43 research outputs found
Romantic ideals, mate preferences, and anticipation of future difficulties in marital life: a comparative study of young adults in India and America
This article has been made available through open access by the Brunel Open Access Publishing Fund.Previous studies have established that Indians tend to be greater in collectivism and gender role traditionalism than Americans. The purpose of the present study was to examine whether these differences explained further cultural differences in romantic beliefs, traditional mate preferences, and anticipation of future difficulties in marital life. Results revealed that Indians reported greater collectivism than Americans and, in turn, held stronger romantic beliefs. Additionally, Indians’ greater collectivism and endorsement of more traditional gender roles in part predicted their preferences for a marital partner possessing traditional characteristics, and fully accounted for their heightened concerns about encountering future difficulties in marital life. These results shed light on the processes underlying cultural differences in relationship attitudes and preferences, and point to culture-specific therapies to enhance marital functioning
RELEASE-HF study:a protocol for an observational, registry-based study on the effectiveness of telemedicine in heart failure in the Netherlands
Introduction:Meta-analyses show postive effects of telemedicine in heart failure (HF) management on hospitalisation, mortality and costs. However, these effects are heterogeneous due to variation in the included HF population, the telemedicine components and the quality of the comparator usual care. Still, telemedicine is gaining acceptance in HF management. The current nationwide study aims to identify (1) in which subgroup(s) of patients with HF telemedicine is (cost-)effective and (2) which components of telemedicine are most (cost-) effective. Methods and analysis:The RELEASE-HF ('REsponsible roLl-out of E-heAlth through Systematic Evaluation -Heart Failure') study is a multicentre, observational, registry-based cohort study that plans to enrol 6480 patients with HF using data from the HF registry facilitated by the Netherlands Heart Registration. Collected data include patient characteristics, treatment information and clinical outcomes, and are measured at HF diagnosis and at 6 and 12 months afterwards. The components of telemedicine are described at the hospital level based on closed-ended interviews with clinicians and at the patient level based on additional data extracted from electronic health records and telemedicine-generated data. The costs of telemedicine are calculated using registration data and interviews with clinicians and finance department staff. To overcome missing data, additional national databases will be linked to the HF registry if feasible. Heterogeneity of the effects of offering telemedicine compared with not offering on days alive without unplanned hospitalisations in 1 year is assessed across predefined patient characteristics using exploratory stratified analyses. The effects of telemedicine components are assessed by fitting separate models for component contrasts. Ethics and dissemination:The study has been approved by the Medical Ethics Committee 2021 of the University Medical Center Utrecht (the Netherlands). Results will be published in peer-reviewed journals and presented at (inter)national conferences. Effective telemedicine scenarios will be proposed among hospitals throughout the country and abroad, if applicable and feasible.</p
RELEASE-HF study:a protocol for an observational, registry-based study on the effectiveness of telemedicine in heart failure in the Netherlands
Introduction:Meta-analyses show postive effects of telemedicine in heart failure (HF) management on hospitalisation, mortality and costs. However, these effects are heterogeneous due to variation in the included HF population, the telemedicine components and the quality of the comparator usual care. Still, telemedicine is gaining acceptance in HF management. The current nationwide study aims to identify (1) in which subgroup(s) of patients with HF telemedicine is (cost-)effective and (2) which components of telemedicine are most (cost-) effective. Methods and analysis:The RELEASE-HF ('REsponsible roLl-out of E-heAlth through Systematic Evaluation -Heart Failure') study is a multicentre, observational, registry-based cohort study that plans to enrol 6480 patients with HF using data from the HF registry facilitated by the Netherlands Heart Registration. Collected data include patient characteristics, treatment information and clinical outcomes, and are measured at HF diagnosis and at 6 and 12 months afterwards. The components of telemedicine are described at the hospital level based on closed-ended interviews with clinicians and at the patient level based on additional data extracted from electronic health records and telemedicine-generated data. The costs of telemedicine are calculated using registration data and interviews with clinicians and finance department staff. To overcome missing data, additional national databases will be linked to the HF registry if feasible. Heterogeneity of the effects of offering telemedicine compared with not offering on days alive without unplanned hospitalisations in 1 year is assessed across predefined patient characteristics using exploratory stratified analyses. The effects of telemedicine components are assessed by fitting separate models for component contrasts. Ethics and dissemination:The study has been approved by the Medical Ethics Committee 2021 of the University Medical Center Utrecht (the Netherlands). Results will be published in peer-reviewed journals and presented at (inter)national conferences. Effective telemedicine scenarios will be proposed among hospitals throughout the country and abroad, if applicable and feasible.</p
Children, care, career – a cross-sectional study on the risk of burnout among German hospital physicians at different career stages
Managing multiple roles: Routes to reconciliation
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74852.pdf (publisher's version ) (Open Access)Work and family: Stress or success?
The combination of work and family is one of the greatest social challenges of this era. What helps dual-earner families with young children to deal with this issue? Pedagogue Hilde Wierda-Boer approached this issue from different angles.
She found three factors that may hinder a successful reconciliation of work and family: time spent on paid work – by the person and his or her partner, scaling back in a life domain (work or family) when the time budget is limited, and experiences of stress. Although an equal division of tasks may yield other benefits, it was not a solution for work-family interference experienced by the parents in this study. The key to success could be found in personal characteristics: emotional stable parents, fathers with more feminine traits and mothers with more masculine traits had an asset in combining work and family.
The thesis concludes with several directions for policy making.RU Radboud Universiteit Nijmegen, 14 december 2009Promotor : Gerris, J.R.M. Co-promotor : Vermulst, A.A.173 p
Managing multiple roles - Personality, stress, and work-family interference in dual-earner couples
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76755.pdf (publisher's version ) (Closed access)Today many parents have multiple roles. This study examined how personality, domain-specific stress, and work-family interference are interrelated. Questionnaire data of 276 Dutch dual-earner couples with young children were analyzed using structural equation modeling. Findings demonstrated that job stress and parenting stress were positively related to work-to-family conflict and family-to-work conflict, respectively. For women, additionally, family-to-work conflict was strongly associated with increased levels of job stress. Finally, emotional stability functioned as an indirect predictor of work-family interference by decreasing the levels of job stress and parenting stress for both genders, but in distinctive ways. The use of couple data and inclusion of personality showed a valuable extension of existing models linking work and family
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In many contemporary families, both parents are involved in paid work and family responsibilities. This creates challenges for the successful reconciliation of work and family. In this study, we examined whether and how the division of paid work and unpaid work between partners is related to work–family interference. Analyses were based on survey data of 147 Finnish, 186 German, and 265 Dutch dual-earner couples with young children and show that there is no recipe for a division of paid work and unpaid work that guarantees a conflict-free reconciliation of work and family. Although some cultural variation was identified, in general, individual time spent on paid work and unpaid work appeared to be more decisive for parents’ level of work–family interference than couples’ combination strategies. Therefore, to help working parents it seems important to create opportunities to adjust their time spent on paid work and unpaid work.<br/
Happy Spouses, Happy Parents? Family Relationships Among Finnish and Dutch Dual Earners
In this study links between spousal and parent-child relationships among Finnish (n = 157 couples) and Dutch (n = 276 couples) dual earners with young children were examined using paired questionnaire data. Variable-oriented analyses (structural equation modeling with a multigroup procedure) supported the spillover hypothesis, as higher levels of satisfaction in the spousal relationship were related to higher quality in the parent-child relationship and lower parental role restrictions. These connections did not differ by gender or country. With family typological analyses (mixture modeling), 4 family types were identified: families with satisfying relationships (73.4% of the families), families with unsatisfying parent-child relationships (13.4%), and families with either dissatisfied men (6.0%) or dissatisfied women (7.2%)