Enhancing Family Communication: Examining the Impact of a Therapeutic Wilderness Program for Struggling Teens and Parents

Family discussion of donation wishes is a critical driver of family authorisation of organ donation. However, few people discuss their wishes or feel certain of family member’s donation preferences. Empirically, individual determinants of discussing donation wishes with family have been examined using the theory of planned behaviour (TPB). The impact of cognitive-affective (e.g., disgust) and family (e.g., family communication) variables are less well studied, and not integrated together in decision-making frameworks. To address this gap, the role of family communication and ‘cognitive-affective’ variables, integrated within the TPB, were examined as predictors of intended and actual discussion of donation wishes with family. Participants (N=201) completed baseline measures of family communication, cognitive-affective (disgust, bodily integrity, medical mistrust, fear of not being dead, anxiety about discussing), and TPB (attitude, subjective norm, self-efficacy, intention) variables. Two-weeks later, participants (N=111) self-reported their discussion behaviour (n=42, 38% discussed). A revised structural equation model provided a good fit to these data. In this model, less anxiety about discussion and positive attitudes toward discussion predicted self-efficacy (R2=0.67). Positive attitudes, greater self-efficacy and perceived approval/support from important others (subjective norm) predicted discussion intentions (R2=0.70). Intention predicted discussion behaviour (R2=0.22). Cognitive-affective variables (except discussion anxiety) and family communication did not have a prominent role. Interventions which emphasise that family expect and approve of donation discussions, portray donation discussions as positively valued, and bolster self-efficacy are needed to increase discussion of organ donation wishes. Bolstering self-efficacy could be achieved by providing tangible strategies to assist individuals to reduce their anxiety about discussing their wishes, and encouraging positive attitudes towards discussion and its importance in family authorisation for donation.

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Manajemen Komunikasi Keluarga Saat Pandemi COVID-19

SALAM Jurnal Sosial dan Budaya Syar i ◽

10.15408/sjsbs.v7i8.15959 ◽

2020 ◽

Vol 7 (8) ◽

pp. 707-722

Author(s):

Ana Kuswanti ◽

Munadhil Abdul Muqsith ◽

Anna Gustina Zainal ◽

Selly Oktarina

Keyword(s):

Interpersonal Communication ◽

Family Communication ◽

Family Life ◽

Management Strategy ◽

Family Members ◽

Family Resilience ◽

Communication Management ◽

The Family ◽

The Government ◽

The Impact

AbstractThis article wants to explain that the Coronavirus Disease or COVID-19 pandemic disrupts the structure of family life. Since the government suppressed physical distancing, it indirectly allowed almost 24 hours to be at home. The COVID-19 pandemic greatly tested family resilience. Positively, the impact of independent quarantine gives time to get to know each other deeply among family members. On the other hand, the more often family members meet increases boredom, which then causes friction to occur. This paper writes how the family communication management strategy when Pandemic COVID-19 to create a harmonious and prosperous family, conduct interpersonal communication, responsibility for the environment and family, intensity and direction of communication with a harmonious atmosphere, healthy parenting even in a physical atmosphere distancing or guarding the distance according to government recommendations. Keywords: family communication management, COVID-19 pandemic, family resilience AbstrakArtikel ini ingin menjelaskan bahwa pandemik Coronavirus Disease atau COVID-19 mendistrupsi tatanan kehidupan keluarga. Sejak pemerintah menekannya physical distancing atau penjagaan jarak secara tidak langsung memberikan waktu nyaris 24 jam berada di rumah. Pandemi COVID-19 sangat menguji ketahanan keluarga. Secara positif, dampak karantina mandiri memberi waktu untuk saling mengenal secara mendalam antar anggota keluarga. Disisi lain, semakin sering anggota keluarga bertemu meningkatkan rasa jenuh yang kemudian menimbulkan gesekan terjadi. Tulisan ini menulis bagaimana strategi manajemen komunikasi keluarga saat Pandemi COVID-19 sehingga tercipta keluarga yang harmonis dan sejahtera, melakukan komunikasi antar pribadi, tanggung jawab pada lingkungan dan keluarga, intensitas dan arah komunikasi dengan atmosfir yang harmonis, pola asuh hidup sehat walaupun dalam suasana physical distancing atau penjagaan jarak sesuai anjuran pemerintah. Kata kunci: manajemen komunikasi keluarga, pandemik COVID-19, ketahanan keluarga

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Communication as a Positive Relationship Outcome with Families Participating in a Therapeutic Wilderness Program

Family Therapy with Adolescents in Residential Treatment - Focused Issues in Family Therapy ◽

10.1007/978-3-319-51747-6_23 ◽

2017 ◽

pp. 407-424

Author(s):

Christine Norton ◽

Katie Liermann

Keyword(s):

Positive Relationship ◽

Wilderness Program ◽

Relationship Outcome ◽

Therapeutic Wilderness Program

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8. Communicating Identity: The Impact of Veterans’ Identity Negotiation on Family Communication

A Communication Perspective on the Military ◽

10.3726/978-1-4539-1562-2/20 ◽

2016 ◽

Keyword(s):

Family Communication ◽

Identity Negotiation ◽

The Impact

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Session 8: Family Roles, Communication, and Support

Children's Health and Illness Recovery Program (CHIRP) ◽

10.1093/med-psych/9780190070267.003.0009 ◽

2020 ◽

pp. 95-102

Author(s):

Bryan D. Carter ◽

William G. Kronenberger ◽

Eric L. Scott ◽

Christine E. Brady

Keyword(s):

Family Communication ◽

Family Systems ◽

Family System ◽

Family Members ◽

Parenting Behaviors ◽

Family Roles ◽

Family Dynamic ◽

Family Situation ◽

The Family ◽

The Impact

Session 8 is again focused primarily on family communication and dynamics for the purposes of identifying and addressing parenting behaviors and parent–teen dynamics that may unwittingly undermining teen confidence in becoming more independent in managing their illness and lifestyle. The clinician engages the family in a discussion of parental and teen roles within the family system and an examination of the impact of the teen’s illness on family members’ roles. Behavioral family systems concepts of “misguided support” and “strong beliefs” that family members hold, but that inadvertently may be serving to maintain a dependent or even overprotective/enmeshed family dynamic, are introduced and applied to the family situation, along with strategies for moving these dynamics in a more independence-engendering direction.

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Group intervention for siblings and parents of children with chronic disorders (SIBS-RCT): study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-020-04781-6 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Krister W. Fjermestad ◽

Wendy K. Silverman ◽

Torun M. Vatne

Keyword(s):

Mental Health ◽

Randomized Controlled Trial ◽

Family Communication ◽

Neurodevelopmental Disorders ◽

Group Intervention ◽

Controlled Trial ◽

Evidence Based ◽

Post Intervention ◽

Randomized Controlled ◽

The Impact

Abstract Background Siblings and parents of children with neurodevelopmental disorders are at risk of mental health problems and poorer family communication. Some group interventions for siblings exist, but few have clearly described parent components and none are considered evidence-based. Methods We are conducting a randomized controlled trial comparing a five-session manual-based group intervention for siblings (aged 8 to 16 years) and parents of children with neurodevelopmental disorders to a 12-week waitlist, called SIBS-RCT. The intervention comprises three separate sibling and parent group sessions and two joint sessions in which each sibling talks to their parent alone. The intervention aims at improving parent-child communication and covers themes such as siblings’ understanding of the neurodevelopmental disorder, siblings’ emotions, and perceived family challenges. Participants are recruited through municipal and specialist health centers across Norway. The primary outcome is sibling mental health. Quality of life and family communication are secondary outcomes. Participants are block-randomized to the intervention or 12-week waitlist in groups of six. Measures are collected electronically at pre- and post-intervention/waitlist, as well as 3, 6, and 12 months post-intervention. The main effect to be examined is the difference between the intervention and waitlist at 12 weeks post. All outcomes will also be examined using growth curve analyses. We plan to include 288 siblings and their parents by the end of 2022. Discussion SIBS-RCT represents a major contribution to the research and practice field towards establishing an evidence-based intervention for siblings. In the event that intervention and waitlist are no different, the impact of SIBS-RCT is still substantial in that we will aim to identify participant subgroups that show positive response and effective components of the SIBS manual by examining group leader adherence as an outcome predictor. This will allow us to continue to re-engineer the SIBS manual iteratively to improve outcomes, and avoid the promotion of a less-than-optimal intervention. Trial registration ClinicalTrials.gov NCT04056884. Registered in August 2019

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