Showing papers on "Family support published in 2011"
TL;DR: In this paper, an organizing framework and theoretical model of work-family conflict was examined, based on 1080 correlations from 178 samples, which indicated that work role stressors (job stressors, role conflict, role ambiguity, role overload, time demands, parental demands, number of children/dependents), family social support (family support, spousal support), family characteristics (family climate), and personality (internal locus of control, negative affect/neuroticism) are antecedents of family-to-work conflict (FWC).
Abstract: This study provides and meta-analytically examines an organizing framework and theoretical model of work–family conflict. Results, based on 1080 correlations from 178 samples, indicate that work role stressors (job stressors, role conflict, role ambiguity, role overload, time demands), work role involvement (job involvement, work interest/centrality), work social support (organizational support, supervisor support, coworker support), work characteristics (task variety, job autonomy, family friendly organization), and personality (internal locus of control, negative affect/neuroticism) are antecedents of work-to-family conflict (WFC); while family role stressors (family stressors, role conflict, role ambiguity, role overload, time demands, parental demands, number of children/dependents), family social support (family support, spousal support), family characteristics (family climate), and personality (internal locus of control, negative affect/neuroticism) are antecedents of family-to-work conflict (FWC). In addition to hypothesized results, a revised model based on study findings indicates that work role stressors (job stressors, role conflict, role ambiguity, role overload) and work social support (organizational support, supervisor support, coworker support) are predictors of FWC; while family role stressors (family stressors, role conflict, role ambiguity, role overload), family involvement (family interest/centrality), family social support (family support, spousal support), and family characteristics (family climate) are predictors of WFC. Copyright © 2010 John Wiley & Sons, Ltd.
974 citations
TL;DR: The origins of and advances in FCC in the NICU are explored, various delivery methods and aspects of FCC are identified, and recommendations for increased dissemination and for future study are offered.
495 citations
TL;DR: There was evidence that high levels of support from friends and moderate (but not high) family support was able to protect bullied adolescents from poor academic achievement, but support fromFriends and family was not sufficient to protect adolescents against mental health difficulties that they might face as a result of being bullied.
286 citations
TL;DR: Investigating the relationships between incivility, work-to-family conflict and family support in Singapore revealed that employees with high family support showed stronger relationships between workplace incvility and negative outcomes, compared with employees with low family support.
Abstract: This study extended incivility research beyond the confines of the workplace by exploring the relationships between incivility, work-to-family conflict and family support. Data collected from 180 employees from various organizations in Singapore showed that incivility is not a rare phenomenon in Asian cultures. Employees experienced more incivility from superiors than coworkers or subordinates, and these experiences were related to different outcomes. Coworkerinitiated incivility was associated with decreased coworker satisfaction, increased perceptions of unfair treatment, and increased depression. On the other hand, superior-initiated incivility was associated with decreased supervisor satisfaction and increased work-to-family conflict. Results also revealed that employees with high family support showed stronger relationships between workplace incivility and negative outcomes, compared with employees with low family support.
280 citations
TL;DR: In this paper, the relevance of different types of support for satisfaction with work life balance was investigated, based on a survey of 7867 service-sector workers in eight European countries.
Abstract: This article studies the relevance of different types of support for satisfaction with work life balance. More specifically, it investigates the relevance of state, instrumental and emotional workplace and family support, based on a survey of 7867 service-sector workers in eight European countries. The article starts by mapping available state, workplace and family support in order to determine which source dominates in which country and whether these sources match Esping-Andersen's welfare regime typology. The impact of the different support sources is then examined. Findings indicate that support for employee work-life balance satisfaction has a direct and moderating effect. Finally, results show that emotional support and instrumental support in the workplace have a complementary relationship. Whereas emotional family support has a positive impact on work-life balance satisfaction, instrumental family support does not.
236 citations
TL;DR: It is suggested that mental health professionals working with LGB youths should address social support and that public health approaches are needed to reduce levels of victimization.
Abstract: Research suggests that lesbian, gay, and bisexual (LGB) youths are at increased risk for both victimization and internalizing mental health problems, but limited research has studied their association or factors that increase resilience. The sample in this study included 425 LGBs between the ages of 16 and 24 years. The majority had disclosed their sexual orientation to family or friends (98%), and 97% had someone in their lives who was accepting of their orientation. Racial/ethnic minority and female participants in general reported lower levels of disclosure and acceptance. Most participants reported some form of sexual orientation-related victimization (94%). Victimization was associated with psychological distress, but a compensatory model indicated that in the context of this victimization both peer and family support had significant promotive effects. A test of a protective model found social support did not ameliorate negative effects of victimization. The positive effects of family support decreas...
218 citations
TL;DR: The evidence supports the use of printed information and structured communication by the usual ICU team, ethics consultation, or palliative care consultation to improve family emotional outcomes and to reduce ICU length of stay and treatment intensity.
218 citations
TL;DR: Individuals with high internalized homophobia who lived in states with unfavorable legal climates regarding gay adoption experienced the steepest increases in depressive and anxious symptoms.
Abstract: This is the first study to examine change in depression and anxiety across the first year of adoptive parenthood in same-sex couples (90 couples: 52 lesbian, 38 gay male). Given that sexual minorities uniquely contend with sexual orientation-related stigma, this study examined how both internalized and enacted forms of stigma affect the mental health of lesbians and gay men during the transition to parenthood. In addition, the role of contextual support was examined. Higher perceived workplace support, family support, and relationship quality were related to lower depressive and anxious symptoms at the time of the adoption, and higher perceived friend support was related to lower anxiety symptoms. Lower internalized homophobia and higher perceived neighborhood gay-friendliness were related to lower depressive symptoms. Finally, individuals with high internalized homophobia who lived in states with unfavorable legal climates regarding gay adoption experienced the steepest increases in depressive and anxious symptoms. Findings have important implications for counselors working with sexual minorities, especially those experiencing the transition to parenthood.
216 citations
TL;DR: An association between low adaptive functioning in children with autism and increased parenting stress creates a need for additional family support as parents search for different coping strategies to assist the family with ongoing and new challenges.
Abstract: Background: As the number of children diagnosed with autism continues to rise, resources must be available to support parents of children with autism and their families. Parents need help as they assess their unique situations, reach out for help in their communities, and work to decrease their stress levels by using appropriate coping strategies that will benefit their entire family.Methods: A descriptive, correlational, cross-sectional study was conducted with 75 parents/primary caregivers of children with autism. Using the McCubbin and Patterson model of family behavior, adaptive behaviors of children with autism, family support networks, parenting stress, and parent coping were measured. Findings and Conclusions: An association between low adaptive functioning in children with autism and increased parenting stress creates a need for additional family support as parents search for different coping strategies to assist the family with ongoing and new challenges. Professionals should have up-to-date know...
212 citations
Journal Article•
TL;DR: After participating in a family-based intervention targeting negative and/or inaccurate illness perceptions, patients with poorly controlled type 2 diabetes showed improvements in A1C levels and other outcomes, suggesting that adding a psychological, family- based component to usual diabetes care may help improve diabetes management.
Abstract: OBJECTIVE: To evaluate the effectiveness of a psychological, family-based intervention to improve diabetes-related outcomes in patients with poorly controlled type 2 diabetes.
METHODS: This study was a randomized controlled trial of a psychological family-based intervention targeted at individuals with poorly controlled type 2 diabetes. Recruitment and follow-up occurred at specialist diabetes clinics. Patients were randomly allocated to an intervention group (n=60) or a control group (n=61). Poor control was defined as at least 2 of the patient's last 3 glycated hemoglobin (A1C) readings at >8.0%. The intervention consisted of 2 sessions delivered by a health psychologist to the patient and a family member in the patient's home, with a third session involving a 15-minute follow-up telephone call.
RESULTS: At 6-month follow-up, the intervention group reported significantly lower mean A1C levels than the control group (8.4% [SD=0.99%] vs 8.8% [SD=1.36%]; P=.04). The intervention was most effective in those with the poorest control at baseline (A1C>9.5%) (intervention 8.7% [SD=1.16%, n=15] vs control 9.9% [SD=1.31%, n=15]; P=.01). The intervention group also reported statistically significant improvements in beliefs about diabetes, psychological well-being, diet, exercise, and family support.
CONCLUSIONS: After participating in a family-based intervention targeting negative and/or inaccurate illness perceptions, patients with poorly controlled type 2 diabetes showed improvements in A1C levels and other outcomes. Our results suggest that adding a psychological, family-based component to usual diabetes care may help improve diabetes management.
209 citations
TL;DR: Impact of post‐operative support groups and other forms of social support on weight loss after bariatric surgery using MeSH terms and a spectrum of patient factors with potential relationship to weight loss outcomes is determined.
Abstract: Social support may be associated with increased weight loss after bariatric surgery. The objective of this article is to determine impact of post-operative support groups and other forms of social support on weight loss after bariatric surgery. MEDLINE search (1988-2009) was completed using MeSH terms including bariatric procedures and a spectrum of patient factors with potential relationship to weight loss outcomes. Of the 934 screened studies, 10 reported on social support and weight loss outcomes. Five studies reported on support groups and five studies reported on other forms of social support (such as perceived family support or number of confidants) and degree of post-operative weight loss (total n = 735 patients). All studies found a positive association between post-operative support groups and weight loss. One study found a positive association between marital status (being single) and weight loss, while three studies found a non-significant positive trend and one study was inconclusive. Support group attendance after bariatric surgery is associated with greater post-operative weight loss. Further research is necessary to determine the impact of other forms of social support. These factors should be addressed in prospective studies of weight loss following bariatric surgery, as they may represent ways to improve post-operative outcomes.
TL;DR: In this article, the effects of social support components and providers on mental health and sexual orientation (SO) milestones of LGB adolescents and young adults were examined. And the importance of the daily perceptions of lgbt youth within social and familial settings, indicating that both positive and negative aspects of support affect youths' mental health.
Abstract: This study examined the effects of social support components and providers on mental health and sexual orientation (SO) milestones of lesbian, gay, and bisexual (LGB) youths. Data were collected on 461 self-identified LGB adolescents and young adults. Family acceptance and support yielded the strongest positive effect on self-acceptance of SO, whereas friends' support and acceptance yielded the strongest positive effect on disclosure of SO. Family support had the strongest negative effect on youth's mental distress, whereas friends' and family support had the strongest positive effect on well-being. These findings highlight the importance of the daily perceptions of LGB youth within social and familial settings, indicating that both positive and negative aspects of support affect youths' mental health and identity development.
TL;DR: This article reviews studies examining the relationship between depression and diabetes, neurochemical underpinnings of the two disorders, and the diagnosis and treatment of depression associated with diabetes and examines the validity of rating scales used to diagnose depression in diabetic patients.
TL;DR: Poorer social support and other psychosocial factors are associated with higher mortality risk, lower adherence to medical care, and poorer physical quality of life in hemodialysis patients.
Abstract: Summary Background and objectives This study aimed to investigate the influence of social support and other psychosocial factors on mortality, adherence to medical care recommendations, and physical quality of life among hemodialysis patients. Design, setting, participants, & measurements Data on 32,332 hemodialysis patients enrolled in the Dialysis Outcomes and Practice Patterns Study (1996 to 2008) in 12 countries were analyzed. Social support and other psychosocial factors related to ESRD and its treatment were measured by patient self-reports of health interference with social activities, isolation, feeling like a burden, and support from family and dialysis staff. Cox regression and logistic regression were used to examine associations of baseline social support and other psychosocial factors with all-cause mortality and with other measured outcomes at baseline, adjusting for potential confounders. Results Mortality was higher among patients reporting that their health interfered with social activities, were isolated, felt like a burden, and were dissatisfied with family support. Poorer family support and several psychosocial measures also were associated with lower adherence to the prescribed hemodialysis length and the recommended weight gain between sessions. Some international differences were observed. Poorer self-reported social support and other psychosocial factors were associated with poor physical quality of life. Conclusions Poorer social support and other psychosocial factors are associated with higher mortality risk, lower adherence to medical care, and poorer physical quality of life in hemodialysis patients. More research is needed to assess whether interventions to improve social support and other psychosocial factors will lengthen survival and enhance quality of life.
TL;DR: This article examined the career development process and post-high school employment outcomes for a sample of individuals with disabilities who were working in living wage occupations 7 to 10 years after exiting high school.
Abstract: Youth with disabilities face many barriers in making the transition from high school to stable long-term employment. Researchers used case study methodology to examine the career development process and postschool employment outcomes for a sample of individuals with disabilities who were working in living wage occupations 7 to 10 years after exiting high school. Key influences on initial post-high school placement included (a) participation in work experience, (b) transition services and supports, and (c) family support and expectations. Ongoing career advancement was supported by a combination of factors including (a) participation in postsecondary education or training; (b) steady work experiences; and (c) a set of personal attributes, including self-efficacy and persistence. These themes were present across all participants, but specific experiences and outcomes varied by gender.
TL;DR: Results indicated that depressive symptoms decreased and perceived social support increased during the study period and suggested that among women, higher initial levels of perceived support from family predicted slower decreases in depressive symptoms.
Abstract: Longitudinal trajectories of depressive symptoms, perceived support from family, and perceived support from friends were examined among 816 emerging adults (480 women; 59%). In the context of a larger longitudinal investigation on the predictors and course of depression, data were drawn from eight self-report questionnaire assessments that roughly spanned the third decade of life. An age-based scaling approach was used to model trajectories of depressive symptoms and perceived social support between the ages of 21 and 30. Associative models of the relations between depressive symptoms and perceived social support from family and friends were tested. Results indicated that depressive symptoms decreased and perceived social support increased during the study period. Associative models suggested that among women, higher initial levels of perceived support from family predicted slower decreases in depressive symptoms (b = .34, p < .01). Among men, higher initial levels of depressive symptoms predicted slower increases in perceived family support (b = -.23, p < .05). Cross-domain predictive effects were not observed for perceived support from friends and depressive symptoms. Implications of the findings are discussed.
TL;DR: A call is made to expand and improve methods for evaluating home visitation, and to view home visitation as a component of a comprehensive system of child and family supports, rather than as a stand-alone model of intervention.
TL;DR: It is suggested that interventions to mitigate psychosocial difficulties, enhance perceptions of purpose and control, and bolster family support and understanding may help promote resilience to combat-related PTSD in OEF-OIF Veterans.
TL;DR: Support was found for the primary role of program and provider factors in client enrollment and completion of services in a home-based child maltreatment prevention service and a standard community care program.
Abstract: High rates of program attrition in home-based family support and child maltreatment prevention services are common. Researchexamining factors related to family engagement (i.e., enrollment and completion rates) may help program developers increase theimpact of child abuse prevention services by reducing attrition. The present study examined the relative influence of provider,program, and individual factors from the Integrated Theory of Parent Involvement (ITPI) as well as maternal and family demo-graphic and risk variables in predicting service enrollment and completion in a home-based child maltreatment prevention service(SafeCareþ) and a standard community care program (Services as Usual [SAU]). Participants were 398 female caregivers ofchildren ages 5 and below. Support was found for the primary role of program and provider factors in client enrollment andcompletion of services. Specifically, participants in SafeCareþ were 4 times more likely to enroll in services and 8.5 times morelikely to complete services than those in SAU. Family risk variables including intimate partner psychological aggression, substanceabuse, and depression were also significant predictors. Recommended next steps include integration of risk-related factors in theITPI framework and disentangling specific provider and program factors related to service engagement.
TL;DR: It might prove useful for counselors to use coping skills training interventions, by retraining active-avoidance coping into meaning-based and active-confronting strategies for infertility-related coping strategies.
Abstract: Background Social support can be a critical component of how a woman adjusts to infertility, yet few studies have investigated its impact on infertility-related coping and stress. We examined relationships between social support contexts and infertility stress domains, and tested if they were mediated by infertility-related coping strategies in a sample of infertile women. Methods The Multidimensional Scale of Perceived Social Support, the Copenhagen Multi-centre Psychosocial Infertility coping scales and the Fertility Problem Inventory were completed by 252 women seeking treatment. Structural equation modeling analysis was used to test the hypothesized multiple mediation model. Results The final model revealed negative effects from perceived partner support to relationship concern (β = -0.47), sexual concern (β = -0.20) and rejection of childfree lifestyle through meaning-based coping (β = -0.04). Perceived friend support had a negative effect on social concern through active-confronting coping (β = -0.04). Finally, besides a direct negative association with social concern (β = -0.30), perceived family support was indirectly and negatively related with all infertility stress domains (β from -0.04 to -0.13) through a positive effect of active-avoidance coping. The model explained between 12 and 66% of the variance of outcomes. Conclusions Despite being limited by a convenience sampling and cross-sectional design, results highlight the importance of social support contexts in helping women deal with infertility treatment. Health professionals should explore the quality of social networks and encourage seeking positive support from family and partners. Findings suggest it might prove useful for counselors to use coping skills training interventions, by retraining active-avoidance coping into meaning-based and active-confronting strategies.
TL;DR: Investigation of the relationship between various types of social support and suicide among African American adolescents indicated that increased family support and peer support are associated with decreased suicidality, andpeer support and community connectedness moderated the relationshipBetween depressive symptoms and suicIDality.
Abstract: Rates of suicide are increasing among African American adolescents and pose a significant public health concern. One area that has received little attention is the relationship between various types of social support and suicide, and the extent to which support moderates the relationship between depressive symptoms and suicidality. A total of 212 African American adolescents completed in-school surveys on three types of social support: family support, peer support, and community connectedness. The survey also addressed depressive symptoms and suicidality, as measured by reasons for living, a cognitive measure of suicide risk. Hierarchical multiple regression analyses were used to examine direct and moderating relationships between types of social support and suicidality. The results indicated that increased family support and peer support are associated with decreased suicidality, and peer support and community connectedness moderated the relationship between depressive symptoms and suicidality. Over a third of the variability in reasons for living was predicted by family support, peer support, and community connectedness. Implications for research and preventative interventions for African American adolescents are discussed.
TL;DR: The results highlight the importance of promoting practitioners’ sense of competence or mastery of a program for facilitating the implementation of evidence-based programs in primary care settings.
Abstract: This study examines factors affecting the implementation by primary care practitioners (nursing, education, allied health, and medical) of a brief parenting and family support intervention (the Primary Care Triple P—Positive Parenting Program) following professional training. It assesses the impact of prior experience, self-efficacy, program supports, program barriers, satisfaction with training, and workplace characteristics on reported extent of program use. The majority of practitioners (97%) reported using Triple P following training. Implementation was assessed as the proportion of cases seen who received the full program. Program supports (quality of format and materials) and barriers (management difficulties and lack of fit) impacted on practitioner self-efficacy, and higher self-efficacy was positively associated with implementation. Prior professional experience, satisfaction with training, and workplace factors were not significant predictors. These results highlight the importance of promoting practitioners’ sense of competence or mastery of a program for facilitating the implementation of evidence-based programs in primary care settings.
TL;DR: The convoy model is used to describe the factors that influence supportive relations within intergenerational families, beginning with a description of the changing structure of theintergenerational family.
Abstract: There have been fundamental changes in the intergenerational family, and yet families continue to be an important part of people's lives. We use the convoy model to describe the factors that influence supportive relations within intergenerational families, beginning with a description of the changing structure of the intergenerational family. We next outline support exchanges, detailing how personal characteristics, especially gender, race, age and socio-economic status, and situational characteristics, in particular family structure and intergenerational context, influence support exchanges. Instrumental and emotional family exchanges are described, with special attention to the unique circumstances of care-giving in intergenerational families. We also examine the importance of recognising differences in the quality of intergenerational relations, again noting the influence of personal and situational characteristics. Variations in support quality, e.g. positive, negative and ambivalent, and its influence on wellbeing are discussed. As families and individuals change, differences emerge at the individual, family and societal levels. We consider the implications of changes and stability in intergenerational relations and make recommendations about how best to envisage and plan future intergenerational family support. Societies with fewer resources as well as individuals and families with diverse individual histories must be innovative and creative in meeting the needs of older people as well as those of all family members.
TL;DR: Evidence is provided that the dementia care family programme can improve the psychosocial functioning of both clients with dementia and their family caregivers in a Chinese population.
Abstract: chien w.t. & lee i.y.m. (2011) Randomized controlled trial of a dementia care programme for families of home-resided older people with dementia. Journal of Advanced Nursing67(4), 774–787.
Abstract
Aim. This paper reports a study to examine the effectiveness of a 6-month dementia care programme for Chinese families living with and caring for a relative with dementia, compared with routine family support services in Hong Kong.
Background. Recognizing the adverse psychosocial health effects inherent in dementia care, different psychosocial interventions provided preliminary evidence of their effectiveness in improving family members’ knowledge and skills in caregiving and delaying dementia sufferers’ illness deterioration and institutionalization. Little is known about the effects of such interventions for family caregivers’ psychosocial health conditions, particularly in non-Western populations.
Methods. A randomized controlled trial was conducted with 92 Chinese families of a relative with dementia in two dementia care centres in Hong Kong. They were randomly selected from a dementia client list and then randomly assigned to receive either the dementia family care programme (n = 46), or routine care only (n = 46). Clients’ symptoms and institutionalization, and caregivers’ quality of life, burden and social support at recruitment, 1 week, and 12 and 18 months following intervention were measured and compared between the study groups using repeated measures manovas followed by Helmert’s contrast tests. Data was collected over a period of 24 months, between September 2007 and August 2009.
Results. Results of the manovas and contrast tests indicated that at 18-month follow-up, participants in the family programme reported significantly greater improvements in clients’ symptoms and institutionalization rates, and caregivers’ quality of life and burden, when compared with their counterparts in the routine care group.
Conclusion. These findings provide evidence that the dementia care family programme can improve the psychosocial functioning of both clients with dementia and their family caregivers in a Chinese population. Further research is recommended to investigate whether this intervention can also apply to families with different socio-economic backgrounds and across cultures.
TL;DR: This paper examined the extent to which selected work-related variables differentially predict burnout and secondary traumatic stress and the degree to which social support mitigates both of these occupational stress syndromes.
Abstract: The current study examines the extent to which selected work-related variables differentially predict burnout and secondary traumatic stress (STS) and the degree to which social support mitigates both of these occupational stress syndromes. Multiple regression performed on responses from 331 professional chaplains found that: (1) the number of years worked in the same employment position was positively associated with burnout but not STS; (2) STS, but not burnout, was positively associated with the number of hours spent per week counseling patients who had had a traumatic experience; and (3) social support was negatively related to burnout and STS. Only specific sources of social support (supervisory support and family support), however, were negatively associated with burnout. Results highlight the need for counselors to be attuned to not only their clients but also to their own inner dynamics in order to mitigate the possible deleterious effects of their work.
TL;DR: In this article, the authors examined what factors may be related to resilience in these academic environments and found that past experience with discrimination, positive experience with female role models, family support, and general social support were associated with a greater sense of belonging to or desire to participate in the conference.
Abstract: Women who have academic careers in engineering have successfully navigated the social identity threats that prevent many other women from feeling that they belong in science, technology, engineering, and math fields. In this research, we examined what factors may be related to resilience in these academic environments. Female academics in engineering and nonengineering fields watched a fictitious conference video depicting either an unbalanced ratio of men to women or a balanced ratio. Subjective measures of identity threat were collected. Past experience with discrimination, positive experience with female role models, family support, and general social support were associated with a greater sense of belonging to or desire to participate in the conference. These variables all buffered negative responding to social identity threat. Implications are discussed for understanding resilience to social identity threat, particularly among women in engineering.
TL;DR: The findings suggest the need for interventions to increase caregivers' sense of control and social support immediately after patient hospitalizations to minimize the negative impact of caregiving.
Abstract: Background Factors that affect the impact of caregiving on patients' family members who provide care to patients with heart failure have not been adequately addressed. In addition, social support and positive aspects of caregiving have received little attention. Objective To identify factors associated with the impact of caregiving. Methods Self-report data were collected from 76 dyads of patients with heart failure and their family caregivers. Clinical data were obtained from medical records. Results A sense of less family support for caregiving was associated with a higher New York Heart Association class of heart failure, being a nonspousal caregiver, lower caregivers' perceived control, and less social support. More disruption of caregivers' schedules was associated with higher class of heart failure, more care tasks, and less social support. Greater impact of caregiving on caregivers' health was related to more recent patient hospitalization, lower caregivers' perceived control, and less social support. Nonwhite caregivers and caregivers whose family member had fewer emergency department visits felt more positive about caregiving than did other caregivers. Social support had a moderating effect on the relationship between patients' comorbid conditions and positive aspects of caregiving. Conclusions Caregiving has both positive and negative effects on family caregivers of patients with heart failure. The findings suggest the need for interventions to increase caregivers' sense of control and social support. Family caregivers may need additional support immediately after patient hospitalizations to minimize the negative impact of caregiving.
TL;DR: Caring for persons with CHF can affect the well-being of their informal caregivers, which may ultimately have consequences for the CHF patient's health.
Abstract: Background Increasing evidence suggests that family support for patients with chronic heart failure (CHF) contributes greatly to the disease management of CHF In addition, the quality of the CHF patient's close personal relationships can influence CHF outcomes However, caregivers cannot provide care alone and need guidance, support, and skills to manage care that is often complex In this article, we provide a review of studies that have explicitly investigated these issues of informal caregivers to CHF patients Objective The objective of this study was to explore informal caregivers' views and experiences of caring for patients with CHF Methods This is a systematic review and synthesis of qualitative studies describing informal caregivers' experiences in home-based care Data sources were published literature written in English from electronic databases: PubMed, CINAHL (1982-2009), PsycINFO (1967-2009), EMBASE (1980-2009), and the Cochrane Library Database Ten primary studies met the inclusion criteria Results A number of themes emerged Five key themes were identified from synthesis of the studies: sharing of caring, suffering from anxiety, being isolated, enjoying a good relationship, and searching for support Conclusions Caring for persons with CHF can affect the well-being of their informal caregivers, which may ultimately have consequences for the CHF patient's health Further studies are needed to clarify these issues and to examine the role of informal caregivers in the management of CHF
12 Dec 2011
TL;DR: A literature review on changing trends in family support from interventions based on the individual's needs to a situation where needs are seen in the context of the family and the environment is presented in this paper.
Abstract: Intervention programmes in intellectual and developmental disabilities have targeted the individual's special needs independent of the family and environmental context. This trend has been changing over the past two decades and this paper presents a literature review on changing trends in family support from interventions based on the individual’s needs to a situation where needs are seen in the context of the family and the environment.
TL;DR: Although parent PA was not directly related to children's MVPA, results showed that parent PA indirectly affects preschool children's VMPA via its influence on family support for children's PA.
Abstract: Results: A model of direct and indirect relations of family variables, preschool quality, home PA equipment, and child’s enjoyment of PA had acceptable fit (root mean square error of approximation, 0.053; comparative fit index, 0.90). Parent PA, parent enjoyment of PA, and importance of child’s PA were significantly related to family support. Family support, quality of preschool attended, home PA equipment, and child’s enjoyment of PA were positively related to child’s PA. However, there was no direct relationship between parent PA and the child’s PA. Conclusion: Although parent PA was not directly related to children’s MVPA, results showed that parent PA indirectly affects preschool children’s MVPA via its influence on family support for children’s PA.