('Oun--. :-(Hill & 11~11$('\\ l Oh O: D\\v'!'lll & ?-lilkr 108;-). It he-Ip;: prt't:lict whnt,1 ~iv..-n fnmih· is <''-l'ericndn!! nl nn:,, pnrlic-ular lime. \\. hilt' tlwn' :u~. sodn-,c-onomk. cultural m1d cthni,· vnri:iti(,n:< in tlw family lif,, c~·,·ll'. th,, 1kvl'h1pm, 'nl n I appn1:1d1 can gu id..-an:1 l~·. si~ c,f a~;:c,;. :,nwn t,bu r,·lal,-<1,,,t 11. 1111 ici1,:1 t,'<l p,'rincl:: nf tt nu. sun I d,111 :1 nd. s on t hl' f:1111 ih· in l C\'111:' or rl'Sl)\l!Y,'$ l11' :1<lju1-t 11w11t :l S tlw f:1111 ily ~''''" t !in 11,~h,i11,·m OI in11:1I )'rtl<'L':-S of t1-..1nsiti,111 an,i drnn~c in tlw family :<t:1111,-n·qulr..'d to pr11n,·d i11 tfl,, l1 r,, c~·..i,, ( ( ·11'm(n­ Stonc & nthen, ::!Ot1:. !. p. 1-0). 1\1 illu;:tr:lle. i11 th, lif,·,·y,·k !'lag,·,,r 1:-unili,.., with young chilclr~n, the k,~ p1;n,·ipl~ of e111t11ional pn,-,~,__. _ oftm. nsiti,,11 is,H'l'<'!Hi11g n,·"· 11w111lwrs intt> th,: family s~-:,tc111 as thc C\mpll' :1d,im-1s to make spac;. for t. :hild(ren) :mdj.. inin~ in childbearing. financinl :111..l hou,-cho ld tasks (Carter nnd 11 lc Goldrick 1988. p. 15). Structural per-:-pcclh'l' specifi~ family ch:irncte.-i::tics such ns member role. ~. family fon11s le. p.. uudt':tr. sinile parent. hle11dtrd, e,1cnded). powe1· stn1ctnrc>s (C. f!.. matriard1al. pat1;:1reh:1I). cnn1111nnicatiu11 processes :1nd valtw l<YSWtns \\'hid, pro,;d(' order lo fam. ily interaction:--and intcrth:]ll'th. 1\'nl rebtinnshipi: :111d ;..crve lo 111·f;ani1. e performance of roles :111. d functions ( Frieclm:m 19<. :>8). Using l he. · St ruchtral­ Vunctionul pcrspcc;ti Yc. Frii:-dm:rn (1998) ;:ppt:ifi<'. s four struclurnl tlimcnsion:--: role stn K·ture. value system,..-omnntnic-:iti0n prm:es!'c:-. and power st TUcture. She identifies five funcliu1rnl an:as: affect;ve funcrion. socialization and family pbccmen t function, reproducth·e functio n, ct. :ont1mic fu. nctit)n :i. nd bcnllb cnr<' ninction. Uenllam (2003) gencr:it·cd more precise concepts and,·:1riabl~·s on I he sl rnc-rnrnl,111<l functional framework through her professiu11al nul'sing prnd ice and rese:\rch findings from three qualit:lli"" studies about family ht>allh,111wn~Appn lachi:m ramilies i 11 two southeastern Ohio counties. !ihedevcloped the F:1n1il_v HLall11 l\'lodd. 1slrnmewnrk 1·odescribc. e. \7)lain a. ad predict health outcomes and me:ins Lo circturn,erlbe the boundaries of household production of h<!. nhh. defined as the dynamic process th. rough which hou:scholds cuml,ioe thei. r (internal) knowledge. n"sources. and bch:n·ioral norms and patterns,,;th avajl;,ble (external) lcchnolog. ics. services. information. 111d skills to re;. ;tore. maintain. and promote the health of their members (Berman. Kcnd:ill and Dh:ittaclrnryyn 1994. p. 2). According to Denham. seven functional pn. Jcesses (p. 125) are used by fomilies to incorporate informa tion, rnlues and beliefs ioto beha,;or, activities :rnd ro11t;nes relevant to famil~· health. They involve ways family members interact 1·0 po-rcntiatc, negate, tl1reaten. mediate nnd enhance individual and family health. Denham spec. in cs these fonetional processes ns: (1) carcgiving; (2) cathexis (emotional bond between indhidual s :ind fumily): (:3) celebration (tangible forms of. shared mennings); (4) change (dyn:imic nonlinear process implying. iltering or mocli{S;ng the form, direction :. ind outcome thru alternativ CJs): (5) commu nication (pdmary ways to socivlize children about health bc Uefs, values, attitudes aud behaviors and use infornrntion. knowledge and actions opplicnule to health): (6) connectedness (ways the family as a s~·stem are linked together): (7) coordination (coopernlive sharing of re;::ourccs, skills,,1bilities, and information within the family and with the larger contextual environme nt to optim. ize individual's health potentials, potentiat e the household production of health and adticve family goa. ls). The family healtl, model specifics family routines as basic structure which pruvic. le 01·c. ler to famil~ member's lives and serve ro organize health vvitliin the houseltoltl where individuals assume interdependent 1·el<1tionships. roles, functions and purposes. Den ham's family routines (p. 184) iuclud. e: (l),;elf-care routines {patterned heha~;o rs. related to usunl uct:i,ities of d:. t. il_v Ji,,ing experienced across the life course. sucl1 as dietary, hygiene, sleep-rest, ph~",;ic.-1I activity and exercise. gender and sexuality); (2) safety and prevention (pertain to health protection, clisease prevention, avoidance and participation in high-risk behavior and efforts to prevent unintended injury :icross the life course, such as iuununization slalus, abuse aud violence. smoking. alcohol and substru1ce abuse); (3) mental health behaviors (ways by :''~ich individua ls and families attend to self-efficacy, cope ";th daily strnsses and ind1V1duate, such. as self-esteem, personal integrity, work and play, sb:ess levels); (4) 52 