Family Medicine

Family interventions reduce relapse and hospitalization in adult bipolar disorder

Systematic review of family interventions (adults with bipolar disorder and relatives) found reduced relapse and hospitalization across studies. Psychoeducational family interventions improved symptom severity and medication adherence. Benefits included better family communication, but long-term sustainability and generalizability were mixed. 1

Basket and umbrella trials may speed pediatric precision-drug testing

Systematic review found basket designs more common than umbrella trials in pediatric oncology and rare diseases. These designs can increase trial efficiency and enable biomarker-targeted conclusions when sample sizes are small. Successful use requires robust statistical planning, appropriate Bayesian methods, and regulatory alignment. 2

Older adults and families can help prevent medication errors during care transitions

Qualitative interviews (patients ≥65, family, clinicians; n=202) identified communication barriers and enablers for medication management across transitions. Participants proposed strategies to empower engagement that may reduce medication errors and adverse events. Implementing clearer communication tools and facilitating family involvement could improve transitional medication safety. 3