Public Health Family Impact Analysis of Programs
Involving and influencing families in public health programs can be complex. We are developing a tool for public health practitioners to examine how they can better involve families in new and existing programs. The tool was adapted from the Family Impact Checklist developed by Karen Bogenschneider. We are using a 2-round Delphi survey of public health practitioners to further refine the tool. In our next phase, we will also examine the degree to which government-based public health programs actually involve families in programs using our four family impact principles: family engagement, family responsibility, family stability, and family diversity.
The Household Production of Health in Developed Countries: An Exploratory Field Study
Since the family health production model was designed many years ago for undeveloped countries, an exploratory field study seeks to understand the role of the family/household in the production of the health in developed countries (UK, US, etc). This aim is important because public health in developed countries rarely sees the family unit as a source of health or intervention. The purpose of this study is to explore the household production of health behaviors and determinants for the developed world and expand the focus to not only include infants and children, but also adolescents and adults. Teams of research assistants will audio-record short interview surveys with adult street contacts in various developed countries during a BYU sponsored study abroad experience during the Spring/Summer of 2018.
Advantageous Childhood Experiences
Many people have heard of ACEs – adverse childhood experiences. Having just one ACE is associated with worse health in adulthood. But how can beneficial, or advantageous, childhood experiences (AKA: counter-ACEs) lead to better health in adulthood? Counter-ACEs measure positive family functioning, emotional and physical safety, and external supports during childhood. They may help to build resilience in the face of ACEs, but also are likely health promoting regardless of one’s ACE score. The purpose of this study is to develop a counter-ACE measure (modified from the Benevolent Childhood Experiences scale) and examine how counter-ACEs are associated with adult physical and mental health behaviors and outcomes.