Abstract:The Danish version of the Brief FAM-III demonstrated satisfactory validity and reliability to assess family functioning among acutely admitted elderly Danish patients. We suggest that it may also be useful for monitoring family functioning over time or determining the effects of therapeutic interventions in elderly medical patients; however, further testing is recommended.
“…One possible implication of this is that health care providers should consider incorporating social support for HF patients and their relatives to enhance family health and family functioning. Family functioning is important in modifying the lifestyle of the patient and family in response to an illness [31]. Hence, by improving family functioning, patients with HF and their families can better cope with the disease.…”
Background
Social support, family functioning and family health are essential elements in the treatment of heart failure, yet most heart failure studies focus on the pharmacological interventions. This study aimed to examine whether perceived social support from nurses is associated with better family functioning of patients with heart failure and their nearest relatives and to examine whether family health mediates this relationship.
Methods and findings
A sample of 312 patients with heart failure and 312 of their nearest relatives were included in the study. The Family Functioning, Health and Social Support questionnaire was used to collect the data. Dyadic data were analysed by the Actor–Partner Interdependence Mediation Model with distinguishable dyads using structural equation modelling. Patients and nearest relatives who perceived more social support had a higher level of family health and functioned better within the family. One partner effect was found, indicating that the higher the level of family health of the nearest relative, the better the family functioning of the patient (p <0.001). Family health partially (in the patient) and completely (in the nearest relative) mediated the association between social support and family functioning.
Conclusion
This study indicated that patients with heart failure and their nearest relatives who perceived more social support from nurses were more likely to have high level of family health and function better within the family. The interdependent relationships found in our study highlight a dyadic and family-oriented approach to improve family functioning in patients with heart failure.
“…One possible implication of this is that health care providers should consider incorporating social support for HF patients and their relatives to enhance family health and family functioning. Family functioning is important in modifying the lifestyle of the patient and family in response to an illness [31]. Hence, by improving family functioning, patients with HF and their families can better cope with the disease.…”
Background
Social support, family functioning and family health are essential elements in the treatment of heart failure, yet most heart failure studies focus on the pharmacological interventions. This study aimed to examine whether perceived social support from nurses is associated with better family functioning of patients with heart failure and their nearest relatives and to examine whether family health mediates this relationship.
Methods and findings
A sample of 312 patients with heart failure and 312 of their nearest relatives were included in the study. The Family Functioning, Health and Social Support questionnaire was used to collect the data. Dyadic data were analysed by the Actor–Partner Interdependence Mediation Model with distinguishable dyads using structural equation modelling. Patients and nearest relatives who perceived more social support had a higher level of family health and functioned better within the family. One partner effect was found, indicating that the higher the level of family health of the nearest relative, the better the family functioning of the patient (p <0.001). Family health partially (in the patient) and completely (in the nearest relative) mediated the association between social support and family functioning.
Conclusion
This study indicated that patients with heart failure and their nearest relatives who perceived more social support from nurses were more likely to have high level of family health and function better within the family. The interdependent relationships found in our study highlight a dyadic and family-oriented approach to improve family functioning in patients with heart failure.
“…The ICE-EFFQ measures expressive emotions, collaboration, problem solving, communication, and behavior in families experiencing a chronic or an acute illness. The conceptual framework of the Calgary Family Assessment Model [ 47 , 56 ] currently has a Danish version of the instrument [ 19 ].…”
Section: Resultsmentioning
confidence: 99%
“…The reliability expressed in Cronbach’s alpha found in the publications reflects that, of the eight questionnaires found, the one with the highest index is the Danish version of the Brief FAM-III with a score of 0.94 [ 19 ], which classifies it as an instrument with excellent reliability, in that same category as the FAD (0.92) [ 43 ] and the ICE-EFFQ (0.912) [ 47 ].…”
Section: Discussionmentioning
confidence: 99%
“…Recent studies conducted in adults assessed family functioning with different chronic diseases such as end-stage cancer and its influence on caregivers [ 17 ], family functioning and the quality of life in diabetic and non-diabetic women [ 1 ], sarcopenia and lifestyle, [ 18 ] and acute hospitalization [ 19 ].…”
There is little information on the evaluation of family functioning in adult patients with chronic non-psychiatric illness. The objective of this systematic review was to identify family functioning assessment instruments of known validity and reliability that have been used in health research on patients with a chronic non-psychiatric illness. We conducted a search in three biomedical databases (PubMed, Science Direct, and Web of Science), for original articles available in English or Spanish published between 2000 and 2019. The review was conducted in accordance with PRISMA guidelines. Fourteen articles were included in the review. The instruments Family Assessment Device, Family Adaptability and Cohesion Evaluation Scales, Family Functioning Health and Social Support, Family APGAR, Assessment of Strategies in Families-Effectiveness, Iceland Expressive Family Functioning, Brief Family Assessment Measure-III, and Family Relationship Index were identified. All of them are reliable instruments to evaluate family functioning in chronic patients and could be very valuable to help nurses identify families in need of a psychosocial intervention. The availability and clinical application of these instruments will allow nurses to generate knowledge on family health and care for non-psychiatric chronic conditions, and will eventually contribute to the health and wellbeing of adults with a non-psychiatric chronic disease and their families.
“…Family functioning was assessed using the Danish validated version of the Brief FAM-III [23]. The Brief FAM-III is a self-report instrument and a short version of the original FAM-III by Skinner et al indicate less than average family difficulties, while T-scores higher than 50 indicate more than average family difficulties [15].…”
Section: The Brief Family Assessment Measure IIImentioning
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