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Correction: Community-based participatory design of a decade: the FAITH! Cardiovascular Health and Wellness Program.
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1782256
LaPrincess C Brewer, Mathias Lalika, Ashley N Kyalwazi, Monica Albertie, Janice Bowie, Ashya Burgess, Lora E Burke, Brian Buta, Lisa A Cooper, Deidra C Crews, Chyke A Doubeni, Walé Elegbede, Jamia Erickson, Sarah Jenkins, Jacquelyn Johnson, Clarence Jones, Ashton Krogman, Lainey Moen, Michael Palmer, Christi A Patten, Sumedha Penheiter, Monisha W Richard, Princess Titus, Sueling Schardin, Stanton Shanedling, Jeremy R Van't Hof, David Warner, Jennifer Weis, Sharonne N Hayes

[This corrects the article DOI: 10.3389/fpubh.2025.1622237.].

[这更正了文章DOI: 10.3389/fpub .2025.1622237.]。
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引用次数: 0
Replanting the Birthing Trees to support Aboriginal and Torres Strait Islander parents and babies: protocol for developmental evaluation of a comprehensive culturally responsive, trauma-aware, healing-informed, continuity of care(r) model.
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-28 eCollection Date: 2025-01-01 DOI: 10.3389/fpubh.2025.1721107
Catherine Chamberlain, Jacqui Sundbery, Leonie Segal, Jacynta Krakouer, Marcia Langton, Jillian Donnelly, Jayne Kotz, Ellen McEvoy, Maddy Lyon, Neve Mucabel-Bue, Amalia Karahalios, Paul Gray, Emmanuel Gnanamanickam, Caroline Atkinson, Kimberley A Jones, Helen Henderson, Helen Herrman, Maedah Aboutalebi Karkavandi, Alison Elliott, Gina Bundle, Roz Walker, Trish Ratajczak, Bridgette Kelly, Shawana Andrews, Doseena Fergie, Susan Walker, Elise Davis, Judy Atkinson, Helen McLachlan, Pamela McCalman, Della Forster, Deb Bowman, Tess Bright, Helen Skouteris, Skye Stewart, Storm Henry, Kristen Smith, Campbell Paul, Kootsy Canuto, Jane Fisher, Kate Reynolds, Phillipa Reppington, Naomi Priest, Sally Kendall, Tracy Reibel, Julie Andrews, Dave Carmody, Adrienne Lipscomb, Maddison Bell, Christine Parry, Vanessa Russ, Shakira R Onwuka, Rhonda Marriott

Background: Aboriginal and Torres Strait Islander people experience intergenerational trauma as a legacy of the impacts of colonisation. Replanting the Birthing Trees (RBT) aims to transform compounding cycles of intergenerational trauma and harm to positively reinforcing cycles of intergenerational nurturing and recovery for Aboriginal and Torres Strait Islander parents and babies. This paper describes the protocol for developmental evaluation of the culturally responsive, trauma-aware, healing-informed, continuity of care(r) model to support Aboriginal and Torres Strait Islander parents during the first 2000 days (pregnancy, birth and the first 5 years after birth).

Methods: The RBT project will be conducted in partnership with seven health services across Victoria (Royal Women's Hospital and Mercy Hospital for Women) and Western Australia (WA) [Armadale Hospital, Western Australian Country Health Service (Northam, Narrogin, Moora and Merredin)], Australia. The RBT project consists of five workstreams: a resource repository including support framework; culturally validated sensitive enquiry tools; workforce development and training; continuity of care(r) toolkit; and strategies to support families to stay together from the start. The Consolidated Framework for Implementation Research (CFIR) informs implementation strategies. Acceptability, feasibility, costs and effectiveness will be evaluated using mixed methods analysis of qualitative and quantitative data, collected using key stakeholder interviews; parent and service provider discussion groups and interviews; cost audit; knowledge, attitude and practice surveys; pre- and post-implementation outcome data; interrupted time series analysis of routinely collected administrative linked data for primary and secondary outcomes; and co-design workshops. Competitive funding and human research ethics committee approval were assessed against Indigenous research excellence criteria with protocols to ensure the cultural and emotional safety of participants and communities.

Discussion: Participatory action research approaches are used to foster reflective cycles on data within the research process. Findings will be shared in project newsletters, plain language summaries, presentations and publications.

背景:土著人和托雷斯海峡岛民经历着殖民影响遗留下来的代际创伤。重新种植生育树(RBT)旨在将代际创伤和伤害的复合循环转变为积极加强土著和托雷斯海峡岛民父母和婴儿的代际养育和恢复循环。本文描述了在最初2000 天(怀孕、分娩和出生后的头5年)内支持土著和托雷斯海峡岛民父母的文化响应性、创伤意识、治疗知情、护理连续性(r)模式的发展评估方案。方法:RBT项目将与澳大利亚维多利亚州(皇家妇女医院和妇女慈善医院)和西澳大利亚州(WA) [Armadale医院,西澳大利亚州乡村卫生服务(Northam, nargin, Moora和Merredin)]的七家卫生服务机构合作开展。RBT项目由五个工作流组成:包括支持框架的资源存储库;经过文化验证的敏感查询工具;劳动力发展和培训;护理连续性(r)工具包;以及支持家庭从一开始就在一起的策略。实施研究综合框架(CFIR)为实施战略提供信息。可接受性、可行性、成本和有效性将使用混合方法分析定性和定量数据,通过关键利益相关者访谈收集;家长和服务提供者讨论小组和访谈;成本审计;知识、态度和实践调查;实施前后的结果数据;对常规收集的主要和次要结局的行政相关数据进行中断时间序列分析;还有共同设计的工作坊。根据土著卓越研究标准评估了竞争性资助和人类研究伦理委员会的批准,并制定了确保参与者和社区的文化和情感安全的协议。讨论:参与式行动研究方法用于促进研究过程中对数据的反思循环。调查结果将在项目通讯、简明语言摘要、演示文稿和出版物中分享。
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引用次数: 0
Correction: "Does one plus one exceed two?" The synergistic effect of Innovative City and Smart City pilots on work safety governance-evidence from a quasi-natural experiment.
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1775723
Liqing Li, Peisong Han, Mengjie Xu

[This corrects the article DOI: 10.3389/fpubh.2025.1720609.].

[这更正了文章DOI: 10.3389/fpubh.2025.1720609.]。
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引用次数: 0
Out-of-hospital emergency medical services in Poland: organization, challenges, and modern solutions.
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1743569
Krzysztof Marek Mitura, Daniel Celiński, Tadeusz Miłowski, Piotr Konrad Leszczyński, Jadwiga Snarska, Robert Gałązkowski, Sławomir Dariusz Szajda

Emergency medical services systems are designed to provide medical aid in the event of sudden illness or injury. Each system comprises two parts, namely the out-of-hospital emergency medical services (OHEMS) and the in-hospital emergency medical services (IHEMS). The out-of-hospital component involves receiving emergency calls and providing medical services at the scene of an incident. The Polish OHEMS is mainly based on the Anglo-American model, with noticeable elements of the French-German model. Its fundamental principle is to aid any person who has found themselves in a state of sudden health emergency, which is one of the key responsibilities of the state. The organisational structure of the Polish system is multidimensional and linked to the administrative division of Poland. Its supervision, organisation and operation are the responsibility of the Minister of Health and regional governors. An emergency notification system has been established to handle emergency calls, where emergency medical dispatchers are responsible for responding to medical incidents. At the scene of an incident, medical aid is provided by emergency medical teams, including specialist, basic, motorcycle and airborne teams. Their personnel consist of system doctors, system nurses and paramedics. These teams operate within entities whose main shareholder is the State Treasury or a local government unit. A nationwide uniform ICT system supports the activities of emergency medical dispatchers and teams. The Polish OHEMS has numerous strengths, but is nevertheless subject to constant change due to the need to adapt to current needs and evolving conditions. At the same time, its role and effectiveness are highly valued by Polish society.

紧急医疗服务系统是为了在突发疾病或受伤时提供医疗援助而设计的。每个系统包括两部分,即院外紧急医疗服务(OHEMS)和院内紧急医疗服务(IHEMS)。院外部分包括在事故现场接听紧急电话和提供医疗服务。波兰oems主要以英美模式为基础,并带有明显的法德模式元素。它的基本原则是帮助任何发现自己处于突发卫生紧急状态的人,这是国家的主要责任之一。波兰体制的组织结构是多方面的,并与波兰的行政区划相联系。其监督、组织和运作由卫生部长和地区州长负责。建立紧急通知制度,处理紧急呼叫,由紧急医疗调度员负责应对医疗事故。在事故现场,由紧急医疗队提供医疗援助,包括专科医疗队、初级医疗队、摩托车队和空降队。他们的人员包括系统医生,系统护士和护理人员。这些团队在主要股东为国家财政部或地方政府单位的实体内运作。全国统一的信通技术系统支持紧急医疗调度员和医疗队的活动。波兰oems有许多优势,但由于需要适应当前的需求和不断变化的条件,因此会不断变化。同时,它的作用和效力也受到波兰社会的高度重视。
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引用次数: 0
Education as a predictor of mental illness familiarity and attitudes in a Muslim community.
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-28 eCollection Date: 2025-01-01 DOI: 10.3389/fpubh.2025.1687430
Zaiboonnisha Mayet, Lebogang Phiri-Sithole

Background: Mental illness is a leading cause of disability in South Africa, where stigma, educational disparities, and cultural beliefs are critical barriers to care. Research has largely overlooked the South African Muslim community, particularly regarding how education influences mental illness familiarity and attitudes within a context where spiritual interpretations may uniquely shape stigma. This study investigated the association between level of education and mental illness familiarity and attitudes toward people with mental illness among South African Muslims.

Methods: Using a cross-sectional study design, we recruited 119 South African Muslim adults (81.5% female; mean age = 30.92, SD = 13.01) using purposive snowball sampling, identifying initial participants through Muslim community groups and social media platforms. Eligibility was open to adults (18+) who identified as Muslim, were South African residents, proficient in English, and reported no history of a psychiatric diagnosis. Participants completed an online survey assessing familiarity with mental illness (FMI scale) and attitudes (Beliefs toward Mental Illness scale). We conducted two separate multiple regression analyses to test whether higher education level was associated with greater familiarity and more positive attitudes, controlling for age, gender, employment status, and income.

Results: Participants reported familiarity primarily through indirect exposure (e.g., 85.7% had observed someone in public). Overall attitudes were neutral-to-positive (M = 52.40, SD = 10.06), yet negative stereotypes about incurability and poor social skills persisted. After adjusting for covariates, higher education level remained significantly associated with familiarity (B = 0.83, 95% CI [0.44, 1.22], * p * < 0.001) but not with attitudes.

Conclusion: We found that higher education is associated with greater mental illness familiarity but not with reduced stigmatizing attitudes in this community. The findings suggest that educational attainment alone is insufficient to counteract stigma potentially rooted in cultural and spiritual belief systems. Public health efforts should complement educational outreach with culturally sensitive interventions, developed in partnership with religious communities, to effectively address deeply held stigmatizing beliefs.

背景:精神疾病是南非致残的主要原因,在南非,耻辱感、教育差异和文化信仰是治疗的主要障碍。研究在很大程度上忽视了南非穆斯林社区,特别是关于教育如何影响精神疾病的熟悉程度和态度,在精神解释可能独特地形成耻辱的背景下。本研究调查了南非穆斯林受教育程度与精神疾病熟悉程度及对精神疾病态度的关系。方法:采用横断面研究设计,我们采用有目的的滚雪球抽样,通过穆斯林社区团体和社交媒体平台确定初始参与者,招募了119名南非穆斯林成年人(81.5%为女性,平均年龄为30.92岁,SD = 13.01)。资格对成年人(18岁以上)开放,他们是穆斯林,是南非居民,精通英语,报告没有精神病史。参与者完成了一份在线调查,评估他们对精神疾病的熟悉程度(FMI量表)和态度(对精神疾病的信念量表)。在控制年龄、性别、就业状况和收入的情况下,我们进行了两次独立的多元回归分析,以检验高等教育水平是否与更熟悉和更积极的态度有关。结果:参与者报告的熟悉程度主要是通过间接接触(例如,85.7%的人在公共场合观察过某人)。总体态度为中性至积极(M = 52.40, SD = 10.06),但对无可救药和社交技能差的负面刻板印象持续存在。调整协变量后,高等教育水平与熟悉程度仍然显著相关(B = 0.83, 95% CI [0.44, 1.22], * p * < 0.001),但与态度无关。结论:我们发现,在这个社区中,高等教育与更多的精神疾病熟悉度有关,但与减少污名化态度无关。研究结果表明,仅仅受教育程度不足以抵消潜在根植于文化和精神信仰体系的耻辱。公共卫生工作应与宗教社区合作制定对文化敏感的干预措施,以补充教育外展工作,有效处理根深蒂固的污名化信仰。
{"title":"Education as a predictor of mental illness familiarity and attitudes in a Muslim community.","authors":"Zaiboonnisha Mayet, Lebogang Phiri-Sithole","doi":"10.3389/fpubh.2025.1687430","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1687430","url":null,"abstract":"<p><strong>Background: </strong>Mental illness is a leading cause of disability in South Africa, where stigma, educational disparities, and cultural beliefs are critical barriers to care. Research has largely overlooked the South African Muslim community, particularly regarding how education influences mental illness familiarity and attitudes within a context where spiritual interpretations may uniquely shape stigma. This study investigated the association between level of education and mental illness familiarity and attitudes toward people with mental illness among South African Muslims.</p><p><strong>Methods: </strong>Using a cross-sectional study design, we recruited 119 South African Muslim adults (81.5% female; mean age = 30.92, SD = 13.01) using purposive snowball sampling, identifying initial participants through Muslim community groups and social media platforms. Eligibility was open to adults (18+) who identified as Muslim, were South African residents, proficient in English, and reported no history of a psychiatric diagnosis. Participants completed an online survey assessing familiarity with mental illness (FMI scale) and attitudes (Beliefs toward Mental Illness scale). We conducted two separate multiple regression analyses to test whether higher education level was associated with greater familiarity and more positive attitudes, controlling for age, gender, employment status, and income.</p><p><strong>Results: </strong>Participants reported familiarity primarily through indirect exposure (e.g., 85.7% had observed someone in public). Overall attitudes were neutral-to-positive (M = 52.40, SD = 10.06), yet negative stereotypes about incurability and poor social skills persisted. After adjusting for covariates, higher education level remained significantly associated with familiarity (B = 0.83, 95% CI [0.44, 1.22], <sup>*</sup> <i>p</i> <sup>*</sup> < 0.001) but not with attitudes.</p><p><strong>Conclusion: </strong>We found that higher education is associated with greater mental illness familiarity but not with reduced stigmatizing attitudes in this community. The findings suggest that educational attainment alone is insufficient to counteract stigma potentially rooted in cultural and spiritual belief systems. Public health efforts should complement educational outreach with culturally sensitive interventions, developed in partnership with religious communities, to effectively address deeply held stigmatizing beliefs.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1687430"},"PeriodicalIF":3.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178968","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
Relationship between Tai Chi and the mood states, self-esteem, and subjective well-being of middle-aged and older adults: a cross-sectional study from China.
IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.3389/fpubh.2026.1686008
Yan Li, Yanbin Hu

Objective: This study examines the influence of Tai Chi on subjective well-being among middle-aged and older adults (aged 45 to 65 years), and reveals the chain mediating role of mood states and self-esteem between the two, providing effective strategies for improving the physical and mental health level of middle-aged and older adults.

Method: The Physical Activity Rating Scale (PARS-3), Profile of Mood States (POMS), Self-esteem Scale (SES), and Subjective Well-being Scale (SWS) were used to conduct a questionnaire survey among 710 middle-aged and older adults in Chongqing, China, and the relationships among variables were analyzed using SPSS 26.0 and Mplus 8.3 software.

Results: (1) Significant gender differences were observed in mood (t = -3.00, p < 0.05), self-esteem (t = 2.49, p < 0.01), and subjective well-being (t = 3.70, p < 0.001) among middle-aged and older adults. (2) Tai Chi exercise volume showed a significant negative correlation with mood states (r = -0.33, p < 0.001), while demonstrating significant positive correlations with self-esteem (r = 0.35, p < 0.001) and subjective well-being (r = 0.41, p < 0.001), respectively. (3) Tai Chi exercise volume directly and positively predicted subjective well-being in middle-aged and older adults (β = 0.47, p < 0.001). (4) Mood states (standardized effect size is 0.16) and self-esteem (standardized effect size is 0.04) each exerted partial mediating effects between Tai Chi exercise and subjective well-being. (5) The chained mediation pathway "mood states→self-esteem" demonstrated a statistically significant indirect effect (standardized effect size is 0.07) connecting Tai Chi exercise to subjective well-being.

Conclusion: Maintaining sound mental health is imperative for middle-aged and older adults. As a green, safe, and healthy non-pharmaceutical measure, middle-aged and older adults people should actively and regularly participate in Tai Chi exercise, which is positively related to the improvement of mood states, self-esteem, and subjective well-being level.

目的:研究太极拳对中老年人(45 ~ 65岁 )主观幸福感的影响,揭示情绪状态和自尊在两者之间的连锁中介作用,为提高中老年人身心健康水平提供有效策略。方法:采用体育活动评定量表(par -3)、情绪状态量表(POMS)、自尊量表(SES)和主观幸福感量表(SWS)对重庆市710名中老年人进行问卷调查,并采用SPSS 26.0和Mplus 8.3软件对变量间关系进行分析。结果:(1)中观察到的情绪明显性别差异(t = -3.00,p t = 2.49,p t = 3.70,p r = -0.33,p r = 0.35,p r = 0.41,p β = 0.47,p 结论:保持良好的心理健康对于中年人和老年人是必需的。太极拳作为一种绿色、安全、健康的非药物措施,中老年人应积极、定期参加太极拳运动,与情绪状态、自尊、主观幸福感水平的改善呈正相关。
{"title":"Relationship between Tai Chi and the mood states, self-esteem, and subjective well-being of middle-aged and older adults: a cross-sectional study from China.","authors":"Yan Li, Yanbin Hu","doi":"10.3389/fpubh.2026.1686008","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1686008","url":null,"abstract":"<p><strong>Objective: </strong>This study examines the influence of Tai Chi on subjective well-being among middle-aged and older adults (aged 45 to 65 years), and reveals the chain mediating role of mood states and self-esteem between the two, providing effective strategies for improving the physical and mental health level of middle-aged and older adults.</p><p><strong>Method: </strong>The Physical Activity Rating Scale (PARS-3), Profile of Mood States (POMS), Self-esteem Scale (SES), and Subjective Well-being Scale (SWS) were used to conduct a questionnaire survey among 710 middle-aged and older adults in Chongqing, China, and the relationships among variables were analyzed using SPSS 26.0 and Mplus 8.3 software.</p><p><strong>Results: </strong>(1) Significant gender differences were observed in mood (<i>t</i> = -3.00, <i>p</i> < 0.05), self-esteem (<i>t</i> = 2.49, <i>p</i> < 0.01), and subjective well-being (<i>t</i> = 3.70, <i>p</i> < 0.001) among middle-aged and older adults. (2) Tai Chi exercise volume showed a significant negative correlation with mood states (<i>r</i> = -0.33, <i>p</i> < 0.001), while demonstrating significant positive correlations with self-esteem (<i>r</i> = 0.35, <i>p</i> < 0.001) and subjective well-being (<i>r</i> = 0.41, <i>p</i> < 0.001), respectively. (3) Tai Chi exercise volume directly and positively predicted subjective well-being in middle-aged and older adults (<i>β</i> = 0.47, <i>p</i> < 0.001). (4) Mood states (standardized effect size is 0.16) and self-esteem (standardized effect size is 0.04) each exerted partial mediating effects between Tai Chi exercise and subjective well-being. (5) The chained mediation pathway \"mood states→self-esteem\" demonstrated a statistically significant indirect effect (standardized effect size is 0.07) connecting Tai Chi exercise to subjective well-being.</p><p><strong>Conclusion: </strong>Maintaining sound mental health is imperative for middle-aged and older adults. As a green, safe, and healthy non-pharmaceutical measure, middle-aged and older adults people should actively and regularly participate in Tai Chi exercise, which is positively related to the improvement of mood states, self-esteem, and subjective well-being level.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1686008"},"PeriodicalIF":3.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178998","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
Correction: A quantitative study on female sex workers' mental health in Germany. 更正:德国女性性工作者心理健康的定量研究。
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.2026.1777357
Franziska Kroehn-Liedtke, Olivia Kalinowski, Gizem Kaya, Anastasiia Lotysh, Hristiana Mihaylova, Krisztina Sipos, Annika Strunk, Lena Zerbe, Wulf Rössler, Meryam Schouler-Ocak

[This corrects the article DOI: 10.3389/fpubh.2025.1590151.].

[这更正了文章DOI: 10.3389/fpubh.2025.1590151.]。
{"title":"Correction: A quantitative study on female sex workers' mental health in Germany.","authors":"Franziska Kroehn-Liedtke, Olivia Kalinowski, Gizem Kaya, Anastasiia Lotysh, Hristiana Mihaylova, Krisztina Sipos, Annika Strunk, Lena Zerbe, Wulf Rössler, Meryam Schouler-Ocak","doi":"10.3389/fpubh.2026.1777357","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1777357","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fpubh.2025.1590151.].</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1777357"},"PeriodicalIF":3.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12888865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164826","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
Strengthening surgical outcomes through nursing education: an evidence-based training model in Laos. 通过护理教育加强手术效果:老挝循证培训模式。
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.2026.1756562
Pei Yan, Chunxiao Wang, Lamngeun Singphandy, Yanru Shi, Xiaohua Chen, Yanfang Li, Qiao Cheng, Jin Yang, Xiaoyu Zhou, Xuehui Hu

Background: The quality of perioperative care is closely linked to postoperative recovery. The level of care in low- and middle-income countries hinders the pace and quality of postoperative recovery. It is essential to understand the perioperative situation and needs of local hospitals to target the development of localized professional training programs, thereby enhancing the professionalism of nursing staff in providing high-quality care to patients.

Objective: To study issues related to the quality of perioperative nursing in hospitals in Lao and improve the threshold of holistic care.

Methods: Qualitative and quantitative studies were used to design the training program. In total, 25 nurses from a hospital were selected between December 2024 and May 2025. A survey was conducted to understand issues with the targeted construction of training programs and their implementation, evaluation, and continuous supervision. A comparative analysis of operation scores and the competence level of each nurse before and after the training was conducted to evaluate the training's effectiveness.

Results: A total of 11 aspects were identified using the Knowledge, Attitude, and Practice model. In total, 30 theoretical and 12 operational training topics were designed, and a training strategy was developed to enhance the quality of perioperative care, based on preoperative, intraoperative, and postoperative data. A STEP-CARE model was designed to ensure overall quality improvement and training effects. Hand hygiene compliance, accuracy, and performance were also improved.

Conclusion: The study recommends using knowledge, attitudes, and actions as starting points for continuous quality improvement. Training qualified professionals, improving institutional processes, strengthening disciplinary collaboration, and improving facilities are imperative to enhance the overall outcome.

背景:围手术期护理质量与术后恢复密切相关。低收入和中等收入国家的护理水平阻碍了术后恢复的速度和质量。了解当地医院的围手术期情况和需求,有针对性地开展本地化的专业培训,从而提高护理人员的专业水平,为患者提供高质量的护理。目的:探讨老挝医院围手术期护理质量的相关问题,提高整体护理的门槛。方法:采用定性和定量研究相结合的方法设计培训方案。在2024年12月至2025年5月期间,共从一家医院挑选了25名护士。通过调查了解培训项目的针对性建设、实施、评估和持续监督等方面存在的问题。对比分析培训前后各护理人员的操作评分及能力水平,评价培训效果。结果:使用知识、态度和实践模型共确定了11个方面。总共设计了30个理论培训主题和12个操作培训主题,并根据术前、术中和术后数据制定了提高围手术期护理质量的培训策略。设计STEP-CARE模型以确保整体质量提高和培训效果。手卫生依从性、准确性和性能也得到改善。结论:本研究建议使用知识、态度和行动作为持续质量改进的起点。培训合格的专业人员、改善制度流程、加强学科合作和改善设施是提高整体成果的必要条件。
{"title":"Strengthening surgical outcomes through nursing education: an evidence-based training model in Laos.","authors":"Pei Yan, Chunxiao Wang, Lamngeun Singphandy, Yanru Shi, Xiaohua Chen, Yanfang Li, Qiao Cheng, Jin Yang, Xiaoyu Zhou, Xuehui Hu","doi":"10.3389/fpubh.2026.1756562","DOIUrl":"https://doi.org/10.3389/fpubh.2026.1756562","url":null,"abstract":"<p><strong>Background: </strong>The quality of perioperative care is closely linked to postoperative recovery. The level of care in low- and middle-income countries hinders the pace and quality of postoperative recovery. It is essential to understand the perioperative situation and needs of local hospitals to target the development of localized professional training programs, thereby enhancing the professionalism of nursing staff in providing high-quality care to patients.</p><p><strong>Objective: </strong>To study issues related to the quality of perioperative nursing in hospitals in Lao and improve the threshold of holistic care.</p><p><strong>Methods: </strong>Qualitative and quantitative studies were used to design the training program. In total, 25 nurses from a hospital were selected between December 2024 and May 2025. A survey was conducted to understand issues with the targeted construction of training programs and their implementation, evaluation, and continuous supervision. A comparative analysis of operation scores and the competence level of each nurse before and after the training was conducted to evaluate the training's effectiveness.</p><p><strong>Results: </strong>A total of 11 aspects were identified using the Knowledge, Attitude, and Practice model. In total, 30 theoretical and 12 operational training topics were designed, and a training strategy was developed to enhance the quality of perioperative care, based on preoperative, intraoperative, and postoperative data. A STEP-CARE model was designed to ensure overall quality improvement and training effects. Hand hygiene compliance, accuracy, and performance were also improved.</p><p><strong>Conclusion: </strong>The study recommends using knowledge, attitudes, and actions as starting points for continuous quality improvement. Training qualified professionals, improving institutional processes, strengthening disciplinary collaboration, and improving facilities are imperative to enhance the overall outcome.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"14 ","pages":"1756562"},"PeriodicalIF":3.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164958","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
A community conversation process to establish resident and service provider perspectives on needs related to use and treatment of opioids and substances. 建立社区对话进程,以确定居民和服务提供者对阿片类药物和物质使用和治疗相关需求的看法。
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.2025.1678130
Jennifer Shepheard, Thomas Mundy, Ashlie Watts, Jana Pushkin, LeTeisha Gordon, Patrice Shelton, Courtney Blondino, Katherine Werner, Elizabeth Prom-Wormley, Melissa Viray

Introduction: Rates of fatal overdose due to opioid and substance use in Richmond, Virginia increased from 44.6 in 2018 to 129.5 per 100,000 city residents in 2023. The underlying contexts surrounding the increase in substance use and overdoses in Richmond, Virginia remains poorly understood.

Methods: Using community based participatory research principles (CBPR), a series of "community conversations" with neighborhood residents were conducted between May-December 2023. These events included educational information, resource connection, and facilitated qualitative focus group discussion on factors contributing to substance use and overdose, as well as resource needs of people engaged in substance use. Participants also completed a survey on personal substance use experience.

Results: Approximately 121 adults participated in 11 community conversations. Of 107 participants with survey data, 37.4% and 47.4% reported ever engaging in non-prescription or prescription opioid use, respectively. Factors leading to local overdose reflected three themes: (1) Diversity in Substance Use Narratives, (2) Coping with Impactful Life Events and Mental Health Experiences, and (3) Community- and Institutional-level Access to Substances. Resource needs were categorized as three themes: (1) Knowledge and Information-sharing around Substance Use, (2) Community Cohesion and Social Support, and (3) Consistent Wraparound Resource Support.

Discussion: Richmond-area resident perspectives align with results from prior studies while highlighting locally-nuanced factors regarding prevention, treatment, and community supports. Participants emphasized the need for comprehensive, multi-pronged approaches that expand clinical and corrections-based services, improve resource navigation, and provide personalized, family-engaged support to strengthen neighborhood cohesion. These insights showcase the value of CBPR in elevating lived experience to guide actionable, community-tailored strategies.

在弗吉尼亚州里士满,阿片类药物和药物使用导致的致命过量死亡率从2018年的每10万人44.6人上升到2023年的每10万人129.5人。围绕弗吉尼亚州里士满的药物使用和过量用药增加的潜在背景,人们仍然知之甚少。方法:采用基于社区的参与式研究原则(CBPR),于2023年5月至12月期间与社区居民进行了一系列“社区对话”。这些活动包括教育信息、资源连接和促进定性焦点小组讨论,讨论导致物质使用和过量的因素,以及从事物质使用的人的资源需求。参与者还完成了一项关于个人药物使用经历的调查。结果:大约121名成年人参加了11次社区对话。在107名有调查数据的参与者中,分别有37.4%和47.4%的人报告曾使用过非处方或处方阿片类药物。导致当地药物过量的因素反映了三个主题:(1)物质使用叙述的多样性,(2)应对有影响的生活事件和心理健康经历,以及(3)社区和机构层面的物质获取。资源需求分为三个主题:(1)关于物质使用的知识和信息共享;(2)社区凝聚力和社会支持;(3)一致的综合资源支持。讨论:里士满地区居民的观点与先前的研究结果一致,同时强调了当地关于预防、治疗和社区支持的微妙因素。与会者强调需要采取综合、多管齐下的方法,扩大临床和惩教服务,改善资源导航,并提供个性化、家庭参与的支持,以加强社区凝聚力。这些见解展示了CBPR在提升生活体验方面的价值,以指导可操作的、针对社区的战略。
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引用次数: 0
Bridging the gap: tackling general and HPV vaccine hesitancy in rural and low-vaccination areas to improve HPV vaccine uptake. 弥合差距:解决农村和低疫苗接种率地区的普遍和人乳头瘤病毒疫苗犹豫问题,以提高人乳头瘤病毒疫苗的接种率。
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.2025.1702968
Shillpa Naavaal, Joseph Boyle, Tegwyn Brickhouse, Askar Chukmaitov, Janaye Oliver, Bernard F Fuemmeler

Background: Despite strong efforts, HPV vaccine uptake remains low, especially in rural areas. This study examined general and HPV vaccine hesitancy among parents of children aged 9-17 in rural, low-vaccination areas, its link to HPV vaccination rates, and key factors influencing hesitancy.

Methods: We surveyed parents from three counties in Virginia and collected information about their beliefs and opinions regarding adolescent vaccines, particularly the HPV vaccine, and their child's HPV vaccination status. General and HPV vaccine hesitancy were assessed using validated scales. Bayesian index logistic regression models were used to examine the relationship between each index and the child's HPV vaccination status, and also to identify the most important factor within each index.

Results: The final analytical sample included 249 complete responses. The average reported child age was 12.4 years; 62.0% of parents reported that their child had received the HPV vaccine. In the adjusted general vaccine hesitancy model, hesitancy was significantly associated with a lower likelihood of a child's HPV vaccination (OR = 0.43, 95% CI: 0.26, 0.73), with perceived vaccine safety (weight = 0.363) the most influential factor estimated within the index. Similarly, in the adjusted HPV vaccine hesitancy model, hesitancy was significantly associated with a child's HPV vaccination (OR = 0.39, 95% CI: 0.20-0.72), with provider recommendation (weight = 0.198) the dominant estimated factor.

Conclusion: Vaccine hesitancy remains a substantial challenge for HPV vaccination. Engaging providers to give strong vaccine recommendations and sharing information about vaccine safety, among other strategies, could help improve HPV vaccine uptake in rural and low-vaccination areas.

背景:尽管做出了强有力的努力,HPV疫苗的接种率仍然很低,特别是在农村地区。本研究调查了农村低疫苗接种率地区9-17岁儿童家长的一般和HPV疫苗犹豫,其与HPV疫苗接种率的关系,以及影响犹豫的关键因素。方法:我们调查了弗吉尼亚州三个县的家长,收集了他们对青少年疫苗,特别是HPV疫苗的看法和意见,以及他们孩子的HPV疫苗接种状况。使用有效的量表评估一般和HPV疫苗犹豫。采用贝叶斯指数logistic回归模型检验各指标与儿童HPV疫苗接种状况之间的关系,并确定各指标中最重要的因素。结果:最终分析样本包括249份完整回复。报告的儿童平均年龄为12.4岁;62.0%的家长报告他们的孩子接种了HPV疫苗。在调整后的一般疫苗犹豫模型中,犹豫与儿童接种HPV疫苗的可能性较低显著相关(OR = 0.43, 95% CI: 0.26, 0.73),而感知疫苗安全性(权重= 0.363)是该指数中估计的最具影响力的因素。同样,在调整后的HPV疫苗犹豫模型中,犹豫与儿童的HPV疫苗接种显著相关(OR = 0.39, 95% CI: 0.20-0.72),提供者推荐(权重= 0.198)是主要的估计因素。结论:疫苗犹豫仍然是HPV疫苗接种的一个重大挑战。除其他战略外,促使提供者提供强有力的疫苗建议并分享有关疫苗安全性的信息,可以帮助提高农村和低疫苗接种率地区的人乳头瘤病毒疫苗接种率。
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