{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:22:18Z","timestamp":1785370938906,"version":"3.55.0"},"reference-count":56,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Burdening health and illness issues such as physical or mental illnesses, accidents, disabilities, and life events such as birth or death influence the health and functioning of families and contribute to the complexity of care and health care costs. Considerable research has confirmed the benefits of a family systems\u2013centered care approach for patients, family caregivers, families, and health care professionals. However, health care professionals face barriers in working with families, such as feeling unprepared. Family systems\u2013centered therapeutic conversations support families\u2019 day-to-day coping, resilience, and health. A family systems care unit (FSCU) was recently established as a real-life laboratory at one of the Swiss Universities of Applied Sciences. In this unit, health care professionals offer therapeutic conversations to families and individual family members to support daily symptom management and functioning, soften suffering, and increase health and well-being. These conversations are observed in real time through a 1-way window by other health care professionals, students, and trainees and are recorded with video for research and education. Little is known about how therapeutic conversations contribute to meaningful changes in burdened families and the benefits of vicarious learning in a real-life laboratory setting for family systems care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In this research program, we aim to deepen our understanding of how therapeutic conversations support families and individuals experiencing burdening health and illness issues and how the FSCU laboratory setting supports the learning of students, clinical trainees, and health care professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Here we apply a transformational action research design, including parallel and subsequent substudies, to advance knowledge and practice in family systems care. Qualitative multiple-case study designs will be used to explore the benefits of therapeutic conversations by analyzing recordings of the therapeutic conversations. The learning processes of students, trainees, and professionals will be investigated with descriptive qualitative study designs based on single and focus group interviews. The data will be analyzed with established coding methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Therapeutic conversations have been investigated in 3 single-case studies, each involving a sequence of 3 therapeutic conversation units. Data collection regarding the second research question is planned.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preliminary results confirm the therapeutic conversations to support families\u2019 coping. This renders the FSCU a setting for ethically sensitive research. This program will not only support the health and well-being of families, but also contribute to relieving the financial and workforce burdens in the health and social care system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>International Registered Report Identifier (IRRID)<\/jats:title>\n                    <jats:p>DERR1-10.2196\/53090<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/53090","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T17:01:14Z","timestamp":1730307674000},"page":"e53090","source":"Crossref","is-referenced-by-count":4,"title":["A Real-Life Laboratory Setting for Clinical Practice, Education, and Research in Family Systems Care: Protocol for a Transformational Action Research Study"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1572-551X","authenticated-orcid":false,"given":"Evelyn","family":"Huber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0791-6997","authenticated-orcid":false,"given":"Erika","family":"Harju","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0257-745X","authenticated-orcid":false,"given":"Elisabeth","family":"Stark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4950-7788","authenticated-orcid":false,"given":"Andr\u00e9","family":"Fringer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2468-3948","authenticated-orcid":false,"given":"Barbara","family":"Preusse-Bleuler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12316"},{"key":"ref2","author":"Shajani, Z","year":"2023","journal-title":"Wright & Leahey's Nurses and Families: A Guide to Family Assessment and Intervention, 8th Edition"},{"key":"ref3","author":"Wright, LM","year":"2021","journal-title":"Illness Beliefs: The Heart of Healing in Families & Individuals, 3rd Edition"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000066"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.125369"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020173"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2017.06.011"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-025176"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12833"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-068497"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S370053"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103771"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103081"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-022-00957-1"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1060518"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.19043\/ipdj.92.005"},{"key":"ref17","first-page":"3","author":"Kaakinen, JR","year":"2018","journal-title":"Family Health Care Nursing. 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