Family Functioning in Pediatric Primary Care Patients

Fossen, Catherine A. Van; Pratt, Keeley J.; Murray, Robert; Skelton, Joseph A.

doi:10.1177/0009922818793347

Cited by 9 publications

(12 citation statements)

References 52 publications

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“…Participant responses are summed to equal a total score, then average is calculated to determine if participants fall above (≥2.00 average = impaired family functioning) or below (<2.00 average = healthy family functioning) a clinical threshold for impaired family functioning . The psychometric properties of the General Functioning Scale have been assessed with this sample in prior publication, demonstrating good reliability ( α = .90) and construct validity ( χ 2 (54) = 56.44, P = .38; Root Mean Square Error of Approximation = 0.01; Confirmatory Fit Index = 0.99) . Other researchers have also reported good reliability for the scale in studies of youth with obesity …”

Section: Methodsmentioning

confidence: 88%

“…Root Mean Square Error of Approximation = 0.01; Confirmatory Fit Index = 0.99). 10 Other researchers have also reported good reliability for the scale in studies of youth with obesity. 9,12,16…”

Section: Methodsmentioning

confidence: 91%

“…Consent (written) was obtained from caregivers prior to administration of the survey. Procedures for this study have been published previously . In every consecutive family meeting our inclusion criteria had an equal opportunity for enrolment while the research assistant was present 2 days per week from September to December 2016.…”

Section: Methodsmentioning

confidence: 99%

“…Family functioning is a concept consistent with FST, which researchers and providers use to quantify what is happening in the overall family emotional environment . Despite existing studies on family functioning, it is rarely assessed in paediatric primary care, and even less frequently in relation to the prevention and treatment of obesity in youth . Yet, the family emotional environment exerts great influence on both the development of youth obesity and how responsive the family is to treatment .…”

Section: Introductionmentioning

confidence: 99%

“…7 Despite existing studies on family functioning, it is rarely assessed in paediatric primary care, and even less frequently in relation to the prevention and treatment of obesity in youth. 5,9,10 Yet, the family emotional environment exerts great influence on both the development of youth obesity and how responsive the family is to treatment. [11][12][13] To assess family functioning, previous researchers have utilized the McMaster Family Assessment Device (FAD) or the General Function Scale of the full measure, 9 based on the McMaster Model of family functioning.…”

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confidence: 99%

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Youth weight status and family functioning in paediatric primary care

et al. 2019

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Summary The purpose of this study is to examine the associations between family functioning and youth overweight and obesity in a sample of primary care paediatric patients. Specially, we hypothesize that caregivers of youth with an overweight/obese weight status will report more impaired family functioning. A cross‐sectional descriptive study was conducted with 329 caregivers of youth ages 2 to 18 seen in paediatric primary care. Caregivers completed the Family Assessment Device General Functioning Scale and clinical demographics, including parent‐reported youth height and weight to calculate body mass index (BMI). Family functioning was used as a continuous total variable, and as a dichotomous variable based on clinically impaired or healthy family functioning. Analyses included descriptive statistics, Pearson's correlations, and independent t tests. Caregivers who reported impaired family functioning based on the clinical cutoff score were more likely to report that their youth had a higher BMI and BMI z‐score. Caregivers with impaired family functioning and who identified as being in two‐parent families, with at least a Bachelor's degree, and a moderate to high family income were more likely to report their youth was a higher weight status. Further screening and assessment of family functioning in combination with youth weight status among a larger diverse sample of primary care paediatric patients over time will provide insight into what aspects of family functioning may contribute to maintaining a healthy lifestyle or adopting new health behaviours to prevent and/or treat obesity in youth.

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Section: Methodsmentioning

confidence: 88%

Section: Methodsmentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Youth weight status and family functioning in paediatric primary care

et al. 2019

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Dyadic reports of weight control practices, sedentary behaviors, and family functioning and communication between adult weight management patients and their children

Keeley

Catherine

Haley

et al. 2021

Obesity Science & Practice

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Background: Parents are increasingly pursuing weight loss in medical weight management programs, yet little is known about the presenting behaviors and practices of children who have parents initiating these programs.Objective: To describe congruence in weight control practices, sedentary and screen time behaviors, and family functioning and communication between parents initiating a medical weight management program and their children (ages 7-18). Methods: Twenty-three dyads were enrolled and had measured height/weight and research packets completed including perceived weight status, weight control practices, sedentary and screen-time behaviors, and family functioning and communication. Paired t-tests and intraclass correlations assessed congruence; independent t-tests determined differences based on child demographics (age, sex, and weight status). Results: Parents underestimated children's use of weight control practices compared to child reports. Children with overweight, males, and older in age had increased weight control practices and sedentary and screen-time behaviors. Children who perceived themselves to have overweight reported more impaired family communication than children perceived to be a healthy weight. Conclusions: This study highlights the discrepancy between dyads' reports of children's behaviors, and identifies that specific child populations with overweight, older in age, and males are at-risk of experiencing less healthy behaviors and impaired family communication. Future research should monitor changes over time in parental weight management programs to determine effects based on parental weight loss.

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