scholarly journals Validation of the family health scale among heterosexual couples: a dyadic analysis

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
AliceAnn Crandall ◽  
Melissa Barlow

Abstract Background The Family Health Scale (FHS) is a recently validated comprehensive measure of family health for use in survey research with the potential to also be used as a clinical measure. However, previous research has only validated the FHS among one member of the family rather than multiple family members. The objective of the study was to examine the psychometric properties of the FHS long- and short-form among married and cohabitating partners (dyads). Method The sample for this study was comprised of 482 married or cohabitating heterosexual couples (dyads) who were parents of a child between the ages of 3–13, heterosexual, and living in the United States. Each member of the dyad completed a survey about his or her perception of family health, personal health, childhood experiences, and demographic characteristics. Confirmatory factor analyses (CFA) were conducted to examine the factor structure. Unidimensional, correlational, and second-order factor structures were examined using responses from both partners. The relationships between family health with individual health and demographic covariates were also examined. Results Women and men reported their family health similarly. The unidimensional factor structure had the best fit for the FHS short-form while either the unidimensional model or the second-order model would be appropriate for the FHS long-form. Household income, individual member mental health, and childhood experiences were associated with family health in the expected direction. Conclusion The results demonstrate that the FHS is a valid and reliable family measure when examining family health among dyads including married and cohabitating heterosexual couples who have children.

2020 ◽  
Vol 34 (1) ◽  
pp. 59-66
Author(s):  
Susan M. Hunter Revell ◽  
Mary K. McCurry

Mental illness is an epidemic in the United States, and there is a gap in care due to minimal integrated programs and transitional community resources. This paper reports the development of a conceptual framework to identify challenges facing families living with mental illness and the integral role nursing plays to positively impact health. An inductive, bottom-up approach was used to develop the Nursing Science, Mental Illness and Family model. Concepts clustered around family health, cycle of suffering, improving outcomes, healthcare policy, and nursing science. Successful, goal-directed interprofessional collaborations are essential for individual-, family-, and system-level interventions to be effective.


2021 ◽  
Author(s):  
Fei Wang ◽  
Yunchou Wu ◽  
Xiaonan Sun ◽  
Dong Wang ◽  
Weijie Ming ◽  
...  

Abstract Objective To translate a Short Form of the Family Health Scale (FHS-SF) and to test the reliability and Validity of the Chinese version of the FHS-SF. Method A Short Form of the Family Health Scale was Chinese translated with the consent of the original author. A total of 8912 residents were surveyed in 120 cities across China using a multistage sampling method, with gender, ethnicity, and education level as quota variables. 750 participants were selected to participate in this study, and 44 participants were randomly selected to be retested one month later. Result The Cronbach’s alpha of the Chinese version of a Short Form the Family Health Scale was 0.83,the Cronbach’s alphas of the four subscales ranged from 0.70 to 0.90, the retest reliability of the scale was 0.75, the standardized factor loadings of the validation factor analysis were above 0.50, GFI = 0.98; NFI = 0.97; RFI = 0.95; RMSEA = 0.07, all within acceptable limits. Conclusion The Chinese version of a Short Form the Family Health Scale has good reliability and validity and can be used to assess the level of family health of Chinese residents.


2020 ◽  
Vol 13 (1) ◽  
pp. 221-239
Author(s):  
Yohanes Budiarto ◽  
Fransisca Iriani Roesmala Dewi ◽  
Rahmah Hastuti

The family's emotional psychological and social well-being is influenced by how parent-child relations quality is perceived by each other, both of the child and father, as well as the child and the mother. This study focused on the dyadic analysis of parent-child quality relationships prediction on the emotional, psychological, and social well-being of the family members in Indonesia. The study involved 230 dyads comprised of fathers, mothers, and children who completed the Revised Parent-Child Interaction Questionnaire measuring the parent-child relationship quality and the Mental Health Continuum Short Form (MHC-SF) to measure family well-being. Adopting the actor–partner interdependence model (APIM) and structural equation modeling (SEM) as the statistics technique, the results showed that in general, no partner’s effect was found. To be specific, dyadic relations between father and child showed an actor’s effect influencing their well-being. On the other hand, the dyadic relations between child and mother showed neither the actor’s effect nor the partner’s effect on their well-being. The study highlights the vital role of fathers and adolescents in their own well-being.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Robert C. Whitaker ◽  
Tracy Dearth-Wesley ◽  
Allison N. Herman ◽  
Amy E. Block ◽  
Mary Howard Holderness ◽  
...  

Abstract Background Exposure to adverse childhood experiences (ACEs) and being female are distinct risk factors for having a major depressive episode (MDE) or an anxiety disorder (AD) in adulthood, but it is unclear whether these two risk factors are synergistic. The purpose of this study was to determine whether exposure to ACEs and being female are more than additive (synergistic) in their association with MDE and AD in US adults. Methods We pooled cross-sectional survey data in the Midlife in the United States study from two nationally-representative cohorts of English-speaking US adults. Data from the first cohort were collected in 2004–2006 and from the second in 2011–2014. Data from both cohorts included the 12-month prevalence of MDE and AD (generalized anxiety disorder or panic disorder) assessed with the Composite International Diagnostic Interview Short Form, gender (here termed female and male), and the count of five categories of exposure to ACEs: physical, sexual, or emotional abuse; household alcohol or substance abuse; and parental separation or divorce. Results Of the 5834 survey respondents, 4344 (74.5%) with complete data on ACEs were included in the analysis. Mean (SD) age was 54.1 (13.8) years and 53.9% were female. The prevalences of MDE, AD, and exposure to 3–5 categories of ACEs were 13.7, 10.0, and 12.5%, respectively. After adjusting for covariates (age, race, and current and childhood socioeconomic disadvantage), for those with both risk factors (female and 3–5 ACEs) the prevalence of MDE was 26.9%. This was 10.2% (95% CI: 1.8, 18.5%) higher than the expected prevalence based on the additive associations of the two risk factors. The adjusted prevalence of AD among females with 3–5 ACEs was 21.9%, which was 11.4% (95% CI: 4.0, 18.9%) higher than the expected prevalence. Conclusions For both MDE and AD, there was synergy between the two risk factors of exposure to ACEs and being female. Identification and treatment of MDE and AD may benefit from understanding the mechanisms involved in the synergistic interaction of gender with ACEs.


2017 ◽  
Vol 18 (5) ◽  
pp. 307-313
Author(s):  
Grace M. Cho

This piece is an experimental autoethnographic text that juxtaposes the author’s childhood experiences of growing up as a mixed-race Korean immigrant in a xenophobic small town in the United States with her mother’s dreams of migrating from Korea to America. The story of the family is contextualized within the history of the Korean War and postcolonial Korea and is based on several conversations the author had with her mother and aunt, in addition to her research on the Korean War and its aftermath. It reveals the many physical and symbolic disappearances in both the author’s family and Korean diaspora.


1994 ◽  
Vol 74 (1) ◽  
pp. 131-144 ◽  
Author(s):  
Li-Wen Chang ◽  
Walter R. Schumm ◽  
L. Ann Coulson ◽  
Stephan R. Bollman ◽  
Anthony P. Jurich

The Kansas Marital Satisfaction Scale, the Kansas Parental Satisfaction Scale, a version for couples of the Family Adaptability and Cohesion Evaluation Scales (FACES III), and three subscales from the Marital Communication Inventory were subjected to common factor analysis using data from 1222 rural, heterosexual couples, husbands and wives from eight western and midwestern states in the United States. The analysis supported the expected dimensionality of the Marital Communication Inventory and the two satisfaction scales but suggested that the adaptability scale may have more than one dimension. All scales showed adequate to high internal consistency reliability; however, the two FACES III scales were correlated .59 for both husbands and wives, casting doubt on the presumed orthogonality of those scales, at least for these samples. The results further support the potential validity of brief measures of relationship quality and satisfaction.


2021 ◽  
Author(s):  
Fei Wang ◽  
Yunchou Wu ◽  
Xiaonan Sun ◽  
Dong Wang ◽  
Weijie Ming ◽  
...  

Abstract Objective: To translate a Short Form of the Family Health Scale (FHS-SF) and to test the reliability and Validity of the Chinese version of the FHS-SF. Method: A Short Form of the Family Health Scale was Chinese translated with the consent of the original author. A total of 8912 residents were surveyed in 120 cities across China using a multistage sampling method, with gender, ethnicity, and education level as quota variables. 750 participants were selected to participate in this study, and 44 participants were randomly selected to be retested one month later. Result: The Cronbach’s alpha of the Chinese version of a Short Form the Family Health Scale was 0.83,the Cronbach’s alphas of the four subscales ranged from 0.70 to 0.90, the retest reliability of the scale was 0.75, the standardized factor loadings of the validation factor analysis were above 0.50, GFI = 0.98; NFI = 0.97; RFI = 0.95; RMSEA = 0.07, all within acceptable limits. Conclusion: The Chinese version of a Short Form the Family Health Scale has good reliability and validity and can be used to assess the level of family health of Chinese residents.


2019 ◽  
Vol 30 (5) ◽  
pp. 434-443
Author(s):  
Naohiro Hohashi

To enable culturally congruent family health care nursing, the family belief systems theory proposed by Hohashi can be utilized. The family belief systems theory, developed through family ethnographic studies and questionnaire surveys conducted in the United States, Japan, China, Indonesia, and the Philippines, explains (a) structurization of a system, based on the family member’s beliefs as cognition criteria, in which family member’s emotions, decisions/acts, and physical responses (including health problems) occur; and (b) the process in which family beliefs are formed from family members’ beliefs, by which intentional decisions/acts by the family (family decision making, family self-management, etc.) are performed. By identifying the mechanism of family belief systems, the nursing professional, through support for family/family members’ beliefs, can completely change the intentional decisions/acts by the family.


2020 ◽  
Vol 8 ◽  
Author(s):  
AliceAnn Crandall ◽  
Nomi S. Weiss-Laxer ◽  
Eliza Broadbent ◽  
Erin Kramer Holmes ◽  
Brianna Michele Magnusson ◽  
...  

Families strongly influence the health of communities and individuals across the life course, but no validated measure of family health exists. The absence of such a measure has limited the examination of family health trends and the intersection of family health with individual and community health. The purpose of this study was to examine the reliability and validity of the Family Health Scale (FHS), creating a multi-factor long-form and a uniform short-form. The primary sample included 1,050 adults recruited from a national quota sample Qualtrics panel. Mplus version 7 was used to analyze the data using a structural equation modeling framework. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) confirmed a 32-item, 4-factor long-form scale. The four factors included (1) family social and emotional health processes; (2) family healthy lifestyle; (3) family health resources; and (4) family external social supports. A 10-item short-form of the FHS was also validated in the initial sample and a second sample of 401 adults. Both the long-form and short-form FHS correlated in the expected direction with validated measures of family functioning and healthy lifestyle. A preliminary assessment of clinical cutoffs in the short-form were correlated with depression risk. The FHS offers the potential to assess family health trends and to develop accessible, de-identified databases on the well-being of families. Important next steps include validating the scale among multiple family members and collecting longitudinal data.


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