Health Professions › General Health Professions

Health and Wellbeing Research

Works Count: 72168

Wikipedia

Description

This cluster of papers explores the relationship between health locus of control and health-promoting behaviors, with a focus on various populations such as university students, nursing students, elderly individuals, and different cultural groups. The papers investigate factors such as self-efficacy, quality of life, and social support in relation to health-promoting lifestyle profiles.

Keywords

Health Locus of Control; Health-Promoting Behaviors; Lifestyle Profile; Self-Efficacy; Quality of Life; Nursing Students; Elderly Population; Psychosocial Well-Being; Adolescent Health Promotion; Social Support

Effects of a Physical Activity Intervention on Measures of Physical Performance: Results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) Study

2006-11-01

Marco Pahor , Steven N. Blair , Mark A. Espeland +7 more

Background. The Short Physical Performance Battery (SPPB), which includes walking, balance, and chair stands tests, independently predicts mobility disability and activities of daily living disability. To date, however, there is … Background. The Short Physical Performance Battery (SPPB), which includes walking, balance, and chair stands tests, independently predicts mobility disability and activities of daily living disability. To date, however, there is no definitive evidence from randomized controlled trials that SPPB scores can be improved. Our objective was to assess the effect of a comprehensive physical activity (PA) intervention on the SPPB and other physical performance measures.

View PDF Chat

The Health Belief Model and Preventive Health Behavior

1974-12-01

Irwin M. Rosenstock

Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short Form.

2007-07-10

Ji Yeon Oh , Yun Jun Yang , Byung Sung Kim +1 more

Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short FormJi Yeon Oh, D.D.S., Ph.D., Yun Jun Yang, M.D., PH.D.*†, Byung Sung Kim, M.D., PH.D.**, Jae Hun … Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short FormJi Yeon Oh, D.D.S., Ph.D., Yun Jun Yang, M.D., PH.D.*†, Byung Sung Kim, M.D., PH.D.**, Jae Hun Kang, M.D., PH.D.*

The Health-Promoting Lifestyle Profile: development and psychometric characteristics.

1987-03-01

Susan Walker , Karen R. Sechrist , Nola J. Pender

This article describes the development and initial psychometric evaluation of an instrument to measure health-promoting life-style. Based on responses from 952 adults in midwestern communities, the Health-Promoting Lifestyle Profile was … This article describes the development and initial psychometric evaluation of an instrument to measure health-promoting life-style. Based on responses from 952 adults in midwestern communities, the Health-Promoting Lifestyle Profile was evaluated using item analysis, factor analysis, and reliability measures. Factor analysis isolated six dimensions: Self-Actualization, Health Responsibility, Exercise, Nutrition, Interpersonal Support, and Stress Management. These six factors accounted for 47.1% of the variance in the 48-item measure. Second-order factor analysis yielded a single factor, interpreted as Health-Promoting Lifestyle. The alpha reliability coefficient for the total scale is .922; alpha coefficients for the subscales range from .702 to .904. Further evaluation of the measure with different populations appears warranted. This instrument will enable researchers to investigate patterns and determinants of health-promoting life-style, as well as the effects of interventions to alter life-style.

Instrument Refinement for Breast Cancer Screening Behaviors

1993-05-01

Victoria L. Champion

The purpose of this study was to refine an instrument to measure the Health Belief Model concepts of susceptibility, seriousness, benefits, barriers, health motivation, and confidence, using the context of … The purpose of this study was to refine an instrument to measure the Health Belief Model concepts of susceptibility, seriousness, benefits, barriers, health motivation, and confidence, using the context of breast cancer and breast self-examination. A Likert format was used for attitudinal scales. A random sample (N = 581) of women 35 years and over was included. Items were subjected to content analysis by national experts. Construct validity was established using exploratory factor analysis. Predictive validity was established by relating breast self-examination behavior to breast self-examination attitudes, using simultaneous multiple regression and bivariate correlations. Cronbach alpha reliability coefficients for the revised scales ranged from .80 to .93. Test-retest correlations ranged from .45 to .70.

The development and psychometric assessment of the Turkish version of the Nottingham Health Profile

2000-03-01

Ayşe A. Küçükdeveci , S. P. McKenna , Şehim Kutlay +3 more

The Nottingham Health Profile (NHP) is a widely used measure of perceived health status. The aim of the present study was to adapt the NHP for use in Turkey and … The Nottingham Health Profile (NHP) is a widely used measure of perceived health status. The aim of the present study was to adapt the NHP for use in Turkey and to test its psychometric properties. Following translation and testing for its face and content validity, 50 patients with osteoarthritis were interviewed on two occasions. Each interview included administration of the NHP and the Stanford Health Assessment Questionnaire (HAQ), a measure of functional disability. Test-retest reliability of the new version was satisfactory and comparable with other available language versions. As predicted, high correlations were found between the HAQ and the physical mobility, pain and energy level sections of the NHP and low correlations between the HAQ and emotional reactions, social isolation and sleep, confirming the construct validity of the NHP. It is concluded that the adaptation of the NHP into Turkish was successful but that additional studies are required to assess its suitability for use with other patient populations and its equivalence to other language versions of the measure.

Physicians' and Spouses' Predictions of Elderly Patients' Resuscitation Preferences

1988-09-01

Richard F. Uhlmann , Robert A. Pearlman , Kevin C. Cain

"Substitutedjudgment," in which surrogate decisionmakers approximate patients' wishes, has been recommended for decision making for mentally incapacitated patients. To test understanding of patients' preferences by potential surrogate decisionmakers, we studied … "Substitutedjudgment," in which surrogate decisionmakers approximate patients' wishes, has been recommended for decision making for mentally incapacitated patients. To test understanding of patients' preferences by potential surrogate decisionmakers, we studied primary care physicians' (n = 105) and spouses' (n = 90) predictions of elderly outpatients' (n = 258) preferences for cardiopulmonary resuscitation (CPR) and cpr plus ventilator (CPR + V), assuming three baseline health states: current health, stroke, and chronic lung disease. Although more than threequarters of physicians and spouses surveyed believed their predictions of patients' preferences were accurate, the accuracy of physicians' and spouses' predictions did not exceed that expected due to chance alone in 5 of 6, and 3 of 6 decisions, respectively. Physicians significantly underestimated patients' preferences for resuscitation in the stroke and chronic lung disease scenarios (p < .01), and significantly overestimated them in the current health/CPR decision (p < .05). Spouses overestimated patients' preferences for resuscitation in all decisions, significantly so in the three CPR + V decisions (p < .05). These results suggest physicians and spouses often do not understand elderly outpatients' resuscitation preferences. Under these circumstances they are unlikely to provide accurate substituted judgments.

The Validity of the Multidimensional Health Locus of Control Scales

2005-07-20

Kenneth A. Wallston

This introductory article addresses the question,‘Are the Multidimensional Health Locus of Control (MHLC) scales valid?’ The initial evidence for the validity of the family of MHLC scales is reviewed, followed … This introductory article addresses the question,‘Are the Multidimensional Health Locus of Control (MHLC) scales valid?’ The initial evidence for the validity of the family of MHLC scales is reviewed, followed by a discussion of the empirical evidence for the hypothesis linking MHLC scale scores to measures of health behavior. There is ample evidence in the literature that the MHLC scales validly assess health locus of control beliefs. Nevertheless, caution should be used when making generalizations regarding the validity of the MHLC scales to new theoretical or situational contexts. The theoretical relationships between these beliefs and other constructs are complex, making it necessary to thoughtfully consider the valid application of the MHLC scales in each new study.

View PDF Chat

Exercise dose-response effects on quality of life and independent living in older adults

2001-06-01

Waneen W. Spirduso , D. Cronin

SPIRDUSO, W. W., and D. L. CRONIN. Exercise dose-response effects on quality of life and independent living in older adults. Med. Sci. Sports Exerc., Vol. 33, No. 6, Suppl., 2001, … SPIRDUSO, W. W., and D. L. CRONIN. Exercise dose-response effects on quality of life and independent living in older adults. Med. Sci. Sports Exerc., Vol. 33, No. 6, Suppl., 2001, pp. S598–S608. Purpose: The purpose of this study was to determine if exercise operates in a dose-response fashion to influence well-being and to postpone dependency. Methods: A computer-assisted search was made by using the following key words: resistance training, strength training, function, exercise, elderly, quality of life, frailty, physical activity, independence, performance, aerobic training, mobility, well-being, and disability. Review articles and personal files were also used, and a critical review of research studies meeting the criteria described in the methods section of the article was conducted. Results: In large sample correlational studies and prospective longitudinal studies, researchers consistently report that measures of physical function in old adults are related to feelings of well-being, and that old adults who are physically active also report higher levels of well-being and physical function, but the results of randomized intervention studies of aerobic and/or resistive strength training do not always support this relationship. Even if changes in well-being and physical function were reported, no evidence was found that levels of intensity operated in a dose-response fashion to influence these changes. Research design problems included ineffective aerobic or strength training treatments, widely varying participation and effort of the research participants, and both treatment and physical function tests that were not appropriate for the physical status of the participants. Conclusion: The most consistent results were that long-term physical activity is related to postponed disability and independent living in the oldest-old subjects. Even in individuals with chronic disease, systematic participation in physical activities enhances physical function.

Health promotion in nursing practice

1988-01-01

Antony Flew

Instrument development for health belief model constructs

1984-04-01

Victoria L. Champion

Research was conducted to develop valid and reliable scales to test the Health Belief Model (HBM). The dependent variable chosen for scale development was frequency of breast self-examination. Independent variables … Research was conducted to develop valid and reliable scales to test the Health Belief Model (HBM). The dependent variable chosen for scale development was frequency of breast self-examination. Independent variables were constructs related to the HBM: susceptibility, seriousness, benefits, barriers, and health motivation. Analyses for construct validity and theory testing included factor analysis and multiple regression. Chronbach Alpha and Pearson r were used to compute reliabilities. Scales that were judged valid and reliable were susceptibility, seriousness, benefits, barriers, and health motivation.

Health Measurement Scales--A Practical Guide to Their Development and Use

2010-02-15

Eugene Waclawski

View PDF Chat

Measurement properties of the Center for Epidemiological Studies Depression Scale (CES-D) in older populations.

1990-03-01

Christopher Hertzog , Judith Van Alstine , Paul D. Usala +2 more

Two cross-sectional samples of adults were administered the 20-item Center for Epidemiological Studies-Depression Scale (CES-D). The results support the measurement validity of the CES-D for depression screening in older adult … Two cross-sectional samples of adults were administered the 20-item Center for Epidemiological Studies-Depression Scale (CES-D). The results support the measurement validity of the CES-D for depression screening in older adult populations

Form C of the MHLC Scales: A Condition-Specific Measure of Locus of Control

1994-12-01

Kenneth A. Wallston , Mitchell Stein , Craig A. Smith

Form C of the Multidimensional Health Locus of Control (MHLC) scales is an 18 item, general purposes condition-specific locus of control scale that could easily be adapted for use with … Form C of the Multidimensional Health Locus of Control (MHLC) scales is an 18 item, general purposes condition-specific locus of control scale that could easily be adapted for use with any medical or health-related condition. Data from 588 patients with one of four conditions—rheumatoid arthritis, chronic pain, diabetes, or cancer—were utilized to establish the factor stucture of Form C and to establish the reliability and validity of the resultant four subscales: Internality; Chance; Doctors; and Other (powerful) People. The alpha reliabilities of the subscales are adequate for research purposes. Data from the arthritis and chronic pain subjects established that the Form C subscales were moderately stable over time and possessed considerable concurrent and construct validity. Some discriminant validity of Form C with Form B of the MHLC was also demonstrated.

Relationship of Physical Activity vs Body Mass Index With Type 2 Diabetes in Women

2004-09-07

Amy R. Weinstein

2][3][4] In the 1990s, the prevalence of both obesity and diabetes nearly doubled, demonstrating the significance of each as a major public health issue. 5ata on the interrelationship between BMI … 2][3][4] In the 1990s, the prevalence of both obesity and diabetes nearly doubled, demonstrating the significance of each as a major public health issue. 5ata on the interrelationship between BMI and physical activity and the risk of diabetes are limited.7][8] There are few observational studies that directly evaluate the joint relationship between BMI and physical activity with diabetes in a population of healthy women. 9 clearer understanding of the combined effect of BMI and physical activity is needed to stratify patients by risk and in turn target those at highest risk of developing diabetes.Therefore, we investigated the combined relation-ship of BMI and physical activity with diabetes to understand whether increasing physical activity levels reduce the elevated risk of diabetes from obesity.[12] METHODS ParticipantsParticipants were from the Women's Health Study (WHS), an ongoing ran-domized double-blinded clinical trial of low-dose aspirin and vitamin E in the primary prevention of cardiovascular

The impact of depressive symptomatology on physical disability: MacArthur Studies of Successful Aging.

1994-11-01

Martha L. Bruce , Teresa E. Seeman , Susan S. Merrill +1 more

OBJECTIVES. The purpose of these analyses was to test the hypothesis that depressive symptomatology affects the risk of onset of physical disability in high-functioning elderly adults. METHODS. The data come … OBJECTIVES. The purpose of these analyses was to test the hypothesis that depressive symptomatology affects the risk of onset of physical disability in high-functioning elderly adults. METHODS. The data come from the MacArthur Study of Successful Aging, a community-based cohort of high-functioning adults aged 70 through 79 years who were assessed twice at a 2.5-year interval. Physical and cognitive status was assessed by performance as well as by self-report measures. RESULTS. In gender-stratified logistic regression models, high depressive symptoms as measured by the depression subscale of the Hopkins Symptom Checklist were associated with an increased risk of onset of disability in activities of daily living for both men and women, adjusting for baseline sociodemographic factors, physical health status, and cognitive functioning. CONCLUSIONS. Joined with evidence that physical disability is a potential risk factor for depression, these findings suggest that both depressive symptoms and physical disability can initiate a spiralling decline in physical and psychological health. Given the important impact of activities-of-daily-living functioning on utilization of medical services and quality of life, prevention or reduction of depressive symptoms should be considered an important point of intervention.

Cardiovascular and Behavioral Effects of Aerobic Exercise Training in Healthy Older Men and Women

1989-09-01

James A. Blumenthal , Charles F. Emery , David J. Madden +6 more

Journal Article Cardiovascular and Behavioral Effects of Aerobic Exercise Training in Healthy Older Men and Women Get access James A. Blumenthal, James A. Blumenthal 1Department of Psychiatry, Duke University Medical … Journal Article Cardiovascular and Behavioral Effects of Aerobic Exercise Training in Healthy Older Men and Women Get access James A. Blumenthal, James A. Blumenthal 1Department of Psychiatry, Duke University Medical Center2Department of Medicine, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar Charles F. Emery, Charles F. Emery 1Department of Psychiatry, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar David J. Madden, David J. Madden 3Center for the Study of Aging and Human Development, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar Linda K. George, Linda K. George 3Center for the Study of Aging and Human Development, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar R. Edward Coleman, R. Edward Coleman 2Department of Medicine, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar Margaret W. Riddle, Margaret W. Riddle 1Department of Psychiatry, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar Daphne C. McKee, Daphne C. McKee 4North Carolina Spine CenterChapel Hill Search for other works by this author on: Oxford Academic PubMed Google Scholar John Reasoner, John Reasoner 2Department of Medicine, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar R. Sanders Williams R. Sanders Williams 2Department of Medicine, Duke University Medical Center Search for other works by this author on: Oxford Academic PubMed Google Scholar Journal of Gerontology, Volume 44, Issue 5, September 1989, Pages M147–M157, https://doi.org/10.1093/geronj/44.5.M147 Published: 01 September 1989 Article history Received: 19 August 1988 Accepted: 30 September 1988 Published: 01 September 1989

Parental and Peer Influences on Leisure-Time Physical Activity in Young Adolescents

1992-12-01

Norman Anderssen , Bente Wold

Abstract Influence from parents and friends on adolescents' self-reported level of leisure-time physical activity was examined through measures of (a) perceived leisure-time physical activity of parents and best friend, (b) … Abstract Influence from parents and friends on adolescents' self-reported level of leisure-time physical activity was examined through measures of (a) perceived leisure-time physical activity of parents and best friend, (b) perceived direct support for physical activity from parents and friends, (c) direct help from parents in exercising vigorously, and (d) perceived value of physical activity of parents and friends. The present analysis included 904 students in western Norway (M age 13.3 years, SD 0.3) who took part in a health behavior survey, which included questions regarding physical activity. Students completed a confidential questionnaire at school All four measures of influence were positively related to students' activity levels. None of the examined measures was clearly stronger than the other. Parental and peer physical activity level and parental and peer support for physical activity seem to influence the reported physical activity level of the respondents. The findings indicate that, by serving as models and supporters, significant others have an important impact in promoting physical activity in young adolescents. Key Words: adolescentsphysical activityleisure

Mortality of bereavement.

1967-10-07

William D. Rees , S G Lutkins

<b>Background:</b> Six-minute walking test (6MWT) is widely used to assess exercise capacity in pulmonary hypertension (PH). Although incremental shuttle walk test (ISWT) is used in chronic pulmonary diseases. There is … <b>Background:</b> Six-minute walking test (6MWT) is widely used to assess exercise capacity in pulmonary hypertension (PH). Although incremental shuttle walk test (ISWT) is used in chronic pulmonary diseases. There is limited data about its relationship with clinical parameters, quality of life (QoL) and physical activity level which are important in the prognosis of PH. <b>Objective:</b> This study aims to investigate the relationship between pulmonary arterial pressure (PAP), FEV1/FVC, diffusion capacity, QoL and physical activity, ISWT and 6MWT. In addition, we analyzed the relationship between hemodynamic changes in ISWT and 6MWT. <b>Method:</b> Sixteen PH patients (mean age:43.69±11.75/years, mean PAP:44.06±19.6 mmHg) were included in the study. PAP (right heart catheterization) were noted from the medical records. Spirometry, diffusion capacity, 6MWT, and ISWT were performed. Heart rate, SpO2, dyspnea and leg fatigue according to Borg scale were evaluated before and after the tests and walking distances were noted. Physical activity was determined by using SenseWear Pro Armband according to number of steps (NOS). QoL evaluated with EmPHasis-10. <b>Results:</b> The changes in dyspnea level (p=0.001, r=0.727) and heart rate (p=0.023, r=0.562) and walking distances (p=0.006, r=0.651) in ISWT and 6MWT were correlated. The NOS was significantly correlated with walking distance in ISWT (p=0.025, r=0.559) and 6MWT (p=0.028, r=0.548). <b>Conclusion:</b> We found that the changes in ISWT and 6 MWT were showed similar relationships in terms of walking distance, dyspnea, and heart rate. Also, physical activity level is related to exercise capacity assessed with ISWT and 6MWT in patients with PH.

View PDF Chat

The Psychosocial Impact of Macular Degeneration

1998-04-01

Rebecca Williams

<h3>Background</h3> Age-related macular degeneration (AMD), the leading cause of irreversible blindness and low vision among the elderly, has not been well studied with regard to its impact on daily life. … <h3>Background</h3> Age-related macular degeneration (AMD), the leading cause of irreversible blindness and low vision among the elderly, has not been well studied with regard to its impact on daily life. This study was designed to demonstrate the impact of AMD on quality of life, emotional distress, and functional level. <h3>Participants</h3> The study sample consisted of 86 elderly adults (average age, 79 years) with AMD who were legally blind in at least 1 eye. Participants completed a battery of measures that included the Quality of Well-being Scale, the Instrumental Activities of Daily Living index, self-rated general health status, and the Profile of Mood States. <h3>Results</h3> Persons with AMD experienced significant reductions in key aspects of daily life. Their ratings for quality of life (average Quality of Well-being Scale score=0.581) and emotional distress (average Profile of Mood States total score=65.36) were significantly worse than those for similarly aged community adults and were comparable with those reported by people with chronic illnesses (eg, arthritis, chronic obstructive pulmonary disease, acquired immunodeficiency syndrome, and bone marrow transplants). Patients with AMD were also more likely than a national sample of elderly individuals to need help with daily activities. Visual acuity was related to ability to carry out daily activities (Instrumental Activities of Daily Living,<i>r</i>=0.28,<i>P</i>=.008). Quality of life ratings were significantly related to the ability to carry out daily activities (<i>r</i>=−0.38,<i>P</i>=.001), self-rated general health status (<i>r</i>=−0.21,<i>P</i>=.05), and emotional distress (Profile of Mood States total score,<i>r</i>=−0.25,<i>P</i>=.02). Individuals with a shorter period of perceived vision loss were more likely to report high levels of emotional distress (<i>r</i>=−0.24,<i>P</i>=.03) than those with a longer period of perceived vision loss. Further, those who were blind in 1 eye were even more significantly distressed than those who were blind in both eyes. <h3>Conclusions</h3> Elderly persons with AMD causing legal blindness in 1 or both eyes have significant emotional distress and profoundly reduced quality of life and need help with key daily activities.

View PDF Chat

The Quality of Medical Care Provided to Vulnerable Community-Dwelling Older Patients

2003-11-04

Neil S. Wenger , David H. Solomon , Carol P. Roth +7 more

Many people 65 years of age and older are at risk for functional decline and death. However, the resource-intensive medical care provided to this group has received little evaluation. Previous … Many people 65 years of age and older are at risk for functional decline and death. However, the resource-intensive medical care provided to this group has received little evaluation. Previous studies have focused on general medical conditions aimed at prolonging life, not on geriatric issues important for quality of life. To measure the quality of medical care provided to vulnerable elders by evaluating the process of care using Assessing Care of Vulnerable Elders quality indicators (QIs). Observational cohort study. Managed care organizations in the northeastern and southwestern United States. Vulnerable older patients identified by a brief interview from a random sample of community-dwelling adults 65 years of age or older who were enrolled in 2 managed care organizations and received care between July 1998 and July 1999. Percentage of 207 QIs passed, overall and for 22 target conditions; by domain of care (prevention, diagnosis, treatment, and follow-up); and by general medical condition (for example, diabetes and heart failure) or geriatric condition (for example, falls and incontinence). Patients were eligible for 10 711 QIs, of which 55% were passed. There was no overall difference between managed care organizations. Wide variation in adherence was found among conditions, ranging from 9% for end-of-life care to 82% for stroke care. More treatment QIs were completed (81%) compared with other domains (follow-up, 63%; diagnosis, 46%; and prevention, 43%). Adherence to QIs was lower for geriatric conditions than for general medical conditions (31% vs. 52%; P < 0.001). Care for vulnerable elders falls short of acceptable levels for a wide variety of conditions. Care for geriatric conditions is much less optimal than care for general medical conditions.

Validation of a Caregiver Strain Index

1983-05-01

Betsy C. Robinson

Journal Article Validation of a Caregiver Strain Index Get access Betsy C. Robinson, PhD Betsy C. Robinson, PhD 2Posthospital Supports Study, Health Services Research, Division of Family and Community Medicine, … Journal Article Validation of a Caregiver Strain Index Get access Betsy C. Robinson, PhD Betsy C. Robinson, PhD 2Posthospital Supports Study, Health Services Research, Division of Family and Community Medicine, University of California. San Francisco1487 Fourth Avenue, San Francisco, CA 94143. Search for other works by this author on: Oxford Academic PubMed Google Scholar Journal of Gerontology, Volume 38, Issue 3, May 1983, Pages 344–348, https://doi.org/10.1093/geronj/38.3.344 Published: 01 May 1983

The rand 36‐item health survey 1.0

1993-10-01

Ron D. Hays , Cathy D. Sherbourne , Rebecca Mazel

Recently, Ware and Sherbourne published a new short-form health survey, the MOS 36-Item Short-Form Health Survey (SF-36), consisting of 36 items included in long-form measures developed for the Medical Outcomes … Recently, Ware and Sherbourne published a new short-form health survey, the MOS 36-Item Short-Form Health Survey (SF-36), consisting of 36 items included in long-form measures developed for the Medical Outcomes Study. The SF-36 taps eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, general mental health, social functioning, energy/fatigue, and general health perceptions. It also includes a single item that provides an indication of perceived change in health. The SF-36 items and scoring rules are distributed by MOS Trust, Inc. Strict adherence to item wording and scoring recommendations is required in order to use the SF-36 trademark. The RAND 36-Item Health Survey 1.0 (distributed by RAND) includes the same items as those in the SF-36, but the recommended scoring algorithm is somewhat different from that of the SF-36. Scoring differences are discussed here and new T-scores are presented for the 8 multi-item scales and two factor analytically-derived physical and mental health composite scores.

Conceptual Model of Health‐Related Quality of Life

2005-11-10

Carol Estwing Ferrans , Julie Johnson Zerwic , Jo Ellen Wilbur +1 more

Purpose : To revise the Wilson and Cleary model of health‐related quality of life (HRQoL), with suggestions for applying each of the components, and to facilitate the use of HRQoL … Purpose : To revise the Wilson and Cleary model of health‐related quality of life (HRQoL), with suggestions for applying each of the components, and to facilitate the use of HRQoL in nursing and health care. Organizing Construct : HRQoL, based on relevant literature over the past 20 years. Methods : The original model was revised in three substantive ways: (a) indicating that biological function is influenced by characteristics of both individuals and environments; (b) deleting nonmedical factors; and (c) deleting the labels on the arrows that tend to restrict characterization of the relationships. Findings : Theoretical background is provided for each of the major components of the model, and examples of instruments to measure them, were added. Conclusions : In quality‐of‐life research, the current challenge is to devise models to clarify the elements of health‐related quality of life (HRQOL) and the causal relationships among them. This revision of Wilson and Cleary's model includes a taxonomy of the variables that often have been used to measure HRQoL. This revision should be useful in research and clinical practice.

Health Promotion for People With Disabilities: The Emerging Paradigm Shift From Disability Prevention to Prevention of Secondary Conditions

1999-05-01

James H. Rimmer

The premise of this article is that, until recently, health promotion for people with disabilities has been a neglected area of interest on the part of the general health community. … The premise of this article is that, until recently, health promotion for people with disabilities has been a neglected area of interest on the part of the general health community. Today, researchers, funding agencies, and health care providers and consumers are leading an effort to establish higher-quality health care for the millions of Americans with disabilities. The aims of a health promotion program for people with disabilities are to reduce secondary conditions (eg, obesity, hypertension, pressure sores), to maintain functional independence, to provide an opportunity for leisure and enjoyment, and to enhance the overall quality of life by reducing environmental barriers to good health. A greater emphasis must be placed on community-based health promotion initiatives for people with disabilities in order to achieve these objectives.

View PDF Chat

Volunteerism and Mortality among the Community-dwelling Elderly

1999-05-01

Doug Oman , Carl E. Thoresen , Kay Mcmahon

Older residents ( N 5 1972) in California were investigated prospectively for association of volunteering service to others and all-cause mortality. Potential confounding factors were studied: demographics, health status, physical … Older residents ( N 5 1972) in California were investigated prospectively for association of volunteering service to others and all-cause mortality. Potential confounding factors were studied: demographics, health status, physical functioning, health habits, social support, religious involvement, and emotional states. Possible interaction effects of volunteering with religious involvement and social support were also explored. Results showed that 31 percent ( n 5 630) of respondents volunteered, about half ( n5289) for more than one organization. High volunteers ([.greaterequal]2 organizations) had 63 percent lower mortality than nonvolunteers (age and sex-adjusted) with relative hazard (RH) 5 0.37, confidence interval (CI) 5 0.24, 0.58. Multivariate adjustment moderately reduced difference to 44 percent (RH 5 0.56, CI 5 0.35, 0.89), mostly due to physical functioning, health habits, and social support. Unexpectedly, volunteering was slightly more protective for those with high religious involvement and perceived social support. After multivariate adjustment, any level of volunteering reduced mortality by 60 percent among weekly attenders at religious services (RH 5 0.40; CI 5 0.21,0.74). Lower mortality rates for community service volunteers were only partly explained by health habits, physical functioning, religious attendance, and social support.

View PDF Chat

Translation, Adaptation, and Validation of the SF-36 Health Survey for Use in Japan

1998-11-01

Shunichi Fukuhara , Seiji Bito , Joseph Green +2 more

Health Promoting Effects of Friends and Family on Health Outcomes in Older Adults

2000-07-01

Teresa E. Seeman

To highlight the significant impact of social relationships on health and illness and suggest implications of these effects for health promotion efforts among older adults.Published studies on social relationships and … To highlight the significant impact of social relationships on health and illness and suggest implications of these effects for health promotion efforts among older adults.Published studies on social relationships and health (or health behaviors) for the period 1970-1998 were identified through MEDLINE by using the key words social relationships, social support, and health, as well as review of health-related journals such as the American Journal of Epidemiology, Annals of Epidemiology, American Journal of Public Health, Journal of Health and Social Behavior, Social Science and Medicine, and the Journals of Gerontology.Major published original research was considered. Where published research was too extensive for full discussion of all studies, preference was given to studies focusing on older adults and those using stronger methodology (i.e., representative samples, longitudinal data, or multivariate analyses controlling for potential confounders).Reported findings were organized in terms of three major categories: (1) results related to major health outcomes such as mortality, CHD, and depression; (2) findings related to health behaviors; and (3) findings related to potential biological pathways for observed health effects of social relationships.Protective effects of social integration with respect to mortality risk among older adults are the most thoroughly documented, although protective effects have also been documented with respect to risks for mental and physical health outcomes and for better recovery after disease onset. There is also now a growing awareness of the potential for negative health effects from social relationships that are characterized by more negative patterns of critical and/or demanding interactions, including increased risks for depression and angina. Biological pathways are suggested by evidence that more negative social interactions are associated with physiological profiles characterized by elevated stress hormones, increased cardiovascular activity, and depressed immune function, whereas more positive, supportive social interactions are associated with the opposite profile.Available data clearly indicate that social relationships have the potential for both health promoting and health damaging effects in older adults, and that there are biologically plausible pathways for these effects. Such evidence suggests that aspects of the social environment could play an important role in future health promotion efforts for older adults, although careful consideration of both potentially positive as well as negative social influences is needed.

A scaled version of the General Health Questionnaire

1979-02-01

David Goldberg , V F Hillier

This study reports the factor structure of the symptoms comprising the General Health Questionnaire when it is completed in a primary care setting. A shorter, 28-item GHQ is proposed consisting … This study reports the factor structure of the symptoms comprising the General Health Questionnaire when it is completed in a primary care setting. A shorter, 28-item GHQ is proposed consisting of 4 subscales: somatic symptoms, anxiety and insomnia, social dysfunction and severe depression. Preliminary data concerning the validity of these scales are presented, and the performance of the whole 28-item questionnaire as a screening test is evaluated. The factor structure of the symptomatology is found to be very similar for 3 independent sets of data.

Health Measurement Scales: A Practical Guide to Their Development and Use

2015-09-01

Jody L. Vogelzang

Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects.

1995-01-01

J. S. Garrow , Carolyn Summerbell

Effects of Cigarette Smoking on Lung Function in Adolescent Boys and Girls

1996-09-26

Diane R. Gold , Xiaobin Wang , David Wypij +3 more

Little is known about the sex-specific effects of cigarette smoking on the level and growth of lung function in adolescence, when 71 percent of people in the United States who … Little is known about the sex-specific effects of cigarette smoking on the level and growth of lung function in adolescence, when 71 percent of people in the United States who smoke tried their first cigarette.

View PDF Chat

The Differentiation of Male Alcoholic Outpatients from Nonalcoholic Psychiatric Outpatients by Means of the MMPI

1965-06-01

Craig MacAndrew

A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients

1997-04-01

Yeonwook Kang , Duk L. Na , Seunghae Hahn

General Health Questionnaire-12 (GHQ-12)

2021-01-01

The Women's Health and Aging Study: Health and Social Characteristics of Older Women with Disability

1995-01-01

Jack M. Guralnik , Linda P. Fried , Eleanor M. Simonsick +2 more

Multidimensional Scale of Perceived Social Support

1988-01-01

Gregory D. Zimet , Nancy Wray Dahlem , Sara G. Zimet +1 more

The Prevalence of Depression, Anxiety and Stress and Their Associated Factors in College Students

2020-09-24

Enrique Ramón Arbués , Vicente Gea-Caballero , José Manuel Granada-López +3 more

Aim: To estimate the prevalence of symptoms of depression, anxiety, stress and associated factors in a population of college students. Method: Cross-sectional study of psychological distress measured through the Depression, … Aim: To estimate the prevalence of symptoms of depression, anxiety, stress and associated factors in a population of college students. Method: Cross-sectional study of psychological distress measured through the Depression, Anxiety and Stress Scale (DASS-21) in a sample of 1074 college students. Results: We found a moderate prevalence of depression (18.4%), anxiety (23.6%) and stress (34.5%) symptoms in our study population. Being <21, having problematic Internet use behavior, smoking, presenting insomnia and having a low self-esteem were independently associated with symptoms of depression, anxiety and stress. Being a woman, living with their family, having a stable partner, consuming alcohol frequently and having poor nutritional habits were significantly associated with symptoms of stress; lacking a stable partner was significantly associated with depressive symptoms; and frequent consumption of alcohol was significantly associated with symptoms of anxiety. Conclusion: We found a moderate prevalence of depression, anxiety and stress symptoms in our population. Interventions aimed at promoting mental health among college students should be implemented.

View PDF Chat

Health promotion in nursing practice

1982-01-01

Nola J. Pender , Carolyn Murdaugh , Mary Ann Parsons

INTRODUCTION: HEALTH PROMOTION AND DISEASE PREVENTION: THE CHALLENGES OF A NEW MILLENNIUM. I. THE HUMAN QUEST FOR HEALTH. 1. Toward a Definition of Health. 2. Motivation for Health Behavior. 3. … INTRODUCTION: HEALTH PROMOTION AND DISEASE PREVENTION: THE CHALLENGES OF A NEW MILLENNIUM. I. THE HUMAN QUEST FOR HEALTH. 1. Toward a Definition of Health. 2. Motivation for Health Behavior. 3. The Health Promotion Model. II. HEALTH PROMOTION IN DIVERSE POPULATIONS. 4. Empowering for Self-Care across the Life Span. 5. Health Promotion in Vulnerable Populations. III. PLANNING FOR PREVENTION AND HEALTH PROMOTION. 6. Assessing Health, Health Beliefs and Health Behaviors. 7. Developing a Health-Protection-Promotion Plan. IV. INTERVENTIONS FOR PREVENTION AND HEALTH PROMOTION. 8. Physical Activity and Health. 9. Nutrition and Health. 10. Stress Management and Health. 11. Social Support and Health. V.EVALUATING THE EFFECTIVENESS OF HEALTH PROMOTION. 12. Measuring Outcomes of Health Promotion and Prevention Interventions. 13. Evaluating Individual and Community Interventions. VI. APPROACHES FOR PROMOTING A HEALTHIER SOCIETY. 14. Health Promotion in Community Settings. 15. Protecting and Promoting Health Through Social and Environmental Change.

Effect of Cancer on Quality of Life

1992-10-01

D. F. Cella

Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support

1990-12-01

Gregory D. Zimet , Suzanne Powell , Gordon K. Farley +2 more

Stress and alcohol use: Moderating effects of gender, coping, and alcohol expectancies.

1992-02-01

M. Lynne Cooper , Marcia Russell , Jeremy B. Skinner +2 more

Health Promotion in Nursing Practice

1997-06-01

NULL AUTHOR_ID

The relative efficacy of avoidant and nonavoidant coping strategies: A meta-analysis.

1985-01-01

Jerry Suls , Barbara J. Fletcher

Functional Status Questionnaire

2017-01-01

Sue Ann Sisto

The MOS 36-ltem Short-Form Health Survey (SF-36)

1992-06-01

John E. Ware , Cathy D. Sherbourne

A 36-item short-form (SF-36) was constructed to survey health status in the Medical Outcomes Study. The SF-36 was designed for use in clinical practice and research, health policy evaluations, and … A 36-item short-form (SF-36) was constructed to survey health status in the Medical Outcomes Study. The SF-36 was designed for use in clinical practice and research, health policy evaluations, and general population surveys. The SF-36 includes one multi-item scale that assesses eight health concepts: 1) limitations in physical activities because of health problems; 2) limitations in social activities because of physical or emotional problems; 3) limitations in usual role activities because of physical health problems; 4) bodily pain; 5) general mental health (psychological distress and well-being); 6) limitations in usual role activities because of emotional problems; 7) vitality (energy and fatigue); and 8) general health perceptions. The survey was constructed for self-administration by persons 14 years of age and older, and for administration by a trained interviewer in person or by telephone. The history of the development of the SF-36, the origin of specific items, and the logic underlying their selection are summarized. The content and features of the SF-36 are compared with the 20-item Medical Outcomes Study short-form.

The Health-Promoting Lifestyle Profile

1987-03-01

Susan Walker , Karen R. Sechrist , Nola J. Pender

This article describes the development and initial psychometric evaluation of an instrument to measure health-promoting life-style. Based on responses from 952 adults in midwestern communities, the Health-Promoting Lifestyle Profile was … This article describes the development and initial psychometric evaluation of an instrument to measure health-promoting life-style. Based on responses from 952 adults in midwestern communities, the Health-Promoting Lifestyle Profile was evaluated using item analysis, factor analysis, and reliability measures. Factor analysis isolated six dimensions: Self-Actualization, Health Responsibility, Exercise, Nutrition, Interpersonal Support, and Stress Management. These six factors accounted for 47.1% of the variance in the 48-item measure. Second-order factor analysis yielded a single factor, interpreted as Health-Promoting Lifestyle. The alpha reliability coefficient for the total scale is.922; alpha coefficients for the subscales range from .702 to .904. Further evaluation of the measure with different populations appears warranted. This instrument will enable researchers to investigate patterns and determinants of health-promoting life-style, as well as the effects of interventions to alter lifestyle.

The Role of Rhythmic Breathing in Stress Reduction and Well-Being: A Pilot Study

2025-06-25

Rajitha Bommakanti , Monique Bouvier , Melinda Higgins | Building Healthy Academic Communities Journal

Background: Nursing workload has dramatically changed over the last 20 years. The job duties of acute care hospital medical surgical nurses have changed and contributed to a shift in the … Background: Nursing workload has dramatically changed over the last 20 years. The job duties of acute care hospital medical surgical nurses have changed and contributed to a shift in the well-being of nurses and in their overall work-related stress. Aim: The aim of this study was to explore the effects of the daily practice of pranayama on overall stress and well-being of clinical nurses. Methods: A descriptive, cross-sectional pilot study was performed to impart to nurses in acute care medical surgical nurses’ pranayama as an aid to stress reduction and thereby improve well-being. Well-being and stress surveys were collected at baseline, pre and post intervention. Results: The results of the surveys indicated improved well-being index scores (World Health Organization’s WHO-5). However, the stress surveys did not reveal statistically significant results. Conclusion: The take-away from the pilot study was that pranayama practice improved WHO-5 scores and has the potential to improve overall well-being of acute care medical surgical nurses. The results of this study strongly support the need for a larger-scale investigation to further explore the benefits of pranayama practice.

The Effect of Chemotherapy on Improving The Quality of Life in Patients with Nasopharyngeal Carcinoma

2025-06-25

A. Ahmad Khaidir Agussalim , Mohamed Roseli Zainal Abidin , K. Ha | The International Journal of Medical Science and Health Research

Nasopharyngeal carcinoma is the most common malignant tumor of the head and neck region found in Indonesia. Chemotherapy is a cancer treatment that utilizes drugs to halt the growth of … Nasopharyngeal carcinoma is the most common malignant tumor of the head and neck region found in Indonesia. Chemotherapy is a cancer treatment that utilizes drugs to halt the growth of cancer cells. The assessment of quality of life in cancer patients is frequently used as a benchmark for therapeutic success and can be employed to evaluate the long-term cost-effectiveness of therapy. This study aims to analyze the effect of chemotherapy on improving the quality of life of patients with nasopharyngeal carcinoma. The research method involved a literature review of various previous studies that discussed the effect of chemotherapy on improving the quality of life of patients with nasopharyngeal carcinoma. The analysis revealed that the health-related quality of life (HRQOL) of nasopharyngeal cancer patients undergoing chemotherapy varies due to the effects of the cancer itself, the effects of chemotherapy, and the individual's life goals and expectations. This study suggests that nasopharyngeal carcinoma patients undergoing chemotherapy should anticipate the severity of side effects by receiving premedication and ensuring physical and mental preparedness before treatment.

The Impact of Almsgiving Therapy on Volunteer Members' Personal Happiness

2025-06-25

Purnamawati , Paramitha Mei Dianti , Ibie Tipani +2 more | Deleted Journal

This study aims to understand more deeply the extent to which the practice of almsgiving can contribute to increasing subjective happiness in individuals who are active in volunteer activities. In … This study aims to understand more deeply the extent to which the practice of almsgiving can contribute to increasing subjective happiness in individuals who are active in volunteer activities. In the perspective of Islamic psychology, almsgiving is not just a social activity, but a form of worship that reflects empathy, sincerity, and concern for others, which is indirectly believed to be able to strengthen the emotional and spiritual conditions of the perpetrators. This research uses a mixed methods approach, which combines quantitative data through questionnaires with qualitative data through in-depth interviews. A total of 128 respondents from among volunteers filled out an instrument consisting of a happiness scale based on the PERMA model (Positive Emotion, Engagement, Relationships, Meaning, and Achievement), as well as an almsgiving therapy scale that assesses the intensity and consistency of almsgiving activities carried out. The results of statistical analysis show that there is a significant positive relationship between the practice of almsgiving and the level of happiness, with a Pearson correlation value of 0.596. The contribution of almsgiving to happiness reached 35.5% based on simple linear regression results. This finding was reinforced by an interview with one of the participants who indicated positive changes in psychological and spiritual aspects after regularly practicing almsgiving, such as feeling more peaceful, having a more meaningful life, and a greater enthusiasm for sharing. Based on these findings, it can be concluded that almsgiving has great potential as a form of spiritual value-based intervention that can strengthen mental resilience and improve emotional well-being, especially in individuals who are active in social work. This research is expected to be an initial step in the development of a positive psychology approach based on religious values.

A nudge-based intervention to promote older persons’ dementia prevention: the CULTIVAMENTE campaign

2025-06-25

José M. Aravena | http://isrctn.com/

The Impact of a Multidisciplinary Residential Program (MRP) on Body Composition, Psychological Well-Being, and Hematochemical Parameters in Hospitalized Obese Patients

2025-06-25

Simone Perna , Giuseppe Mazzola , Michela Seniga +7 more | Nutrients

Introduction: Obesity is a multifactorial condition strongly associated with physical and psychological comorbidities. This study aimed to evaluate changes in psychological symptoms and their correlation with anthropometric and body composition … Introduction: Obesity is a multifactorial condition strongly associated with physical and psychological comorbidities. This study aimed to evaluate changes in psychological symptoms and their correlation with anthropometric and body composition improvements in hospitalized obese patients undergoing a multidisciplinary rehabilitation program (MRP). Methods: A total of 178 obese patients (61 males and 117 females; mean age 58.5 ± 14.0 years; mean BMI 41.3 ± 6.1 kg/m2) completed a two-month structured intervention combining a low-energy Mediterranean-style diet, individualized physical activity, and psychological support. Body composition by DXA, biochemical markers, and psychological outcomes (Beck Depression Inventory [BDI] and Binge Eating Scale [BES]) were assessed at baseline and discharge. Results: At baseline, 72.3% of participants showed depressive symptoms (BDI > 10), and 42.7% exhibited binge eating behaviors (BES ≥ 17). The intervention led to significant reductions in weight (−7.08 kg), BMI (−2.68 kg/m2), fat mass (−4.43 kg), and visceral adipose tissue (−329 g) (all p < 0.001). Mean BDI and BES scores decreased by 5.9 and 6.4 points, respectively (both p < 0.001). Moderate correlations were observed between reductions in adiposity and improvements in psychological symptoms, such as r = −0.45 for depressive symptoms (BDI) and r = −0.39 for binge eating behaviors (BES) (p-values < 0.001). Conclusions: A structured multidisciplinary intervention significantly improved body composition and psychological well-being in hospitalized obese patients. The moderate association between reduced adiposity and alleviation of depressive symptoms and binge eating behaviors underlines the value of integrated physical, nutritional, and psychological care. Level of Evidence: Level 3, according to the Oxford Centre for Evidence-Based Medicine.

Relationships between illness uncertainty, body image, and posttraumatic growth in breast cancer survivors: The moderating role of social support

2025-06-24

Mayumi Suruji | Journal of Health Psychology Research

Association Between Physical Activity and Suicidal Ideation: The Moderating Effect of Self-Rated Health Status

2025-06-24

Derrick S. Lee , Ki‐Soo Park | Healthcare

Background: This study aimed to evaluate the association between physical activity and suicidal ideation in adult women and to examine the moderating effect of self-rated health status. Methods: This study … Background: This study aimed to evaluate the association between physical activity and suicidal ideation in adult women and to examine the moderating effect of self-rated health status. Methods: This study utilized raw data from the Korea National Health and Nutrition Examination Survey (KNHANES) from the 6th to the 8th cycle (2013–2021). Complex sample logistic regression analysis was performed to assess the association between physical activity and suicidal ideation, and stratified analysis was conducted to examine differences in effects according to self-rated health status. Results: The prevalence of suicidal ideation among participants was 5.5%. Stratified analysis revealed that the effect of physical activity on suicidal ideation varied by self-rated health status. Among women with good self-rated health, physical activity was associated with significantly reduced odds of suicidal ideation (OR = 2.116, 95% CI: 1.229–3.643). However, among those with fair or poor self-rated health, physical activity showed no significant protective effect (OR = 1.173, 95% CI: 0.902–1.525). Conclusions: This study demonstrates a significant association between physical activity and suicidal ideation, with self-rated health status playing a key moderating role. Suicide prevention strategies should incorporate interventions that promote physical activity while considering self-rated health status.

Association Between Lifestyle Modifications and Renal Function Decline in Elderly Diabetic Nephropathic Patients: a Meta-Analysis Approach

2025-06-24

Chiehlun Yang , Wen‐Yi Yang , Run-zhang Zhu +5 more | Bratislavské lekárske listy/Bratislava medical journal

Effects of a Combined 8-Week Group Exercise Program on the Anthropometric Characteristics of Female University Students

2025-06-24

Nebojša Čokorilo , Goran Prebeg , Dragan Milić +1 more | Journal of Anthropology of Sport and Physical Education

The aim of this study was to analyse effects of a combined 8-week group exercise program on the anthropometric characteristics of female university students. Fifty two first year female students … The aim of this study was to analyse effects of a combined 8-week group exercise program on the anthropometric characteristics of female university students. Fifty two first year female students from the Faculty of Sports and Physical Education in Novi Sad were divided into two groups: experimental (N=27, 20.43±1.12years, 21.75±3.32 kg/m2) and control group (N= 25, 20.91±1.76years, 20.91±2.93 kg/m2). Experimental group attended 8 weeks of supervised additional exepriemntal program while the control group did not do any aditional physical activity. Over a 8-week period, changes in anthropometric characteristics were carefully monitored through thirteen measures with the Martin antropometer; bioelectrical impedance OMFRON BF 511, Gulick Anthropometric Tape and John Bull calliper. MANOVA and ANOVA were used to determine differences among groups before and after the experimental program. Primary findings of this study indicate that the combined group exercise intervention produced significant improvements in the female students’ anthropometric characteristics. Specifically, increases were observed in calf circumference (p = 0.05), biceps skinfold thickness (p = 0.001), triceps skinfold thickness (p= 0.001), forearm skinfold thickness (p = 0.001), subscapular skinfold thickness (p = 0.03), and abdominal skinfold thickness (p = 0.001) These results highlight the positive contribution and significance of the group fitness program in transforming anthropometric characteristics among female students.

Awareness of Modifiable Risk Factors Associated with Cardiovascular Diseases among Post-Menopausal Females and Role of Physical Therapist in preventive Strategies

2025-06-23

Uzba Bilal , Somia Faisal | Journal of Riphah College of Rehabilitation Sciences

Examining the effectiveness of Prostatic hyperplasia education on the level of participant’s knowledge and awareness

2025-06-23

Hari Krismanuel , Purnamawati Tjhin | PLoS ONE

Prostatic Hyperplasia (PH) is a common condition among older men, contributing significantly to Lower Urinary Tract Symptoms (LUTS). Despite available medical treatments, there is a lack of public awareness about … Prostatic Hyperplasia (PH) is a common condition among older men, contributing significantly to Lower Urinary Tract Symptoms (LUTS). Despite available medical treatments, there is a lack of public awareness about PH, resulting in late diagnoses. This study offers a novel approach by using a community-based educational intervention to increase knowledge of PH, leveraging the International Prostatic Symptom Score (I-PSS) as a tool for educating elderly men in Bogor, Indonesia. This study aims to evaluate the effectiveness of community-based education on prostatic hyperplasia (PH) in enhancing knowledge and awareness among elderly male participants, addressing the gap in public awareness and the need for early detection, unlike prior studies conducted in clinical settings. By utilizing the International Prostatic Symptom Score (I-PSS), this study provides a structured approach to community health education and symptom self-assessment. A mixed-methods, quasi-experimental pretest-posttest design involved 32 participants aged ≥ 60 years in Bogor, Indonesia. Quantitative data assessed changes in knowledge before and after the intervention, while qualitative insights were gathered through post-education discussions. Statistical analyses, including paired t-tests and effect size (Cohen's d), were conducted to measure the intervention's impact. This study is unique in its application of I-PSS for community education and its combination of quantitative and qualitative data to measure knowledge improvement and explore participant perceptions. Significant knowledge improvement was found post-intervention (mean increase: 8.9, p < 0.001, Cohen's d = 0.82). The integration of qualitative feedback highlighted the relevance and clarity of the intervention while also identifying remaining knowledge gaps, revealing its holistic impact on the participants. The novelty of this study lies in its community-based approach using I-PSS, which is an underexplored method in educating about PH. The results provide strong evidence for using structured community education to promote early detection and improve PH awareness. Future studies could benefit from including control groups and testing this approach in other regions for broader applicability. This study demonstrates the effectiveness of a community-based educational intervention using the International Prostatic Symptom Score (I-PSS) in improving knowledge and awareness about Prostatic Hyperplasia (PH) among elderly men. The findings suggest that integrating tools like the I-PSS in community health programs can empower individuals to self-assess their symptoms, promote early detection, and reduce the burden of delayed diagnoses. These results underscore the potential of scalable, low-cost interventions to address health education gaps in similar low-resource settings globally.

Effects of Socioeconomic Status, Health Access, and Employment Insecurity on Chronic Illness Management: The Mediating Role of Perceived Social Support

2025-06-23

Nida Nisar , Shahrukh Burki , Hafiz Muhammad Waqas Rafiq | Contemporary Issues in Social Sciences and Management Practices

The Association Between Perimenopausal Women's Knowledge and Educational Attainment and Their Readiness for Menopause

2025-06-21

Dwi Margareta Andini , Anggraini Dyah Setiyarini | Health and Technology Journal (HTechJ)

Women go through a phase called menopause, during which their menstrual periods stop during the climacteric era. Around age 45, ovarian function starts to deteriorate, which lowers the production of … Women go through a phase called menopause, during which their menstrual periods stop during the climacteric era. Around age 45, ovarian function starts to deteriorate, which lowers the production of the hormone estrogen. Given that many women experience anxiety or fear during this time, they must know about menopause. This study's goal is to ascertain how perimenopausal women relate their degree of education and knowledge to their preparedness for menopause. This study uses a cross-sectional research design and is quantitatively analytical. Six hundred forty-one perimenopausal women made up the study population. Purposive sampling was used, and there were 89 participants in the sample. Research Results: Based on the results of the knowledge analysis, 48 respondents (53.9%) had good knowledge, 30 respondents (33.7%) had sufficient knowledge, and 11 respondents (12.4%) had insufficient knowledge. The analysis results of respondent readiness were in the category of ready-to-face menopause, with 67 respondents (75.3%) and 22 respondents (22.7%) not ready to face menopause. The chi-square non-parametric analysis test shows that the significance value obtained is 0.000. It can be concluded that there is a relationship between knowledge and readiness to face menopause in perimenopausal. There is a relationship between education level and readiness to face menopause in perimenopausal women with a value of p = 0.000.

Factors Associated With Caregiving Appraisal by Caregivers of Patients With Heart Failure ― A Cross-Sectional Study ―

2025-06-20

Miki Hirano , Akiko Okada , Eiko Moriya +1 more | Circulation Reports

The relationship between self-transcendence and acceptance of illness levels in patients with chronic obstructive pulmonary disease: a cross-sectional study

2025-06-20

Canan Bozkurt , Hülya Bulut , Yasemin Yıldırım | Current Psychology

Abstract This study examines the relationship between self-transcendence and acceptance of illness in patients with chronic obstructive pulmonary disease (COPD) and explores how pathophysiological and psychological factors influence acceptance of … Abstract This study examines the relationship between self-transcendence and acceptance of illness in patients with chronic obstructive pulmonary disease (COPD) and explores how pathophysiological and psychological factors influence acceptance of illness. A cross-sectional design was employed, involving 480 COPD patients hospitalized due to exacerbations. Data were collected using the Self-Transcendence Scale (STS) and Acceptance of Illness Scale (AIS), along with sociodemographic and clinical characteristics. Multiple linear regression analysis was conducted to identify predictors of acceptance of illness. Statistical significance was set at p < 0.05. The participants had a mean age of 71.67 ± 5.93, with 90.6% aged 65 or older. Regarding disease severity, most participants were in advanced stages, with 68.1% in GOLD Stage III and 17.3% in Stage IV, while 61.9% reported severe dyspnea (mMRC score of 3). Multiple linear regression analysis revealed that STS positively predicted AIS (B = 0.266, p < 0.001), whereas being in GOLD Stage IV (B = -3.315, p < 0.001) and experiencing greater dyspnea severity (B = -1.312, p < 0.001) were significant negative predictors. These three variables collectively explained 36.1% of the variance in AIS (Adjusted R² = 0.361, p < 0.001). Self-transcendence is crucial for improving illness acceptance in COPD patients, while advanced disease stage and severe dyspnea pose challenges. Psychological support that fosters self-transcendence should be integrated into COPD management to enhance quality of life and coping abilities.

The Effect of Sleep Quality on the Life of Young People

2025-06-20

M.S. Tian | Theoretical and Natural Science

Today's sleep problems are a very widespread factor that cannot be ignored and affects the quality of life. In this paper, the Multiple Linear Regression is an important method that … Today's sleep problems are a very widespread factor that cannot be ignored and affects the quality of life. In this paper, the Multiple Linear Regression is an important method that the paper used. The influence of some factors on sleep was analyzed. Finally, it was screened out: stress level factors, heart rate levels, and physical activity levels have a great impact on sleep quality. The overall performance of the model was very good, R2=0.848, 84.8% of the changes in sleep quality could be explained by these variables, F-value = 5.11.401, p=0.000, the model was very significant. This paper also has shortcomings. The sample size selected in terms of data selection is relatively small, and the selection of analysis methods is relatively shallow. This dataset is not thoroughly analyzed because it is not first-hand data, making it difficult to isolate the effect of a single variable on sleep quality. In the future, this paper will conduct a longitudinal study to track the changes of the same factor over time. For example, ask inactive people to self-assess their sleep quality. Then, have them exercise every day to track the quality of their sleep. Summarize the changes in their sleep quality after one month.

Health Behavior Decision‐Making of Stroke High‐Risk Population: A Latent Profile Analysis

2025-06-20

Chenxi Zhou , Shanshan Wang , Beilei Lin +6 more | Research in Nursing & Health

ABSTRACT The primary prevention of stroke high‐risk groups is contingent upon health behavior intervention, and the key to such interventions is health behavioral decision‐making. The present study aims to explore … ABSTRACT The primary prevention of stroke high‐risk groups is contingent upon health behavior intervention, and the key to such interventions is health behavioral decision‐making. The present study aims to explore the potential classification of the health behavior decision‐making of high‐risk stroke groups using latent profile analysis (LPA) and the key influencing factors of the LPA classes. A cross‐sectional study was conducted from January to May 2023 with 264 high‐risk individuals of stroke in Henan Province, China. Data were collected using the Behavioral Decision Assessment Scale of Stroke Patients, the Revised Health Promoting Lifestyle Profile‐II and the Social Support Rating Scale. LPA showed that a three‐profile model of health behavior decision‐making best fit this study. Health behavior decision‐making of stroke high‐risk groups were divided into three latent classes: high‐output behavior type (23.1%), influence‐impervious type (60.6%), and influence‐sensitive type (16.3%). Comparisons between the three LPA classes showed that living situation, per capita monthly household income, hypertension, overweight/obesity, health promoting lifestyle behavior were significantly different between the participants' latent classes of behavior decision‐making. Clinical staff can develop targeted interventions according to different problems existing in the decision‐making processes, and improve and implement the screening content and process among community high‐risk stroke groups, which has practical significance for promoting their healthy behaviors. Patient or Public Contribution: In our study, survey questionnaires were completed by participants at high risk of stroke.

The Effect of Virtual Reality and Music on Pain, Anxiety and Pain-Related Anxiety in Burn Patient Care

2025-06-19

Rabia Görücü , Seher Deniz Özteki̇n , Gaye Taylan Fılınte | Burns

A longitudinal study of life satisfaction and aging paradoxes among older adults in South Korea

2025-06-19

Ji Na Lee | China Population and Development Studies

A meta-analysis on the effectiveness of Traditional Chinese Medicine Emotional Nursing in improving anxiety and depression symptoms in elderly patients

2025-06-19

Chunxiao Zhao , Xuelian Chen , Aihua Zhang +4 more | Frontiers in Psychology

Background This study used meta-analysis to explore the effectiveness of Traditional Chinese Medicine (TCM) emotional nursing intervention on the anxiety and depression of the elderly and factors that might influence … Background This study used meta-analysis to explore the effectiveness of Traditional Chinese Medicine (TCM) emotional nursing intervention on the anxiety and depression of the elderly and factors that might influence this intervention, so as to provide reference for optimizing the effect of TCM emotional nursing for the elderly patients. Methods Randomized controlled trials of TCM emotional nursing on improving anxiety and depression symptoms in elderly patients were searched from PubMed, Web of Science, Cochrane Library, Science Direct, China National Knowledge Infrastructure (CNKI), Wanfang Standards Database, and CQVIP. The Cochrane Collaboration’ s tool was adopted for assessing risk of bias of studies, and CMA 3.3 was used for statistical analysis. Results Thirty-nine literatures and 40 studies finally met the study standards, including 4,425 patients. The results showed that TCM emotional nursing could improve the anxiety and depression symptoms of the elderly patients with a significant large effect (anxiety: g = 2.14, depression: g = 2.18). Subgroup analysis and meta-regression analysis showed that scale type, sample size and age of subjects affected the effect of intervention on anxiety. Sample size, age of subjects and course of disease affect the effect of intervention on depression. Conclusion Traditional Chinese Medicine emotional nursing can significantly improve the symptoms of anxiety and depression in the elderly. Future studies may further focus on the moderators of the Effectiveness of TCM emotional nursing intervention, and optimize the intervention plan.

Sex and age differences in depressive symptoms among older adults in Jeju, Korea: an analysis of the 2017 Community Health Survey data

2025-06-19

Mi Hee Kong , Jung‐Kook Song | Journal of Medicine and Life Science

The effects of short-term home-based exercise training via video call in older adults with physically inactive and sedentary life

2025-06-18

Fazıl Kulaklı , İlker İlhanlı , İlker Fatih Sarı | Irish Journal of Medical Science (1971 -)

Abstract Objectives Investigating the physical and mental effects of short-term exercise program and motivation with video communication methods such as telephone and internet applications on physically inactive and sedentary older … Abstract Objectives Investigating the physical and mental effects of short-term exercise program and motivation with video communication methods such as telephone and internet applications on physically inactive and sedentary older adult's daily lives. Methods Thirty participants were reached by video calling method. Participants were evaluated twice before and after the program. A 6-min walk test (6MWT), Barthel index for activities of daily living, Tinetti performance oriented mobility assessment (Tinetti POMA) and Geriatric depression scale (GDS) were applied. The standard daily exercise program was applied to all participants for 1 week. Exercise programs were created as endurance, strengthening, stretching and balance exercises. Results All participants (16 female and 14 male) completed the program. In terms of 6MWT, Tinetti POMA and GDS, a statistically significant improvement was found after the program compared to the pre-program ( p < 0.001, p < 0.001 and P < 0.001, respectively). Conclusions It is possible and effective to organize exercise programs and to follow these with distance video calling applications in physically inactive and sedentary older adults.

IMPACT OF EATING PATTERNS ON URIC ACID LEVELS IN THEELDERLY

2025-06-18

Arum Dwi Ningsih | INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)

The elderly as a population are at risk of having problems with decreasing body physiology, one of which is uric acid metabolism. One of the factors that influence an increase … The elderly as a population are at risk of having problems with decreasing body physiology, one of which is uric acid metabolism. One of the factors that influence an increase in uric acid levels is poor diet, namely foods with excessive purine content. The aim of this research is to determine the relationship between diet and uric acid levels in the elderly. The research design used is descriptive analytical research using a cross-sectional research approach. The population in this study were elderly posyandu participants in the working area of the Kedundung Community Health Center, Mojokerto City. Sampling used the "accidental sampling" technique. The results of bivariate correlation analysis using the Spearman's rho test showed that the p value = 0.000. This means that there is a relationship between diet and uric acid levels in the elderly. A bad diet that can cause high uric acid levels is food with a high purine content.

Breaking Barriers, Building Habits: Psychological Analysis of the Relationship Between Perceived Barriers, Financial Burden, and Social Support on Exercise Adherence Among Adults Aged 50 and Older in South Korea

2025-06-18

Suyoung Hwang , Eun-Surk Yi | Healthcare

Background/Objective: Sustained exercise adherence among older adults is essential for healthy aging but remains challenging due to psychological, social, and economic barriers. This study aimed to investigate how perceived exercise … Background/Objective: Sustained exercise adherence among older adults is essential for healthy aging but remains challenging due to psychological, social, and economic barriers. This study aimed to investigate how perceived exercise barriers, financial burden, constraint negotiation mechanisms, and social support influence exercise adherence among adults aged 50 and older by integrating behavioral economics, constraint negotiation theory, and social cognitive theory. Methods: A cross-sectional survey was conducted with 1000 community-dwelling older adults in South Korea using a convenience sampling method. Participants were recruited from community centers, senior welfare facilities, and public health clinics in urban and suburban areas. Data collection was conducted between 11 January and 21 April 2024, using both online (Qualtrics) and offline (paper-based) surveys. Participants completed validated instruments measuring perceived exercise barriers, financial burden, constraint negotiation mechanisms (including financial management and social support mobilization), perceived social support, and behavioral exercise adherence. The final sample used for analysis included 974 individuals (mean age = 60.24 years, SD = 6.42). Structural Equation Modeling (SEM) was used to assess direct, mediating, and moderating effects. Additional exploratory analyses (ANOVA and t-tests) examined subgroup differences. Results: SEM results showed that perceived exercise barriers (β = -0.352, p < 0.001) and financial burden (β = -0.278, p < 0.001) were negatively associated with exercise adherence. Constraint negotiation mechanisms (β = 0.231, p < 0.001) and perceived social support (β = 0.198, p < 0.001) were positively associated. Mediation analyses revealed that constraint negotiation strategies partially mediated the relationships between perceived barriers and adherence (indirect β = 0.124) and between financial burden and adherence (indirect β = 0.112). Moderation analysis confirmed that social support buffered the negative effects of financial and psychological barriers. Conclusions: Exercise adherence in later life is shaped by the dynamic interplay of structural constraints, behavioral strategies, and social reinforcement. Interventions should combine financial support with socially embedded structures that promote behavioral planning and peer accountability to sustain long-term physical activity among older adults.

Nurses’ personality traits and decision-making as factors related to missed nursing care: a structural equation modeling approach

2025-06-18

Ivo Paiva , Eduardo Santos , Filipa Isabel Quaresma Santos Ventura +2 more | Research Square (Research Square)

<title>Abstract</title> Background: Missed nursing care (MNC) has compromised the quality of care provided, and patient safety and well-being. Given that internal aspects of nurses, such as personality traits and decision-making … <title>Abstract</title> Background: Missed nursing care (MNC) has compromised the quality of care provided, and patient safety and well-being. Given that internal aspects of nurses, such as personality traits and decision-making processes, influence the provision of care, this study aims to analyze the influence of nurses’ personality traits and decision-making on MNC. Methods Quantitative cross-sectional descriptive-correlational study. A convenience sample of 296 nurses completed a questionnaire developed for this study consisting of the European Portuguese versions of the MISSCARE Survey, the Nursing Decision-Making Instrument (NDMI-PT), and the Ten-Item Personality Inventory (TIPI-P). Structural equation modeling was used to analyze the association between MNC, MNC-related factors, and nurses’ decision-making and personality traits. Results A positive and statistically significant correlation was found between nurses’ personality traits and MNC-related factors and MNC (β = 0.14; <italic>p</italic> = 0.03; β = 0.27; <italic>p</italic> = 0.001, respectively). A negative, statistically significant correlation was found between nurses’ decision-making and MNC (β = -0.16; <italic>p</italic> = 0.03). Conclusions Given the direct influence of nurses’ personality traits and decision-making on MNC, nurse managers should implement training programs to promote personal and professional development, thus ensuring the quality of nursing care.

Latent profiles of emotional perceptions of ageing and health promotion lifestyle in older adults with diabetes: the mediating role of frailty

2025-06-18

Han Lu , Zhengrong Zhu , Qiaoling Yang +3 more | Journal of Diabetes & Metabolic Disorders

National Trends and Directions for Suicide Prevention Research in South Korea: A Narrative Review

2025-06-17

A. Lee , Je Young Hannah Sun , Myungjae Baik +3 more | Psychiatry Investigation

This paper reviews the major trends in current suicide prevention research in Korea and explores future research directions to reduce suicide mortality. A literature review was conducted using MEDLINE via … This paper reviews the major trends in current suicide prevention research in Korea and explores future research directions to reduce suicide mortality. A literature review was conducted using MEDLINE via PubMed and PsycINFO to identify relevant studies published until March 2024. A total of 1,981 English-language abstracts were reviewed, and studies relevant to suicide prevention were selected for the analysis. Successful suicide prevention efforts include restricting carbon monoxide exposure, limiting pesticide sales, and installing platform screen doors in subway stations. Gatekeeper training programs, such as "Suicide CARE," have trained over 7 million people, showing promise in early suicide detection. Media reporting guidelines have also been associated with a reduction in suicide rates, particularly following celebrity suicides. The findings suggest that comprehensive, multifaceted suicide prevention strategies, including environmental changes, training programs, and media control, can effectively reduce suicide rates in South Korea. Future efforts should enhance these strategies, evaluate their long-term impact, and address the new challenges posed by social media.

Geographic Disparities in Suicide Mortality in South Korea (2012-2023): Identifying Hot/Cold Spots and Associated Socioeconomic Factors

2025-06-17

Ansun Jeong , Young‐Su Ju , Hyuksool Kwon | Research Square (Research Square)

<title>Abstract</title> Background South Korea has recorded the highest suicide rate among OECD countries since 2004, and suicide remains a critical public health issue. Suicide is not only an individual concern … <title>Abstract</title> Background South Korea has recorded the highest suicide rate among OECD countries since 2004, and suicide remains a critical public health issue. Suicide is not only an individual concern but also an indicator of the broader community’s mental health, necessitating consideration of regional-level factors. Objective This study aims to analyze the spatiotemporal distribution patterns of suicide mortality in South Korea and to identify regional factors associated with lower suicide rates, thereby providing an evidence base for community-based suicide prevention strategies. Methods Age-standardized suicide mortality rates and regional characteristics were collected for 229 administrative districts (Si/Gun/Gu) from 2012 to 2023. Spatial autocorrelation was assessed using Moran’s I, and spatiotemporal clusters were identified through Emerging Hotspot Analysis. Panel regression analysis was then conducted on the 70 identified cold spot regions. Results Suicide rates exhibited statistically significant spatial autocorrelation across all years. Of the 75 identified regions, 70 were classified as cold spots and 5 as hot spots. An increase in the proportion of the elderly population (β = − 0.548, p < .01) and a higher number of social welfare facilities per 100,000 population (β = − 0.117, p < .05) were significantly associated with a reduction in suicide mortality in the following year. Conclusion Suicide rates in South Korea showed clear spatiotemporal disparities across regions. The proportion of the elderly population and the number of social welfare facilities were identified as significant regional factors influencing suicide mortality. This study highlights the need for region-specific suicide prevention policies.

Validity and reliability of the Turkish version of the HLS-EU-Q6 questionnaire

2025-06-17

Müjdat YEŞİ | Research Square (Research Square)

<title>Abstract</title> <bold>Background </bold>Health literacy plays an important role in the effectiveness of health services by affecting individuals' ability to access, understand, and use health information. Many people in Turkey have … <title>Abstract</title> <bold>Background </bold>Health literacy plays an important role in the effectiveness of health services by affecting individuals' ability to access, understand, and use health information. Many people in Turkey have limited health literacy. This study aimed to determine the psychometric validity and reliability of the Turkish version of the HLS-EU-Q6. <bold>Methods</bold> This psychometric study was conducted in two phases with 475 Turkish adults between January and March 2024. In the first stage, the scale was adapted into Turkish. Content validity indices were used for content validity, and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used for construct validity. Discriminant analysis was used for reliability analysis, and Cronbach's alpha coefficient was used for internal consistency. <bold>Results </bold>The mean age of the 475 participants was 28.82 ± 9.75 years, and 65.5% were female. The health literacy level of 75.6% of the participants was determined as “problematic.” The content validity index of the scale was found to be 0.92. In exploratory factor analysis, factor loadings ranged between 0.664 and 0.853, and in confirmatory factor analysis, model fit indices were acceptable (x²/df=2.95, RMSEA=0.07, SRMR=0.07, TLI=0.92, GFI=0.95). In the reliability analysis, Cronbach's alpha coefficient was 0.82. <bold>Conclusions</bold> The Turkish version of HLS-EU-Q6 consistently showed acceptable psychometric reliability and validity characteristics.

Letter to the Editor: Influence of Self‐Management, Self‐Efficacy, Depression and Social Support on Quality of Life in Patients Undergoing Haemodialysis by Disease Stage in South Korea

2025-06-17

Lili Li , Hao Chen , Jie Xiong +1 more | Journal of Clinical Nursing

A CPSO-BPNN-Based Analysis of Factors Influencing the Mental Health of Urban Youth

2025-06-17

Xiang Hu , Yong‐Hong Lan | Information

The fast-paced lifestyle, high-pressure work environment, crowded traffic, and polluted air of urban environments often have a negative impact on urban youth’s mental health.Understanding the factors in urban environments that … The fast-paced lifestyle, high-pressure work environment, crowded traffic, and polluted air of urban environments often have a negative impact on urban youth’s mental health.Understanding the factors in urban environments that influence the mental health of young people and the differences among groups can help improve the adaptability and mental health of urban youth. Based on the 2024 report on the health status of urban youth in China, this paper first analyzes this through a combination of multiple linear regression and automated machine learning methods. The key influencing factors of different living styles and environments on the mental health of urban youth and the priority of influencing factors are evaluated. The results are obtained by using the chaos particle swarm optimization-based back propagation neural network (CPSO-BPNN) model. Then, the heterogeneity of the different types of urban youth groups is analyzed. Finally, the conclusions and recommendations of this article are presented. This study provides theoretical support and a scientific decision-making reference for improving the adaptability and health of urban youth.

Associations Between Perceived Social Environment and Self-Rated General and Oral Health Among Community-Dwelling Older Adults

2025-06-16

Minjeong Kim , Changwoo Shon | Academy of Urban Health

ВПЛИВ СОЦІОЛОГІЇ ТА СОЦІОЛОГІЧНИХ ДОСЛІДЖЕНЬ НА ОРГАНІЗАЦІЮ ГРОМАДСЬКОГО ЗДОРОВ’Я МЕГАПОЛІСУ

2025-06-16

С. В. Бондаренко , О. І. Pylypyshyn | Вісник соціальної гігієни та організації охорони здоров я України

Мета: окреслити участь суспільних наук, зокрема соціології, в розробленні політики у сфері громадського здоров’я. Матеріали і методи. Матеріалами дослідження став аналіз: праць вітчизняних науковців та фахівців громадського здоров’я Великої Британії … Мета: окреслити участь суспільних наук, зокрема соціології, в розробленні політики у сфері громадського здоров’я. Матеріали і методи. Матеріалами дослідження став аналіз: праць вітчизняних науковців та фахівців громадського здоров’я Великої Британії та Канади про участь суспільних наук, зокрема соціології, в розробленні політики у сфері громадського здоров’я; соціальних мереж; участі громадськості в ухваленні рішень тощо. Використано бібліосематичний метод. Результати. Соціологія має багато потенціалу для впливу на міське громадське здоров’я. Налагодження тісної співпраці між соціологами та фахівцями з громадського здоров’я може призвести до нових та ефективних способів розв’язання проблем, які впливають на здоров’я населення. Соціологічні дослідження, орієнтовані на перехресні конфігурації соціальних відносин, можуть значно покращити наше розуміння зв’язків між соціальними факторами та здоров’ям населення. Висновки. Міста, незважаючи на свій потенціал приносити ризики для здоров’я, можуть бути також потужними двигунами змін та покращення. Чітке розуміння соціальних динамік у міських умовах може призвести до розроблення інноваційних і комплексних рішень, які підвищують якість життя. Безсумнівно, правильне використання соціології може суттєво покращити практики громадського здоров’я. Важливість реляційних підходів, соціальних практик та організацій у спільній структурі – це вдалий шлях до розв’язання складних соціальних проблем.

Sociological Analysis of Factors Influencing the Quality of Medical Care for Patients with Type 2 Diabetes Mellitus

2025-06-15

R. Sultanalieva , Nazgul Kubanychbekovna Abylova , B.Z. Zhunusova +1 more | Bulletin of Science and Practice

The article describes the data of the analysis of the questionnaire survey, which highlights the main factors influencing the quality of medical care for people with type 2 diabetes at … The article describes the data of the analysis of the questionnaire survey, which highlights the main factors influencing the quality of medical care for people with type 2 diabetes at the primary health care level. Data collection was aimed at obtaining information on key aspects influencing the course of the disease. The questionnaire used in the study consisted of 77 questions, which were divided into three groups: demographic information, behavioral questions, and health assessment data. The survey found that the main barriers to effective treatment include inadequate patient education, low availability of modern drugs and lack of financial support. ROC analysis identified predictors that play a key role in diabetes management.

Relationship between PTSD symptoms and mentalization in trauma experienced firefighters: Mediating effects of self compassion

2025-06-15

Chang Ui Hwang | Korean Association For Learner-Centered Curriculum And Instruction

Objectives This study is to verify the mediating effect of self compassion in the effect of mentalization of trauma experienced firefighters on PTSD symptoms. Methods To this end, the data … Objectives This study is to verify the mediating effect of self compassion in the effect of mentalization of trauma experienced firefighters on PTSD symptoms. Methods To this end, the data of 415 firefighters working in D city were finally analyzed. Correlation analysis and technical statistics were conducted on the collected data using SPSS 26.0, and the mediating effect of self compassion was analyzed using PROCESS Macro (Model 4). Results First, the mentalization of firefighters with trauma experience showed a significant negative correlation with PTSD symptoms, while a significant positive correlation with self compassion. In addition, self compassion showed a significant negative correlation with PTSD symptoms. Second, it was found that self compassion plays a partial mediating role in the effect of mentalization on PTSD symptoms. Conclusions Through the results of this study, it was confirmed that the mentalization and self compassion of trauma experienced firefighters not only contribute independently to the alleviation of PTSD symptoms but also complement each other. This shows the need to consider mentalization and self compassion in an integrated manner when establishing an effective intervention strategy for the prevention and treatment of PTSD by firefighters.

The impact of obesity on sexual functioning among women

2025-06-15

Maria Ciechacka , Agnieszka Pawełko , Ewelina Bąk | Journal of Education Health and Sport

Introduction Psychological problems also lead to sexual disorders in obese patients: low self-esteem, lack of acceptance of one's body, depression leading to decreased libido. Physical appearance, including body weight, is … Introduction Psychological problems also lead to sexual disorders in obese patients: low self-esteem, lack of acceptance of one's body, depression leading to decreased libido. Physical appearance, including body weight, is one of the basic elements shaping a person's identity; it also fundamentally affects self-esteem. On its basis, an image of one's own body is created, which is an important part of one's self-image. Body image is the image formed in the mind, which is the way one's body appears to itself. Material and methods The research was carried out among 99 women, including 47 diagnosed with obesity and 52 without obesity. In this study, the diagnostic survey method was used. The research was conducted using the Female Sexual Function Index (FSFI) questionnaire. Results Obesity had a negative impact on all 6 domains of the FSFI and its overall score. The most negative feelings concerned the domain of excitement and the least negative ones concerned the domain of pain. Conclusions: Among obese patients, there is a negative impact of this disease on sexual aspects. Patients with obesity require greater focus on educational activities aimed at following a good diet, especially the Mediterranean diet, as well as systematic visits and compliance with therapeutic recommendations.

The Impact of Physical Activity on Skin Health and Skin Aging

2025-06-14

Paulina Hetnar , Milena Fortuna , Sebastian Kiper +7 more | Quality in Sport

Purpose: The aim of this review is to synthesize current literature regarding skin structure and function, the mechanisms of intrinsic and extrinsic aging, and the potential benefits of physical activity … Purpose: The aim of this review is to synthesize current literature regarding skin structure and function, the mechanisms of intrinsic and extrinsic aging, and the potential benefits of physical activity for general health, as well as its specific effects on skin aging. Materials and research methods: The article is based on an analysis of research available on PubMed and Google Scholar. A literature review was conducted using following keywords such as “skin aging”, “skin health”, “intrinsic aging”, “extrinsic aging”, “physical activity”, “health”, “exercise”, and “the impact of physical activity on health”. Results: Skin aging results from both intrinsic factors such as genomic instability, epigenetics, telomere shortening, and mitochondrial dysfunction, and extrinsic factors including UV radiation, pollution, smoking, and poor lifestyle habits. Regular physical activity supports skin health by enhancing circulation, promoting collagen synthesis, reducing oxidative damage, modulating hormones, and improving mitochondrial function. Exercise also indirectly benefits the skin by supporting overall health and reducing lifestyle-related risk factors. Conclusion: Physical activity is a promising non-pharmacological strategy for preserving skin integrity and slowing age-related changes. Its incorporation into preventive dermatological care may complement conventional treatments and promote healthy aging. However, further investigations are required to elucidate the underlying mechanisms by which exercise influences the skin aging process.

A Conceptual Framework for Assessing Social Resilience Community Scale: Focus on Ageing Populations and Primary Health Care

2025-06-14

Hena Fatma , S. Tahir | International Journal of Social Science Research and Review

This study aimed to develop and validate the Social Resilience Scale, a tool designed to assess the ability of individuals particularly those with rheumatoid arthritis and hypertension to maintain social … This study aimed to develop and validate the Social Resilience Scale, a tool designed to assess the ability of individuals particularly those with rheumatoid arthritis and hypertension to maintain social and emotional well-being in the face of chronic illness and adversity. Drawing on a comprehensive review of psychological and behavioral resilience literature, the scale was developed as a 25-item self-report instrument, rated on a 5-point Likert scale, with scores ranging from 30 to 180. The study sample comprised 400 participants (200 males, 200 females) aged 65 years and older from Gothenburg, Sweden. Participants were divided into four equal groups: individuals with hypertension, individuals with rheumatoid arthritis, individuals with both conditions, and a healthy control group. Also, demographic variables, including socio-economic status, gender, age, religion, education, and general health, were considered. Reliability analysis showed high internal consistency (Cronbach’s alpha = 0.87). Content validity was confirmed through expert review, and construct validity was established via principal component analysis, which revealed three distinct factors explaining 77.818% of the total variance. The Kaiser-Meyer-Olkin (KMO) measure (0.794) and the determinant of the R-matrix (> 0.001) indicated sampling adequacy and the absence of multicollinearity. Inter-factorial correlations confirmed that the scale measures a unified construct of social resilience. Results demonstrated that while a high resilience score may indicate greater adaptive capacity, it should be interpreted alongside psychosocial variables such as social avoidance, emotional isolation, distress, and negative affectivity. Social resilience was found to play a crucial role in coping with chronic illness, influenced by factors such as social support, emotional regulation, positive beliefs, and problem-solving skills.

The Effect of Kegel Exercise on Sexual Function in Menopausal Women: A Systematic Review and Meta-Analysis

2025-06-14

Nichada Prasong , Pansak Sugkaroek | Journal of Current Science and Technology

Menopause often leads to sexual dysfunction due to hormonal and physiological changes. This research aimed to investigate the effects of pelvic floor muscle training (Kegel exercises) on sexual function in … Menopause often leads to sexual dysfunction due to hormonal and physiological changes. This research aimed to investigate the effects of pelvic floor muscle training (Kegel exercises) on sexual function in postmenopausal women by analyzing overall sexual function, specific domains, and various comorbidities. A comprehensive selection of primary studies was conducted across five databases: MEDLINE, Cochrane Library, ScienceDirect, Google Scholar, and Scopus. Inclusion criteria encompassed both randomized control trials (RCTs) and non-randomized Control Trials (non-RCTs) involving postmenopausal women participating in pelvic floor exercise programs with assessed sexual function outcomes. Eleven studies met the inclusion criteria, with 8 studies (n=643) contributing to the meta-analysis. Results from 6 RCTs (n=446) indicated that participants engaged in Kegel exercises exhibited significantly higher total sexual function scores, as assessed by the Female Sexual Function Index (FSFI), compared to control groups (mean difference = 2.58, 95% CI = 1.56, 3.59; p< 0.00001). Notable improvements were observed in several FSFI domains, including desire, arousal, lubrication, satisfaction, and pain; however, no significant difference was noted in the orgasm domain. Furthermore, a meta-analysis of 2 studies (n=197) involving mild pelvic organ prolapse revealed no significant difference in sexual function scores, measured by the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) (mean difference = -1.26, 95% CI = -2.75 to 0.22; p = 0.69). In conclusion, Kegel exercises significantly enhance sexual function in postmenopausal women, particularly regarding desire, arousal, lubrication, satisfaction, and pain, while showing no significant impact on orgasm or pelvic organ prolapse outcomes compared to the control group.

Efficacy of Health Interventions and Awareness Related to the Pre-Menopausal Phase and its Impact on the Quality of Life among Elderly Women

2025-06-13

Kriti Joshi | International Journal of Science and Research (IJSR)

A Phenomenological Study on the Experience of Independence after Spousal Death of Married Migrant Women

2025-06-13

Yan Kang , Sophia Lee | The Jounal of Cultural Exchange

Sociodemographic Disparities in the Relationship between Living Alone and Suicide Ideation among Older Adults

2025-06-13

Ping‐I Lin , James Rufus John , George T. Grossberg +2 more | Psychiatric Quarterly

Focusing on Close Relationships Associated with Improved Outcomes in a Workplace Gratitude Randomized Controlled Trial

2025-06-13

Katherine J. Gold , Margaret Dobson , Ananda Sen | Journal of Occupational and Environmental Medicine

Abstract Objective Gratitude programs may improve well-being among healthcare workers, but it is unknown whether the content of practices matters. Methods We conducted a text-based randomized controlled trial of “Three … Abstract Objective Gratitude programs may improve well-being among healthcare workers, but it is unknown whether the content of practices matters. Methods We conducted a text-based randomized controlled trial of “Three Good Things” (3GT) in a large academic primary care department. Participants responded to texts thrice weekly for three weeks and listed good things that happened that day. We measured depression, positive affect, gratitude, and life satisfaction for “immediate intervention” and “delayed” intervention groups. We coded >4600 entries and used multivariable regression to control for department age, role, and gender to see if content affected well-being. Results 223 of 468 individuals (48%) enrolled. Close relationships and identifying valuable people in one’s life were associated with the strongest benefits, but not all “good things” improved outcomes. Conclusions Focusing gratitude on relationships may be most impactful.

Lifestyle Practices, Functional Capacity, and Life Satisfaction of Elderly Above 65 Years

2025-06-13

T Rasheedu , Thereza Mathias , S Jayanna | Journal of Health and Allied Sciences NU

Objectives Ageing is a universal and inevitable phenomenon of life. It refers to the multidimensional process of physical, psychological, and social changes. While some dimensions grow and expand over time, … Objectives Ageing is a universal and inevitable phenomenon of life. It refers to the multidimensional process of physical, psychological, and social changes. While some dimensions grow and expand over time, others decline. This study aimed to assess the lifestyle practices, functional capacity, and life satisfaction among elderly individuals above 65 years in a selected community in Mangaluru, India. Material and Methods A non-experimental survey approach with a cross-sectional design was adopted. The purposive sampling technique was adopted to select 300 individuals above the age of 65 years residing in their homes. The interview technique was adopted to collect information through a demographic proforma, the fantastic lifestyle checklist, the Katz index of independence in activities of daily living, and the satisfaction with life scale. Descriptive and inferential statistics were used for analysis. Results More than half (56.7%) of the individuals above 65 years adopted a good lifestyle. Alcohol was the highest in the lifestyle practice, and the least was activity. The majority (44.3%) had high levels of independent functional capacity. The mean functional capacity was 5.18, indicating a level close to high independence. Half (56.5%) of the participants were slightly satisﬁed with their lives. Conclusion The study concludes that the elderly are at high risk of developing chronic illness due to unhealthy lifestyle practices, inability to perform activities of daily living to maintain optimal functional capacity, and lower levels of life satisfaction.

Factors Affecting Exercise Tolerance in Patients Who Underwent Video-Assisted Thoracoscopic Surgery for Lung Cancer

2025-06-13

Yoshiteru Akezaki , Makiko Hamada , Ritsuko Tominaga +7 more | Cureus

Abstract P5-04-11: Quality of life and psychosocial disparities between ethnically and religiously diverse population with advanced breast cancer

2025-06-13

Michal Braun , Gil Goldzweig , Noa Shafri +4 more | Clinical Cancer Research

Abstract Background: In Israel all residents are covered by universal health care and yet disparities in health care access and utilization exist. Jerusalem is the largest and poorest city in … Abstract Background: In Israel all residents are covered by universal health care and yet disparities in health care access and utilization exist. Jerusalem is the largest and poorest city in Israel, with significant with significant Jewish ultra-orthodox and Arab communities. These groups have shared reproductive factors, similar patriarchal community structures and often live in poverty. No research has been performed on these populations in the advanced breast cancer (ABC) setting with respect to quality of life (QOL) and psychosocial wellbeing. Methods: Women with ABC were prospectively recruited after consenting and self-identified their religion & level of religiosity. The following measurement tools were implemented: QOL - Functional Assessment of Cancer Therapy-Breast (FACT-B) Version 4, Spiritual wellbeing - The FACIT-Sp, Depression and Anxiety - Patient-Reported Outcomes Measurement Information System and demographic questionnaire. Comparisons between groups were conducted and the role of religion and depression in the explanation of differences of QOL between the groups was tested by moderated mediation model. Results: 160 ABC patients were recruited. 39 (24.4%) identified themselves as Ultra-Orthodox Jews, 35 (21.9%) as Arabs and 81 (50.6%) as non-ultra-orthodox Jewish. Groups differed in their health related QOL(F(2,150) = 10.49, p&lt;.001); Spiritual wellbeing (F(2,150) = 26.09, p&lt;.001p&lt;.001) and depression (F(2,134) = 9.61, p&lt;.001). Ultra-Orthodox patients reported higher levels of QOL and spiritual wellbeing compared to the other groups and lower levels of depression compared to the Arab patients. Arab patients reported lower levels of QOL and higher levels of depression compared to the other groups. In addition, they reported lower levels of spiritual wellbeing compared to Ultra-Orthodox patents. There were significant differences between groups in physical (F(2,152) = 13.96, p&lt;.001); functional (F(2,151) = 7.12, p&lt;.001); emotional (F(2,151) = 8.81, p&lt;.001) and breast cancer wellbeing (F(2,152) = 10.21, p&lt;.001) as measured by FACT-B. Throughout the different domains of QOL Arab patients did worse (except the social/family subscale) than the Ultra – Orthodox patients. In addition, they reported on lower levels of QOL than the general population in total QOL, physical and functional wellbeing. Ultra – orthodox patients reported on higher levels of QOL in comparison to the general population in Total QOL, emotional well- being and breast cancer wellbeing. The study’s moderated mediation model was found to be significant (F (2,126) = 121.16, R-sq = 65.8%, p &lt; 0.000). The differences between Arab and Jewish patients in Health related QOL were found to be mediated by depression, with group-depression relationship moderated by religiosity levels. Conclusions: Significant health care disparities exist amongst women with ABC in terms of QOL, psychosocial and spiritual wellbeing. Although the current study examined two minority groups who have shared low socio-economic status, similar reproductive habits (multiple pregnancies from an early age), paternalistic and patriarchal community structure and challenges in health care access for cultural-ethnic-social reasons, different patterns of well-being were found. Ultra-Orthodox patients reported superior health related QOL, spiritual wellbeing, and lower levels of depression compared to other groups. Arab patients reported poorer health related QOL, higher levels of depression and lower levels of spiritual wellbeing and religiosity compared to Ultra-Orthodox patients. Further research is needed to create effective, culturally appropriate interventions. Citation Format: Michal Braun, Gil Goldzweig, Noa Shafri, Yehosua Akerman, Daniel Yusovich, Inbal Fuchs, Shani Paluch-Shimon. Quality of life and psychosocial disparities between ethnically and religiously diverse population with advanced breast cancer [abstract]. In: Proceedings of the San Antonio Breast Cancer Symposium 2024; 2024 Dec 10-13; San Antonio, TX. Philadelphia (PA): AACR; Clin Cancer Res 2025;31(12 Suppl):Abstract nr P5-04-11.

Factors related to prehospital time in caring for patients with stroke.

2021-12-01

Raúl Soto‐Cámara , Jerónimo J. González‐Bernal , José M. Aguilar-Parra +3 more

To identify factors that affect prehospital time (PHT) for patients with stroke.Systematic review. We searched 6 databases to select descriptive studies of factors influencing PHT in stroke. The studies selected … To identify factors that affect prehospital time (PHT) for patients with stroke.Systematic review. We searched 6 databases to select descriptive studies of factors influencing PHT in stroke. The studies selected were published in English, Portuguese, or Spanish between 1995 and 2019.One hundred one articles were analyzed. Sociodemographic, clinical, contextual, cognitive, and behavioral data related to PHT in patients with stroke were identified. Calling the emergency medical services (EMS) immediately after onset of stroke symptoms was the main factor associated with a shorter PHT. Referral from another hospital was associated with a longer PHT.PHT is affected by factors inherent to patients and the setting for the event. Educational strategies should be developed to address relevant factors, especially regarding the importance of recognizing the onset of a stroke and calling the EMS immediately.Identificar factores que influyen en el tiempo prehospitalario (TPH) en pacientes que presentan un ictus.Se realizó una revisión sistemática de la literatura en 6 bases de datos. Se seleccionaron estudios descriptivos, publicados entre 1995 y 2019, en inglés, portugués o castellano, que identificasen factores que influyen en el TPH en pacientes que han padecido un ictus.Se analizaron 101 artículos. Se identificaron factores relacionados con el marco temporal en la atención prehospitalaria del ictus, que se clasificaron en sociodemográficos, clínicos, contextuales, cognitivos y conductuales. El aviso inmediato al sistema de emergencias médicas (SEM) fue el principal factor que redujo el TPH; ser derivado desde otro centro sanitario se relacionó con un mayor TPH.El TPH depende de factores inherentes al paciente y a su entorno. Es necesario el desarrollo de estrategias educativas que incidan sobre dichos factores, especialmente sobre la importancia de reconocer los síntomas iniciales del ictus y del aviso inmediato al SEM.