproductive health in low-resource populations seems promising. These novel findings add to the growing body of research indicating the importance of including a dyadic perspective when understanding and changing health behaviour.

Shinmi (親身): a Distinctive Japanese Medical Virtue?

In Western countries, the ideal professional and ethical attributes of healthcare providers and the ideal patient-doctor relationship have been analysed in detail. Other cultures, however, may have different norms, arising in response to diverse healthcare needs, cultural values and offering alternative perspectives. In this paper, drawing a case study, we introduce the concept of Shinmi, used in Japan to describe a desirable approach to medical care. Shinmi means kind or cordial in Japanese. In the medical context, it refers to doctors treating patients with a degree of emotional closeness as if they were the doctors’ own family. We analyse the concept of Shinmi, drawing on virtue ethics. We distinguish two different elements to a Shinmi-na attitude. As illustrated in our example, excessive Shinmi can be problematic for patients and doctors. Furthermore, elements of Shinmi may conflict with existing Western values (for example, norms that encourage emotional detachment and discourage doctors’ treatment of family members). However, if pursued appropriately, we argue that a balanced Shinmi-na approach can be conducive to the goals of medicine. The concept of Shinmi may be valuable for medical students, in Japanese and potentially other health care systems, and help them to cultivate a virtuous approach to meeting the emotional needs of patients.

Multifamily Group Psychotherapy for Patients With Nonepileptic Seizures and Their Families.

Multifamily group (MFG) psychotherapy is widely used for mental and general medical conditions. MFG therapy engages family members in caring for a loved one experiencing illness and helps clarify the impact of illness on family. Use of MFG therapy for patients with nonepileptic seizures (NES) and their families to explore satisfaction with treatment and family functioning is described. MFG therapy for patients with NES and their participating family members was incorporated into an existing interdisciplinary group-based psychotherapy treatment program. The Family Assessment Device and a novel feedback questionnaire were used to understand the effect of MFG therapy on this population. Patients with NES (N=29) and their corresponding family members (N=29) indicated on the feedback questionnaire their satisfaction with having MFG therapy as part of their treatment; satisfaction was also evidenced by a 79% (N=49 of 62) patient participation rate. Patients and family members reported enhanced understanding of the impact of illness on the family and believed MFG therapy would help them communicate about illness and reduce family conflict. Scores on the Family Assessment Device indicated that family members perceived better family functioning than did patients (average scores of 1.84 and 2.99, respectively). The discrepancy in perceived family functioning supports the idea of integrating family members in treatment for patients experiencing NES. The group treatment modality was satisfactory to participants and may prove useful for other kinds of somatic symptom disorders, which are often external manifestations of internal distress. Family members can become treatment allies in psychotherapy when included in treatment.

A Case of Kerion Celsi due to Trichophyton tonsurans.

The patient was a 13-year-old boy who was a member of the judo club at his junior high school. Approximately 1 week prior to his presentation, he developed multiple erythematous pilaris papules on his occipital area and was treated by a local doctor. The erythematous lesions expanded to 10 × 10 cm, showing granulation with drainage and strong spontaneous pain. At this point, he visited our hospital. He was diagnosed with kerion celsi due to Trichophyton tonsurans by fungal examination. The patient was treated with terbinafine (125 mg/day) for 6 weeks, and a brush test at 6 weeks was negative. All 18 members of the judo club, including this patient, were investigated; brush tests were positive in 4 cases, and one was positive for tinea corporis alone. The patient's family members parents were both negative. When an athlete is diagnosed with ringworm, T. tonsurans infection should be considered, and testing and treatment of family members and fellow athletes should be carried out to prevent the spread of infection.

Family Involvement in Asian American Health Interventions: A Scoping Review and Conceptual Model.

Family members play a crucial role in the health of Asian American communities, and their involvement in health interventions can be pivotal in optimizing impact and implementation. To explore how family members can be effectively involved in Asian American health interventions and develop a conceptual framework of methods of involvement at the stages of intervention development, process, and evaluation, this scoping review documented the role of Asian American family members in interventions (across any health objective). Of the 7175 studies identified through database and manual searches, we included 48 studies in the final analysis. Many studies focused on Chinese (54%) or Vietnamese (21%) populations, were conducted in California (44%), and involved spouses (35%) or parents/children (39%). We observed involvement across 3 stages: (1) intervention development (formative research, review process, material development), (2) intervention process (recruitment, receiving the intervention together, receiving a parallel intervention, enlisting support to achieve goals, voluntary intervention support, agent of family-wide change, and participation gatekeepers), and (3) intervention evaluation (received evaluation together, indirect impact evaluation, and feedback during intervention). Impact of family member involvement was both positive (as sources of encouragement, insight, accountability, comfort, and passion) and negative (sources of hindrance, backlash, stigma, obligation, and negative influence). Suggestions for future research interventions include (1) exploring family involvement in South Asian or young adult interventions, (2) diversifying types of family members involved (eg, extended family), and (3) diversifying methods of involvement (eg, family members as implementation agents).

Severe Mental Illness and Family Involvement During Treatment

Treating clients with severe mental illness in community mental health settings can be challenging. Often, they lack solid intrapersonal support and have utilized surrounding resources to the best of their ability; yet, they still find themselves caught in the system of repeat treatment with no actual results. We can resolve these issues, which are amendable to family treatment and intervention, per previous research. It is essential for effective community mental health treatment that does not result in clients re-entering treatment on numerous occasions. Doing so could assist progress and advocate for inclusivity and emotional empowerment in identified clients—including their family members in treatment as a collective unit. This article proposes an ecological and systemic approach to mental health treatment for severe mental illnesses and provides treatment implications for clinicians.

Using Journey Mapping to Visualize Patient Experiences for Quality Improvement Initiatives

Journey mapping is a powerful user experience tool depicting customers’ interactions with an enterprise. This paper shows how the U.S. Department of Veterans Affairs (VA) Office of Mental Health and Suicide Prevention (OMHSP), and the Veterans Health Administration (VHA) Office of Health Informatics (OHI) Human Factors Engineering Group, utilized journey mapping to discover patients’ psychotherapy experiences. The team conducted semi-structured interviews with Veterans, Caregivers, and Psychotherapy providers; and focus groups with OMHSP stakeholders, presenting successive iterations of four journey maps. The study used interview data to produce maps detailing representative depression patients’ mental health care experiences including: a patient suffering from coronavirus (COVID-19); a patient experiencing homelessness; a highly functional patient navigating implicit racial bias; and a patient resistant to therapy and his caregiver. The study identified areas of success and opportunities for improvement. Key findings included the importance of primary care in referrals; the desire to include family members in treatment; travel concerns in patients’ decisions about their care; the importance of viewing mental health care as part of a holistic view incorporating Veterans’ infrastructure (housing, employment, technology access, etc.); and varying levels of comfort toward technology and telehealth. The data also show opportunities to utilize health information technology to improve psychotherapy data collection and effect targeted quality improvement.

Factors Associated With Diabetes Self-Care Behaviors of People With Visual Impairment: A Cross-Sectional Study.

The purpose of the study was to examine the factors associated with diabetes self-care behaviors (DSCB) in people with visual impairment (PVI), including demographics, disease-related characteristics, and psychosocial factors (self-efficacy, depression, and family support). A descriptive cross-sectional study was conducted. Adults with visual impairment and diabetes were recruited online and through posting notices, and a total of 141 participants were included. Measurements were completed using email and telephone surveys. Multiple linear regression analysis was performed to examine the factors associated with DSCB. Higher self-efficacy and positive family support were significant predictors of better DSCB, whereas higher negative family support was a significant predictor of worse DSCB. Diabetes medication regimen was another major influencing factor on DSCB. However, depression was not associated with DSCB. Diabetes interventions for the visually impaired should have strategies to improve vulnerable areas of diabetes self-care, such as blood glucose monitoring. Health care providers are needed to consider diabetes education programs focused on improving self-efficacy or include family members in interventions to promote DSCB in PVI. Further studies are required to understand the problems and solutions for diabetes self-care in this population.

General practitioners treating their own family members: a cross-sectional survey in Germany

BackgroundIn Germany, there are neither guidelines provided by the medical associations nor a public discussion about general practitioners (GPs) treating their family members. Only few studies on this topic from the primary care setting exist. The aim of this study is to describe GPs’ treatment of family members and to generate empirical data on the most common reasons for this.MethodsIn June 2018 we conducted a postal survey among GPs in the North Rhine region of Germany. The questionnaire was developed in a stepwise process including initial expert panels, interviews with GPs, item construction workshops, cognitive pre-tests and pilot testing with 40 questionnaires. The final questionnaire addressed: type and frequency of treatment, documentation and place of treatment, engagement as the official GP as well as reasons for and against the treatment. For data evaluation, descriptive and explorative statistical analyses were conducted.ResultsOverall, 393 questionnaires were returned (response rate 39.8%). 96.7% of the GPs had treated at least one family member during the last 12 months. Services that were provided frequently (more than three times in the last 12 months) included the prescription or dispensing of medication (partner 45%, children 37%, parents 43%, partner’s parents 26%), physical examinations (partner 18%, children 24%, parents 25%, partner’s parents 15%), and the arrangement or provision of laboratory tests (partner 14%, children 7%, parents 16%, partner’s parents 9%). Less than one third of the study participants always treated their relatives in their office. Male GPs more often provided care to family members (except children) registered in their practice. Senior male GPs treated their relatives more often than junior female GPs. Family members were most commonly treated for practical reasons.ConclusionThe subject of GPs treating their relatives is of high everyday relevance, since nearly all GPs are involved in the treatment of their family members. Frequent at-home treatments and low documentation rates may indicate risks due to deviating from the professional routine.

An mHealth App-Based Self-management Intervention for Family Members of Pediatric Transplant Recipients (myFAMI): Framework Design and Development Study.

BackgroundSolid-organ transplantation is the treatment of choice for children with end-stage organ failure. Ongoing recovery and medical management at home after transplant are important for recovery and transition to daily life. Smartphones are widely used and hold the potential for aiding in the establishment of mobile health (mHealth) protocols. Health care providers, nurses, and computer scientists collaboratively designed and developed mHealth family self-management intervention (myFAMI), a smartphone-based intervention app to promote a family self-management intervention for pediatric transplant patients’ families.ObjectiveThis paper presents outcomes of the design stages and development actions of the myFAMI app framework, along with key challenges, limitations, and strengths.MethodsThe myFAMI app framework is built upon a theory-based intervention for pediatric transplant patients, with aid from the action research (AR) methodology. Based on initially defined design motivation, the team of researchers collaboratively explored 4 research stages (research discussions, feedback and motivations, alpha testing, and deployment and release improvements) and developed features required for successful inauguration of the app in the real-world setting.ResultsDeriving from app users and their functionalities, the myFAMI app framework is built with 2 primary components: the web app (for nurses’ and superadmin usage) and the smartphone app (for participant/family member usage). The web app stores survey responses and triggers alerts to nurses, when required, based on the family members’ response. The smartphone app presents the notifications sent from the server to the participants and captures survey responses. Both the web app and the smartphone app were built upon industry-standard software development frameworks and demonstrate great performance when deployed and used by study participants.ConclusionsThe paper summarizes a successful and efficient mHealth app-building process using a theory-based intervention in nursing and the AR methodology in computer science. Focusing on factors to improve efficiency enabled easy navigation of the app and collection of data. This work lays the foundation for researchers to carefully integrate necessary information (from the literature or experienced clinicians) to provide a robust and efficient solution and evaluate the acceptability, utility, and usability for similar studies in the future.International Registered Report Identifier (IRRID)RR2-10.1002/nur.22010

Families as A Guideline for Children According to Tarbiyahtul Aulad Fil Islam

This study aims to examine the role of families in children using the approach found in Kitab Tarbiyatul Aulad Fil Islam. This analysis was conducted by looking at the characters of family members found in the novel “....Rahsia Dhia!” by Mustapha which is the winning novel of the Hadiah Sastera Perdana Malaysia (HSPM). The importance of this study is because the children are easily influenced by the treatment of family members when they see something good or bad in their lives. The act of imitating this behavior can also occur during the reading process of children especially through novels that are known to have a very significant impact on the reader compared to other literary genres. In this regard, this study will also apply the approach of education of children according to Islam expressed by Ulwan in the book Tarbiyatul Aulad Fil Islam as a form of guidance to family members in educating children's behavior. The selection of this approach is seen to coincide with the need for a framework based on Islam to evaluate novels written by Muslim authors, as well as read by the majority of Muslims. This approach demonstrates five family roles to be analyzed which are examples of noble character, examples of humility, examples of worship, exemplary conduct, and physical examples. Thus, every aspect of the novel proves that the role of families presented in children's novels is following the norms of the life of children in Malaysia.

10.3 PERCEIVED CHALLENGES AND BENEFITS OF DEVELOPING VIRTUAL INTENSIVE TREATMENT PROGRAMS FOR ADOLESCENTS AND YOUNG ADULTS WITH EATING DISORDERS

Shortly following the World Health Organization’s declaration of COVID-19 as a global pandemic in March 2020, leadership within our academic medical center requested that we convert our in-person partial hospitalization programs for children, adolescents, and young adults with eating disorders (EDs) to a virtual format. This presentation describes our experiences with developing 2 virtual intensive treatment programs for EDs, with a focus on perceived challenges and benefits. Clinical staff provided their perspectives working within our institution’s 2 virtual intensive treatment programs for EDs, one of which treats children and adolescents (ages 10-16 years) and the other of which treats young adults (ages 17-25 years). Feedback was obtained from an interdisciplinary team of providers, including psychologists, psychiatrists, adolescent medicine physicians, therapists, and dietitians. Providers identified a number of challenges and benefits related to offering an intensive treatment program for EDs using a virtual format. Challenges included decreased supervision of patients’ eating behaviors during and after meals, complications obtaining accurate weight information, patient fatigue and reduced attention following multiple hours of virtual sessions, patient hesitancy speaking in virtual groups, fewer opportunities for in-session exposure therapy, and difficulties with technology. Benefits included greater access to services for patients with geographical limitations, easier involvement of family members in treatment, greater emphasis on between-session exposure exercises, increased generalizability to patients’ natural environment, reduced disruption of prosocial activities and responsibilities, and more seamless transitions to outpatient treatment. COVID-19 has rapidly accelerated the mental health field’s adoption of telehealth services and forced providers to modify intensive treatment programs in novel ways. Our team experience suggests that there are a number of challenges and benefits to offering virtual treatment, which has implications for the future of telehealth for children, adolescents, and young adults with EDs.

Therapists\u2019 Contributions to the Alliance in Home-Based Family Treatment: The Role of Alliance Building Behaviors, Personality, and Clinical Experience

Alliance is a robust contributor to the outcome of adult, youth, and family therapy, but little is known about therapists’ contributions to the alliance in conjoint family treatment. We investigated the predictive value of therapists’ personality, clinical experience and observed alliance building behaviors for mid-treatment alliance as reported by therapists and family members. Participants were 77 parents and 21 youth from 57 families receiving home-based family treatment from 33 therapists. Therapist openness to experience and agreeableness as well as therapists’ in-session engagement and emotional connection behaviors predicted more positive therapists’ and family members’ reports of the alliance. Therapist neuroticism, extraversion and conscientiousness predicted more negative alliance-reports. In-session safety behaviors also predicted more negative alliance-reports, but this finding was only significant for therapists’ and not family members’ reports of the alliance. Clinical experience did not predict quality of alliances. We conclude that training and supervision of family therapists could benefit from focusing on emotional connection with and active engagement of family members in treatment, and from increasing self-awareness of the impact of their personality on alliances with family members.

Intervenciones para cuidadores d Interventions for family members or caregivers of patients taking part in a cardiac rehabilitation program

Introduction: Cardiac Rehabilitation (CR) is a multifactorial program, usually composed of structured physical exercise, psychological support and education to promote positive changes in the lifestyle of people with different heart diseases. Most studies define that it is important to involve the family (caregivers) after the diagnosis of heart disease to guarantee the treatment's success, and CR is no different. Not being an implicit objective of secondary prevention of CR, some of the interventions included in CR can positively impact caregivers. Therefore, it is essential to understand which interventions can be used to promote the role of caregiver and their health. Objective: Map which interventions have been implemented that support caregivers of patients with the cardiac disease taking part in a cardiac rehabilitation program, in their role and health. Methods: Scoping Review guided by the methodology proposed by the Joanna Briggs Institute for conducting Scoping Reviews. Two independent reviewers will evaluate the relevance of the articles, the extraction and synthesis of the data. Studies written in English, Spanish and Portuguese, published after 1950, will be considered for inclusion in this review, researched in the following bibliographic sources: CINAHL Complete (Via EBSCO); PubMed; Scopus; SciELO; Cochrane Library; Pedro; DART-Europe; OpenGrey and RCAAP . Results: With this scoping review, it's proposed to include several studies that unequivocally demonstrate the existence of interventions with a positive and facilitating impact on health and the role of caregivers of people with heart disease in CR programs. Conclusion: This systematic review protocol provides mapping interventions to the caregiver of people with heart disease, demonstrating the added value of being integrated into CR programs.

Pemberdayaan Keluarga dalam Pendampingan Minum Obat Pasien Tuberkulosis Paru di Wilayah Pesisir Kecamatan Soropia

Keluarga adalah orang terdekat yang memiliki peran penting dalam pengobatan TB Paru. Proses pengobatan dengan jangka waktu yang lama tentunya menjadi salah satu penyebab penderita TB Paru mengalami putus obat sehingga keluarga menjadi factor pendukung keberhasilan pengobatan yang dijalani oleh anggota keluarga dengan TB Paru. Berbagai upaya telah dilakukan pemerintah untuk meningkatkan pengetahuan keluarga tentang TB Paru serta pengobatannya dengan harapan keluarga mampu menjadi pendamping minum obat bagi anggota keluarga dengan TB Paru. Hal ini juga yang mendasari tim Pengabdian Masyarakat Jurusan Keperawatan Poltekkes Kemenkes Kendari untuk meningkatkan pemberdayaan keluarga dalam mendampingi pasien minum obat.

Veterans’ Treatment Engagement and Dropout from Couple and Family Therapy in a Veterans Affairs Health Care System

The present study utilizes data from a Couple and Family Therapy Program in the Veterans Affairs Health Care System (VAHCS) seeks to understand veterans’ and their family members’ treatment engagement and dropout from initial referral for therapy to the active phase of treatment. Veterans (N = 177) referred to couple or family therapy were included in the study, and data about session attendance was collected through chart reviews. About 60% of couples and families dropped out at some point between referral to entering the active phase of treatment. Results showed that the majority of dropout occurred between the phone screen and the first session, with significant attrition also occurring between the first session and the assessment phase of treatment. In examining individual, relational, and logistical factors, a chronic pain diagnosis and serving during the Post-9/11 era were related to completion of various phases of therapy. Findings have implications for enhancing efforts to engage and retain veterans and their family members in treatment. Specific strategies for clinicians are discussed, with a focus on the shift to telehealth in the VAHCS and other health care settings in response to the COVID-19 pandemic.

Interventions for Family Members After Long-Term Care Placement of a Relative With Dementia: A Systematic Review and Meta-Analysis.

The current systematic review aimed to identify, appraise, and synthesize the available evidence regarding interventions that assisted family members of long-term care facility residents with dementia to cope with stressful situations. A search of published articles in eight databases was performed. In total, 1,293 records were identified, with six studies included in this systematic review. Interventions were categorized as education/skill training, psychoeducation, and psychosocial support. The risk of bias across the included studies varied from moderate to high. The intervention components, dose, and delivery methods differed widely with mixed results. The interventions showed potential benefits for reducing family members' stress-related outcomes (e.g., stress appraisal, guilt) and residents' problematic behaviors. Yet, meta-analysis yielded a non-significant pooled effect for reducing family members' depressive symptoms (mean difference = 1.38, 95% confidence interval [-2.27, 5.04], p = 0.46). Evidence in this field is currently insufficient and more well-designed studies with larger sample sizes and use of theoretical frameworks are needed. [Research in Gerontological Nursing, 14(1), 43-52.].

Psychoeducation impact for family members of substance users: An evaluation the workbook “Addiction: A Family Disease”

ABSTRACT Background In countries such as Malaysia, extended families are common and therefore more people are affected when a loved one is substance dependent. Interventions for family members are as equally important as treating the substance-dependent person in order to ensure holistic treatment is achieved. This study focuses on evaluating a workbook developed for family members of loved ones seeking treatment in a private residential treatment facility in Malaysia. Methods: This evaluation study employs a mixed methodology approach guided by the Kirkpatrick model. Semi-structured interviews were conducted with family members using the workbook, triangulating findings with results from pre-and post-intervention questionnaires. Results: Findings from the evaluations were observed at three levels of the Kirkpatrick model: reaction to program – participants revealed high satisfaction levels; learning achieved – an increase in knowledge; behavior – knowledge acquired on a disease model of addiction impacting on their belief system. Conclusions: Findings from this study suggest that creating awareness among affected family members on the impact of substance dependency on the family dynamics can empower a substance user’s significant others and engender hope and realistic beliefs, and that employing a culturally appropriate workbook effectively supports the psychoeducation element of a family intervention program.