Family-Oriented Health Care in Finland: Background and Some Innovative Projects.

Larivaara, Pekka; Taanila, Anja; Aaltonen, Jukka; Lindroos, Sirpa; Väisänen, Erkki; Väisänen, Leena

doi:10.1037/1091-7527.22.4.395

Cited by 6 publications

(8 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In most of these studies there is a family dysfunction associated with poor coping, low adherence and adverse health outcomes (19)(20)(21) . Research has demonstrated that families and their network influence most of health-related behaviour and has highlighted the limitations of meeting the patient alone.…”

Section: Systemic Family Medicinementioning

confidence: 99%

“…During past decades there has been an increased number of studies relating to the family and the family's influence on chronic illness (16)(17)(18) . In most of these studies there is a family dysfunction associated with poor coping, low adherence and adverse health outcomes (19)(20)(21) . Research has demonstrated that families and their network influence most of health-related behaviour and has highlighted the limitations of meeting the patient alone.…”

Section: Systemic Family Medicinementioning

confidence: 99%

See 1 more Smart Citation

Childhood obesity: from nutrition to behaviour

Flodmark

Ohlsson

2008

Proc. Nutr. Soc.

View full text Add to dashboard Cite

Obesity in children is difficult to treat, but it seems to be easier to treat than adult obesity. The first step in treatment is to identify effective advice relating to nutrition and physical activity. In most treatment studies the macronutrient composition of the diet is not of major importance for treatment outcome. In relation to physical activity fat-utilisation strategies have been described. The second step includes appropriate approaches to lifestyle change. In Europe there are no drugs approved for children, and surgery for children is still limited to research projects. Thus, the major challenge is to develop effective ways of changing lifestyle. Family therapy may be an effective approach in preventing severe obesity from developing during puberty, and a therapeutic strategy based on treatment studies is described. The family-therapy techniques used here are intended to facilitate the family's own attempts to modify their lifestyle, and to increase their own sense of responsibility and readiness to change, i.e. these variables are the prime targets during therapy. Thus, the family, not the therapist, assumes responsibility for the changes achieved. This approach may be helpful in making the therapeutic process less cumbersome for the therapist. Instead of the therapist attempting to persuade the obese subjects to lose weight, it might be more effective to teach them to control their eating patterns through their own efforts. The treatment model includes structural family therapy and solutionfocused-brief therapy. The use of such a model makes it possible to train therapists and health professionals to use an evidence-based intervention model. Family therapy: Childhood obesity: Systemic family medicineTreating obesity in children, although difficult, seems to be easier than treating adult obesity (1)(2)(3) . The first step is to identify effective advice on nutrition and physical activity.In relation to nutrition, several studies have investigated an epidemiological association between BMI and food habits, but the results have been inconclusive, as pointed out in a recent review (4) . From the epidemiological perspective, the cross-sectional Bogalusa Study, which has investigated 1562 children aged 10 years over a 21-year period, has found that the consumption of sweetened beverages, sweets and meat and the total consumption of low-quality foods are positively associated with overweight status (5) . Furthermore, the total amount of food consumed, specifically from snacks, is positively associated with overweight status. However, the percentage variance explained from the eating pattern-overweight models is very small. In relation to treatment, a meta-analysis has shown that low-carbohydrate non-energy-restricted diets in adults appear to be at least as effective as low-fat energyrestricted diets in inducing weight loss for £ 1 year (6) . However, in a recent study of forty-one 8-12-year-old obese children who were randomly assigned to a 24-month family-based behavioural treatment the macronutrient cont...

show abstract

Section: Systemic Family Medicinementioning

confidence: 99%

Section: Systemic Family Medicinementioning

confidence: 99%

Childhood obesity: from nutrition to behaviour

Flodmark

Ohlsson

2008

Proc. Nutr. Soc.

View full text Add to dashboard Cite

show abstract

“…as well as psychiatric and psychosocial problems. (p. 396) Noting the high proportion of diagnosable mental illness, Larivaara et al (2004) observed, "In many cases the support networks consisting of family and relatives have been replaced by networks of officials" (p. 396). Social capital has diminished and is only slowly being restored.…”

Section: The Finnish Experiencementioning

confidence: 99%

“…Of particular interest is the following response to a reviewer's query regarding whether the movement process has been directed by a specific group. Larivaara et al (2004) noted that during the last 15 years there has been an unofficial steering group, which has created many strategies for getting biopsychosocial and interprofessional ideas in the curriculum at the medical school. Since 1999 there has been a professorship of systemic family medicine in the Faculty of Medicine at Oulu University.…”

Section: The Finnish Experiencementioning

confidence: 99%

“…The second article, "Family-Oriented Health Care in Finland: Background and Some Innovative Projects," by Larivaara et al (2004), describes a long-term effort by a loosely constituted Finnish group to essentially change the same structures-that is, the medical schools and health care delivery system-in a systemic and family-oriented direction. The difference between the two efforts is based on their position vis a vis the system they are trying to change and in the consistency of their focus on a general systems theoretical orientation.…”

mentioning

confidence: 99%

See 1 more Smart Citation