scholarly journals Video-Delivered Family Therapy for Home Visited Young Mothers With Perinatal Depressive Symptoms: Quasi-Experimental Implementation-Effectiveness Hybrid Trial

10.2196/11513 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e11513 ◽  
Author(s):  
Fallon Cluxton-Keller ◽  
Melony Williams ◽  
Jennifer Buteau ◽  
Craig L Donnelly ◽  
Patricia Stolte ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Family Therapy ◽  
Rural Areas ◽  
Home Visiting ◽  
Comparison Group ◽  
Historical Comparison ◽  
The Family ◽  
Perinatal Depressive Symptoms ◽  
Clinically Significant ◽  
Therapy Intervention

Background The Federal Maternal, Infant, and Early Childhood Home Visiting Program is a national child abuse prevention strategy that serves families at risk for child maltreatment throughout the United States. Significant portions of the clients are young mothers who screen positive for clinically significant perinatal depressive symptoms and experience relational discord that worsens their symptoms. Although home visitors refer those who screen positive for depression to community-based treatment, they infrequently obtain treatment because of multiple barriers. These barriers are compounded for home visited families in rural areas. Objective This pilot study aimed to explore the feasibility, acceptability, and effectiveness of a video-delivered family therapy intervention on reducing maternal depressive symptoms and improving family functioning and emotion regulation. Methods A total of 13 home visited families received the video-delivered family therapy intervention. This study included a historical comparison group of mothers (N=13) who were previously enrolled in home visiting and screened positive for clinically significant perinatal depressive symptoms but refused treatment. A licensed marriage and family therapist delivered the family therapy intervention using Health Insurance Portability and Accountability Act–compliant videoconferencing technology on a computer from an office. Families participated in sessions in their homes using cell phones, tablets, and computers equipped with microphones and video cameras. Outcomes were measured following the final therapy session (post intervention) and 2 months later (follow-up). Depressive symptom scores of mothers who received the video-delivered family therapy intervention were compared with those of mothers in the historical comparison group over a 6-month period. Univariate statistics and correlations were calculated to assess measures of feasibility. Percentages and qualitative thematic analysis were used to assess acceptability. Wilcoxon signed-rank tests were used to assess changes in maternal and family outcomes. Results No families dropped out of the study. All families reported that the technology was convenient and easy to use. All families reported high satisfaction with the video-delivered intervention. Nearly all families reported that they preferred video-delivered family therapy instead of clinic-based therapy. Therapeutic alliance was strong. Mothers demonstrated a statistically significant reduction in depressive symptoms (P=.001). When compared with mothers in the historical comparison group, those in the family therapy intervention showed a significant reduction in depressive symptoms (P=.001). Families demonstrated statistically significant improvements in family functioning (P=.02) and cognitive reappraisal (P=.004). Conclusions This pilot study yielded preliminary findings that support the feasibility, acceptability, and effectiveness of the video-delivered family therapy intervention for underserved home visited families in rural areas. Our findings are very promising, but more research is needed to ultimately influence mental health practices and policies that pertain to video-delivered mental health interventions in unsupervised settings (eg, homes).

scholarly journals Video-Delivered Family Therapy for Home Visited Young Mothers With Perinatal Depressive Symptoms: Quasi-Experimental Implementation-Effectiveness Hybrid Trial (Preprint)

2018 ◽  
Author(s):  
Fallon Cluxton-Keller ◽  
Melony Williams ◽  
Jennifer Buteau ◽  
Craig L Donnelly ◽  
Patricia Stolte ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Family Therapy ◽  
Rural Areas ◽  
Home Visiting ◽  
Comparison Group ◽  
Historical Comparison ◽  
The Family ◽  
Perinatal Depressive Symptoms ◽  
Clinically Significant ◽  
Therapy Intervention

BACKGROUND The Federal Maternal, Infant, and Early Childhood Home Visiting Program is a national child abuse prevention strategy that serves families at risk for child maltreatment throughout the United States. Significant portions of the clients are young mothers who screen positive for clinically significant perinatal depressive symptoms and experience relational discord that worsens their symptoms. Although home visitors refer those who screen positive for depression to community-based treatment, they infrequently obtain treatment because of multiple barriers. These barriers are compounded for home visited families in rural areas. OBJECTIVE This pilot study aimed to explore the feasibility, acceptability, and effectiveness of a video-delivered family therapy intervention on reducing maternal depressive symptoms and improving family functioning and emotion regulation. METHODS A total of 13 home visited families received the video-delivered family therapy intervention. This study included a historical comparison group of mothers (N=13) who were previously enrolled in home visiting and screened positive for clinically significant perinatal depressive symptoms but refused treatment. A licensed marriage and family therapist delivered the family therapy intervention using Health Insurance Portability and Accountability Act–compliant videoconferencing technology on a computer from an office. Families participated in sessions in their homes using cell phones, tablets, and computers equipped with microphones and video cameras. Outcomes were measured following the final therapy session (post intervention) and 2 months later (follow-up). Depressive symptom scores of mothers who received the video-delivered family therapy intervention were compared with those of mothers in the historical comparison group over a 6-month period. Univariate statistics and correlations were calculated to assess measures of feasibility. Percentages and qualitative thematic analysis were used to assess acceptability. Wilcoxon signed-rank tests were used to assess changes in maternal and family outcomes. RESULTS No families dropped out of the study. All families reported that the technology was convenient and easy to use. All families reported high satisfaction with the video-delivered intervention. Nearly all families reported that they preferred video-delivered family therapy instead of clinic-based therapy. Therapeutic alliance was strong. Mothers demonstrated a statistically significant reduction in depressive symptoms (P=.001). When compared with mothers in the historical comparison group, those in the family therapy intervention showed a significant reduction in depressive symptoms (P=.001). Families demonstrated statistically significant improvements in family functioning (P=.02) and cognitive reappraisal (P=.004). CONCLUSIONS This pilot study yielded preliminary findings that support the feasibility, acceptability, and effectiveness of the video-delivered family therapy intervention for underserved home visited families in rural areas. Our findings are very promising, but more research is needed to ultimately influence mental health practices and policies that pertain to video-delivered mental health interventions in unsupervised settings (eg, homes).

scholarly journals Family Roles, Family Dysfunction, and Depressive Symptoms

2020 ◽  
pp. 106648072097341
Author(s):  
Hanna Zagefka ◽  
Joshua Jones ◽  
Alara Caglar ◽  
Ritu Girish ◽  
Carly Matos
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Family Therapy ◽  
Family Of Origin ◽  
Family Dysfunction ◽  
Family Roles ◽  
The Family ◽  
Lost Child

This work focuses on different roles individuals might adopt in their family of origin: hero, scapegoat, lost child, mascot, caretaker, and mastermind. It was explored whether family dysfunction in the family of origin makes it more likely that individuals will take on certain roles, in particular those of “scapegoat” and “lost child.” Further, it was tested whether the problematic roles of scapegoat and lost child are linked to greater depressive symptoms later on during adulthood. Support for these predictions was found in two correlational survey studies of young and older adults retrospectively reporting the roles they assumed in their family of origin ( N = 176 and 366, respectively). Findings are discussed in terms of their implications for family therapy.

An Eclectic View of the Family Therapy Field

1988 ◽  
Vol 33 (6) ◽  
pp. 527-528
Author(s):  
Thorana S. Nelson
Keyword(s):  
Family Therapy ◽  
The Family ◽  
Therapy Field

Role of the family focused technologies in the clinical course of pregnancy at women of high obstetric risk

2016 ◽  
pp. 64-66
Author(s):  
S.Yu. Vdovichenko ◽  
Keyword(s):  
Comparison Group ◽  
Traditional Approach ◽  
Married Couple ◽  
Premature Births ◽  
Individual Support ◽  
The Family ◽  
Risk Patients ◽  
Individual Preparation

The objective: to show a role of the family focused technologies in depression of frequency of pathology of pregnancy at women of high obstetric risk. Patients and methods. For determination of efficiency of prophylaxis of pathology of pregnancy on the basis of use of the family focused technologies complex clinical-psychological and laboratory and tool examination of 300 women with factors of obstetric risk which were divided into two groups was conducted. In the main group – 182 women with motivation on partner labors to which provided training on system of individual preparation of married couple to labors. The comparison group consisted of 118 women who were not in prenatal training and had individual support in childbirth, with the traditional approach to pain management. Results. Use of the family focused technologies during pregnancy allows to reduce significantly the frequency of the main complications of pregnancy, especially not incubation and premature births. Conclusion. In our opinion, the technique is simple, available and can widely be used in practical health care at women with high obstetric risk. Key words: obstetric risk, the family focused technologies, prophylaxis.

Socio-Economic Profile of Labour Households in Rural Punjab

2020 ◽  
pp. 306-311
Keyword(s):  
Rural Areas ◽  
Good Condition ◽  
Family Type ◽  
Age Group ◽  
Employment Opportunities ◽  
Nuclear Families ◽  
The Family ◽  
Working Age ◽  
Average Condition ◽  
Economic Profile

The present paper is an attempt to analyze the socio-economic profile of the labour households in rural Punjab. The study revealed that majority of rural labour households belonged to the scheduled caste category. As far as the distribution of sampled rural labour households according to the family type was concerned, it was found that 46.42 percent of the total rural labour households had nuclear families, while the remaining 53.58 percent have joint families. Majority of the rural labourers were living in semi-pucca houses. Further, if we look at the housing condition, 54.72 percent of rural labourers owned the houses of average condition, 40.19 percent owned good condition households and 5.09percent owned dilapidated houses. The analysis further showed that as many as 20.35percentof the sampled labour population was illiterate. A few persons from sampled labour households educated above matric. Although large majority of the sampled labour population were from the working-age group yet the ratio of dependents was high among rural labour households. This was due to lower employment opportunities in rural areas.

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