bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dog-assisted interventions for adults diagnosed with schizophrenia and related disorders: a systematic review
Authors: Tyssedal Malene Kalsnes , Johnsen Erik , Brønstad Aurora , Skrede Silje 
Published: June 2023

BackgroundMany individuals diagnosed with schizophrenia and related disorders experience insufficient symptom relief from currently available treatment options. Researching additional venues should be prioritized. This systematic review, designed in accordance with PRISMA, examined the effect of targeted and structured dog-assisted interventions as a supplementary treatment.MethodsRandomized as well as non-randomized studies were included. Systematic searches were conducted in APA PsycInfo, AMED, CENTRAL, Cinahl, Embase, Medline, Web of Science, and in several sources covering “gray” (unpublished) literature. In addition, forward and backward citation searches were performed. A narrative synthesis was conducted. Quality of evidence and risk of bias were assessed in accordance with GRADE and RoB2/ROBINS-I criteria.Results12 publications from 11 different studies met eligibility criteria. Overall, studies showed diverging results. General psychopathology, positive and negative symptoms of psychosis, anxiety, stress, self-esteem, self-determination, lower body strength, social function, and quality of life were among the outcome measures with significant improvement. Most documentation for significant improvement was found for positive symptoms. One study indicated significant deterioration of non-personal social behavior. The risk of bias was high or serious for most of the outcome measures. Three outcome measures were associated with some concerns regarding risk of bias, and three with low risk of bias. Quality of evidence was graded low or very low for all outcome measures.ConclusionsThe included studies indicate potential effects of dog-assisted interventions for adults diagnosed with schizophrenia and related disorders, mostly beneficial. Nevertheless, low number of participants, heterogeneity, and risk of bias complicate the interpretation of results. Carefully designed randomized controlled trials are needed to determine causality between interventions and treatment effects.
Development and evaluation of a COVID tracking system to support provision of social service in Wyandotte County, Kansas
Authors: Wexler Catherine , Dixon Katelyn Sanner , Oyowe Kevin , Lapke Brooke , Conner Hannah , Shoemaker Hailey , Corriveau Erin , Greiner Allen , Finocchario-Kessler Sarah 
Published: June 2023

BackgroundIn addition to the state-mandated case investigation and contact tracing, the Unified Government Public Health Department of Wyandotte County, Kansas implemented social support services for COVID-19 cases and contacts; however, did not have the systems in place to document the provision of these services. Our team worked with the health department to develop and implement the COVID Tracking System (CTS), an eHealth system that linked multiple involved teams. Here, we describe the development and evaluation of the CTS. The objective of this manuscript is to describe and evaluate the development and implementation process of the Covid Tracking System.MethodsDrawing from concepts of user-centered design, we took a 4-phase approach to development: understanding context, specifying needs, designing solutions, and evaluating. A mixed-methods evaluation of the development and implementation process using RE-AIM was conducted. Quantitative CTS data captured between February 1, 2021, and September 30, 2021 were exported. Descriptive statistics were calculated for categorical variables and means (SD, range) or median (IQR) for continuous variables. Qualitative discussions with key users supplemented the quantitative data.ResultsThere were 1,152 cases entered into the CTS, of whom 307 (26.6%) requested a letter be sent to their workplace to excuse them during their quarantine period, 817 (70.9%) requested and had food and cleaning supplies delivered, 21 (1.8%) requested guidance on applying for federal assistance, and 496 (43.1%) requested to be contacted by a community health worker. While a few technical glitches slowed down early implementation, these were quickly resolved and key users felt that the CTS streamlined client referral and simplified their workflow, allowing them to spend more time on patient care and follow up, rather than documentation. After study implementation ended, the Unified Government Public Health Department of Wyandotte County continued using the CTS for client tracing and follow up.DiscussionThis project provides a roadmap of how user centered design can be applied to the development and evaluation of eHealth software to support program intervention implementation, even in situations where urgent action is needed.
Latent classes and related predictors of demand for home-and community-based integrated care for older Chinese adults
Authors: Wang Zhenyu , Liu Zhihan 
Published: June 2023

BackgroundHome-and community-based integrated care has been developing rapidly in China in recent years. However, empirical research on the demand from older people is insufficient. Most studies have failed to identify or differentiate the heterogeneity of older people, resulting in poor understanding of their needs and fragmentation of services. This study seeks to identify latent classes of demand for home-and community-based integrated care among older Chinese adults and the predictors that differentiate these demands.MethodsFrom January to March 2021, a questionnaire was administered to older people (aged ≥60 years) in community-based service centers for older people in six districts of Changsha City, Hunan Province. Participants were selected through purposive and incidental sampling. Latent profile analysis was used to categorize older people’s demand for home-and community-based integrated care. By extending Andersen’s behavioral model of health service use, and running multinomial logistic regression analyses, we explored which factors influenced the latent classes of demand.ResultsA total of 382 older people were included in the analyses: 64.4% were women and 33.5% were aged 80–89. The demand from older people for home-and community-based integrated care was classified into four latent classes: high health and social interaction demand (30% – 115/382); high comprehensive demand (23% – 88/382); high care service demand (26% – 100/382), and high social participation and low care demand (21% – 79/382). Taking this last class as the reference group, the other three latent classes differed significantly in the factors of predisposition, enabling, need, and perception of aging.ConclusionThe demand from older people for home-and community-based integrated care is multifaceted and heterogeneous. Services for older people should be designed with different sub-models of integrated care.
Identifying risk factors affecting exercise behavior among overweight or obese individuals in China
Authors: Shengyu Guo , Liu Feiyue , Wu Qinghua 
Published: June 2023

BackgroundThe disease burden caused by obesity has increased significantly in China. Less than 30% of those who are obese meet the weekly physical activity standards recommended by the WHO. Risk factors that influence exercise behavior in people with obesity remain unclear.MethodsBased on the survey from the Chinese General Social Survey program (CGSS) in 2017, 3,331 subjects were identified and enrolled in the univariate and multiple probit regression models. We aimed to identify the association between SRH and the exercise behavior of obese people and further explore the influencing factors of active physical activity in this group of people.ResultsThe proportion of active physical activity in obese people was 25%. Groups with better SRH, higher education and income were more likely to participate in sports. Obese people who lived in rural areas, were unmarried or divorced, or fell within the age range of 35–40 had a significantly lower percentage of engagement in active physical activity.ConclusionsThe proportion of people with obesity who meet the WHO recommendation for physical activity in China is not ideal. Health promotion programs for those who are obese need to be further strengthened and targeted, especially for rural areas, low-income families, and middle-aged obese people.
The spatial effects of rural toilet retrofitting investment on farmers' medical and health expenditure in China
Authors: Zheng Xin , Yang Fu-Xia , Fan Dong-Shou , Yang Zao-Ning 
Published: June 2023

BackgroundChina stretches across a vast area, and different geographical environments and economic and social development conditions, along with learning imitation and factor flow among participants can lead to two major spatial characteristics of toilet retrofitting investment: spatial heterogeneity and spatial correlation.MethodsThis study contributes to explore this topic by assessing the spatial heterogeneity and spatial correlation of toilet retrofitting investment on farmers' medical and health expenditure based on the spatial econometric model.Results(1) There are significant spatial agglomeration characteristics of both the toilet retrofitting investment and farmers' medical and health expenditure in China. (2) At the national level, the rural toilet retrofitting investment will influence the farmers' medical and health expenditure, and the effect on the local area is greater than on the surrounding areas. (3) After taking into account the differences in natural geographical environment and social and economic development, China is divided into four regions: east, central, west and northeast. In terms of spatial effects within different regions, the intensity of the impact of toilet retrofitting investment on local farmers' medical and health expenditure is in the order of central &gt; eastern &gt; western &gt; northeast. The improvement of people's livelihood in the eastern and central regions by toilet retrofitting investment would lead to imitation by surrounding regions, thus reflecting spillover effects, while in the western region, toilet retrofitting investment would trigger fierce competition in related industries and factor markets, manifesting the competition effect. (4) As for the spatial effects across different regions, the toilet retrofitting investment produces spillover effects in all four regions, among which the intensity of the influence effect is the greatest in the central-western region, followed by the west-northeast, and the influence effect in the east-west is not significant.DiscussionThe comprehensive promotion of rural toilet retrofitting should not only focus on investment in the western and northeastern regions, but also strengthen regional communication and cooperation to improve rural residents' health and quality of life.
The outbreak of the 2022 Russo-Ukrainian war: mental health of poles and their attitude to refugees
Authors: Babicki Mateusz , Kowalski Krzysztof , Mastalerz-Migas Agnieszka 
Published: June 2023

IntroductionThe outbreak of the Russo-Ukrainian war on 24 February 2022 has sparked a migration crisis in Europe. As a result, Poland has emerged as the country with the highest number of refugees. Due to differing social and political sentiments, this has been a significant challenge for the hitherto mono-ethnic Polish society.MethodsComputer-assisted web interviews (CAWIs) were conducted with 505 Poles, mainly women with higher education from large urban centers, involved in helping refugees. Their attitudes toward refugees were assessed using an original questionnaire, while their mental health was also evaluated using the General Health Questionnaire-28 (GHQ-28).ResultsThe vast majority of respondents reported favorable attitudes toward refugees from Ukraine. In addition, 79.2% believed refugees should be given free access to medical care, and 85% supported free access to education for migrants. Nearly 60% of respondents were not worried about their financial status due to the crisis; moreover, 40% believed that immigrants could boost the Polish economy. And 64% believed it would enrich Poland culturally. However, the majority of respondents feared infectious diseases and believed migrants should be vaccinated according to the vaccination schedule applicable in the country. Fear of war correlated positively with fear of refugees. On the GHQ-28, almost half of the respondents scored above clinical significance. Higher scores were typical for women and those fearing war and refugees.ConclusionPolish society has shown a tolerant attitude in the face of the migration crisis. The vast majority of respondents showed positive attitudes toward refugees from Ukraine. The ongoing war in Ukraine has a negative impact on the mental health of Poles, which correlates with their attitude toward refugees.
COVID-19 burden differed by city districts and ethnicities during the pre-vaccination era in Amsterdam, the Netherlands
Authors: Bachour Yara , Wynberg Elke , Coyer Liza , Buster Marcel , Schreijer Anja , van Duijnhoven Yvonne T. H. P. , van Dam Alje P. , Prins Maria , Leenstra Tjalling 
Published: June 2023

BackgroundDuring the first wave of COVID-19 in Amsterdam, the Netherlands, a disproportional number of COVID-19 hospitalizations occurred in individuals with an ethnic minority background and in individuals living in city districts with a lower socioeconomic status (SES). In this study, we assessed whether these disparities continued throughout the second wave, when SARS-CoV-2 testing was available to anyone with symptoms but prior to the availability of COVID-19 vaccination.MethodsSurveillance data on all notified SARS-CoV-2 cases in Amsterdam between 15 June 2020 and 20 January 2021 were matched to municipal registration data to obtain the migration background of cases. Crude and directly age- and sex-standardized rates (DSR) of confirmed cases, hospitalizations, and deaths per 100,000 population were calculated overall, and by city districts, and migration backgrounds. Rate differences (RD) and rate ratios (RR) were calculated to compare DSR between city districts and migration backgrounds. We used multivariable Poisson regression to assess the association of city districts, migration backgrounds, age, and sex with rates of hospitalization.ResultsA total of 53,584 SARS-CoV-2 cases (median age 35 years [IQR = 25–74]) were notified, of whom 1,113 (2.1%) were hospitalized and 297 (0.6%) deceased. DSR of notified infections, hospitalization, and deaths per 100,000 population were higher in lower SES peripheral city districts (South-East/North/New-West) than higher SES central districts (Central/West/South/East), with almost a 2-fold higher hospitalization DSR in peripheral compared to central districts (RR = 1.86, 95%CI = 1.74–1.97). Individuals with a non-European migration background also had a higher COVID-19 burden, particularly with respect to hospitalization rates, with a 4.5-fold higher DSR for individuals with a non-European background compared to ethnic-Dutch (RR 4.51, 95%CI = 4.37–4.65). City districts, migration backgrounds, male gender, and older age were independently associated with COVID-19 hospitalization rates.DiscussionIndividuals with a non-European background and individuals living in city districts with lower SES continued to independently have the highest COVID-19 burden in the second wave of COVID-19 in Amsterdam, the Netherlands.
New Orleans’ school meals distribution in response to the COVID-19 pandemic: operational details and geographic coverage
Authors: Chaparro M. Pia , French Jacob , Creveling Kristine , Ennin Naana , Numa Tiffany , Knapp Megan 
Published: June 2023

IntroductionTo facilitate continuation of school feeding during COVID-19 school lockdowns, U.S. Congress authorized waivers to allow for school meals to be picked up by parents/guardians in non-school settings. We summarized school meals distribution and characterized reach in socially vulnerable neighborhoods in New Orleans, a city prone to environmental disasters, with a city-wide charter school system, and historically high levels of child poverty and food insecurity.MethodsSchool meals operations data were obtained from New Orleans, Louisiana (NOLA) Public Schools for 3/16/2020–5/31/2020. For each pick-up location, we estimated: average meals available (weekly), average meals served (weekly), number of weeks of operation, and rate of meal pick-up ([meals served/meals available]*100). These characteristics were mapped in QGIS v3.28.3, along with neighborhoods’ Social Vulnerability Index (SVI). Pearson correlation and ANOVA were run to assess differences between operations characteristics and neighborhood SVI.ResultsFrom 38 meal sites, 884,929 meals were available for pick-up; 74% of pick-up sites were in moderately/highly socially vulnerable areas. Correlations between average meals available and served, weeks of operation, rate of meal pick-up, and SVI were weak and not statistically significant. SVI was associated with average rate of meal pick-up but not other operations characteristics.DiscussionDespite the disaggregated nature of the charter school system, NOLA Public Schools successfully pivoted to providing children with pick-up meals due to COVID-19 lockdowns, with 74% of sites located in socially vulnerable neighborhoods. Future studies should describe the types of meals provided to students during COVID-19, in terms of diet quality and nutrient adequacy.
Six domains of health: a practical approach to identifying priorities in dementia care
Authors: Sadak Tatiana , Borson Soo 
Published: June 2023

BackgroundHigh-quality healthcare for people living with dementia encompasses both patients and care partners (CPs). A framework populated with simple assessment tools is needed to deconstruct this complexity into actionable domains that inform assessment and care planning for individuals and dyads, help differentiate care team roles, and can more fully estimate true population burden in health and social care systems.DesignResearchers used a cross-sectional mixed-methods descriptive study to illustrate the use of an inductive Six Domain framework and simple assessment tools in a sample of dyads selected for complexity.SettingData was collected from three university-affiliated hospitals with a shared electronic medical record (EMR).ParticipantsEighty-eight CPs for people living with dementia (care recipients) newly discharged home after an acute medical hospitalization participated.MeasuresCare recipients' outpatient and inpatient diagnoses, medications, and care were extracted from the EMR. CPs completed an in-home semi-structured interview and study measures. Data were sorted into six domains: three care recipient-focused domains (cognition, emotion/behavior, general and functional health); a single CP-focused domain (mood, cognition, stress, and self-rated health); a health-related social needs domain (enrollment of persons with dementia in low-income insurance, CP-reported financial strain); and a care delivery domain (CP-reported engagement with clinicians in care recipients' care planning, and match between CP-reported knowledge of care recipients' medical care needs and medical records).ResultsAs expected, all people living with dementia had significant cognitive, neurobehavioral, and medical complexity requiring extensive oversight and management at home. Over a third of CPs reported high stress, depression, or anxiety. A fifth screened positive for one or more indicators of poor health, cognitive impairment, and/or health-related social needs. CP reports and care recipients' medical records were discordant for chronic conditions in 68% of cases and for prescribed medications in 44%. In 85% of cases, there were gaps in indicators of CP-clinician collaboration in care management.Conclusion and relevanceThe Six Domains of Health framework captures a broad array of challenges that are relevant to providing comprehensive dyadic care and setting individualized health and social care priorities. With further study, it could provide conceptual scaffolding for comparative population research and more equitable, fully integrated pathways for care.
Barriers and facilitators to implementation of developmental screening and early intervention in Canadian organizations following completion of a training and coaching model: a thematic analysis
Authors: Peterson-Katz Karys , Piccone Caitlin , Tuzi Nicole , Kulkarni Chaya , Reynolds James N. 
Published: June 2023

IntroductionDevelopmental delay affects approximately 1 in 4 children under 6 years old. Developmental delay can be detected using validated developmental screening tools, such as the Ages and Stages Questionnaires. Following developmental screening, early intervention can occur to address and support any developmental areas of concern. Frontline practitioners and supervisors must be trained and coached to organizationally implement developmental screening tools and early intervention practice. No prior work has qualitatively investigated the barriers and facilitators to implementing developmental screening and early intervention in Canadian organizations from the perspectives of practitioners and supervisors who have completed a specialized training and coaching model.Methods and ResultsFollowing semi-structured interviews with frontline practitioners and supervisors, thematic analysis identified four themes: cohesive networks support implementation efforts, implementation success is dependent on shared perspectives, established organizational policies increase implementation opportunities, and COVID-19 guidelines create organizational challenges. Each theme encompasses sub-themes that describe implementation facilitators: strong implementation context, multi-level multi-sectoral collaborative partnerships, adequate and collective awareness, knowledge, and confidence, consistent and critical conversations, clear protocols and procedures, and accessibility to information, tools, and best practice guidelines.DiscussionThe outlined barriers and facilitators fill a gap in implementation literature by informing a framework for organization-level implementation of developmental screening and early intervention following training and coaching.
Pain catastrophizing moderates the relationship between chronic pain and insomnia severity in persons with opioid use disorder
Authors: Baime Melanie A. , Satyavolu Prem Umang , Huhn Andrew S. , Ellis Jennifer D. 
Published: June 2023

Study objectivesChronic pain and insomnia commonly co-occur among individuals with opioid use disorder (OUD) and are associated with adverse treatment outcomes and reduced quality of life. Exploring factors that influence these relationships may help identify relevant treatment targets. The present study investigated whether pain catastrophizing moderates the presence of chronic pain and insomnia severity in individuals with OUD.MethodsParticipants with OUD symptoms (N = 154) were recruited from Amazon's Mechanical Turk, and completed screening measures for chronic pain, insomnia, and pain catastrophizing. Moderation analyses were used to explore whether pain catastrophizing moderated the relationship between chronic pain and insomnia severity.ResultsResults suggested that chronic pain was only associated with insomnia severity symptoms among individuals with higher levels of pain catastrophizing but was unrelated at lower levels of pain catastrophizing.ConclusionsThese results suggest that pain catastrophizing may represent a modifiable risk factor among individuals with co-occurring OUD, insomnia, and chronic pain. Future longitudinal and experimental research that examines changes in insomnia, pain severity, and pain catastrophizing over time in OUD may be beneficial.