Tracing the Use of the Family Management Framework and Measure: A Scoping Review.
Kathleen A Knafl, Janet A Deatrick, Agatha M Gallo and 1 others
PMID 33749353WHAT IT FOUND
The Family Management Measure is used in research with families facing chronic health challenges, not widely in clinical care.
Studies often included one family member, usually mothers, and two studies scored the measure incorrectly.
Key findings
01The review identified 262 articles citing the framework or measure, including 85 research reports based on them.
02Among studies using the measure, 61% were conducted outside the United States and 71% included only one family member.
03The measure has six separate scales and no total score, but two studies calculated a single total score.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review found few clinical applications, so it does not show how the framework or measure works in patient care. Only English-language publications were included, and the authors said relevant publications could have been missed. Many studies used one family member, usually mothers, so they do not show how the whole family manages care. The measure was developed for families with children, and its items say 'our child,' which limits use when an adult is the patient. Not all studies reported scale consistency, and some studies scored the measure incorrectly by creating a total score.
Declared interests
The authors declared no potential conflicts of interest and received no financial support.
The easy way to misread this
Do not treat the Family Management Measure as a proven clinical assessment tool. This review maps research use, not tested patient care, and two studies scored the measure incorrectly.