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Wijayanti E. How to Strengthen Primary Care? The Integration of Clinical Practice and Community Health Care. Korean J Fam Med 2024; 45:176-177. [PMID: 38515242 PMCID: PMC11116123 DOI: 10.4082/kjfm.23.0242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 11/08/2023] [Indexed: 03/23/2024] Open
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Alawi S, Dieperink KB, Agerskov H, Marcussen J, Möller S, Voltelen B, Hyldig N. Translation and Cross-Cultural Validation of the Danish Version of the Family Health Scale-Long Form: A Psychometric Study. Semin Oncol Nurs 2023; 39:151480. [PMID: 37550098 DOI: 10.1016/j.soncn.2023.151480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 06/29/2023] [Accepted: 07/05/2023] [Indexed: 08/09/2023]
Abstract
OBJECTIVES The Family Health Scale is a new instrument for evaluating family health. The instrument is reported as valid and reliable in investigating family health among different types of adult family members. This study aimed to translate the Family Health Scale into Danish and investigate its validity and reliability in families with a family member affected by chronic or serious illness. DATA SOURCES Translation was performed through forward and backward bilingual practice consisting of 10 steps. A cross-sectional study included 406 participants, of whom 94 also participated in a follow-up study within 3 weeks for the test-retest. Content validity was examined by conducting cognitive interviews with nine family members. Internal consistency reliability was assessed using Cronbach α. The test-retest reliability was evaluated using intraclass correlation coefficients. Model fit was assessed using confirmatory factor analysis. CONCLUSION The Family Health Scale demonstrated good content validity and a moderate model fit. Both Internal consistency reliability and test-retest reliability were satisfying. Cronbach α ranged from 0.73 to 0.89, while the intraclass correlation coefficient value was 0.88. The confirmatory factor analysis estimated a satisfying model fit, with an acceptable root-mean-square error of 0.076 and a moderate comparative fit index of 0.794. IMPLICATION FOR NURSING PRACTICE The Family Health Scale instrument has the potential to identify vulnerable families or families affected by chronic or serious illnesses, such as cancer. The assessment tool can consequently be used to target interventions to promote family health and improve the health of both the individual and his/her family.
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Affiliation(s)
- Sharifa Alawi
- Department of Oncology, Research Unit of Oncology, Odense University Hospital, Odense, Denmark; Department of Clinical Research, Family Focused Healthcare Research Center (FaCe), University of Southern Denmark, Odense, Denmark.
| | - Karin B Dieperink
- Department of Oncology, Research Unit of Oncology, Odense University Hospital, Odense, Denmark; Department of Clinical Research, FaCe, University of Southern Denmark, Odense, Denmark
| | - Hanne Agerskov
- Department of Clinical Research, FaCe, University of Southern Denmark, Odense, Denmark; Department of Nephrology, Odense University Hospital, Odense, Denmark
| | - Jette Marcussen
- Department of Clinical Research, FaCe, University of Southern Denmark, Odense, Denmark; OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Department of Health Sciences, University College Lillebaelt, Vejle, Denmark; Department of Nature and Health, University of Greenland
| | - Sören Möller
- Department of Clinical Research, FaCe, University of Southern Denmark, Odense, Denmark; Open Patient Data Explorative Network, Odense University Hospital, Odense, Denmark
| | - Barbara Voltelen
- Department of Clinical Research, FaCe, University of Southern Denmark, Odense, Denmark; Department of Nursing Education and Health Sciences Research Center, University College Lillebaelt, Vejle, Denmark
| | - Nana Hyldig
- Department of Haematology, Research Unit of Haematology, Odense University Hospital, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Thornton RL, Yang TJ. Addressing population health inequities: investing in the social determinants of health for children and families to advance child health equity. Curr Opin Pediatr 2023; 35:8-13. [PMID: 36301135 PMCID: PMC9803382 DOI: 10.1097/mop.0000000000001189] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
PURPOSE OF REVIEW This review provides a critical assessment of recent pediatric population health research with a specific focus on child health equity. The review addresses: the role of the healthcare sector in addressing fundamental social drivers of health, challenges within healthcare organizations in addressing health-related social needs and the social determinants of health, and the rationale for incorporating race and racism in pediatric population health research and practice. RECENT FINDINGS The coronavirus disease 2019 pandemic brought greater attention to the disparities and inequities in American health and healthcare. In response to these stark inequities, many health systems are adopting efforts and initiatives to address social needs, social determinants of health, racism, and health equity. However, empirical evaluation detailing the effectiveness of these interventions and initiatives is limited. SUMMARY While attention to identifying social needs among pediatric populations is increasing, there is limited evidence regarding the effectiveness of these interventions in producing sustained reductions in health disparities. To advance child health equity, researchers should move beyond individual behavior modification and directly examine fundamental drivers of health inequities. These drivers include government and health policies as well as societal forces such as systemic racism.
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Affiliation(s)
| | - Tracy J. Yang
- Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA
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Pinge S, More S, Savant S, Komble R, More S. Assessment of parents' involvement and the awareness of oral hygiene practices among 10–12-year-Old schoolchildren in Pune City. ADVANCES IN HUMAN BIOLOGY 2023. [DOI: 10.4103/aihb.aihb_194_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
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Miller AL, Stein SF, Sokol R, Varisco R, Trout P, Julian MM, Ribaudo J, Kay J, Pilkauskas NV, Gardner-Neblett N, Herrenkohl TI, Zivin K, Muzik M, Rosenblum KL. From zero to thrive: A model of cross-system and cross-sector relational health to promote early childhood development across the child-serving ecosystem. Infant Ment Health J 2022; 43:624-637. [PMID: 35638583 DOI: 10.1002/imhj.21996] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 11/30/2021] [Indexed: 11/05/2022]
Abstract
Early relational health between caregivers and children is foundational for child health and well-being. Children and caregivers are also embedded within multiple systems and sectors, or a "child-serving ecosystem", that shapes child development. Although the COVID-19 pandemic has made this embeddedness abundantly clear, systems remain siloed and lack coordination. Fostering relational health amongst layers of this ecosystem may be a way to systematically support young children and families who are facing adversity. We integrate theory, examples, and empirical findings to develop a conceptual model informed by infant mental health and public health frameworks that illustrates how relational health across the child-serving ecosystem may promote child health and well-being at a population level. Our model articulates what relational health looks like across levels of this ecosystem from primary caregiver-child relationships, to secondary relationships between caregivers and child-serving systems, to tertiary relationships among systems that shape child outcomes directly and indirectly. We posit that positive relational health across levels is critical for promoting child health and well-being broadly. We provide examples of evidence-based approaches that address primary, secondary, and tertiary relational health, and suggest ways to promote relational health through cross-sector training and psychoeducation in the science of early development. This model conceptualizes relational health across the child-serving ecosystem and can serve as a template for promoting child health and well-being in the context of adversity.
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Affiliation(s)
- Alison L Miller
- School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
| | - Sara F Stein
- School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.,School of Social Work, University of Michigan, Ann Arbor, Michigan, USA
| | - Rebeccah Sokol
- School of Social Work, Wayne State University, Detroit, Michigan, USA
| | - Rachel Varisco
- School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
| | - Phoebe Trout
- School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.,Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan, USA
| | - Megan M Julian
- Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Julie Ribaudo
- School of Social Work, University of Michigan, Ann Arbor, Michigan, USA
| | - Joshua Kay
- University of Michigan Law School, Ann Arbor, Michigan, USA
| | | | | | - Todd I Herrenkohl
- School of Social Work, University of Michigan, Ann Arbor, Michigan, USA
| | - Kara Zivin
- School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.,Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.,Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Maria Muzik
- Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.,Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Katherine L Rosenblum
- Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.,Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA
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Ramaswami SB, Jensen T, Berghaus M, De-Oliveira S, Russ SA, Weiss-Laxer N, Verbiest S, Barkin S. Family Health Development in Life Course Research: A Scoping Review of Family Functioning Measures. Pediatrics 2022; 149:186919. [PMID: 35503321 PMCID: PMC9847419 DOI: 10.1542/peds.2021-053509j] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/27/2021] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Our objective is to identify common family functioning measurement tools and assess their compatibility with family-health development and life-course perspectives. METHODS Data sources include PubMed, ERIC, CINAHL, Families and Societies Worldwide, PsychInfo, Web of Science, PsychNet, and Health and Psychosocial Instruments. Title and abstract screening and full-text review of articles were conducted by multiple reviewers based on prespecified inclusion criteria. Data extraction focused on features of identified measurements tools, including: (1) name (2) domains of family functioning measured, (3) established psychometric properties, and (4) original context of psychometric evaluation (eg, details about the study sample). RESULTS Of the 50 measurement tools identified, 94% measured organizational patterns (eg, flexibility, connectedness, or resources), 46% measured belief systems (eg, making meaning of adversity, or positive outlook), and 54% measured communication processes (eg, open emotional sharing, or collaborative problem-solving). CONCLUSIONS Existing measures of family functioning can aid life-course researchers in understanding family processes as contexts for health and well-being. There also remain opportunities to refine or develop measures of family functioning more compatible with a life-course perspective that assess family processes (1) at various life stages; (2) with various backgrounds, identities, structures, and experiences; and (3) embedded in or impacted by various contexts that may facilitate or hinder family functioning.
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Affiliation(s)
- Saswati B. Ramaswami
- Center for Healthier Children, Families, and Communities,Department of Pediatrics, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California
| | - Todd Jensen
- Jordan Institute for Families, School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina,Address correspondence to Todd Jensen, PhD, MSW, School of Social Work, University of North Carolina at Chapel Hill; 325 Pittsboro St CB#3550, Chapel Hill, NC 25799. E-mail:
| | - Mary Berghaus
- Center for Healthier Children, Families, and Communities,Department of Pediatrics, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California
| | | | - Shirley A. Russ
- Center for Healthier Children, Families, and Communities,Department of Pediatrics, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California
| | - Nomi Weiss-Laxer
- Department of Family Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, New York
| | - Sarah Verbiest
- Jordan Institute for Families, School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Shari Barkin
- Department of Pediatrics, School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee
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