Congenital Zika Virus Syndrome: care in light of the Brazilian Unified Health System principles

ABSTRACT Objective: to know health professionals’ perceptions about care actions provided to children with Congenital Zika Virus Syndrome and their families. Methods: this is a qualitative study, carried out in a capital of center-western Brazil, based on the Unified Health System theoretical precepts. Data were collected in September and October 2020, through audio-recorded interviews with 12 health professionals from a specialized service and submitted to analysis of content, thematic modality. Results: the implementation of care actions with these children occurs through multidimensional assessment of children and their families, use of the Unique Therapeutic Project, therapeutic interventions for the development of children and the communication and exchange of interprofessional and family experiences, in addition to considering professionals’ prior knowledge and their search for it. Final considerations: children with CZS and their families need individualized, frequent, integrated and continuous care.

The family experiences in the daily local-guided tours: Evidence from the sharing economy platform (Withlocals)

Despite the increasing popularity of family travels and the importance of the daily local tours in the sharing economy, there is no research combining both and it is still very much lacking. Hence, this paper seeks to explore family experiences of the daily local-guided tours offered on a sharing economy platform, Withlocals, utilizing online narratives. To attain this aim, this study applies netnography approach and involves a total of 867 family experience reviews. As a result of the analysis, eight components revealed: local guides’ attributes, awe, learning, memorable, child-friendly activities, engaging tour members, family-friendly tips, and novelty. The outcomes serve as indicators for local guides in addressing the essentials and expectations in family local-guided experience. As well as having practical implications, the results yield valuable theoretical insights for family tourism literature by opening a new door for future studies.

Work-Family Conflict, Enrichment, and Adolescent Academic Adjustment in Dual-Earner Family

There is ample evidence that work-family conflict (WFC) and work-family enrichment (WFE), respectively, have detrimental and beneficial impacts on the functioning of couples, families, and children. In this study, cross-sectional data from 2,136 dual-earner families in China, including parents and their children (51.2% girls, ages: 11.6–19.3 years), were used together with Actor-Partner Interdependence Model-Structural Equation Modeling (APIM-SEM) to test the hypothesis that work-family spillover can impact academic adjustment in adolescents through parental educational expectations and perceived educational expectations. The results of this analysis suggested that academic adjustment among adolescents is primarily influenced by maternal work-family experiences, such that maternal but not paternal WFC can impact academic adjustment in adolescents through parental educational expectations and perceived educational expectations. Maternal WFE was found to be indirectly associated with the academic adjustment in adolescents as a result of actual and perceived educational expectations. Additionally, we observed a significant effect of maternal WFC on the educational expectations of fathers within couple-relationship dyads. These results underscore the importance of the work-family interface as a factor that shapes the overall family health and associated outcomes, especially the importance of maternal work-family experiences in this context. Interventions that aim to promote more positive maternal work environments are thus likely to yield greater benefits for their children and families. Overall, these data indicate that work-family spillover is a core determinant of adolescent development, which warrants further study.

Embracing Age-Inclusivity Through Multimodal, Active Student Learning in a Health and Aging Policy Course

One of the goals for an upper-level undergraduate seminar course is for students to identify and discuss existing policies, programs, and resources for meeting the needs of the aging population. To encourage active student learning, the course provides a mix of readings and assignments, six intergenerational discussions, and reflective writing. The idea is that these varying experiences help foster a deep understanding of how these policies and related issues pertain and matter to everyone, not only older individuals, and how their future career and family experiences will benefit from the knowledge gained in the course regardless of their next career steps. This course model has been effective for challenging ageism, and has been taught four times, each time with modifications based on student numbers, current issues, and the pandemic. The presenter will discuss assessment methods, identify best practices, and offer suggestions for others interested in utilizing a similar model.

Determinants of Positive and Negative Affect among Adolescents and Young Adults in Indonesia: A Population-Based Survey

Positive and negative affect are crucial for mental health. However, the determinant factors of positive and negative affect have yet to be examined between adolescents and young adults. This study aimed to explore the determinant factors of positive and negative affect, comparing their effects among adolescents and young adults and among the two sexes in Indonesia. We undertook secondary data analyses of the Indonesia Family Life Survey for this cross-sectional study. Questionnaires on sociodemographic characteristics, physical and mental health-related variables, and childhood family experiences from 2014 were used as independent variables, and positive and negative affect were used as the dependent variables. Hierarchical linear regression was performed to investigate the factors associated with positive and negative affect and to compare their effects between adolescents and young adults. The hierarchical linear regression revealed that sociodemographic characteristics, perceived health, smoking, chronic condition, acute morbidity, sleep, childhood family experiences, depression, personality type, life satisfaction, happiness, and experience of disasters were associated with positive and negative affect among adolescents and young adults in Indonesia. Identification of positive and negative affect as well as their associated factors among adolescents and young adults should be considered when developing preventive programs in the community.

The Family Talk Programme in Ireland: A Qualitative Analysis of the Experiences of Families With Parental Mental Illness

Background: Parental mental illness is common, costly, can lead to children developing mental disorders and impaired lifetime outcomes, and places a substantial burden on caregiving partners. Family Talk (FT) is a widely implemented, 7-session, whole-family programme, with promising evidence of effectiveness in targeting the intergenerational transmission of mental illness. However, to date, very little qualitative research of family experiences of FT has been undertaken. The objectives of this study were to: (1) investigate the experiences of families attending FT; and (2) explore the key facilitators and barriers to engagement in mainstream mental health settings.Methods: This study was nested within a randomised controlled trial (RCT) of Family Talk [N = 86 families (139 parents, 221 children)] implemented in 15 adult, child and primary care mental health sites in Ireland. Semi-structured interviews were conducted with a purposive sample of 45 participants, including 23 parents with mental illness (PMI), 7 partners and 15 children/young people aged 9 to 18 years. Interview data were transcribed verbatim and analysed using constructivist grounded theory.Results: Over two thirds of families across sites reported substantial benefits from participation in FT, including reduced stigma, giving children and partners a voice, increased service-user confidence, and improved family communication/relationships. Key facilitators identified by families included: programme delivery by a competent, non-judgmental clinician; the whole-family approach; and family readiness to engage. Barriers to engagement included stigma, family crises/relapse, service constraints, impact of COVID-19, and a need for further child, family and follow-up sessions/supports.Conclusion: This study is the first qualitative analysis of family experiences of FT to be conducted within the context of an RCT and national programme to introduce family-focused practise for families with PMI. The findings illustrate that FT is beneficial across cultural/policy contexts, different mental disorders and can be implemented across adult and child mental health settings, including children with existing mental health challenges. Key barriers and facilitators to implementation were identified by families, all of which should help to inform the future implementation of FT, and other similar interventions, both in Ireland and elsewhere.