Journal articles on the topic 'Home-based family assessment'
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Olaison, Anna, and Elisabet Cedersund. "Home care as a family matter? Discursive positioning, storylines and decision-making in assessment talk." Communication and Medicine 5, no. 2 (March 14, 2009): 145–58. http://dx.doi.org/10.1558/cam.v5i2.145.
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Home care arrangements for older people are coordinated via a client-centred assessment process. This article describes how storylines and discursive positioning are used among older people and their relatives when divergent opinions of care needs are expressed. Eleven assessment interviews were studied using discourse analysis. The results show that relatives and older people advanced three major storylines, and positioned themselves within them with respect to the need for help. These storylines were based on whether the persons viewed home care as an intrusion into daily routines and relationships, or as a complement and support in everyday life, or as a right. The content of the storylines and the ways in which positions were shaped within them illustrate how positioning is incorporated as part of the ongoing reflexive process in interaction in which participants form an image of the older person’s needs. Assessments clarify the views of the participants on home care, but they also reflect the discourses that are prevalent in the aged care community and in society in general. The article raises questions about strengthening older people’s participation in the decision making process and also whether a new communicative practice is needed for assessments, i.e., one that proceeds on the basis of a broader family perspective.
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Lai, W. W., M. O'Mahony, and A. Mulligan. "Development of an Interview Version of the HOME Assessment Tool." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71169-1.
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Aims:To develop an interview version of the HOME assessment tool and compare the interview version of the HOME with the home visit version.Methods:Families whose child under 10 years of age attending the Mater CAMHS, with first attendance in the past two years were contacted. 100 of the 247 contacted agreed to participate and consented to a family visit. The study had prior ethics approval. A brief interview version of the HOME devised by substituting questions for the observer rated part of the HOME questionnaire was administered prior to the home-visit, where the home-based version of the HOME was performed. Both interviews were then compared and statistically analysed.Results:The mean score for the home visit HOME was 46.93 ± SD. The comparison of the telephone data with the home visit data suggested that there is a small significant difference between total score for the telephone and the home visit HOME score, with a difference of 0.96 - 3.20 (95% CI), when each of the assessments were scored out of 100. Bell- curves and T-Pairing scores of subscales and individual questions of both interviews suggest similarity.Conclusion:These results suggest that an interview version of the HOME assessment can be administered in the clinic or by telephone.
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Wu, Meng-Ping, Sheng-Jean Huang, and Lee-Ing Tsao. "The Life Experiences Among Primary Family Caregivers of Home-Based Palliative Care." American Journal of Hospice and Palliative Medicine® 37, no. 10 (March 1, 2020): 816–22. http://dx.doi.org/10.1177/1049909120907601.
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Background: An increasing number of patients with terminal illnesses prefer to die in their own homes due to aging, high medical payments, a limited number of hospitalization days, and the ability to receive care from family members. However, few studies have been conducted on the subjective perception and value of caregivers for home-based palliative care (HBPC). Objective: To identify common themes and topics of primary family caregivers’ lived experiences with HBPC when taking care of terminally ill family members. Methods: We conducted audio-recorded transcripts of one-on-one in-depth interviews of primary family caregivers of HBPC. Through a purposive sampling method, the participants were all interviewed; these interviews were transcribed verbatim and analyzed using a grounded theory approach. Results: A total of 22 primary family caregivers participated in the study. “Wholeheartedly accompanying one’s family to the end of life at home” was the core category. Six main themes describing caregivers’ experiences emerged from the interviews: (1) learning the basic skills of end-of-life home care, (2) arranging the sharing and rotation of care, (3) preparing for upcoming deaths and funerals, (4) negotiating the cultural and ethical issues of end-of-life home care, (5) ensuring a comfortable life with basic life support, and (6) maintaining care characterized by concern, perseverance, and patience. Conclusions: Primary family caregivers of HBPC need support and must learn home care skills by means of the holistic approach. It is crucial to establish assessment tools for caregivers’ preparedness for HBPC, including biopsychosocial and cultural considerations.
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NANKERVIS, JULIE, HILARY SCHOFIELD, HELEN HERRMAN, and SIDNEY BLOCH. "HOME-BASED ASSESSMENT FOR FAMILY CARERS: A PREVENTATIVE STRATEGY TO IDENTIFY AND MEET SERVICE NEEDS." International Journal of Geriatric Psychiatry 12, no. 2 (February 1997): 193–201. http://dx.doi.org/10.1002/(sici)1099-1166(199702)12:2<193::aid-gps580>3.0.co;2-u.
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Wen, Ming, Weidong Wang, Neng Wan, and Dejun Su. "Family Income and Student Educational and Cognitive Outcomes in China: Exploring the Material and Psychosocial Mechanisms." Social Sciences 9, no. 12 (December 7, 2020): 225. http://dx.doi.org/10.3390/socsci9120225.
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Leveraging data from a nationally representative school-based adolescent survey, the current study aimed to provide a comprehensive assessment of how family income is associated with multiple cognitive and educational outcomes in China and examine the underlying material and psychosocial mechanisms. We found robust associations of family income with school grades, cognitive ability, and study attitude, but not with homework engagement. Moreover, we found that home amenities, i.e., measuring home-based material resources, played the largest mediating role in explaining family income effects on cognitive ability and study attitude. Among the non-monetary or intangible intervening factors, children’s own and peers’ educational aspirations along with mother-child communication were the most important mechanisms. To a lesser extent, family income effects were also attributable to harmonious parent-child and between-parent relationships. The key take-home message is that home environments constitute a prominent setting outside of school exerting powerful influences shaping school outcomes for Chinese adolescents. Our study contributes to a better understanding of how family economic resources are transmitted to children’s cognitive and educational advantages via home material resources, family non-monetary features, children’s agency, and peer influence. Policy implications and future research are discussed.
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Kreyer, Christiane, Johannes Bükki, and Sabine Pleschberger. "Development of a German version of the Carer Support Needs Assessment Tool (CSNAT): The process of translation and cultural adaptation." Palliative and Supportive Care 18, no. 2 (September 19, 2019): 193–98. http://dx.doi.org/10.1017/s1478951519000671.
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AbstractObjectiveThe Carer Support Needs Assessment Tool (CSNAT) was developed in the UK and has been shown to be effective to assess and address support needs of family carers of terminally ill patients at home. In German language, there is a lack of an evidence-based comprehensive assessment tool for family carers in palliative home care. The objectives of this study were to translate and develop a culturally adapted version of the CSNAT for a German-speaking context including the assessment of feasibility, face, and content validity.MethodA translation and validation study was conducted in three steps: (1) translation of CSNAT following International Society for Pharmacoeconomics and Outcomes Research criteria; (2) cognitive testing in five German-speaking regions in Germany, Austria, and Switzerland with 15 family carers; and (3) pilot testing in palliative home care services. Evaluation was by telephone interviews with those involved in the assessments (family carers, health care professionals) and a focus group discussion with the health care professionals. Data were analyzed using content analysis.ResultsThe regional idiomatic variety raised challenges in the process of translation. Cognitive testing revealed semantic, conceptual, syntactic, and idiomatic issues. During the pilot, 25 assessment conversations were held. Carers reported that the German version called “KOMMA” was brief, easy to understand and to complete, and helpful. They appreciated that the items adequately addressed their support needs and reminded them of their own strengths and resources. Health care professionals observed good acceptance by carers, the expression of unexpected patterns of needs, and extensive assessment conversations, but some raised concerns that the assessment process might shift attention to carers’ needs at the cost of the patients.Significance of resultsA multi-step process of translation, cognitive testing, and pilot testing led to a culturally well-acceptable German tool (KOMMA). Comprehensibility, acceptance, face, and content validity, as well as feasibility were demonstrated.
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Wessels, Holger, Michael E. Lamb, C. Philip Hwang, and Anders G. Broberg. "Personality Development between 1 and 8 Years of Age in Swedish Children with Varying Child Care Experiences." International Journal of Behavioral Development 21, no. 4 (November 1997): 771–94. http://dx.doi.org/10.1080/016502597384668.
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In this longitudinal study, 122 Swedish children were followed from an initial assessment at 16 months until they were 8.5 years of age. Parental ratings of field independence, ego-resilience, and ego-control were obtained using the California Child Q-set when the children averaged 28, 40, 80, and 101 months of age. These assessments of personality were then examined in the context of contrasting child care experiences. There was virtually no difference between the developmental trajectories of the children in home care and in centre-based day care. In contrast, ego-undercontrol decreased less, whereas ego-resilience and field independence increased less, in children who attended family day care than in the children in either centre care or exclusive parental care. The quality of home and out-of-home care, as well as socioeconomic status and family background, did not moderate or qualify these effects of the type of care experienced. The results are discussed in relation to previous work on the effects of early out-of-home care on child development.
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Kuhn, Miriam, Courtney Boise, Sue Bainter, and Cindy Hankey. "Statewide policies to improve early intervention services: Promising practices and preliminary results." education policy analysis archives 28 (October 12, 2020): 148. http://dx.doi.org/10.14507/epaa.28.5512.
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The State of Nebraska Co-Lead agencies, who are responsible for developing statewide early intervention policies, rolled out professional development for two evidence-based strategies across several pilot sites. Implications of these strategies for child/family assessment, Individualized Family Service Plan (IFSP) development, and Early Intervention service delivery were examined utilizing family (n=30) and professional interviews (n=50), and analyses of IFSPs (n=30). The results of this mixed method study indicate widespread strategy implementation with fidelity fosters early working relationships with families and enables teams to generate, using family members’ own words, a robust group of high-quality child and family IFSP outcomes. Family engagement in planning services such as identifying service providers and setting the frequency and length of home visits was limited. In addition, further professional development is needed to strengthen use of routines-based interventions during home visits and promote family-professional collaboration to monitor child/family progress. Implications for systematic scale-up of evidence-based practices as a function of state policy implementation are reported.
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Cagle, John, Jessica Orth, Todd Becker, Peiyuan Zhang, Mary Ersek, Wanzhu Tu, Alex Floyd, and Kathleen Unroe. "SYMPTOM BURDEN AND QUALITY OF LIFE FOR NURSING HOME RESIDENTS WITH DEMENTIA: UPLIFT TRIAL EARLY DATA." Innovation in Aging 6, Supplement_1 (November 1, 2022): 50. http://dx.doi.org/10.1093/geroni/igac059.194.
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Abstract Communication difficulties in nursing home (NH) residents with dementia make valid assessment of symptoms and quality-of-life (QOL) challenging. Thus, researchers and clinicians frequently rely on proxy-based measures. The End-of-life Dementia-Comfort Assessment in Dying (EOLD-CAD) and two single-item QOL measures (7-point item; 5-point item) have been used in several studies, though evaluation of their psychometric properties is limited. We used baseline data from an ongoing multi-site randomized trial (UPLIFT) to describe symptoms and QOL and examine the measures’ validity and reliability in 138 residents with moderate to severe dementia living at 16 facilities. Descriptive data and assessments of convergent validity and inter-rater reliability are provided. Based on assessments by 134 staff and 45 family, physical symptoms, physical distress, and emotional distress were reported as infrequent by staff and family; indications of well-being were more frequently observed. Median QOL was the same for staff and family observers (4=“Life is so-so” [7-point item]; 3=“Fair” [5-point item]). Inter-observer assessments of resident QOL (staff vs. family) were correlated (7-point item: r=0.47, ICC=.643; 5-point item: r=0.48, ICC=.645, p<.05 for all). Seven of 18 EOLD-CAD symptoms were significantly positively correlated. ICC values varied between high or moderately high: shortness-of-breath (ICC=.74), choking (ICC=.65), gurgling (ICC=.81), agitation (ICC=.51), fear (ICC=.46), crying (ICC=.65), peace (ICC=.57), and care resistance (ICC=.68) (p<.05 for all). Choking and gurgling were the most prominently reported symptoms by both groups.Early findings provide a contemporary assessment of QOL and symptoms among NH residents with dementia. Measurement properties affirm general reliability and validity of study instruments.
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Chocarro González, Lourdes, Manuel Rigal Andrés, Julio C. de la Torre-Montero, Marta Barceló Escario, and Ricardo Martino Alba. "Effectiveness of a Family-Caregiver Training Program in Home-Based Pediatric Palliative Care." Children 8, no. 3 (February 26, 2021): 178. http://dx.doi.org/10.3390/children8030178.
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Background: Pediatric palliative cares involve the whole family, along with the interdisciplinary pediatric palliative care (PPC) team. The commitment of the PPC team and the engagement of the family at different levels can play a key role in advancing a better quality of life in children and families. Method: A descriptive pre-post educational intervention study was carried out. The creation of a training program (with the term “school” used to denote this effort) strives to prepare caretakers to master the skills as well as provide support for the care of children with serious conditions requiring palliative through home-based initiatives. The analysis includes aspects of learning and satisfaction with the activity in a final sample of 14 families who had one child enrolled into a home-based palliative care program. Results: After the educational intervention in our school, the mean score of the theoretical evaluation was 9.14 points (SD 0.96), showing improvement with respect to the initial assessment, (mean diff. of +0.98 points). Although the analysis of all conceptual areas demonstrates a trend towards a positive impact of the intervention, feeding-related instruction saw the highest level of improvement, with a mean difference of +1.43 points. All enrolled parents expressed having a very positive experience during their participation in the educational program. Conclusions: The educational program showed a positive trend in the acquisition of knowledge and skills, resulting in a positive impact on the self-perception of their abilities. This psycho-educational space allowed them to share their experience of daily care for a child with complex needs with other families, showing them that they were not alone and that they could help each other.
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Duggan, Anne, Amy Windham, Elizabeth McFarlane, Loretta Fuddy, LCSW, MPH, Charles Rohde, Sharon Buchbinder, and Calvin Sia. "Hawaii's Healthy Start Program of Home Visiting for At-Risk Families: Evaluation of Family Identification, Family Engagement, and Service Delivery." Pediatrics 105, Supplement_2 (January 1, 2000): 250–59. http://dx.doi.org/10.1542/peds.105.s2.250.
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Objective. To describe family identification, family engagement, and service delivery in a statewide home visiting program for at-risk families of newborns. Setting. Six target communities of Hawaii's Healthy Start Program (HSP), which incorporates 1) early identification of at-risk families of newborns via population-based screening and assessment, and 2) paraprofessionalhome visiting to improve family functioning, promote child health and development, and prevent child maltreatment. Design. Cross-sectional study: describes early identification process and family characteristics associated with initial enrollment. Longitudinal study: describes home visiting process and characteristics associated with continued participation. Subjects. Cross-sectional study: civilian births in 6 communities (n = 6553). Longitudinal study: at-risk families in the intervention group of a randomized trial of the HSP (n = 373). Measures. Process: completeness and timeliness of early identification and home visiting activities; family characteristics: sociodemographics, child abuse risk factors, infant biologic risk. Results. Early identification staff determined risk status for 84% of target families. Families with higher risk scores, young mothers with limited schooling, and families with infants at biologic risk were more likely to enroll in home visiting. Half of those who enrolled were active at 1 year with an average of 22 visits. Families where the father had multiple risk factors and where the mother was substance abusing were more likely to have ≥12 visits; mothers who were unilaterally violent toward the father were less likely. Most families were linked with a medical home; linkage rates for other community resources varied widely by type of service. Half of families overall, but ≥80% of those active at 1 year, received core home visiting services. Performance varied by program site. Conclusions. It is challenging to engage and retain at-risk families in home visiting. Service monitoring must be an integral part of operations.
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Zhang, Li, Yan-Ning Yan, Zeng-Xin Sun, Dong-Rui Yan, Yuan-Wu Chen, Keh-Chung Lin, Xin-Jing Ge, and Xiao-Lu Qin. "Effects of Coaching-Based Teleoccupational Guidance for Home-Based Stroke Survivors and Their Family Caregivers: A Pilot Randomised Controlled Trial." International Journal of Environmental Research and Public Health 19, no. 23 (December 6, 2022): 16355. http://dx.doi.org/10.3390/ijerph192316355.
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The aim of this pilot study was to investigate the feasibility and effectiveness of a 3-month coaching-based teleoccupational guidance (CTG) programme for home-based stroke survivors and their family caregivers. An assessor-blind pilot randomised controlled study was conducted. Twenty-five participant dyads (each dyad consisted of one home-based stroke patient and their caregivers) were randomised to a control group (RTG, n = 12) or an experimental group (CTG, n = 13). Participant dyads in the RTG group received routine teleoccupational guidance. Participant dyads in the CTG group received a six-step procedure: coaching-based teleoccupational guidance over 3 months via WeChat. Participant dyad compliance, the difficulty and suitability of outcome measures, and adverse effects were used to assess feasibility. The Reintegration to Normal Living Index, the Lawton Instructive Activities of Daily Life (Lawton IADL) scale, the Intrinsic Motivation Inventory, the Fugl–Meyer Assessment—Upper Extremity scale, the 6 min walking test, and the Stroke-Specific Quality of Life Scale were used to assess effectiveness outcomes of home-based stroke survivors; the Caregiver Benefit Finding Scale and the Zarit Caregiver Burden Interview were used to assess the effectiveness outcomes of family caregivers. Feasibility measures were assessed at the end of the pilot trial, and effectiveness measures were evaluated pre-intervention and post-intervention (after 3 months). The CTG programme significantly improved home-based stroke survivors’ participation in daily life, IADL score, and intrinsic motivation, and increased caregivers’ perceived benefit, and tended (not significantly) to reduce care burden. CTG has the potential to promote better integration of home-based stroke patients into their families and society, improve their quality of life and family well-being, and provide a reference for home rehabilitation of other clinical chronic diseases. CTG is a safe, effective, and promising intervention for home-based stroke populations and their caregivers and warrants further investigation in a larger randomised controlled trial.
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Shabaraya, A. Ramakrishna, Mohammed Adil Ashraf, and Jewel Janice Fernandes. "Assessment of Storage of Medicines at Home using Home Medication Review in Pediatric Population - A Community Based Study." International Journal of Research and Review 8, no. 7 (July 14, 2021): 149–53. http://dx.doi.org/10.52403/ijrr.20210720.
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People take medicines and vitamins to feel well and to stay well. However, any medicine, including those we buy without a prescription, can cause harm if taken in the wrong way or by the wrong person. That too in case of pediatric population it has to be considered very much.Medicines stored incorrectly at home can pose a health risk. Adult cold medications and antibiotics were the most commonly stored drugs at home, followed by analgesics. The most popular location for storing drugs was the refrigerator (50.6 percent). The majority of people did not read the packaging inserts. Self-medication was reported by a large percentage of homeowners (53.6%), and antibiotics recommended by doctors were frequently reused. There was a link between self-medication and educational attainment, but not with age, sex, marital status, occupation, or insurance type. There is a need for more public awareness and information about the storage and risks of reusing prescription drugs. The study conducted here is a community based prospective study where the paediatric storage of medicines was obtained through home medication review. Out of 150 pediatric participants, it was found that 20.66% of them stored in box or drawer or bag with lock and 79.33% without lock. The checking of expiry date was also enquired and in that those who checked expiry date never was 28%, timely 25% and before administration 47%.Therefore awareness of storage of medicines and looking into the expiry date of medicines is a less focused area among people.Consumers who use medications in the community should be urged to keep them in a way that preserves the medicine's quality while also protecting the consumer, their family, and visitors to their house. Keywords: Pediatric storage of medicines, Home medication review, Expiry date of medicines.
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Vinciguerra, V., T. J. Degnan, A. Sciortino, M. O'Connell, T. Moore, R. Brody, D. Budman, M. Eng, and D. Carlton. "A comparative assessment of home versus hospital comprehensive treatment for advanced cancer patients." Journal of Clinical Oncology 4, no. 10 (October 1986): 1521–28. http://dx.doi.org/10.1200/jco.1986.4.10.1521.
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A prospective comparative analysis of home and hospital comprehensive treatment for advanced non-ambulatory cancer patients was conducted. Patients were assigned to hospital (group A) and home (group B) treatment groups based on geographic location. Home treatment was provided by the Don Monti Home Oncology Medical Extension (HOME) program. A multidisciplinary health team, including an oncologist, oncology nurse, social worker, dietitian, and medical technologist, was transported to the home in a medically equipped van. Services included physical examinations, pain control, psychosocial interventions, chemotherapy and blood transfusions, nutrition consultation, and bereavement counseling. One hundred seventy-four patients were treated at home and 44 in the hospital. Pretreatment characteristics were similar for both groups, with the exception that age under 50 years was more frequent in the hospital group, and home patients were more likely to have gastrointestinal (GI) cancer. Medical benefits for home treatment included decreased narcotic analgesic requirements, decreased hospitalization and length of stay, and improved measurements of fat stores for female patients. Improved survival for home patients was related to Karnofsky performance status, since there was no difference in survival for sicker patients with lower performance status whether they received home or hospital treatment. Patient and family acceptance of home treatment was excellent. Comprehensive home treatment provided by a multispecialty oncology team is an effective alternative to hospitalization for terminal cancer patients.
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Lee, Ji Yeon, Eunhee Cho, Sue Kim, Gwang Suk Kim, Kyung Hee Lee, and Chang Oh Kim. "DEVELOPMENT OF A TRANSITIONAL CARE PROGRAM FOR FRAIL OLDER ADULTS BETWEEN HOSPITAL AND HOME." Innovation in Aging 6, Supplement_1 (November 1, 2022): 563. http://dx.doi.org/10.1093/geroni/igac059.2123.
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Abstract Frail older adults particularly need transitional care between hospital and home due to physical function decline and psychological instability after discharge. This study aimed to develop a transitional care for frail older adults in Korea who are discharged home following hospitalization. The Returning Home (Rehome©) program was established through the three phases according to the Medical Research Council’s 2013 guidelines. 1) Identifying the evidence base phase included a systematic review of literature and needs assessments from interviews with frail older adults. The core intervention components (e.g., geriatric assessment, transitional care planning, home visits, phone follow-up, community service liaison, and family engagement) were determined. 2) At the phase of identifying theory, the transition theory was selected and modified to fit the target population in the context of the Korean healthcare system. 3) Phase three was for the modeling process and outcomes. Based on the result from phases 1 and 2, the Rehome program was developed considering clinically applicable strategies. The final Rehome program consisted of a comprehensive geriatric assessment at admission; structured discharge/transitional care planning (e.g., medication review, education for chronic disease management, emergencies, and geriatric syndromes, and community resource) at discharge; a home visit and six phone follow-up calls up to 12 weeks after discharge; and emotional support and engagement of the family during the entire period. The Rehome program showed good content validity. The Rehome as a frailty-focused transitional care program could improve the transition through implementing a tailored intervention that meets the care needs of these vulnerable populations.
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Mönkediek, Bastian, Volker Lang, Lena Weigel, Myriam A. Baum, Eike F. Eifler, Elisabeth Hahn, Anke Hufer, et al. "The German Twin Family Panel (TwinLife)." Twin Research and Human Genetics 22, no. 6 (September 10, 2019): 540–47. http://dx.doi.org/10.1017/thg.2019.63.
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AbstractThe German Twin Family Panel (TwinLife) is a German longitudinal study of monozygotic and dizygotic same-sex twin pairs and their families that was designed to investigate the development of social inequalities over the life course. The study covers an observation period from approximately 2014 to 2023. The target population of the sample are reared-together twins of four different age cohorts that were born in 2009/2010 (cohort 1), in 2003/2004 (cohort 2), in 1997/1998 (cohort 3) and between 1990 and 1993 (cohort 4). In the first wave, the study included data on 4097 twin families. Families were recruited in all parts of Germany so that the sample comprises the whole range of the educational, occupational and income structure. As of 2019, two face-to-face, at-home interviews and two telephone interviews have been conducted. Data from the first home and telephone interviews are already available free of charge as a scientific use-file from the GESIS data archive. This report aims to provide an overview of the study sample and design as well as constructs that are unique in TwinLife in comparison with previous twin studies — such as an assessment of cognitive abilities or information based on the children’s medical records and report cards. In addition, major findings based on the data already released are displayed, and future directions of the study are presented and discussed.
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Nupus, Hayati, and Riandi Riandi. "Parent’s Language Policies and Language Attitudes in The Family." Journal of English Education Studies 4, no. 1 (May 31, 2021): 41–54. http://dx.doi.org/10.30653/005.202141.66.
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As citizens of Indonesian society, we should maintain the nation's culture, one of which is cultural heritage, namely the local language or language of each family in Indonesia. So that we as the nation's successors continue to take part in the maintenance and preservation of cultural heritage as a reflection of our identity as children of the nation. The relationship in which education in the family is the goal of national education so that the role of various parties is needed, such as; Teachers, government, facilities and infrastructure, and parents. The aims to be reached in writing this research are; the family language policy adopted by parents at home; Languages coexist (or lose, or gain) in their family environment; the efforts do parents make in learning and maintaining language in their homes. This study uses direct observation methods on the research subject, namely parents. The observations were made in the realm of the family (at home). The data obtained is in the form of a list of statements in the form of the respondent's characteristics, the respondent's response. Interviews in the form of questions and answers about language attitudes and assessment of language and language maintenance. The family language policy implemented by parents at home is frequent, meaning that based on the above percentage results, the policy regarding the language used by parents at home shows "Often" with an overall average percentage value of 50% or half of the expected 100% reviewed from the aspect of the language policy adopted; Language beliefs or ideologies, language practice, and language management. This indicates that the language policy adopted at home with the "Frequently" family is used. Meanwhile, based on the above percentage results, the attitude of the language used by the parents at home shows "disagree" with the overall average percentage value of 40% or 100% of the expected. Their efforts are to use the local language at home, equip their children with various sources both print and non-print, and stay in touch with local ethnic groups. To maintain the local language properly, there must be good cooperation between parents, schools, local government, and the community
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Samala, Renato V., Laura J. Hoeksema, and Colleen Y. Colbert. "A Qualitative Study of Independent Home Visits by Hospice Fellows: Addressing Gaps in ACGME Milestones by Fostering Reflection and Self-Assessment." American Journal of Hospice and Palliative Medicine® 36, no. 10 (March 13, 2019): 885–92. http://dx.doi.org/10.1177/1049909119836218.
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Background:With the rapid growth in the number of fellowship programs in Hospice and Palliative Medicine (HPM), many are in the process of developing ways to demonstrate that fellows are attaining educational milestones. Reflection and self-assessment are key components of 2 Accreditation Council for Graduate Medical Education (ACGME) competencies, practice-based learning and improvement, and systems-based practice, which have both been historically challenging to learn and assess.Objective:This article describes results of a content analysis of narrative data collected from HPM fellows’ self-assessments as they performed hospice home visits independently in a new clinical rotation.Design:This was a prospective qualitative study.Settings/Participants:Eight fellows completed 217 unsupervised hospice home visits from 2014 to 2016.Measurements:Fellows completed weekly self-assessment forms, which captured both clinical visit information and practice data elicited from responses to open-ended reflection prompts.Results:Analysis of 29 self-assessment forms generated 6 themes: patient- and family-centered care, self-efficacy, systems-based care, commitment to doing their best, catalyst for professional growth, and purpose and meaning in work. The fellows recognized numerous barriers distinct to providing care in homes. All fellows felt prepared to perform home visits throughout the rotation and after training.Conclusions:Narrative data collected during the independent home visit rotation provided evidence that HPM fellows detected gaps in their performance, planned for practice improvements in subsequent visits, and valued working within an interprofessional team. Built-in opportunities for fellows to reflect during training are critical in meeting ACGME milestones, and are integral to their professional development.
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Humaira, Desy. "Reality Group Counseling to Improve Adolescent Self-Concept from Broken Home Family." ANALITIKA 9, no. 2 (December 29, 2017): 115. http://dx.doi.org/10.31289/analitika.v9i2.1152.
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<p>Adolescents from broken home family often have psychological problems that are internal which will affect their behavior in the environment. This condition is experienced by six teenagers (3 males and 3 females) with broken home family background which complained by teachers that they often break the rules at school. Based on the assessment results, all six teenagers are experiencing the same problems that is negative view of themselves due to the lack of need for affection and acceptance from families who no longer intact. This negative self concept causes them to behave in a less responsible. Interventions conducted in groups which is reality group counseling through seven sessions. As the result, all six clients experienced enhancement of self-concept that encourages them to do more positive behavioral changes.</p>
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Adman. "MODEL PENDAMPINGAN KELUARGA BERBASIS ASESMEN, KONSELING, HOME VISIT DAN INTERVENSI SEBAGAI UPAYA MENUMBUHKAN MOTIVASI BELAJAR ANAK JALANAN DI YAYASAN RUMAH KITA (eRKa) CIPINANG JAKARTA." PARAMETER: Jurnal Pendidikan Universitas Negeri Jakarta 31, no. 1 (June 28, 2019): 9–27. http://dx.doi.org/10.21009/parameter.311.02.
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Abstrak
This study aims to obtain in-depth data and information based on facts and data regarding the family assistance model based on assessment, counseling, home visit and intervention to reconstruct street children's learning motivation organized by Rumah Kita Foundation (eRKa) in Cipinang, DKI Jakarta. This research method is qualitative with a case study approach. Data collection uses field notes, observations, interviews, and documentation. Interviews were conducted with 3 street children, 3 street child parents and 2 street child companions from Rumah Kita Foundation (eRKa) in Cipinang. The results of data processing showed that the implementation of assessment activities, counseling and home visits, as well as interventions, carried out as a model of assistance to the family. Showed good results, namely the emergence of motivation to learn street children so that there is a desire to learn. The conclusion from the results of this study is the process of family assistance based on assessment, counseling and home visits and interventions has been carried out well by facilitators from the Rumah Kita Foundation (eRKa). This family assistance starts after the assistant conducts an assessment to examine the background of street children and their families. The companion can guide the role of parents as primary educators, exemplary examples of worship and obedience to God, good lifestyle, good attitudes and behavior, good relationships with others, and the importance of good education for the future. The counselor also counseled the importance of providing the right motivation, so that the motivation to learn of street children can grow and develop properly. Counseling conducted by eRKa has also helped the learning difficulties of street children. Likewise, home visits and interventions have been carried out well by the facilitator so that optimal learning outcomes can be achieved by street children.
Keywords: assessment, counseling, home visit, intervention, assistance.
Abstrak
Penelitian ini bertujuan untuk mendapatkan data dan informasi yang mendalam berdasarkan fakta dan data mengenai model pendampingan keluarga berbasis asesmen, konseling, home visit dan intervensi untuk melakukan rekonstruksi motivasi belajar anak jalanan yang diselenggarakan oleh Yayasan Rumah Kita (eRKa) di Cipinang, DKI Jakarta. Metode penelitian ini adalah kualitatif dengan pendekatan studi kasus. Pengumpulan data menggunakan catatan lapangan, observasi, wawancara dan dokumentasi. Wawancara dilakukan kepada 3 orang anak jalanan, 3 orang tua anak jalanan dan 2 orang pendamping anak jalanan dari Yayasan Rumah Kita (eRKa) di Cipinang. Hasil pengolahan data menunjukan bahwa implementasi aktivitas asesmen, konseling dan home visit serta intervensi yang dilakukan sebagai model pendampingan terhadap keluarga.menunjukan hasil yang baik, yakni munculnya motivasi belajar anak jalanan sehingga terdapat keinginan untuk belajar. Kesimpulan dari hasil penelitian ini adalah proses pendampingan keluarga berbasis asesmen, konseling dan home visit dan intervensi telah dilakukan dengan baik oleh pendamping dari Yayasan Rumah Kita (eRKa). Pendampingan keluarga ini dimulai setelah pendamping melakukan asesmen untuk mencermati latar belakang anak jalanan dan keluarganya. Pendamping telah terbukti mampu memberi arahan tentang peran orang tua sebagai pendidik utama, pemberi contoh teladan tentang ibadah dan ketaatan pada Allah, pola hidup yang baik, sikap dan perilaku yang baik, hubungan pergaulan yang baik dengan sesama, dan pentingnya pendidikan yang baik untuk masa depan mereka. Pendamping juga melakukan konseling tentang pentingnya memberikan motivasi yang baik, sehingga motivasi belajar anak jalanan dapat tumbuh dan berkembang dengan baik. Konseling yang dilakukan eRKa juga telah membantu kesulitan belajar anak-anak jalanan. Demikian pula home visit dan intervensi telah dilakukan dengan baik oleh pendamping sehingga hasil belajar yang optimal dapat dicapai oleh anak-anak jalanan.
Key word : asesmen, konseling, visit home, intervensi, pendampingan.
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Aoun, Samar, Chris Toye, Kathleen Deas, Denise Howting, Gail Ewing, Gunn Grande, and Kelli Stajduhar. "Enabling a family caregiver-led assessment of support needs in home-based palliative care: Potential translation into practice." Palliative Medicine 29, no. 10 (April 20, 2015): 929–38. http://dx.doi.org/10.1177/0269216315583436.
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Sperber, Nina R., Nathan A. Boucher, Roxana Delgado, Megan Shepherd-Banigan, Kevin McKenna, Madison Moore, Margaret Kabat, and Courtney H. Van Houtven. "INCLUDING FAMILY CAREGIVERS IN SERIOUSLY ILL VETERANS' CARE: A MIXED-METHODS STUDY." Innovation in Aging 3, Supplement_1 (November 2019): S207. http://dx.doi.org/10.1093/geroni/igz038.751.
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Abstract Family caregivers often serve as unpaid members of the home- and community-based care workforce for individuals with serious illness; as key partners in the home-clinic continuum, they should be included in healthcare teams. Without formal recognition, inconsistent identification of caregivers will remain, engendering communication gaps between caregivers and providers and difficulty connecting with supportive services. The Campaign for Inclusive Care is an initiative within the Veterans Administration Health Care System to improve practices for including caregivers in treatment planning and decisions. We define inclusive care using literature review, provider interviews, and a caregiver survey. We found that inclusive care involves clear definition of caregiver role, system policies for inclusion, assessment of caregiver capacity, explicit involvement of caregivers, and mutuality in caregiver/provider communication. We recommend solutions based on the definition, informative for development of a national caregiver strategy, required by the 2018 Recognize, Assist, Include, Support, and Engage Family Caregivers Act.
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Ko, Eunjung, Karen Rose, Kristina Gordon, Emma Schlegel, Matthew McCall, Ye Gao, and Jason Jabbour. "Pandemic Deployment of a Smarthealth Technology to Improve Stress in Dementia Family Caregivers." Innovation in Aging 5, Supplement_1 (December 1, 2021): 448. http://dx.doi.org/10.1093/geroni/igab046.1737.
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Abstract Caregiving stress from repetitive and heavy caregiving workloads can trigger poor emotional health, such as stress, anxiety, and depression, leading to higher caregiver mortality rates. Interest in technology-based interventions for this population has increased among researchers due to availability, acceptability, and flexibility compared to in-person services, especially now, during an unprecedented pandemic. Our study focuses on in-home SmartHealth technologies for caregivers of persons with Alzheimer’s Disease and related dementias, delivered using Ecological Momentary Assessment and a novel acoustic monitoring, mood recognition, and self-learning recommendation system. The system provides mindfulness-based stress management in response to interpersonal conflict in real-time. We will report challenges and solutions of creating and deploying a SmartHealth system for older adults in their home during the COVID-19 pandemic. Potential effects of this system on caregivers' emotional health are also examined. Findings suggest SmartHealth technologies may assist caregiving populations adapt and thrive in a new, more isolated normal.
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LeBlanc, Linda A. "Integrating Behavioral Psychology Services Into Adult Day Programming for Individuals With Dementia." Behavior Modification 34, no. 5 (September 2010): 443–58. http://dx.doi.org/10.1177/0145445510383528.
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Many individuals with dementia and problem behavior are served in nursing home settings long before health issues necessitate constant medical care. Alternative community-based adult day health care programs allow individuals with dementia to remain in their home with their families at a substantially reduced cost; however, many adult day programs face the same difficulties in managing problem behavior as family members do, leading to premature termination of services. This article describes a multiyear project that integrated behavior analytic services into an adult day program for individuals with dementia and problematic behavior. A comprehensive practicum system was developed to provide assessment and treatment services that allowed consumers with problem behavior to remain successfully served in adult day programming while postponing out-of-home nursing home care.
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Heneghan, Amy M., Sarah M. Horwitz, and John M. Leventhal. "Evaluating Intensive Family Preservation Programs: A Methodological Review." Pediatrics 97, no. 4 (April 1, 1996): 535–42. http://dx.doi.org/10.1542/peds.97.4.535.
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Objectives. To determine the adequacy of evaluations of family preservation services (FPS), which are designed to support families and prevent out-of-home placements of children at risk of abuse or neglect, and to assess the effectiveness of FPS at reducing out-of-home placements of children. Data Sources. References published from 1977 to 1993 were identified from a computerized search of databases for English-language publications using the key phrases "family preservation," "child abuse," and "family-based services." Unpublished references were identified by mail or phone from a listing of more than 200 programs in a national directory. Selection of Studies. Of 802 references initially identified, 46 program evaluations were reviewed. Ten studies met the following inclusion criteria: (1) evaluated an intensive family preservation program, (2) included outcome data in the report, and (3) used a comparison group. Five were randomized trials, and 5 were quasi-experimental studies (nonrandomized). Data Extraction. Descriptive information about the programs and evaluations was collected. To determine methodological quality, two independent raters used a 15- item questionnaire to examine the assignment of families to treatment groups, the interventions provided, and the outcomes assessed. A composite score of 11 or greater represented an acceptable study, 6 to 10 represented an adequate study, and 5 or less represented an unacceptable study. Results. Only two studies were rated acceptable, four were adequate, and four were unacceptable. Methodological shortcomings included poorly defined assessment of risk, inadequate descriptions of the interventions provided, and nonblinded determination of the outcomes. Rates of out-of-home placements were 21% to 59% among families who received FPS and 20% to 59% among comparison families. The relative risk of placement was significantly reduced by FPS in only two studies (one randomized trial and one quasi-experimental study). Conclusions. Despite current widespread use of FPS to prevent out-of-home placements of children, evaluations of FPS are methodologically difficult and show no benefit in reducing rates of out-of-home placements of children at risk of abuse or neglect in 8 of 10 studies. Consistent, methodologically rigorous evaluations are needed to determine the effectiveness of FPS and to guide social policy for high-risk children and their families.
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Park, JuYoung, and Lillian Hung. "TECHNOLOGY-BASED INTERVENTIONS AND ASSESSMENT FOR OLDER ADULTS WITH COGNITIVE IMPAIRMENT." Innovation in Aging 6, Supplement_1 (November 1, 2022): 67–68. http://dx.doi.org/10.1093/geroni/igac059.268.
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Abstract During the COVID-19 pandemic, older adults with cognitive impairment experienced social isolation, stress, and challenges to stay healthy at home or in a long-term care facility. Technology-based interventions and assessment can be valuable in managing dementia at home before a crisis situation occurs, which can lessen caregiver burden and stress and improve quality of life for older adults with cognitive impairment. In the symposium, specific technology-based interventions (telepresence robot, online chair yoga, exergames, virtual cycling, video-conferencing platforms) and assessment (IOM2 biofeedback device) were used for older adults with cognitive impairment. We cultivated a novel interdisciplinary approach to emerging clinical entities of technology-based intervention and assessment for older adults with cognitive impairment. In the symposium, we will present a variety of technology-based clinical interventions. Our first study explored the experiences of virtual family visits in four Canadian long-term care homes, using a telepresence robot. Online survey, interviews, focus groups, and observations were conducted to explore the experience. The second study assessed feasibility of a remotely supervised online chair yoga (CY) intervention for older adults with dementia in Florida and explored the preliminary effects of CY on psychosocial outcomes in this population. The third study evaluated the ease of use and quality of cardiac data using IOM2 biofeedback device for older adults with dementia. Cardiac rhythms were analyzed from pulse data measured using the IOM2 biofeedback device (UNYTE). The fourth study was a scoping review to analyze evidence about online group-based exercise programs.
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Lam, Winsome, Angela Dawson, and Cathrine Fowler. "Approaches to better engage parent–child in health home-visiting programmes." Journal of Child Health Care 21, no. 1 (July 25, 2016): 94–102. http://dx.doi.org/10.1177/1367493516653260.
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Home visiting is an evidence-based strategy used to enhance child and family health outcomes. Such primary healthcare endeavours demand the full participation of individual and families. We conducted a review to identify approaches to planning, executing and assessing home-visiting health promotion interventions to determine how parents and children can be best engaged. A structured search (2000–2015) was undertaken using a defined search protocol. The quality of the papers was assessed using standard appraisal tools. Sixteen studies were retrieved. A content analysis of the findings sections of the papers was undertaken and guided by the eight phases of the PRECEDE-PROCEED health promotion planning framework. The analysis found that while all the PRECEDE assessment areas were represented no studies included all phases. Parents and children did not appear to be actively involved in undertaking the assessments and evaluation of the home-visiting health promotion programmes. The findings suggest that there is a need to develop a consistent home-visiting approach that includes comprehensive assessments in the planning phases and parent and child involvement at each step of programme development, implementation and evaluation. This approach enables the development of tailored and sustainable health promotion intervention in order to achieve optimal child health outcomes.
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Smith, Suzette, Christopher M. Wilson, Christine Lipple, Meghan Avromov, John Maltese, Eliezer Siwa, Reyna Colombo, and Janet Wiechec Seidell. "Managing Palliative Patients in Inpatient Rehabilitation Through a Short Stay Family Training Program." American Journal of Hospice and Palliative Medicine® 37, no. 3 (August 1, 2019): 172–78. http://dx.doi.org/10.1177/1049909119867293.
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Study Design: Retrospective Analysis of a Quality Improvement Program. Purpose: To describe the development, implementation, and outcomes of an inpatient rehabilitation-based Short Stay Family Training (SSFT) program for patients with life-limiting conditions. Background: Patients with terminal illnesses often have functional limitations that prohibit discharge home after hospitalization, but their condition limits their ability to participate in rehabilitation in an inpatient setting. Methods and Measures: After a needs assessment, an interdisciplinary team developed an SSFT program to empower patients, caregivers, and family members by giving them the tools to be independent in caring for a patient with a life-limiting condition. Patients qualifying for the program were tracked in terms of acute care physical therapy and occupational therapy discharge recommendations, diagnosis, inpatient rehabilitation unit length of stay (LoS), caregiver involvement, and discharge location. Data were retrospectively analyzed from patients over the first 16 months. Results: Since program implementation, 30 patients and their family members participated in the program. Overall, these patients experienced decreased LoS, increased discharge to home, and increased palliative care involvement in the plan of care. Conclusion: Short Stay Family Training is a viable alternative to traditional inpatient rehabilitation to allow patients with life-limiting conditions to discharge home safely with caregiver support.
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Williams-Livingston, Arletha, Tabia Henry Akintobi, and Ananya Banerjee. "Community-Based Participatory Research in Action: The Patient-Centered Medical Home and Neighborhood." Journal of Primary Care & Community Health 11 (January 2020): 215013272096845. http://dx.doi.org/10.1177/2150132720968456.
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Background: The Morehouse School of Medicine Patient Centered Medical Home and Neighborhood Project was developed to implement a community-based participatory research driven, integrated patient-centered medical home and neighborhood (PCMH) pilot intervention. The purpose of the PCMHN was to develop a care coordination program for underserved, high-risk patients with multiple morbidities served by the Morehouse Healthcare Comprehensive Family Health Clinic. Measures: A community needs assessment, patient surveys and provider interviews were administered. Results: Among a panel of 367 high-risk patients and potential participants, 93 participated in the intervention and 42 patients completed the intervention. The patients self-reported increased utilization of community support, increased satisfaction with health care options, and increased self-care management ability. Conclusion: The results were largely attributable to the efforts of community health workers and targeted community engagement. Lessons learned from implementation and integration of a community-based participatory approach will be used to train clinicians and small practices on how to affect change using a care coordination model for underserved, high-risk patients emphasizing CBPR.
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Liao, Yue, Stephen Intille, Jennifer Wolch, Mary Ann Pentz, and Genevieve Fridlund Dunton. "Understanding the Physical and Social Contexts of Children’s Nonschool Sedentary Behavior: An Ecological Momentary Assessment Study." Journal of Physical Activity and Health 11, no. 3 (March 2014): 588–95. http://dx.doi.org/10.1123/jpah.2011-0363.
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Background:Research on children’s sedentary behavior has relied on recall-based self-report or accelerometer methods, which do not assess the context of such behavior.Purpose:This study used ecological momentary assessment (EMA) to determine where and with whom children’s sedentary behavior occurs during their nonschool time.Methods:Children (N = 120) ages 9–13 years (51% male, 33% Hispanic) wore mobile phones that prompted surveys (20 total) for 4 days. Surveys measured current activity (eg, exercise, watching TV), physical location (eg, home, outdoors), and social company (eg, family, friends).Results:Children engaged in a greater percentage of leisure-oriented (eg, watching TV) than productive (eg, reading, doing homework) sedentary behavior (70% vs 30%, respectively). Most of children’s sedentary activity occurred at home (85%). Children’s sedentary activity took place most often with family members (58%). Differences in physical context of sedentary behavior were found for older vs. younger children (P < .05). Type of sedentary behavior differed by gender, racial/ethnic group, and social context (P < .05).Conclusion:Children may prefer or have greater opportunities to be sedentary in some contexts than others. Research demonstrates the potential for using EMA to capture real-time information about children’s sedentary behavior during their nonschool time.
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Wahyuni, Rifdha. "Meningkatkan keharmonisan keluarga melalui solution focused family therapy." Procedia : Studi Kasus dan Intervensi Psikologi 10, no. 4 (December 28, 2022): 130–36. http://dx.doi.org/10.22219/procedia.v10i4.15584.
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Communication between family members is an important thing that must always be built, because without positive communication there will be problematic interactions in the family. The family in this case consisted of father (58 years), mother (52 years) and child (26 years). The father is a retiree, the mother is a housewife and the children are private employees. This family complains about family conditions that are less harmonious. This is characterized by minimal interaction at home and poor communication. Based on the assessment results, it was found that there was unhealthy communication between family members and poor interaction patterns which resulted in low family harmony. The intervention applied to the family is solution-focused family therapy. The aim of the intervention is to improve family harmony by improving patterns of communication and interaction within the family. The results of the intervention show changes in communication and interaction patterns that have an impact on increasing family harmony.
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Gum, Amber, Lawrence Schonfeld, Kevin Kip, Mary Goldsworthy, Jesse Bell, Kyaien Conner, Ohad Green, and Katie Parkinson. "Mortality and Health Outcomes for Older Adults Screened by an Area Agency on Aging Over a 4.5-Year Period." Innovation in Aging 4, Supplement_1 (December 1, 2020): 710–11. http://dx.doi.org/10.1093/geroni/igaa057.2500.
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Abstract Area Agencies on Aging (AAA) screen older adults and oversee delivery of a wide range of home- and community-based services (HCBS). We examined the assessment process, services, and mortality and health outcomes for older adults screened by an Area Agency on Aging in west-central Florida. Most were self/family referred (78.9%). Using data from July 2013-December 2018, 23,225 older adults were screened. Individuals had an average of 2.6 years follow-up in the dataset, during which time 63.6% received additional assessments: follow-up screening (50.6%), comprehensive assessment for enrollment in HCBS (35.7%), or assessments for congregate meals or other services (13.7%). Results revealed differences in mortality: 22.5% of clients receiving services died compared to 32.1% of clients prioritized as lower risk and on waiting lists for services. Long-term care placement and functional decline outcomes also will be reviewed, along with implications for service delivery and managing waitlists.
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Hirdes, John P., Shannon Freeman, Trevor Frise Smith, and Paul Stolee. "Predictors of caregiver distress among palliative home care clients in Ontario: Evidence based on the interRAI Palliative Care." Palliative and Supportive Care 10, no. 3 (March 22, 2012): 155–63. http://dx.doi.org/10.1017/s1478951511000824.
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AbstractObjective:This study examines predictors of caregiver distress among community-based palliative care clients. Analyses are based upon interRAI Palliative Care (interRAI PC) assessment data from palliative home care programs in three regions in Ontario, Canada.Method:The study sample involved all community-based palliative care clients in Ontario who were assessed with the interRAI PC as part of normal clinical practice during pilot implementation of the instrument between 2007 and 2009 (N = 3,929). The assessments were performed by trained case managers and were used as the basis for determining service needs to be addressed through services contracted from provider agencies. The main study outcome of interest was the presence of one or more indicators of caregiver distress: helper(s) unable to continue caring activities; primary informal helper expresses feelings of distress, anger, or depression; family or close friends report feeling overwhelmed by person's illness.Results:Caregiver distress was evident among about 22% of palliative home care clients. Multivariate analyses identified included clinical instability (Changes in Health, End Stage disease, Signs and Symptoms [CHESS] scale), depressive symptoms, cognitive impairment, and positive outlook as significant client-level predictors. Significant caregiver characteristics included hours of informal care. Three service use/provider variables were significant predictors of caregiver distress: the specific home care agency, hospitalizations in the last 90 days, and nursing visits.Significance of results:Caregiver distress affects approximately one in five palliative care clients in the community. This may lead to a number of adverse outcomes for the caregiver and client. The experience of distress is affected by client, caregiver, and agency characteristics that are readily identified by the interRAI PC assessment instrument. The present results point to the need for a care planning protocol that may be used on a targeted basis for clients experiencing or at elevated risk of caregiver distress.
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Hashim, Muhammad Jawad. "Teaching Family Medicine and General Practice." Korean Journal of Family Medicine 43, no. 2 (March 20, 2022): 93–100. http://dx.doi.org/10.4082/kjfm.20.0223.
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The teaching of family medicine and general practice should aim to develop an appreciation of the unique nature and role of the specialty. Teachers should relate patient cases to the principles of family medicine. These principles include (1) compassionate care; (2) a generalist/holistic approach focusing on the whole person, family, and community; (3) continuity of relationship, i.e., building a patient-physician bond of trust; (4) reflective mindfulness; and (5) lifelong learning. The curriculum, instructional strategy, and assessment should be carefully aligned. Core competencies include patient-centered communication, physical examination skills, clinical procedures, palliative care, humanities in medicine, holistic care, shared decision-making, family therapy, home and community visits, chronic disease care, problem-based documentation, team-based care, data-driven improvement, information mastery, ethics and professionalism, and work-life balance. Family medicine/general practice is defined as the medical specialty that manages common and long-term illnesses, focusing on overall health and well-being. Hence, clerkship schedules should maximize clinical exposure and opportunities for self-reflection. A learner-centered approach should begin with a self-identified inventory of learning needs based on the curriculum; next, these needs should be chosen as topics for student presentations. Teaching methods should include mini-workshops: a combination of didactic lectures and small-group exercises. Individual face-to-face formative feedback should occur at midcourse and culminate in a group reflection on the learning experience. Clinical supervision should gradually decrease as each resident demonstrates safe patient care. Procedure skills training should be closely supervised, formally documented, and constitute about one-fourth of learning sessions.
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Marnfeldt, Kelly, Lilly Estenson, Julia Rowan, and Kathleen Wilber. "Caregiving and COVID-19: Perspectives from a Care Coach." Innovation in Aging 5, Supplement_1 (December 1, 2021): 930. http://dx.doi.org/10.1093/geroni/igab046.3365.
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Abstract Family caregivers of community-dwelling older adults have faced unprecedented caregiving challenges during the COVID-19 pandemic. Examining the accumulated impact on family caregivers can help health and aging service providers design resources and supports that are resilient to emergency situations, and reduce negative psychological and physical consequences and risk of abuse within caregiving dyads. Data was collected as part of a pilot intervention in which “Care Coaches” provided telephonic coaching sessions to family caregivers of older adults. We examined Care Coach observations documented after coaching sessions with 24 family caregivers between March 2020 and February 2021. Two coders employed thematic analysis to generate codes and themes. The sample was 70% female, 80% were the spouse or significant other of their care receiver, the mean age was 61, and 53% were Non-Hispanic White. Themes and sub-themes included: (1) increased caregiver burden and diminished care networks due to fear of exposure to or contraction of COVID-19, (2) barriers to accessing in-home personal assistance services and home-delivered meals despite intervention efforts, and (3) the exacerbation of caregiver social isolation due to COVID-19 lockdown policies. Findings highlight the ways in which COVID-19 has amplified caregiver burden through the breakdown of formal and informal support systems. Potential adaptations of community-based services for older adults and their caregivers include remote service liaisons and need assessment of caregiver dyads to assure access to home-based personal assistance services and nutrition support for those at greatest risk of negative consequences during emergency service lapses.
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Meyer, Kylie, Lyndsey Miller, and Jeffrey Kaye. "INNOVATIONS IN REMOTE SUPPORT FOR DEMENTIA FAMILY CAREGIVERS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 392–93. http://dx.doi.org/10.1093/geroni/igac059.1545.
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Abstract Remote delivery of dementia caregiver interventions can decrease delivery costs, and make it more feasible to provide evidence-based interventions to caregivers across the country. As the science behind remote delivery develops, new technologies and their applications can ensure preservation of important intervention components and principles, as well as novel forms of data collection. In this symposium, investigators will present on studies that demonstrate how technology can be used to improve delivery and assessment of remote caregiver interventions. Walter Dawson, D.Phil, will share findings from the Support via Technology: Living and Learning with Advancing Alzheimer’s disease and related dementia (STELLA) intervention. Using secondary data collected via weekly survey, he examined the association between costs of care and behavioral symptoms of dementia. Next, Allison Gibson, PhD, MSW, will present results from focus groups about caregivers’ experiences of the Harmony at HOME (H@H), a telehealth intervention to improve person-environment fit and limit behavioral symptoms of dementia. Kylie Meyer, PhD, will present results from the Learning Skills Together intervention, which uses teleconferencing to teach family caregivers how to provide complex care tasks while adhering to self-efficacy theory. Lastly, Shirin Hiatt, MPH, MS, RN, will present findings from the REmote Assessment and Dynamic Response (READyR) study, which tests the application of remote monitoring technology to assess adherence to value-based care (e.g., autonomy) among spousal family care partners. Each study was supported by the Emory University Roybal Center for Dementia Caregiving Mastery or Oregon Roybal Center for Care Support Translational Research Advantaged by Integrating Technology.
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von Heymann-Horan, Annika B., Louise B. Puggaard, Kathrine G. Nissen, Kirstine Skov Benthien, Pernille Bidstrup, James Coyne, Christoffer Johansen, et al. "Dyadic psychological intervention for patients with cancer and caregivers in home-based specialized palliative care: The Domus model." Palliative and Supportive Care 16, no. 2 (March 30, 2017): 189–97. http://dx.doi.org/10.1017/s1478951517000141.
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ABSTRACTObjective:Patients with incurable cancer and their informal caregivers have numerous psychological and psychosocial needs. Many of these patients wish to receive their care and die at home. Few home-based specialized palliative care (SPC) interventions systematically integrate psychological support. We present a psychological intervention for patient–caregiver dyads developed for an ongoing randomized controlled trial (RCT) of home-based SPC, known as Domus, as well as the results of an assessment of its acceptability and feasibility.Method:The Domus model of SPC for patients with incurable cancer and their caregivers offered systematic psychological assessment and dyadic intervention as part of interdisciplinary care. Through accelerated transition to SPC, the aim of the model was to enhance patients' chances of receiving care and dying at home. Integration of psychological support sought to facilitate this goal by alleviating distress in patients and caregivers. Psychologists provided needs-based sessions based on existential-phenomenological therapy. Feasibility and acceptability were investigated by examining enrollment, nonparticipation, and completion of psychological sessions.Results:Enrollment in the RCT and uptake of the psychological intervention indicated that it was feasible and acceptable to patients and caregivers. The strengths of the intervention included its focus on dyads, psychological distress, and existential concerns, as well as interdisciplinary collaboration and psychological interventions offered according to need. Its main limitation was a lack of an intervention for other family members.Significance of Results:Our results show that psychological intervention can be systematically integrated into SPC and that it appears feasible to provide dyadic needs-based sessions with an existential therapeutic approach. The Domus RCT will provide evidence of the efficacy of a novel model of multidisciplinary SPC.
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Trisnani, Novy, Anita Dewi Astuti, Wulan Tri Puji Utami, and Endah Rahmawati. "Digital Literacy Initiation Through the Family Literacy Movement for Sogan Elementary School Parents." International Journal of Public Devotion 5, no. 1 (January 20, 2022): 21. http://dx.doi.org/10.26737/ijpd.v5i1.2754.
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<p><em>The progress of knowledge in the educational process is one of the crucial needs that must be met by parents and guardians of students, especially when implementing learning from home as a result of the current Covid-19 pandemic. The Community Service Program with activities to introduce digital-based family literacy movements is one of the efforts to help the community, especially parents, to continue to understand the progress of knowledge to support the education and learning process from home. Outcomes Community service activities that have been carried out at SD Negeri Sogan aim to help improve digital literacy skills in everyday life. The subjects of the service were the guardians of the sixth grade students at SD Negeri Sogan as many as 20 people. The method of implementing service activities is carried out through 3 (three) stages, namely need assessment, implementation, and evaluation of activities. From the results of the evaluation of the implementation of the activities, it can be concluded that 1) it is effective and useful for service participants, namely the guardians of class VI Sogan Elementary School; and 2) there is an increase in the knowledge and understanding of service participants about the digital-based family literacy movement.</em><em></em></p>
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Steiner, Lilly, and Christina Cassano. "An Intervention to Support Teachers in Building on Children’s Home Literacy Backgrounds." Journal of Family Diversity in Education 2, no. 3 (April 11, 2017): 19–40. http://dx.doi.org/10.53956/jfde.2017.98.
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This study examines the results of a family literacy intervention to teach teachers to build on families’ home literacy practices. A quasi-experimental design was used to study effects on: (1) the use of home-based literacy practices at school; (2) teachers’ beliefs about the family's role in children's literacy development; and (4) first-graders’ literacy achievement. The study was conducted in two first-grade classrooms with culturally diverse student populations. In the treatment classroom, the teacher learned practices for building home-school partnerships. This teacher incorporated specific opportunities to involve parents in children’s literacy learning that led to an increase in parent-teacher collaboration. A combination of teacher and parent participation in the intervention resulted in statistically significant differences in students’ scores on the Concepts About Print (CAP) assessment compared to students in the control classroom. This study is small; yet, it provides a timely and relevant model to promote parent involvement, which is particularly important given the renewed emphasis on building effective home-school partnerships.
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Koul, Saroj, Uma Kumar, Vinod Kumar, and Sahil Singla. "Internationalization: Case of an Emerging Home Decor Family Business." South Asian Journal of Business and Management Cases 9, no. 3 (November 7, 2020): 433–44. http://dx.doi.org/10.1177/2277977920958083.
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Komal International, India is a family-run enterprise [also called small and medium enterprises (SMEs) in India] catering to the home decor business. In its mission to become a ‘direct’ business partner (supplier) to several MNCs1, Komal International noticed specific challenges to become a ‘compliance-ready’2 export company. Consequently, the company embarked on identifying the relevant external and internal factors. The external factors were identified after assessing several MNCs that indirectly procured products manufactured by Komal International or were listed as their prospective buyers. This assessment and restructuring of its internal functioning allowed alignment with the needs of ‘compliance-ready’ export business. And in turn it provided the ability to survive in a competitive market. Purpose: This case study aims to identify challenges faced by the prospective family businesses (a supplier) to become a ‘compliance-ready’ supplier for the offshore MNCs (buyer) in the home decor market. The challenges were identified by conducting a structured questionnaire followed by a personal interview with existing and prospective buyers; further, modifications in the internal company policies lead to making a ‘compliance-ready’ supplier, useful in finding new export markets. Methodology: The approach was qualitative and included a series of in-person interviews3 with the management of the company over one year, assessing the concepts of family business internationalization as a theory, and from secondary published sources on home decor sector. As such, it was a case analysis to comprehend best practices in a family business to fulfil its vision. Basis of the Case: Phenomenon based. Type of the Case: Applied decisional. Protagonist: Present. Theory: The approach is to examine the relevance of ‘internationalization theory’ for a family business in India. Specifically, we shall, through a case study, investigate the business model adopted by an export ‘compliance-ready’ small family business to thrive in a competitive environment. Research Question: Komal International is a decade-old family business with a vision to provide home decor items globally. The protagonist, having examined the existing business model by considering the internationalization theory and the regulatory environment, has identified two specific challenges. The first is to understand the ‘compliance-ready’ strategy that in turn necessitates the internal policies to be streamlined for its business growth as a ‘direct’ exporter to MNCs. And the second is to meet an ambitious export prospect. The research question is attempted by using the internationalization theory and analysing its role as a supplier to MNCs and becoming ‘compliance-ready’ by modifying its internal company policies. Findings: The significant results suggested are the possible best practices that family businesses such as were embraced by Komal International that are aspirant to become a direct supplier to offshore MNCs may be considered for adopting. These include reworking many internal policies of the company considering (a) the internationalization theory, (b) opportunities from the revised regulatory environment established for Indian SMEs and (c) the opportunities in the global marketplace. By adopting changes within the company, the supplier side (for the buyers’ acceptance as a compliance-ready company) can be strengthened. The findings can be useful to entrepreneurs, specifically family businesses, keen on internationalization. It will be of value to researchers and other SMEs (this definition includes family-run business) in India and globally. The limitations of the study include defining quality parameters based on product specifications and small sample size in interviewing MNCs. The research experiment can be extended to include country-specific analysis, trade trends and cultural analysis.
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Moore, Kirsten. "Quality of care for frail older adults." International Psychogeriatrics 30, no. 9 (September 2018): 1255–57. http://dx.doi.org/10.1017/s1041610218001321.
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Our successes in improving life expectancy has led to increased years of life lived with multimorbidity and dementia with increased support needs. Much of the support given to frail older people is provided by family and informal support networks with significant impact on their physical, psychological, and financial well-being. Demographic and societal changes are reducing the capacity of family to offer this care. Formal home-based, center-based, and long-term/residential/nursing home care services are predominately provided by untrained care staff working under supervision from nursing staff. Difficulties recruiting and retaining these staff is leading to major challenges to meeting the needs of older people (Chenoweth et al., 2010). This volume contains a number of studies focusing on ways to improve care provided by these services for frail older people. The approach underpinning these papers and many perspectives of good quality care for older people is the need to be person-centered where the older person identifies their own goals for care and assessment of need, employing a holistic and strength-based approach incorporating their interests, values, and capacities (Vernooij-Dassen and Moniz-Cook, 2016).
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Kim, Jung G., Carl G. Morris, and Fred E. Heidrich. "A Tool to Assess Family Medicine Residents' Patient Encounters Using Secure Messaging." Journal of Graduate Medical Education 7, no. 4 (December 1, 2015): 649–53. http://dx.doi.org/10.4300/jgme-d-14-00558.1.
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ABSTRACT Background Secure messages exchanged between patients and family medicine residents via an electronic health record (EHR) could be used to assess residents' clinical and communication skills, but the mechanism is not well understood. Objective To design and test a secure messaging competency assessment for family medicine residents in a patient-centered medical home (PCMH). Methods Using the existing literature and evidence-based guidelines, we designed an assessment tool to evaluate secure messaging competency for family medicine residents training in a PCMH. Core faculty performed 2-stage validity and reliability testing (n = 2 and n = 9, respectively). A series of randomly selected EHR secure messages (n = 45) were assessed from a sample of 10 residents across all years of training. Results The secure message assessment tool provided data on a set of competencies and a framework for resident feedback. Assessment showed 10% (n = 2) of residents at the novice level, 50% (n = 10) as progressing, and 40% (n = 8) as proficient. The most common deficiencies for residents' secure messages related to communication rather than clinical competencies (n = 37 [90%] versus n = 4 [10%]). Interrater reliability testing ranged from 60% to 78% agreement and 20% to 44% disagreement. Disagreement centered on interpersonal communication factors. After 2 stages of testing, the assessment using residents' secure messages was incorporated into our existing evaluation process. Conclusions Assessing family medicine residents' secure messaging for patient encounters closed an evaluation gap in our family medicine program, and offered residents feedback on their clinical and communication skills in a PCMH.
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Luo, Xiaowei Rose, Young-Chul Jeong, and Chi-Nien Chung. "In the Eye of the Beholder: Global Analysts’ Coverage of Family Firms in an Emerging Market." Journal of Management 45, no. 5 (October 6, 2017): 1830–57. http://dx.doi.org/10.1177/0149206317734899.
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How do analysts make decisions about which firms to cover? Previous research has not considered how such decisions can be influenced by cultural understandings about appropriate forms of corporate governance. Drawing upon the institutional logics perspective, we propose that analyst firms’ home-country institutional logics of corporate governance can shape analyst perception of coverage risks for family firms. Specifically, we argue that given the negative view towards family governance in shareholder-based logic, family firms are less likely to be covered by analyst firms from shareholder-based countries than by those from stakeholder-based countries. Furthermore, the coverage divergence between shareholder- and stakeholder-based analyst firms will be greater for family firms featuring higher risks of value assessment and expropriation. We test our framework in the context of global analysts’ coverage of publicly listed firms in Taiwan between 1996 and 2005 and find empirical support. Our study contributes to the institutional logics perspective by establishing the implications of corporate governance logics for analyst coverage and providing a boundary condition for agency theory. We also uncover a less-noted source of institutional variation among the analyst community.
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Ollivet, C., C. Guigui, C. Hervé, and V. Rialle. "What Do Family Caregivers of Alzheimer’s Disease Patients Desire in Smart Home Technologies?" Methods of Information in Medicine 47, no. 01 (2008): 63–69. http://dx.doi.org/10.3414/me9102.
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Summary Objectives: The authors’ aim was to investigate the representations, wishes, and fears of family caregivers (FCs) regarding 14 innovative technologies (IT) for care aiding and burden alleviation, given the severe physical and psychological stress induced by dementia care, and the very slow uptake of these technologies in our society. Methods: A cluster sample survey based on a selfadministered questionnaire was carried out on data collected from 270 families of patients with Alzheimer’s disease or related disorders, located in the greater Paris area. Multiple Correspondence Analysis was used in addition to usual statistical tests to identify homogenous FCs clusters concerning the appreciation or rejection of the considered technologies. Results: Two opposite clusters were clearly defined: FCs in favor of a substantial use of technology, and those rather or totally hostile. Furthermore the distributions of almost all the answers of appreciations were U-shaped. Significant relations were demonstrated between IT appreciation and FC‘s family or gender statuses (e.g., female FCs appreciated a tracking device for quick recovering of wandering patients more than male FCs: p = 0.0025, N = 195). Conclusions: The study provides further evidence of the contrasted perception of technology in dementia care at home, and suggests the development of public debates based on rigorous assessment of practices and a strict ethical aim to protect against misuse.
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Perez, Oriana, Anil Kumar Vadathya, Alicia Beltran, R. Matthew Barnett, Olivia Hindera, Tatyana Garza, Salma M. Musaad, et al. "The Family Level Assessment of Screen Use–Mobile Approach: Development of an Approach to Measure Children’s Mobile Device Use." JMIR Formative Research 6, no. 10 (October 21, 2022): e40452. http://dx.doi.org/10.2196/40452.
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Background There is a strong association between increased mobile device use and worse dietary habits, worse sleep outcomes, and poor academic performance in children. Self-report or parent-proxy report of children’s screen time has been the most common method of measuring screen time, which may be imprecise or biased. Objective The objective of this study was to assess the feasibility of measuring the screen time of children on mobile devices using the Family Level Assessment of Screen Use (FLASH)–mobile approach, an innovative method that leverages the existing features of the Android platform. Methods This pilot study consisted of 2 laboratory-based observational feasibility studies and 2 home-based feasibility studies in the United States. A total of 48 parent-child dyads consisting of a parent and child aged 6 to 11 years participated in the pilot study. The children had to have their own or shared Android device. The laboratory-based studies included a standardized series of tasks while using the mobile device or watching television, which were video recorded. Video recordings were coded by staff for a gold standard comparison. The home-based studies instructed the parent-child dyads to use their mobile device as they typically use it over 3 days. Parents received a copy of the use logs at the end of the study and completed an exit interview in which they were asked to review their logs and share their perceptions and suggestions for the improvement of the FLASH-mobile approach. Results The final version of the FLASH-mobile approach resulted in user identification compliance rates of >90% for smartphones and >80% for tablets. For laboratory-based studies, a mean agreement of 73.6% (SD 16.15%) was achieved compared with the gold standard (human coding of video recordings) in capturing the target child’s mobile use. Qualitative feedback from parents and children revealed that parents found the FLASH-mobile approach useful for tracking how much time their child spends using the mobile device as well as tracking the apps they used. Some parents revealed concerns over privacy and provided suggestions for improving the FLASH-mobile approach. Conclusions The FLASH-mobile approach offers an important new research approach to measure children’s use of mobile devices more accurately across several days, even when the child shares the device with other family members. With additional enhancement and validation studies, this approach can significantly advance the measurement of mobile device use among young children.
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Yao, Wenwen, Ying Zhen, and Yu Zhang. "Construction of Cognitive Model of Family Education Decision-Making Based on Neural Network." Occupational Therapy International 2022 (July 5, 2022): 1–14. http://dx.doi.org/10.1155/2022/4082381.
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Family’s academic cognition influences the family’s academic concept, rearing fashion, and academic participation. It is no longer solely associated to kid’s bodily and intellectual development; however, additionally associated to household concord and social progress. With the development of the times, the complicated traits of training proceed to pose new challenges to parents. Exploring the composition and operation mechanism of family training decision-making cognition is envisioned to stop up the key to promote parents’ orderly coaching participation and home university cooperation. However, the associated lookup of usual cognitive mannequin has terrible steadiness and prediction charge in focus results. This paper constructs a cognitive model of family training decision-making principally based totally on neural network. Through the assessment of relevant data, they have an effect of the cognitive model of family coaching decision-making mainly based totally on neural neighborhood evaluated from the accuracy, root suggest rectangular error RMSE, and AUC curve. The experimental effects exhibit that the prediction accuracy of the cognitive mannequin of household training decision-making primarily based on neural community is 15% greater than that of the standard model, and the cognitive balance of the mannequin is 8.2%. This paper demonstrates the effectiveness, feasibility, and practicability of the mannequin in realistic teaching.
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Hałacz, Joanna, Aldona Skotnicka-Siepsiak, Maciej Neugebauer, Krzysztof Nalepa, and Piotr Sołowiej. "Assessment of options to reduce pollutant emissions in single-family houses in north-eastern Poland." E3S Web of Conferences 154 (2020): 07005. http://dx.doi.org/10.1051/e3sconf/202015407005.
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The article presents the results of a study aiming to select the optimal source of heat for a newly designed single-family home. Commercial software was used to compare heating and ventilation systems involving a bituminous coal boiler, a condensing gas boiler, a biomass boiler, and a heat pump with water and glycol as heat transfer media. The effectiveness of natural ventilation, mechanical ventilation with a ground-coupled heat exchanger, and solar heater panels (flat and tubular) for water heating was evaluated. The analysis was based on the annual demand for useful energy, final energy and non-renewable primary energy in view of the pollution output of the evaluated heating systems. The analysis revealed that the heat pump with water and glycol as heat transfer media was the optimal solution. However, the performance of the heat pump in real-life conditions was below its maximum theoretical efficiency. The biomass boiler contributed to the highest reduction in pollutant emissions, but it was characterized by the highest demand for final energy. Mechanical ventilation with heat recovery was required in all analyzed systems to achieve the optimal results. Laboratory analyses confirmed the high efficiency of the tube heat exchanger in winter.
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Utami, Indri Yasa, and Yasnur Asri. "NILAI CINTA KASIH DALAM NOVEL NO PLACE LIKE HOME KARYA ALMA ARIDATHA DAN IMPLEMENTASINYA DALAM PEMBELAJARAN TEKS NOVEL KELAS XII SMA." Pendidikan Bahasa Indonesia 8, no. 3 (December 23, 2019): 169. http://dx.doi.org/10.24036/107474-019883.
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ABSTRACT The purpose of this research is to describe and analyze intrinsic elements, the value of love, and the implementation of the value of love in Alma Aridatha's No Place Like Home novel in novel text learning in class XII high school students. This type of research is qualitative research with descriptive methods. The data source in this research is the No Place Like Home novel by Alma Aridatha. The results of the research were found as participants. First, there are seven intrinsic elements in Alma Aridatha's No Place Like Home novel, namely themes, characterizations, background, plot, point of view, language style, and mandate. Second, there are four values of love in Alma Aridatha's No Place Like Home novel, namely (1) 12 data the values of love for God; (2) 37 data the values of love for the family; (3) 12 data the values of love for others; and (4) 11 data the values of love for oneself. Third, the implementation of the value of love in Alma Aridatha's No Place Like Home novel in novel text learning class XII high school students 2013 curriculum with basic competencies related to three aspects of assessment, namely the assessment of knowledge, attitudes, and skills. Based on the results of the research, it is expected that the teacher suggests the No Place Like Home novel by Alma Aridatha which is easily understood by students in novel text learning in high school so that learning objectives are achieved. Kata Kunci: nilai cinta kasih, pembelajaran teks novel
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Yauch, John. "THE IMPACT OF COMMUNITY HEALTHCHOICES ON PERSON-CENTERED SERVICE PLANNING." Innovation in Aging 6, Supplement_1 (November 1, 2022): 142. http://dx.doi.org/10.1093/geroni/igac059.566.
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Abstract Person-centered service planning (PCSP) is a required component of home and community-based services programs that operate under Medicaid waivers. CMS requires that states have processes in place to assure that participants and their family members (as desired and appropriate) are involved in decisions about their care. This mixed-method study combines interviews with participants and qualitative service coordinators regarding the PCSP process. Participant interviews using the Consumer Assessment of Health Providers Survey – Home and Community Based Services version found that the measure of “choice over services” improved slightly however, the “planning your care” measure was unchanged. Interviews with service coordinators found that the introduction of managed care had led to a system that was overly bureaucratic and focused on medical rather than social needs. This led to a perception that the service plans neglect aspects of daily living that are important for a good quality of life.
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Tsakpounidou, Kalliopi, Ariadne Loutrari, Freideriki Tselekidou, Maria Baskini, and Hariklia Proios. "FAST 112 HEROES: A kindergarten-based educational stroke intervention for the whole family." Health Education Journal 79, no. 6 (April 3, 2020): 724–34. http://dx.doi.org/10.1177/0017896920911675.
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Background: Stroke is a worldwide leading cause of disability, and around 50 million people are affected by stroke annually. Public stroke educational and awareness programmes can make a great deal of difference. Young children are in key position to seek urgent medical care if grandparents suffer a stroke, as grandparents are often their secondary caretakers. Objective: The objective of the current study was to design an educational intervention targeting children and, in parallel, directly involve extended family members. Design: Participatory action research. Setting: School-based education stroke intervention in Thessaloniki, Northern Greece. Methods: Over the course of 5 weeks, this intervention sought to educate 66 preschool children and their families through a series of novel activities that revolved around 4 superheroes, the FAST mnemonic and a medical emergency number. One superhero and their unique superpower was introduced every week through a Powerpoint presentation, a short animation video and a wide range of in-class and take-home activities, such as ‘phantom speech’, role-playing, funny face mimicking games, and rhyming poems. Children were also encouraged to identify their own family superhero so as to transfer their learning to real life. Results: Follow-up individual and group assessment pointed to encouraging results. Results from odd-one-out-tasks revealed that children were able to recognise the stroke symptoms in question. However, they performed more poorly on more complex tasks involving recall. Conclusions: Preschool children acquired knowledge of stroke symptoms which appears more solid when recognition is assessed. Assessment tasks involving substantial recall of information do not necessarily reflect the ability to detect stroke symptoms.