McMaster Model Of Family Functioning Research Articles

Impact of Family Interaction on Future Adult Child-Parent Travel Intention: Implementing the McMaster Model of Family Functioning

Adult child-parent travel is a prevalent, but understudied, phenomenon in Confucian Asian countries. To better understand how adult children evaluate such tourism experiences, this research re-conceptualizes dimensions of family interaction and examines their impacts on future adult child-parent travel intention within the mainland China context using a mixed-method approach. Guided by the McMaster model of Family Functioning, qualitative findings suggest that family interaction includes three dimensions: Communication, Affective Interaction, and Problem Solving. Additionally, analysis of data collected from 451 Chinese adult children who traveled with their parents reveals that family interaction positively influences future adult child-parent travel intention through enhanced family intimacy and increased tourist engagement. This study contributes not only to the existing literature on family travel but also provides guidance for fostering positive adult child-parent interactions, aiming to ensure the sustainable development of adult child-parent travel.

The Correlation Between Family Functioning and Self-disclosure Among Emerging Adulthood

This study aims to examine the correlation between family functioning and self-disclosure among emerging adulthood. Family functioning is a process of physical and emotional interaction between family members in carrying out their duties and striving for the welfare of each member from the physical, social, and psychological aspects. Self-disclosure is the act of providing information about oneself that is usually hidden and not shared with others. This study used a quantitative method involving 111 college student respondents aged 18-25 years who study in West Jakarta and live separately from their parents. Family functioning is measured using the McMaster Model of Family Functioning adapted by Boterhoven de Haan. Meanwhile, self-disclosure is measured using the Self-Disclosure Scale based on the self-disclosure aspects according to DeVito and has been modified to the research context. The research analysis result showed that based on Pearson's correlation analysis, the family functioning has a significant and positive correlation with self-disclosure among emerging adulthood. The better family functioning and better self-disclosure help emerging adulthood in carrying out their academic activities. This study recommends for emerging adulthood to implement good communication patterns and self-disclosure to express themselves, share experiences, and deliver opinions to parents.

B - 23 The Effects of Family Functioning on Medication Adherence in Pediatric Cancer Patients.

Despite life-threatening consequences of pediatric cancer, treatment non-adherence rates range from 10-75%. Given the neurocognitive effects of chemotherapy it is important to study medication adherence to prevent disease relapse. The current study examined potential predictors of medication adherence among pediatric cancer patients. Survey data was collected from 104 parents of pediatric cancer patients through online and social media portals, family support groups, pediatric cancer websites, and foundations. Informed by the McMaster Model of Family Functioning, it was hypothesized that poor medication adherence would be predicted by multiple factors using multiple regression analysis. Results indicated poor communication (p = 0.049), behavioral control (p < 0.001), and affective responsiveness (p = 0.005) are predictors of poor medication adherence. Poor problem solving (p = 0.016) and higher degree of effort (p < 0.001) predict higher medication adherence. Post-hoc analysis indicated that when controlling for problem solving, child's sex had a significant effect on medication adherence. There was a significant effect of time since diagnosis on medication adherence after controlling for the effect of problem solving, communication, behavior control, and condition management effort. There was a significant effect of family's income on medication adherence after controlling for the effect of problem solving, communication, affective responsiveness, and condition management effort. In the current study, several predictors of adherence were identified. This knowledge helps medical and psychological professionals to work collaboratively to promote adherence. Future research is needed to further understand multicultural factors that may predict poor adherence and how specific pediatric cancer diagnoses impact family functioning.

Effects of family functioning on problem behaviour among Chinese preschool children: the mediation effect of mother–child relationships

ABSTRACT To explore the effects of family functioning on problem behaviour among Chinese preschool children, 1,025 preschool parents were assessed using the family assessment device, child problem behaviour scale, and parent–child relationship scale through a random sampling method. Based on the McMaster model of family functioning and the Process Person Context Time model, this study analysed the relationships between family functioning and children’s problem behaviour, taking into account the mediating role of the mother–child relationship. The results showed that preschool problem behaviour was significantly positively correlated with mother–child conflict and significantly negatively correlated with mother–child intimacy. In particular, mother–child conflict played a mediating role between family functioning and problem behaviour in preschool children. The results of this study suggest that improving family functioning and reducing mother–child conflict play an important role in reducing the incidence of problem behaviour among Chinese preschool children and promoting their healthy development.

Family functioning and nicotine dependence among smoking fathers: a cross-sectional study

BackgroundNicotine dependence is a significant public health issue, and understanding the factors associated with nicotine dependence in this population is crucial for developing effective interventions. This study examined the association between family functioning and nicotine dependence levels of smoking fathers based on the McMaster model of family functioning (MMFF), providing evidence for future interventions.MethodsIn this study, we selected fathers of first- to fifth-grade students from 10 pilot elementary schools in Qingdao whose families smoked. We used the Fagerstrom test to assess nicotine dependence and the Family Assessment Device to evaluate family functioning. We performed univariate analysis to compare differences among those with different levels of nicotine dependence, and we used an ordinal logistic regression analysis to investigate the influences related to nicotine dependence.ResultsThis study included 874 smokers, with 78.5% having mild nicotine dependence, 11.7% having moderate dependence, and 9.84% having severe dependence. Univariate analysis showed that smokers with severe dependence had lower education levels, higher prevalence of chronic diseases, more frequent alcohol consumption, and poorer family functioning compared to those with mild to moderate dependence. Ordinal logistic regression analysis showed that poorer general functioning scores (OR = 1.087, 95% CI: 1.008–1.173, P = 0.030), poorer behavioral control (OR = 1.124, 95% CI: 1.026–1.232, P = 0.012), more quit attempts, frequent alcohol consumption, and longer smoking duration may be associated with a higher likelihood of developing severe nicotine dependence. The older age of starting smoking and higher education level may be associated with a lower likelihood of developing severe nicotine dependence. However, it is important to note that the cross-sectional nature of this study precludes the determination of causal relationships.ConclusionsThis study finds that heavy nicotine dependence in smoking fathers is associated with risky behaviors and demographics such as longer smoking duration and frequent alcohol consumption. Targeted smoking cessation interventions are crucial for this group, taking these specific factors into consideration. Family functioning, particularly general functioning and behavioral control, may also be linked to nicotine dependence, indicating the need for further research in this area.

Sigara Kullanma Durumunun Aile Içi Fonksiyonlara Etkisi

Aim: Family is the most natural environment where people can meet their needs of love, compassion, affection and care for mental and physical health. In this study, we aim to investigate the relation between smoking and family functions.&#x0D; Material and Method: Ninety seven patients between 18-60 years age who were admitted to the Ankara Training and Research Hospital, live with at least one family member and agreed to participate in the study were included in this study. Cross-sectional, observational and analytic methods were applied. The recorded data of the participants were as follows: age, sex, occupation, marital status, education level, the family members whom living with, the status of smoking at home, chronic diseases and current medication. McMaster Model of Family Functioning (MMFF) and Fagerström Test for Nicotine Dependence (FTND) were used. &#x0D; Results: Statistically significant differences between MMFF scores of smoking patients in the subscales of “Roles” and “Affective Involvement” were found (p=0.004, p= 0.002, respectively). We have seen in the subscale of “Problem Solving” that single members were negatively affected (p=0.033). The negative effects of smoking were found to be decreasing by age in the “Communication” subscale (p=0.002). The “Roles” subscale was observed to be negatively disturbed in the group of smokers with chronic diseases(p=0,050). We also found that being single and having a chronic disease negatively affected “Affective Responsiveness” subscale (p=0.050, p=0.020, respectively). &#x0D; Conclusion: Smoking affects the family functions negatively. Thus, the fight against smoking might be thought to make a favorable effect on the family functions.

The Effectiveness of Teaching Emotion Management Strategies Based on the Emotionally-Focused Couple Therapy Approach in Improving Family Functioning and Marital Satisfaction

Aim: The present study aimed to determine the effectiveness of teaching emotion management strategies based on the emotionally-focused couple therapy approach in improving family functioning and marital satisfaction. Methods: The research was semi-experimental and had a pretest-posttest design with a control group and a two-month follow-up. Its statistical population consisted of 47 conflicting couples who visited counseling centers in Tehran in 2021. After screening by the McMaster Model of Family Functioning (1950) and ENRICH Marital Satisfaction Scale (EMS) (1998), 32 couples were selected by the convenience sampling method and were randomly assigned to the experimental group (16 couples) and the control group (16 couples). The experimental group received the intervention of emotion management strategies based on Johnson's Emotionally-Focused Therapy (EFT) (2004) approach for eight 90-minute sessions, but the control group did not receive any intervention. Data were analyzed using the repeated-measures mixed-model analysis of variance (ANOVA). Results: The results indicated the effect of the emotion management strategies intervention based on the emotionally-focused couple therapy approach on the family functioning score (F=15.78, P=0.001) and marital satisfaction (F=15.16, P=0.001), and the stability of this effect was at the follow-up stage. Conclusion: The research results suggested evidence that the emotion management strategies intervention based on the emotionally-focused couple therapy approach was a suitable method to increase marital satisfaction and improve family functioning in couples with marital conflict.

The Effectiveness of a Family-Based Asthma Self-Management Program in Enhancing the Asthma Health Outcomes in School-Age Children

ABSTRACT This quasi-experimental study aimed to evaluate a family-based asthma self-management program, based on the individual and family self-management theory and the McMaster model of family functioning. Children aged 7 to 12 with uncontrolled asthma and their families were recruited from an outpatient pulmonary department of a university hospital in Thailand. Thirty-seven child-parent pairs were randomly assigned to three sessions for a period of two months of the family-based asthma self-management program, while 37 child-parent pairs were assigned to the control group. Data were collected at baseline and after implementation at two months by using the Childhood Asthma Control Questionnaire and the Pediatric Asthma Quality of Life Questionnaire, and the measurement of pulmonary function was performed using peak flow meters. Multivariate analysis of covariance (MANCOVA) was employed to analyze the mean difference between the experimental and control groups. The results indicated significant increased asthma control status, pulmonary function, and quality of life in the children from baseline to after implementation in the experimental group that participated in the family-based asthma self-management program. Significant improvement in these three asthma health outcomes was also seen in the experimental group when compared to the control group. It was seen that the family-based asthma self-management program is useful for promoting the self-management of school-age children, enabling the control of symptoms, and enhancing health outcomes regarding asthma.

The Feasibility and Acceptability of an Intergenerational, Web-Based Intervention to Enhance Later-Life Family Care Planning.

Adult children collaborate with older parents on care needs, yet later-life families are often uncertain about how to approach these conversations. Using the McMaster Model of Family Functioning as a framework, we developed a web-based tool for later-life families to enhance communication, knowledge, and problem solving around parent preferences for care. Participants were older adult parents aged 65+ and at least one of their adult children. Families answered questions about the parent's care preferences via a web-based survey. Responses were aggregated in a tailored PDF that was distributed to each participant. Descriptive statistics were calculated to examine recruitment, retention, and satisfaction with the program. Repeated measures analyses of variance were calculated to determine preliminary efficacy of the intervention. This study included 142 participants across 49 families (n = 49 older adult parents, n = 93 adult children). Of them, 75.4% completed all three phases of the study while 18.3% completed two phases and 6.3% completed only one phase. Seventy-four percent of participants reported being satisfied or very satisfied with the intervention. At baseline, most families were modestly incongruent in their ratings of future care preferences. Participants reported increased conversations about care across the course of the study (F(1.71,179.32) = 42.18, p < .001). This study demonstrated that a web-based intervention to enhance intergenerational communication is feasible, acceptable, and has preliminary efficacy to improve intergenerational communication. Despite recruitment challenges, similarly designed web-based resources may improve accessibility and scalability of intergenerational communication-enhancing interventions.

Relationship Between Caregiver Burden and Family Functioning in Family Caregivers of Older Adults With Heart Failure.

Caregivers of individuals with heart failure are at high risk for diminished quality of life because of the energy involved in providing necessary care. Caring for someone with chronic heart failure can affect caregivers' physical, psychological, and social health, collectively referred to as the burden of care, and may also affect family functioning. The current cross-sectional study aimed to investigate the relationship between caregiver burden and family functioning in caregivers of older adults with heart failure in southeastern Iran using the Zarit Burden Inventory and the Family Assessment Device based on the McMaster Model of Family Functioning. The Pearson correlation coefficient, independent t test, and analysis of variance were used to determine relationships among variables. Results showed a significant correlation between burden of care and total score of family functioning. Therefore, it is necessary to take measures to reduce burden of care for caregivers through education and support programs and to improve their family functioning and quality of life. [Journal of Gerontological Nursing, 46(6), 25-33.].

Effectiveness of Emotion-Focused Therapy in Reduction of Marital Violence and Improvement of Family Functioning: A Quasi-Experimental Study

Background: The rise in marital violence has led to growing concern about people with this condition. Emotion-focused Therapy (EFT) is one of the well-established treatments that consider both family interaction and emotion in the creation of secure attachment. Objectives: This study aimed to evaluate the effectiveness of EFT in marital violence reduction and family functioning improvement. Methods: This study was conducted in 2018-2019 among married women with family problems referring to counseling centers in Tehran, Iran. We randomly allocated 32 women with a mean marriage age of 24.27 ± 6.18 years to EFT and control groups. Marital violence and family functioning were measured before and after EFT using a domestic violence questionnaire and the family assessment device scale constructed based on the McMaster Model of Family Functioning (MMFF). Emotion-focused group therapy was conducted in the intervention group for eight 90-min sessions. The control group was exposed to no intervention. The Kolmogorov-Smirnov test was utilized to evaluate the distribution of variables. We used the independent t-test, chi-square test, Friedman test, Mann-Whitney test, ANOVA, ANCOVA, and MANCOVA for data analysis. Results: Marital violence decreased significantly after the intervention (-11.25 vs. -1.62, P < 0.001). Moreover, family functioning improved after the intervention (6.25 vs. -1.69, P = 0.001) in the EFT group compared to the control group. Conclusions: The EFT was an effective intervention in this study. The findings implicate the significance of essential interventions for marital violence reduction and family functioning improvement.

The Greek version of the McMaster Family Assessment Device.

The Family Assessment Device (FAD) is a self-report questionnaire, developed to assess the six dimensions of the McMaster Model of Family Functioning. It has been translated into the Greek language but never validated. We aimed to evaluate the psychometric properties of the Greek version of the FAD in a nonclinical sample. In a sample of Greek families, the FAD was administered together with the already validated Family Adaptability and Cohesion Evaluation Scale (FACES-III). In a subsample of 96 individual participants, the scales were administered again after 1 month. The sample of 453 participants (151 families: 194 children and 259 parents) completed both questionnaires. The mean age of the children was 23.62 years (SD = 6.35 years), and 68 (35%) were male. The mean age of the parents was 51.4 years (SD = 8.2 years), and 117 (45.2%) were male. All subscales of the FAD had significant correlation (concurrent validity) with the FACES-III (n = 453, p < .001). Test-retest reliability ranged from .58 to .82 (N = 96, p < .001). Internal consistency (Cronbach's alpha) ranged from .47 to .94. A model with the six factors had a good statistical fit but not all the items were loading in the same components as from the theory assumed. The Greek FAD has good psychometric properties, although its factor structure might differ from the original version.

Psychometric evaluation of the Greek version of Mc Master Family Assessment Device (FAD)

IntroductionThe Family Assessment Device (FAD) is a self-report questionnaire, developed to assess the six dimensions of the McMaster Model of family functioning. It has been translated to the Greek language but never validated.Aims and objectivesTo evaluate the psychometric properties of the Greek version of FAD in a non-clinical sample.MethodsIn a sample of Greek families, FAD was administered together with the already validated Family Adaptability and Cohesion Evaluation Scale (FACES-III). In a subsample of 96 participants, the scales were administered again after 1 month.ResultsA sample of 453 participants (194 children and 259 parents) had completed both questionnaires (151 families). Mean age of children was 23.62 (SD: 6.35), 68 (35%) were males. Mean age of parents was 51.4 (SD: 8.2), 117 (45.2%) males. All subscales of FAD had significant correlation (concurrent validity) with FACES-III (n = 453, P &lt; 0.001). Test-retest reliability range from 0.58 to 0.82 (n = 96, P &lt; 0.001). Internal consistency (Cronbach's alpha) range from 0.47 to 0.94. A model with the 6 factors had a good statistical fit but not all the items were loading in the same components as from the theory assumed.ConclusionsThe Greek FAD has good psychometric properties, although its factor structure might differ from the original version. Further evaluation of the Greek version of FAD in other settings and in different samples especially clinical remains a task for future research.Disclosure of interestThe authors have not supplied their declaration of competing interest.

KEBERFUNGSIAN KELUARGA PADA KELUARGA DENGAN PASIEN SKIZOFRENIA RAWAT JALAN DI JAKARTA

Abstract&#x0D; The aim of this study is to analyze the family functioning among family with schizophrenic outpatient in Jakarta. The research was conducted in RSKD Duren Sawit and Komunitas Peduli Skizofrenia Indonesia during June-July 2013. This study used quantitative descriptive method. Incidental sampling was used as sampling technique. A total of 107 family members that lived with schizophrenic outpatient participated in this study. Family functioning assessed by self-report questionnaire Family Assessment Device (FAD) based on McMaster Model of Family Functioning. Statistical descriptive that used in this study were performed with SPSS 17.00 for windows. The result of this study showed that family functioning among family with schizophrenic outpatient was unhealthy based on general functioning dimension that assess the overall family functioning. Also found that almost all profiling dimensions of family functioning were unhealthy; communication, roles, affective involvement, and behavior control; except on problem solving and affective responsiveness dimensions were healthy.&#x0D; Keyword: family functioning, family, schizophrenia, outpatient

A telephone intervention for dementia caregivers: Background, design, and baseline characteristics

Family caregivers of individuals with dementia are at heightened risk for emotional and mental health problems. Many caregivers do not seek assistance or become isolated in their caregiving role. Multi-component interventions have demonstrated efficacy for reducing emotional distress and burden, although these approaches are potentially costly and are not widely accessible. In response to these issues, we developed the Family Intervention: Telephone Tracking — Caregiver (FITT-C), which is an entirely telephone-based psychosocial intervention. The purpose of this paper is to describe the study design, methodology, and baseline data for the trial. This study uses a randomized controlled trial design to examine the efficacy of the FITT-C to reduce depressive symptoms and burden in distressed dementia caregivers. All participants (n=250) received a packet of educational materials and were randomly assigned to receive 6months of the FITT-C intervention or non-directive telephone support. The FITT-C intervention was designed to reduce distress in caregivers and is based on the McMaster Model of Family Functioning, transition theory, and Lazarus and Folkman's Stress and Coping Models. The primary dependent variables were depressive symptoms (Centers for Epidemiological Studies — Depression) and burden (Zarit Burden Interview, Revised Memory and Behavior Problems Checklist — Reaction). Secondary outcome measures included family functioning, self-efficacy, and health-related quality of life. Results of the study will provide important data about the efficacy of a telephone-based approach to reduce distress in dementia caregivers.

Family functioning Deficits in bipolar disorder and ADHD in youth

Background: Rates of diagnosis and treatment for bipolar disorder (BD) in youth continue torise. Researchers and clinicians experience difficulty differentiating between BD in youth andother conditions that are commonly comorbid or share similar clinical features with BD,especially attention-deficit/hyperactivity disorder (ADHD). Comparative studies of thephenomenology and psychosocial correlates of these conditions help to address this. Familyfunctioning is an important topic for both BD and ADHD since both are associated withnumerous family-related deficits. One previous study suggested that manic/hypomanic youths’family functioning differed from ADHD and typically developing control (TDC) groups.However, many family functioning studies with BD and ADHD youth have methodologicallimitations or fail to use comprehensive, validated measures. Methods: This investigation usedadolescent report on the Family Assessment Device (FAD), based on the McMaster Model offamily functioning. Youth were recruited in BD (n=30), ADHD (n=36), and TDC (n=41)groups. Results: Groups were similar on most demographic variables, but The TDC groupscored somewhat higher than the others on IQ and socioeconomic status. FAD results indicatedthat BD and ADHD groups scored worse than TDC on the General Functioning and Roles scalesof the FAD. In addition, the BD group showed impairment on the Problem Solving scale relativeto TDC. Limitations: sample size, lack of parent report, ADHD comorbidity in BD group.Conclusions: Family functioning deficits distinguish both clinical groups from TDC, andproblem-solving dysfunction may be specific to BD. These findings may apply to treatmentmodels for both conditions.

Funcionamiento familiar y rendimiento académico en la Facultad de Ciencias Humanas y Educación de una universidad privada

The present research aims to study the relationship between family functioning and academic performancevariables of first and second term students of the Faculty of Education and Human Science in a private university.The MacMaster Model of Family Functioning (MMFF) described by Epstein, Baldwing and Bishop (19983)was used in this study. The model identifies seven dimensions on family functioning: problem solving, rolefunctioning, communication, affective responsiveness, affective involvement, behavioral control and generalfunctioning. The Family Assessment Device (FAD) scale based on the McMaster Model of Family Functioning(MMFF) was used for assesing family functioning dimensions. The academic performance average’s indicatorwas obtained from the student’s grades during the first term of studies in 2008.The relationship among every dimension and the academic performance on a sample of 193 students wasanalyzed, in which the families of the students with high academic performance are more functional in almostall dimensions, except the one related to the role functioning. Therefore, the family functioning level has asignificant relationship with the academic performance in the first and second term students of the School ofEducation and Human Sciences, with the exception of the role functioning dimension in which a significantcorrelationship was not found.

Evaluating and Treating Families

Evaluating and Treating Families

Differential pathways of psychological distress in spouses vs. parents of people with severe traumatic brain injury (TBI): Multi-group analysis

Primary objective: A contemporary model of psychological stress based on an amalgamation of Conservation of Resources theory and the McMaster Model of Family Functioning was devised to compare the effects of neurobehavioural impairments on family functioning and psychological distress in spouses and parents caring for relatives with TBI.Method: Participants were 64 spouses and 58 parents. They completed the Neurobehavioral Problem Checklist, Family Assessment Device and the Brief Symptom Inventory. Structural equation modelling (SEM) was used to test the model for the combined (spouses and parents) sample. Multi-group analysis was then employed for examining differences in structural weights for spouses and parents.Main results: SEM supported the model for the combined sample. Multi-group analysis showed for spouses cognitive and behavioural impairments significantly disrupted family functioning, which in turn increased psychological distress. In contrast, cognitive and behavioural impairments did not significantly disrupt family functioning in parents. For parents, however, cognitive impairments increased psychological distress. Furthermore, parents who reported disrupted family functioning also experienced higher levels of psychological distress. The effect of cognitive impairments was statistically more influential on the level of distress in parents when compared to spouses.Conclusions: Understanding these differences can assist in better targeting family support interventions.

Understanding quality of life for children after liver transplantation: A work in progress

Understanding quality of life for children after liver transplantation: A work in progress