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Keywords = psychological tele-counselling

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19 pages, 259 KB  
Article
Wartime Experiences of Single Parents by Choice
by Dorit Segal-Engelchin, Maya Tsfati and Alean Al-Krenawi
Healthcare 2025, 13(23), 3133; https://doi.org/10.3390/healthcare13233133 - 2 Dec 2025
Viewed by 603
Abstract
Background/Objectives: Despite extensive research on the outcomes faced by parents in contexts of political violence, as well as the protective factors that enhance their well-being, the experiences of single parents by choice (SPCs) in such circumstances have largely been neglected. This study sought [...] Read more.
Background/Objectives: Despite extensive research on the outcomes faced by parents in contexts of political violence, as well as the protective factors that enhance their well-being, the experiences of single parents by choice (SPCs) in such circumstances have largely been neglected. This study sought to address this gap by examining the experiences of SPCs during the current phase of the Israel–Hamas war that began on 7 October 2023. Method: This qualitative study used a context-informed approach. Semi-structured interviews were conducted with 11 Israeli SPCs (5 fathers and 6 mothers), including 2 displaced due to the destruction of their homes. All participants were secular Jews, predominantly middle- to upper-middle-class, aged 40–58, and had at least one child aged 15 months to 17 years. A thematic analysis method was utilized. Results: Two overarching themes emerged from the interviews, shaping participants’ wartime experiences: (1) the intensified challenges associated with parenting alone in the context of armed conflict and (2) the factors that mediated the impact of these challenges. Three key challenges identified by participants included: (1) persistent perceptions of danger and threat to life; (2) heightened financial insecurity; and (3) significant disruptions to daily routines. Three systemic-level protective factors were identified as instrumental in mitigating these challenges: (1) engagement in joint familial activities; (2) the presence of a supportive work environment; and (3) social and political engagement. These factors appeared to foster resilience and enhance participants’ psychological coping capacities amidst ongoing conflict. Conclusions: By highlighting the distinct stressors faced by SPCs in wartime and the factors mediating their impact on well-being, our findings extend the Stress Process Model to conflict settings, enhancing understanding of how single parenting is contextually shaped during major community crises. The findings may encourage clinicians and social workers to adopt a more nuanced approach when working with parents in conflict zones, enabling them to tailor interventions to the specific needs of different family structures. For SPCs, such interventions may include tele-counseling to provide psychosocial support and guidance for parents in supporting their children, without the need for childcare or travel, as well as advocacy for workplace policies that reduce financial and emotional vulnerabilities. Full article
9 pages, 660 KB  
Article
Feasibility, Usability, and Customer Satisfaction of the Tele-COVID19 Project, Sicilian Model
by Giuseppa Maresca, Smeralda Anchesi, Lilla Bonanno, Alessia Bramanti, Lara Carnazza, Vincenzo Cimino, Francesco Corallo, Viviana Lo Buono, Fabio Mauro Giambò, Desiree Latella, Nicholas Parasporo and Maria Cristina De Cola
Medicina 2022, 58(8), 1110; https://doi.org/10.3390/medicina58081110 - 16 Aug 2022
Cited by 5 | Viewed by 2719
Abstract
Background and Objectives: In March 2020, COVID-19 pandemic affected the world. All countries, to limit viral transmission, imposed quarantine. This emergency exerted personal, social, economic, and psychological impact on people. For health systems, was needed to create alternative care pathways. Telemedicine can [...] Read more.
Background and Objectives: In March 2020, COVID-19 pandemic affected the world. All countries, to limit viral transmission, imposed quarantine. This emergency exerted personal, social, economic, and psychological impact on people. For health systems, was needed to create alternative care pathways. Telemedicine can be helpful to reduce isolation, provide health care services, and monitor virus infections. Italian regions, including Sicily, have activated telemedicine services for management of patients with COVID-19. Objective: The purpose of study is to describe a Sicilian telemedicine model for management of COVID-19 patients, showing results on feasibility, usability and quality of service and patient satisfaction. Materials and Methods: This is a descriptive exploratory study on a telemedicine service for residents in Messina infected by COVID-19. It included monitoring of vital signs and specialist consultations (i.e., doctor, psychologists, social workers, and nutritionist biologists). Results: More than twenty percent (23.8%) of participants used tele-monitoring and tele-counselling services; 14.3% were only telemonitored. Participants judged positively telemedicine service (30% were quiet and 50% were very satisfied), as well as tool (70% were quiet and 10% were very satisfied). Telemonitoring had a low agreement (10% were slightly satisfied and 50% were neutral); tele-counselling had a high rate of satisfaction (40% quiet and 60% were very satisfied). Conclusions: This study showed that telemedicine model for Sicilian population affected by COVID-19 was feasible, easy to use and appreciated by patients. Our promising results allow us to assume that if in Sicily there was a return of the emergency, we would be ready to manage it This system can be the solution to remote management of these patients, to reduce isolation, provide health services, and monitor virus infections. The use of this technology should encourage future research to change the health care system and provides opportunities to ensure health and care for oneself and others. Full article
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