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Promoting workplace psychological wellbeing: evaluation of a multidisciplinary Employee Assistance Program at a tertiary hospital in Asia. 促进工作场所心理健康:对亚洲一家三级医院多学科员工援助计划的评估。
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI: 10.3389/fpubh.2025.1711622
Kenneth Bao Ren Leong, Sharon Shujin Tan, Say Leong Ooi, Wen Phei Lim, Katie Kai Teng Lim, Nur Syafilla Iqma Samat, Hui Zhu, Asanachiyaar Chinnathamby, Rosman Bin Surie, Jeremiah Chng, Jeff Yi-Fu Hwang

Background: Despite the growing availability of Employee Assistance Programs (EAP) aimed at improving workplace psychological wellbeing, the implementation and effectiveness of EAPs has not been well described nor well studied in the literature. This study seeks to describe and evaluate an insourced, multidisciplinary EAP consisting of Occupational Medicine Physicians, Psychiatrists, Psychologists as well as Human Resource Professionals to promote psychological wellbeing among healthcare workers in a tertiary hospital in Singapore.

Methods: This study utilized a health service evaluation framework and analyzed the implementation of the EAP across five dimensions, namely: Reach and Adoption, Effectiveness, Implementation and Maintenance. Anonymous longitudinal data of all participants enrolled into the EAP program between 01 Jan 2024 to 30 April 2025 were collected for analysis.

Results: Data from a total of 39 EAP participants were analyzed. Nursing staff formed the largest proportion of staff who utilized the EAP at 51.3%. The most common route of access to the EAP program was through referral by the staff's department at 43.6%, followed by self-referral (23.1%) and referral by a peer-supporter (23.1%). The most common reason for EAP attendance was work-related stressors at 48.7%. A statistically significant decrease between the median pre-EAP Patient Health Questionnaire-4 (PHQ-4) score (7) and median post-EAP PHQ-4 score (2) was noted. 59% of participants were able to return to work. An estimated average running cost of $648.48 per participating staff was required to sustain the program.

Conclusion: This is the first longitudinal study in Southeast Asia describing the evaluation of an EAP. Using an objective clinical questionnaire, an improvement in psychosocial wellbeing was noted for EAP participants. The evaluation methods and outcomes described provide a framework for companies and human resources department to review ongoing EAPs as the organization and structure of EAPs continue to evolve.

背景:尽管越来越多的员工援助计划(EAP)旨在改善工作场所的心理健康,但EAP的实施和有效性并没有在文献中得到很好的描述和研究。本研究旨在描述和评估一个由职业医学医师、精神科医生、心理学家和人力资源专业人员组成的内包、多学科的EAP,以促进新加坡一家三级医院医护人员的心理健康。方法:本研究采用卫生服务评估框架,从覆盖与采用、效果、实施与维护五个维度分析EAP的实施情况。收集2024年1月1日至2025年4月30日EAP项目所有参与者的匿名纵向数据进行分析。结果:共分析了39名EAP参与者的数据。护理人员使用EAP的比例最大,为51.3%。获得EAP计划的最常见途径是通过员工部门的推荐(43.6%),其次是自我推荐(23.1%)和同伴支持者推荐(23.1%)。参加EAP的最常见原因是工作压力,占48.7%。eap前患者健康问卷-4 (PHQ-4)得分中位数(7)和eap后PHQ-4得分中位数(2)之间有统计学意义上的显著下降。59%的参与者能够重返工作岗位。维持该方案估计需要每名参加工作人员平均648.48美元的运行费用。结论:这是东南亚第一个描述EAP评估的纵向研究。通过客观的临床问卷调查,EAP参与者的心理社会健康得到了改善。所描述的评估方法和结果为公司和人力资源部门提供了一个框架,以便随着eap组织和结构的不断发展,审查正在进行的eap。
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引用次数: 0
Life skills, self-efficacy, life satisfaction and health literacy evolution from primary school to middle school: a 3-year longitudinal interventional study of the Explo'Santé cohort. 生活技能、自我效能感、生活满意度与健康素养小学至中学演变:Explo' s队列的3年纵向干预研究
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1720265
Corélie Salque, Adeline Darlington-Bernard, Florence Carrouel, Emily Darlington

Introduction: Childhood and adolescence are decisive life stages during which social and health inequalities emerge and widen. Schools represent a privileged setting for health promotion, particularly through the development of psychosocial resources such as life skills (LS), self-efficacy (SE), life satisfaction (LSa), and health literacy (HL). The Explo'Santé program is a French school-based health promotion intervention that combines structured health education sessions with supportive environments.

Methods: This longitudinal cohort study followed 744 pupils from 4th grade in primary school to the first year of middle school. LS, SE, LSa, and HL were assessed at six time points across three annual intervention cycles, each including ten weekly school-based health education sessions.

Results: Linear mixed models showed short-term gains in LS, SE, and LSa during primary school, followed by a marked decline after the transition to middle school, whereas HL increased steadily throughout the 3 years. Girls consistently scored higher than boys but also showed sharper decreases once in 6th grade. Territorial disparities were observed, with some districts showing strong improvements while others consistently lagged.

Discussion: These findings suggest that the Explo'Santé program supports the development of key psychosocial competencies, but that the transition to middle school represents a critical turning point which challenges their sustainability. By highlighting gendered vulnerabilities and contextual inequalities, this work contributes to understanding how schoolbased health promotion can foster more equitable developmental trajectories.

儿童和青少年是社会和健康不平等出现和扩大的决定性人生阶段。学校是促进健康的优越环境,特别是通过发展社会心理资源,如生活技能(LS)、自我效能(SE)、生活满意度(LSa)和健康素养(HL)。Explo' santael项目是法国一项以学校为基础的健康促进干预措施,将结构化的健康教育课程与支持性环境相结合。方法:对744名小学四年级至初中一年级学生进行纵向队列研究。LS、SE、LSa和HL在三个年度干预周期的六个时间点进行评估,每个周期包括10个每周一次的学校健康教育课程。结果:线性混合模型显示,在小学阶段,LS、SE和LSa的短期增长,随后在过渡到中学后显着下降,而HL在3年内稳步增长。女孩的得分一直高于男孩,但在六年级时也出现了明显的下降。不同地区的情况有所不同,有些地区有很大改善,而有些地区则一直落后。讨论:这些发现表明,Explo' s ant项目支持关键社会心理能力的发展,但向中学的过渡是一个关键的转折点,挑战了他们的可持续性。通过强调性别脆弱性和背景不平等,这项工作有助于理解以学校为基础的健康促进如何能够促进更公平的发展轨迹。
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引用次数: 0
The evolutionary logic of socialized older population care service demand in rural areas based on the HAPC model. 基于HAPC模型的农村社会化老年人口养老服务需求演化逻辑
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1745568
Hongyu Chen, Lilong Zhang, Xiaojing Han, Xueyuan Chen, Shanwei Li, Yongchang Wu

Chinese rural areas have entered a stage of moderate population aging ahead of urban regions, where mismatches between the supply and demand of older population care services are particularly pronounced. Establishing a socialized older population care service system has therefore become a critical response to the challenges posed by rural aging. This study develops a theoretical framework to explain the demand generation mechanism for rural socialized older population care services, identifying key influencing factors under both policy-driven and individual choice scenarios. Using data from the China Longitudinal Healthy Longevity Survey (CLHLS) from 2005 to 2018, we employ a hierarchical age-period-cohort (HAPC) model to examine the effects of age, period, and cohort on service demand. The results show that period effects are characterized by fluctuating upward trends in demand for both basic and expanded care services, primarily driven by changes in policy environments and economic conditions. Cohort effects significantly shape demand for expanded care services, but not for basic care services, with notable heterogeneity across regions and gender groups. Overall, rural demand for socialized older population care services is jointly influenced by age, period, and cohort dynamics. These findings suggest that optimizing the supply of older population care services in rural areas requires better alignment with differentiated demand characteristics to improve service relevance and effectiveness.

中国农村地区已先于城市地区进入人口适度老龄化阶段,老年人口护理服务的供需不匹配尤为明显。因此,建立社会化的老年人口养老服务体系已成为应对农村老龄化挑战的关键。本研究构建了农村社会化老年人口养老服务需求生成机制的理论框架,并确定了政策驱动和个人选择两种情景下的关键影响因素。利用2005 - 2018年中国纵向健康寿命调查(CLHLS)的数据,我们采用分层年龄-时期-队列(HAPC)模型来检验年龄、时期和队列对服务需求的影响。结果表明,期间效应的特点是,主要受政策环境和经济条件变化的推动,对基本和扩大护理服务的需求呈波动上升趋势。队列效应显著地影响了对扩大护理服务的需求,但对基本护理服务的需求没有影响,在地区和性别群体之间存在显著的异质性。总体而言,农村对社会化老年人口护理服务的需求受年龄、时期和队列动态的共同影响。这些研究结果表明,优化农村老年人口护理服务供给需要更好地与差异化需求特征相结合,以提高服务的相关性和有效性。
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引用次数: 0
Procrastination and online social anxiety: the mediating role of cognitive overload and the moderating influence of mindfulness. 拖延症与网络社交焦虑:认知超载的中介作用及正念的调节作用。
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1710399
Shaolei Chen, Zhuoling Xie, Hongjing Wu, Zichuan Song

In an era of ubiquitous digital communication, online social anxiety has become an increasingly salient issue in the context of digital wellbeing. While procrastination is a known risk factor for psychological distress, the cognitive pathways linking it to online anxiety-and the protective factors that might mitigate these associations-remain poorly understood. Drawing on Conservation of Resources (COR) theory, this study examines a theorized "depletion-overload-anxiety" pathway by testing whether cognitive overload mediates the association between procrastination and online social anxiety, and whether mindfulness buffers this process. A cross-sectional survey of 580 adults measured procrastination in online social contexts, cognitive overload, online social anxiety, and trait mindfulness. The results showed a significant positive association between procrastination and online social anxiety, which was partially mediated by cognitive overload. Mindfulness functioned as a protective resource, moderating both the link between procrastination and cognitive overload and the direct association with anxiety; specifically, higher mindfulness attenuated the adverse associations of procrastination with both overload and anxiety. These findings suggest that procrastination may be related to elevated online social anxiety partly through increased cognitive overload, whereas mindfulness may buffer this association by supporting more adaptive attentional regulation. By framing procrastination-related strain in digital communication as a digital wellbeing issue, the study speaks to public digital health efforts aimed at reducing technology-related stress and improving psychological functioning in everyday online interaction. Given the cross-sectional design, the findings should be interpreted as patterns of association consistent with the proposed model rather than causal effects. Accordingly, digital wellbeing initiatives may consider incorporating mindfulness-based strategies to help reduce the psychological strain associated with procrastination in digital communication settings.

在数字通信无处不在的时代,在线社交焦虑已成为数字健康背景下日益突出的问题。虽然拖延症是一个已知的心理困扰的风险因素,但将其与网络焦虑联系起来的认知途径——以及可能减轻这些联系的保护因素——仍然知之甚少。本研究利用资源守恒理论,通过测试认知超载是否介导拖延和网络社交焦虑之间的关联,以及正念是否缓冲这一过程,检验了一个理论化的“消耗-超载-焦虑”路径。一项对580名成年人的横断面调查测量了在线社交环境中的拖延症、认知超载、在线社交焦虑和特质正念。结果表明,拖延症与网络社交焦虑之间存在显著的正相关关系,其部分介导因素为认知超载。正念作为一种保护资源,缓和了拖延症与认知超载之间的联系,以及与焦虑的直接联系;具体来说,更高的正念减轻了拖延症与超载和焦虑的不利联系。这些发现表明,拖延症可能与网络社交焦虑升高有关,部分原因是认知超载增加,而正念可能通过支持更适应性的注意力调节来缓冲这种关联。通过将数字通信中与拖延相关的压力视为数字健康问题,该研究表明,公共数字健康努力旨在减少与技术相关的压力,改善日常在线互动中的心理功能。考虑到横断面设计,研究结果应该被解释为与所提出的模型一致的关联模式,而不是因果效应。因此,数字健康计划可以考虑纳入基于正念的策略,以帮助减少与数字通信环境中拖延症相关的心理压力。
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引用次数: 0
Bridging UTAUT and HBM: determinants of wearable device adoption among chronic disease patients. 连接UTAUT和HBM:慢性病患者采用可穿戴设备的决定因素
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI: 10.3389/fpubh.2025.1687887
Zhaoxia Guo, Shih-Chih Chen

Objectives: Chronic diseases have emerged as a significant global health threat, making the effective management of these conditions crucial for improving patients' quality of life. Wearable devices, a significant innovation in digital healthcare, offer new solutions for managing the health of patients with chronic diseases. This study integrates the UTAUT model with the Health Belief Model (HBM) to analyze key factors influencing the adoption of wearable devices by patients with chronic diseases, aiming to provide a more comprehensive understanding of their behavioral patterns and motivations.

Methodology: A cross-sectional survey was conducted among Chinese patients with chronic diseases, yielding 432 valid responses. Partial Least Squares Structural Equation Modeling (PLS-SEM) was employed to construct the analytical model and examine the effects of latent variables on patients' behavioral intention and actual use of wearable devices.

Findings: The findings reveal that performance expectancy, effort expectancy, social influence, and facilitating conditions have a significant, positive influence on behavioral intention, which, in turn, positively affects actual use behavior. Performance expectancy mediates the relationships between social influence, perceived susceptibility, and perceived severity on behavioral intention. However, physical activity does not moderate the relationship between Performance Expectancy and Behavioral Intention.

Conclusion: Performance expectancy, effort expectancy, social influence, and facilitating conditions are identified as key determinants of patients with chronic diseases' adoption intention. Additionally, patients' perceived severity and perceived susceptibility indirectly influence their usage intention through performance expectancy.

Implications: These findings provide a theoretical foundation and practical guidance for optimizing the use of wearable devices in the management of chronic diseases. The study suggests that product development should focus on enhancing device performance, simplifying operational procedures, and strengthening social support systems.

目标:慢性病已成为一个重大的全球健康威胁,因此有效管理这些疾病对于改善患者的生活质量至关重要。可穿戴设备是数字医疗领域的一项重大创新,为管理慢性病患者的健康提供了新的解决方案。本研究将UTAUT模型与健康信念模型(Health Belief model, HBM)相结合,分析影响慢性疾病患者采用可穿戴设备的关键因素,旨在更全面地了解慢性疾病患者的行为模式和动机。方法:对中国慢性疾病患者进行横断面调查,得到432份有效回复。采用偏最小二乘结构方程模型(PLS-SEM)构建分析模型,考察潜在变量对患者行为意向和实际使用可穿戴设备的影响。研究发现:绩效期望、努力期望、社会影响和便利条件对行为意愿有显著的正向影响,而行为意愿又对实际使用行为有正向影响。绩效期望在社会影响、感知易感性和感知严重程度对行为意向的影响中起中介作用。然而,体育活动并不能调节表现期望与行为意向之间的关系。结论:绩效期望、努力期望、社会影响和促进条件是影响慢性病患者收养意愿的关键因素。此外,患者感知严重性和感知易感性通过表现期望间接影响其使用意愿。意义:本研究结果为优化可穿戴设备在慢性病管理中的应用提供了理论基础和实践指导。本研究建议产品开发应著重于提升装置效能、简化操作程序及强化社会支援系统。
{"title":"Bridging UTAUT and HBM: determinants of wearable device adoption among chronic disease patients.","authors":"Zhaoxia Guo, Shih-Chih Chen","doi":"10.3389/fpubh.2025.1687887","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1687887","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic diseases have emerged as a significant global health threat, making the effective management of these conditions crucial for improving patients' quality of life. Wearable devices, a significant innovation in digital healthcare, offer new solutions for managing the health of patients with chronic diseases. This study integrates the UTAUT model with the Health Belief Model (HBM) to analyze key factors influencing the adoption of wearable devices by patients with chronic diseases, aiming to provide a more comprehensive understanding of their behavioral patterns and motivations.</p><p><strong>Methodology: </strong>A cross-sectional survey was conducted among Chinese patients with chronic diseases, yielding 432 valid responses. Partial Least Squares Structural Equation Modeling (PLS-SEM) was employed to construct the analytical model and examine the effects of latent variables on patients' behavioral intention and actual use of wearable devices.</p><p><strong>Findings: </strong>The findings reveal that performance expectancy, effort expectancy, social influence, and facilitating conditions have a significant, positive influence on behavioral intention, which, in turn, positively affects actual use behavior. Performance expectancy mediates the relationships between social influence, perceived susceptibility, and perceived severity on behavioral intention. However, physical activity does not moderate the relationship between Performance Expectancy and Behavioral Intention.</p><p><strong>Conclusion: </strong>Performance expectancy, effort expectancy, social influence, and facilitating conditions are identified as key determinants of patients with chronic diseases' adoption intention. Additionally, patients' perceived severity and perceived susceptibility indirectly influence their usage intention through performance expectancy.</p><p><strong>Implications: </strong>These findings provide a theoretical foundation and practical guidance for optimizing the use of wearable devices in the management of chronic diseases. The study suggests that product development should focus on enhancing device performance, simplifying operational procedures, and strengthening social support systems.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1687887"},"PeriodicalIF":3.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community environment and physical activity participation among rural older adults in China: evidence from the China longitudinal aging social survey. 社区环境与中国农村老年人体育活动参与:来自中国老龄化社会调查的证据。
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1753599
Yong Zeng, Sheng Zhang, Daiming Li, Aidi Liao

Background: Physical activity is essential for improving population health, and participation levels are a key indicator of national social sports development. However, extant literature has largely focused on individual characteristics, with limited attention to the influence of the community environment. This study investigates how the community environment shapes physical activity among rural older adults in China and explores the mechanisms underlying these effects, providing evidence to support strategies aimed at promoting activity participation among rural older adults.

Methods: Data from 5,668 respondents were obtained from the 2023 Chinese Longitudinal Ageing Social Survey. Binary logistic regression was applied to evaluate the influence of key community environmental attributes, including the availability of fitness facilities, the presence of outdoor activity spaces, and the provision of activity guidance, on physical activity participation among rural older adults in China after controlling for socio-demographic variables.

Results: Among rural older adults, age, gender, educational level, marital status, and total personal income were significantly associated with physical activity participation, whereas living arrangement and self-rated health were not statistically significant. Access to fitness facilities was associated with a higher likelihood of engaging in physical activity, outdoor activity spaces showed a modest positive association, and activity guidance exhibited the strongest association.

Conclusion: The community environment, including access to fitness facilities, outdoor activity spaces, and activity guidance, is associated with promoting physical activity among rural older adults. Strengthening the development of fundamental activity facilities in rural communities and accelerating the establishment of a community-based physical activity instructor system are recommended to advance the implementation of the national fitness strategy.

背景:体育活动对改善人口健康至关重要,参与水平是衡量国家社会体育发展的重要指标。然而,现有文献大多侧重于个体特征,对社区环境的影响关注有限。本研究探讨了社区环境如何影响中国农村老年人的体育活动,并探讨了这些影响的机制,为促进农村老年人体育活动参与的策略提供了证据。方法:5668名调查对象的数据来自《2023年中国老龄化社会纵向调查》。在控制社会人口变量后,应用二元逻辑回归评估了关键社区环境属性(包括健身设施的可用性、户外活动空间的存在和活动指导的提供)对中国农村老年人体育活动参与的影响。结果:在农村老年人中,年龄、性别、教育程度、婚姻状况和个人总收入与体育活动参与有显著相关,而居住安排和自评健康状况无统计学意义。获得健身设施与参与体育活动的可能性较高相关,户外活动空间表现出适度的正相关,活动指导表现出最强的相关性。结论:社区环境,包括获得健身设施、户外活动空间和活动指导,与促进农村老年人的身体活动有关。建议加强农村社区基础活动设施建设,加快建立社区体育指导员制度,以推进全民健身战略的实施。
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引用次数: 0
Latent profiles of occupational stress and their association with premenstrual syndrome: a cross-sectional study of Chinese nurses. 职业压力的潜在特征及其与经前综合症的关系:对中国护士的横断面研究。
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1683290
Yuecong Wang, Xin Wang, Chengcai Wen, Xiwen Yang, Zhikun Zhao, Jiawen Zhou, Wenya Wang, Hua Tao, Lili Chen

Objectives: Occupational stress in nursing is a critical issue that can have significant implications for both workforce stability and personal health. This study aimed to identify subgroups of occupational stress among Chinese female clinical nurses using latent profile analysis, compare sociodemographic differences across these subgroups, and examine their associations with premenstrual syndrome (PMS).

Methods: A cross-sectional study was conducted among female nurses in tertiary hospitals in Huai'an City, Jiangsu Province, China, from November to December 2023. We recruited participants via convenience sampling, and 400 valid questionnaires were collected. Data were collected using a researcher-developed general information questionnaire, the standardized Chinese Nurses Stressor Scale (35 items), and the Premenstrual Syndrome Scale. Latent profile analysis (LPA) was performed with Mplus 8.0 to identify occupational stress subtypes. Sociodemographic predictors of these subtypes were explored using chi-square tests and multivariate logistic regression in SPSS 25.0. The association between stress subtypes and PMS symptoms was assessed using ANOVA. A p-value of < 0.05 was considered statistically significant for all analyses.

Results: Three clinical female nurse occupational stress subtypes were identified: overall low-stress (38.3%, n = 153), moderate stress-slight overload care (38.5%, n = 154), and high stress-overload nursing and career development challenge (23.2%, n = 93). Age, years of work experience, and monthly night shifts were key influencing factors. The results revealed a statistically significant difference in PMS scores across the stress groups (p < 0.001). Specifically, nurses in the high stress-overload nursing and career development challenge group faced a significantly higher risk for PMS, whereas those in the overall low-stress group exhibited the fewest related symptoms.

Conclusion: This study identified significant heterogeneity in occupational stress among clinical female nurses, categorized into three distinct subtypes differing in stress levels and demographic characteristics. These findings highlight the importance of considering individual differences when developing interventions to address occupational stress. The study advocates for the implementation of intervention strategies targeting different types of stress in nursing education and organizational reform to better support nurses in fulfilling their responsibilities.

目的:护理中的职业压力是一个关键问题,可以对劳动力的稳定性和个人健康产生重大影响。本研究旨在通过潜在特征分析确定中国女性临床护士的职业压力亚组,比较这些亚组之间的社会人口学差异,并研究其与经前综合征(PMS)的关系。方法:对江苏省淮安市三级医院的女护士于2023年11 - 12月进行横断面调查。我们采用方便抽样的方式招募参与者,共收集有效问卷400份。采用自行编制的一般信息问卷、标准化中国护士压力源量表(35项)和经前综合征量表进行数据收集。采用Mplus 8.0软件进行潜在特征分析(LPA),识别职业压力亚型。在SPSS 25.0中使用卡方检验和多变量logistic回归来探讨这些亚型的社会人口学预测因子。使用方差分析评估应激亚型与经前综合症症状之间的关系。p值< 0.05被认为在所有分析中具有统计学意义。结果:临床女护士职业压力分三种亚型:整体低压力(38.3%,n = 153)、中压力-轻度超载护理(38.5%,n = 154)、高压力-超载护理及职业发展挑战(23.2%,n = 93)。年龄、工作年限和每月夜班是主要影响因素。结论:本研究发现临床女护士的职业压力存在显著的异质性,分为三种不同的亚型,其压力水平和人口学特征各不相同。这些发现强调了在制定解决职业压力的干预措施时考虑个体差异的重要性。本研究主张在护理教育中实施针对不同类型压力的干预策略,并进行组织改革,以更好地支持护士履行职责。
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引用次数: 0
Effects of high-intensity interval training on depressive symptoms in Hong Kong community-dwelling older adults with mild to moderate depressive symptoms: a study protocol for a cluster randomized controlled trial. 高强度间歇训练对香港社区居住的有轻度至中度抑郁症状的老年人抑郁症状的影响:一项聚类随机对照试验的研究方案
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1697763
Yanping Wang, Wei Liang, Yanping Duan, Wui Man Benson Lau, Ngai Man Jackie Chan, Shuyan Yang, Julien Steven Baker

Background: Older adults with mild to moderate depressive symptoms are at high risk of developing severe depression along with complications, disability, and mortality. Early intervention during mild to moderate stages of depressive symptoms is important to prevent further deterioration. Exercise as a readily available approach has been recognised for reducing depressive symptoms. High-intensity interval training (HIIT), a novel form of exercise that has the potential to improve both depressive symptoms and physical health, has garnered increasing attention. However, the application of HIIT to address depressive symptoms among older adults remains scarce.

Aims: This proposed study aims to investigate the effects of HIIT on depressive symptoms, biomarkers of depressive symptoms, physical fitness, sleep quality, and quality of life in Hong Kong community-dwelling older adults with mild to moderate depressive symptoms.

Methods: This study will be a single-blinded, cluster-randomised, controlled trial comprising three groups and three assessments. The three groups will consist of a HIIT group, a Baduanjin Qigong control group, and a recreation workshop non-exercise control group. The 144 eligible participants from 9 community centres (clusters) will be randomly allocated in a 1:1:1 ratio to three groups for 16 weeks through cluster randomisation. The primary outcome measure will be self-reported depressive symptoms. The secondary outcome measures will include salivary cortisol (a biomarker of depressive symptoms), physical fitness, sleep quality, and quality of life. The outcomes will be assessed at baseline, after completion of the intervention, and at a three-month follow-up.

Discussion: This study will provide valuable evidence on whether older adults in the HIIT group could gain more improvement in depressive symptoms and other health-related benefits compared to the control groups. If HIIT demonstrates superiority, it could be prescribed as a new exercise regimen to benefit older adults with depressive symptoms in future studies. The research findings may have considerable impacts on the future prevention and treatment of mental disorders and may also contribute to promoting healthy aging among Hong Kong older adults.

Clinical trial registration: ClinicalTrials.gov, identifier NCT06014294.

背景:有轻度至中度抑郁症状的老年人发展为重度抑郁并伴有并发症、残疾和死亡的风险很高。在轻度至中度抑郁症状阶段进行早期干预对于防止进一步恶化很重要。运动作为一种现成的方法已经被认为可以减轻抑郁症状。高强度间歇训练(HIIT)是一种新型的运动形式,有可能改善抑郁症状和身体健康,已经引起了越来越多的关注。然而,HIIT治疗老年人抑郁症状的应用仍然很少。目的:本研究旨在探讨HIIT对香港社区居住的有轻至中度抑郁症状的老年人抑郁症状、抑郁症状生物标志物、体质、睡眠质量和生活质量的影响。方法:本研究将是一项单盲、集群随机、对照试验,包括三组和三个评估。这三个组将由HIIT组、八段锦气功对照组和娱乐工作坊非运动对照组组成。来自9个社区中心(分组)的144名符合条件的参与者将以1:1:1的比例随机分配到三个组,为期16 周。主要结果测量将是自我报告的抑郁症状。次要结局指标包括唾液皮质醇(抑郁症状的生物标志物)、身体健康、睡眠质量和生活质量。结果将在基线、干预完成后和三个月随访时进行评估。讨论:这项研究将提供有价值的证据,证明HIIT组的老年人是否比对照组更能改善抑郁症状和其他与健康相关的益处。如果HIIT表现出优越性,它可以作为一种新的运动方案,在未来的研究中使有抑郁症状的老年人受益。研究结果可能对日后预防及治疗精神障碍有重要影响,并有助促进香港长者健康安老。临床试验注册:ClinicalTrials.gov,标识符NCT06014294。
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引用次数: 0
Safeguarding indigenous learners in schools: a qualitative study of teacher perspectives on child protection policy in Southern Philippines. 在学校中保护土著学习者:菲律宾南部教师对儿童保护政策观点的定性研究。
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI: 10.3389/fpubh.2025.1731249
Al-Sabrie Y Sahijuan, Nilo Jayoma Castulo, Nadzmin Jalani Dugasan, Pattra Sakib Ugis, Almira Amilbangsa Hadji, Shernaiza Hajad, Solita Utoh-Asim Jemsy, Russel B Reyes, Zeda Sangkula, Kharsum Mohammad, Radzmalyn Abdurahman Akmad, Radzmal Soriano Abbani, Alsadjaik Ytang Sabdul, Ajilma Majid Tambihasan, Darwisa K Sali-Ondo

A significant research gap exists regarding the implementation of child protection policies (CPP) within the unique sociocultural context of the Bangsamoro Autonomous Region in Muslim Mindanao (BARMM) in the Southern Philippines. This qualitative case study aimed to explore public secondary school teachers' perceptions of the effectiveness of the CPP of the Ministry of Basic, Higher, and Technical Education and the challenges they encounter. Data were collected through key informant interviews and focus group discussions with 10 teachers in Bongao, Tawi-Tawi, and analyzed using inductive thematic analysis. The findings reveal that while teachers perceive the policy as vital for safeguarding students, its effectiveness is hampered by inconsistent implementation, a pronounced lack of continuous training and awareness among teachers and parents, student resistance, and external challenges such as resource limitations and cultural factors. The study's originality and value lie in its specific regional focus, applying Bronfenbrenner's Ecological Systems Theory to frame these challenges as interconnected issues across the micro-, meso-, exo-, and macro-levels. It provides context-specific evidence for policymakers and school administrators to design culturally sensitive, multilevel interventions, including robust training, strengthened community collaboration, and addressing systemic barriers, to enhance child protection in similar post-conflict and culturally distinct regions.

在菲律宾南部棉兰老穆斯林邦萨摩罗自治区(BARMM)独特的社会文化背景下,关于儿童保护政策(CPP)的实施存在重大研究缺口。本定性案例研究旨在探讨公立中学教师对基础、高等和技术教育部CPP有效性的看法,以及他们遇到的挑战。通过对塔威-塔威邦高地区10名教师的关键信息者访谈和焦点小组讨论收集数据,并采用归纳主题分析法进行分析。调查结果显示,虽然教师认为该政策对保护学生至关重要,但其有效性受到实施不一致、教师和家长明显缺乏持续培训和意识、学生抵制以及资源限制和文化因素等外部挑战的阻碍。该研究的独创性和价值在于其特定的区域焦点,应用布朗芬布伦纳的生态系统理论,将这些挑战作为微观、中观、外观和宏观层面上相互关联的问题来构建。它为政策制定者和学校管理人员提供了具体情况的证据,以设计具有文化敏感性的多层次干预措施,包括强有力的培训、加强社区合作和解决系统性障碍,从而在类似的冲突后和文化独特的地区加强儿童保护。
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引用次数: 0
From awareness to action: exploring health information seeking behavior in coronary heart disease patients: a cross-sectional study. 从意识到行动:探讨冠心病患者的健康信息寻求行为:一项横断面研究。
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1749036
Yunyu Guo, Panpan Tang, Meijuan Lan, Yuping Zhang, Xueqing Wang, Yueying Jiang, Yue Zhao, Maidiniguli Maitikuerban, Manjun Wang, Jing Shao, Dandan Chen, Zhihong Ye, Leiwen Tang

Introduction: Coronary heart disease (CHD) is a major global health burden requiring long-term management. Despite the essential role of health information seeking behavior (HISB) in disease self-management, current levels among CHD patients remain low, and research on its influencing factors is limited.

Objectives: This study aimed to explore HISB among patients with CHD and to identify factors associated with variations in HISB using the Risk Perception Attitude (RPA) framework.

Methods: A cross-sectional study of 330 CHD patients was conducted in China, using convenience sampling method. Data were collected through validated questionnaires assessing sociodemographic and clinical characteristics, HISB, risk perception, and self-efficacy. K-means clustering based on the RPA framework was employed to empirically identify distinct patient subgroups. Multivariate linear regression identified factors associated with of HISB within each subgroup.

Results: Four distinct subgroups were identified based on risk perception and self-efficacy: Responsive (6.7%), Proactive (41.2%), Indifference (8.2%), and Avoidance (43.9%). Multivariate regression revealed subgroup-specific factors: for Responsive, physical diagnosis and treatment risk was significant [β = 2.049, 95%CI (0.528,3.570)]; For Proactive, higher education [β = 4.725, 95%CI (2.272,7.178)], per capita monthly household income and self-efficacy were positively associated, while type of medical insurance [β = -5.814, 95%CI (-8.800, -2.828)], number of other diseases, and economic risk were negative predictors; For Indifference, only type of medical insurance was significant [β = -6.447, 95%CI (-12.503, -0.391)]; For Avoidance, older age was linked to lower HISB [β = -4.757, 95%CI (-8.525, -0.989)], whereas higher education increased it [β = 5.432, 95%CI (2.353, 8.511)].

Conclusions: This study validates the heterogeneity of CHD patients through RPA-based subgrouping, revealing that health information seeking behaviors are driven by distinct psychological and socioeconomic mechanisms across different groups. These findings underscore the limitation of uniform health education approaches and highlight the necessity of implementing subgroup-tailored strategies. By aligning clinical and public health interventions with the specific psychographic profiles of patient groups, healthcare providers can significantly enhance the precision and effectiveness of chronic disease management.

Registration: www.chictr.org.cn, identifier: ChiCTR2300069238.

导言:冠心病(CHD)是全球主要的健康负担,需要长期管理。尽管健康信息寻求行为(HISB)在疾病自我管理中起着至关重要的作用,但目前在冠心病患者中的水平仍然很低,对其影响因素的研究有限。目的:本研究旨在探讨冠心病患者的HISB,并利用风险感知态度(RPA)框架确定与HISB变化相关的因素。方法:采用方便抽样方法,对330例冠心病患者进行横断面研究。通过有效的问卷调查收集数据,评估社会人口学和临床特征、HISB、风险感知和自我效能。采用基于RPA框架的K-means聚类来经验识别不同的患者亚组。多元线性回归在每个亚组中确定了与HISB相关的因素。结果:基于风险感知和自我效能,确定了四个不同的亚组:反应性(6.7%)、主动性(41.2%)、漠不关心(8.2%)和回避(43.9%)。多因素回归显示亚组特异性因素:反应性、体格诊断和治疗风险显著[β = 2.049, 95%CI (0.528,3.570)];对积极主动性而言,高等教育程度[β = 4.725, 95%CI(2.272,7.178)]、家庭人均月收入和自我效能感呈正相关,医疗保险类型[β = -5.814, 95%CI(-8.800, -2.828)]、其他疾病数量和经济风险为负相关;对于无差异,只有医疗保险类型显著[β = -6.447, 95%CI (-12.503, -0.391)];对于逃避,年龄越大,HISB越低[β = -4.757, 95%CI(-8.525, -0.989)],而教育程度越高,HISB越低[β = 5.432, 95%CI(2.353, 8.511)]。结论:本研究通过基于rpa的亚组验证了冠心病患者健康信息寻求行为的异质性,揭示了不同人群健康信息寻求行为受不同的心理和社会经济机制驱动。这些发现强调了统一健康教育方法的局限性,并强调了实施针对亚群体的战略的必要性。通过将临床和公共卫生干预与患者群体的特定心理特征相结合,医疗保健提供者可以显着提高慢性病管理的准确性和有效性。注册:www.chictr.org.cn,标识符:ChiCTR2300069238。
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