Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch005
Sandra Cristina Laia Esteves, A. Lopes
The acquisition of health literacy levels is preponderant in enabling citizens to access, understand, and use health-related information in a more conscious and responsible way in making health decisions. The ACP model—assertiveness, clarity, and positivity—has revealed numerous positive results in health, an excellent contribution to health literacy, as it favors the acquisition of communication skills and therapeutic relationship between health professionals and patients. The use of pedagogical audiovisual techniques (PAT) is one of the best educational strategies in health and facilitates digital dissemination. This project aimed to raise the awareness of health professionals, through the PAT. As a methodology, the authors follow a literature review and the functional, interactive, and critical literacy model. They applied this PAT to health professionals, associated with a knowledge monitoring instrument. The use of the ACP model promotes an improvement in the quality of care provided and, in turn, resulting positive results in health.
{"title":"Educational Strategy in Digital Health Literacy","authors":"Sandra Cristina Laia Esteves, A. Lopes","doi":"10.4018/978-1-7998-8824-6.ch005","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch005","url":null,"abstract":"The acquisition of health literacy levels is preponderant in enabling citizens to access, understand, and use health-related information in a more conscious and responsible way in making health decisions. The ACP model—assertiveness, clarity, and positivity—has revealed numerous positive results in health, an excellent contribution to health literacy, as it favors the acquisition of communication skills and therapeutic relationship between health professionals and patients. The use of pedagogical audiovisual techniques (PAT) is one of the best educational strategies in health and facilitates digital dissemination. This project aimed to raise the awareness of health professionals, through the PAT. As a methodology, the authors follow a literature review and the functional, interactive, and critical literacy model. They applied this PAT to health professionals, associated with a knowledge monitoring instrument. The use of the ACP model promotes an improvement in the quality of care provided and, in turn, resulting positive results in health.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130242112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch007
M. Theodosopoulou, Zoe-Athena Papalois, L. Aufegger, Giorgos Baskozos, F. Dor, D. Casanova, V. Papalois
The organ shortage and the increasing demand for organs are universal, worldwide challenges. Health literacy is a powerful tool that can help to increase awareness about organ donation and transplantation on a large scale and to encourage and sustain support for organ donation. The unique perspectives, experiences, and expectations of medical students, renal patients, and hospital administrative staff across the UK, Netherlands, and Spain on the topic of health literacy (HL) campaigns regarding deceased organ donation (DOD) were recorded in a cross-cultural, qualitative study. Focus group discussions enabled participants to express their views on existing HL campaigns and to propose novel pathways for future campaigns.
{"title":"Customising Health Literacy Campaigns for Organ Donation and Transplantation","authors":"M. Theodosopoulou, Zoe-Athena Papalois, L. Aufegger, Giorgos Baskozos, F. Dor, D. Casanova, V. Papalois","doi":"10.4018/978-1-7998-8824-6.ch007","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch007","url":null,"abstract":"The organ shortage and the increasing demand for organs are universal, worldwide challenges. Health literacy is a powerful tool that can help to increase awareness about organ donation and transplantation on a large scale and to encourage and sustain support for organ donation. The unique perspectives, experiences, and expectations of medical students, renal patients, and hospital administrative staff across the UK, Netherlands, and Spain on the topic of health literacy (HL) campaigns regarding deceased organ donation (DOD) were recorded in a cross-cultural, qualitative study. Focus group discussions enabled participants to express their views on existing HL campaigns and to propose novel pathways for future campaigns.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131246870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch012
H. A. D. C. Sampaio, Lisidna Almeida Cabral
Food literacy is a sub-field of health literacy with a concept under construction, but corresponds to the ability to read, understand, and judge the quality of information; to seek and exchange knowledge related to the topics of food and nutrition; to buy and prepare food; to critically reflect on factors which influence personal choices about food and understand the impact of these choices on society. In turn, the ACP model is a three-factor communication model (assertiveness, clarity, and positivity) that aims to optimize education based on health literacy. The aim of this chapter is to present a proposal for food guidance which combines the foundations of the ACP model and food literacy for the different life cycles. The guidelines for each cycle were adapted to the ACP model. In conclusion, the ACP model can be applied to food literacy actions in any life cycle. However, it is worth mentioning that the professional's communicational behavior needs to be aligned with the assertiveness competence so that such actions are in fact effective.
{"title":"Food and Health Literacy","authors":"H. A. D. C. Sampaio, Lisidna Almeida Cabral","doi":"10.4018/978-1-7998-8824-6.ch012","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch012","url":null,"abstract":"Food literacy is a sub-field of health literacy with a concept under construction, but corresponds to the ability to read, understand, and judge the quality of information; to seek and exchange knowledge related to the topics of food and nutrition; to buy and prepare food; to critically reflect on factors which influence personal choices about food and understand the impact of these choices on society. In turn, the ACP model is a three-factor communication model (assertiveness, clarity, and positivity) that aims to optimize education based on health literacy. The aim of this chapter is to present a proposal for food guidance which combines the foundations of the ACP model and food literacy for the different life cycles. The guidelines for each cycle were adapted to the ACP model. In conclusion, the ACP model can be applied to food literacy actions in any life cycle. However, it is worth mentioning that the professional's communicational behavior needs to be aligned with the assertiveness competence so that such actions are in fact effective.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123264461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch006
Sara Henriques, M. Damásio
Scientific evidence indicates that theory-based health interventions are more effective in promoting health behavior change (BC) and in maintaining health changes over time. Previous work identified more than 80 BC theories; however, there is little guidance on how to best choose between them. More than creating new theories, an essential challenge now is to integrate these theories to reach a more complete understanding of the BC process. The chapter is an effort to integrate some of the most central theories in this field, aiming to reach an integrated framework by 1) identifying and merging similarities between theories, reducing conceptual complexity, and by 2) building from dissimilarities as key aspects to overcome limitations. This framework is a practical visual tool that intends to support researchers and practitioners working in the field, guiding on the crucial constructs to address in interventions to promote health BC. This framework also integrates the ACP model as an approach that offers valuable insights to support communication in health interventions.
{"title":"Re-Thinking Health Behaviour Change Models From an Integrated Perspective","authors":"Sara Henriques, M. Damásio","doi":"10.4018/978-1-7998-8824-6.ch006","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch006","url":null,"abstract":"Scientific evidence indicates that theory-based health interventions are more effective in promoting health behavior change (BC) and in maintaining health changes over time. Previous work identified more than 80 BC theories; however, there is little guidance on how to best choose between them. More than creating new theories, an essential challenge now is to integrate these theories to reach a more complete understanding of the BC process. The chapter is an effort to integrate some of the most central theories in this field, aiming to reach an integrated framework by 1) identifying and merging similarities between theories, reducing conceptual complexity, and by 2) building from dissimilarities as key aspects to overcome limitations. This framework is a practical visual tool that intends to support researchers and practitioners working in the field, guiding on the crucial constructs to address in interventions to promote health BC. This framework also integrates the ACP model as an approach that offers valuable insights to support communication in health interventions.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123886446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch017
Ofelia Malheiros
The present study aims to give insights on how to support patient literacy using AR/VR online solutions and effective communication. The future of healthcare is previewed to be human-centric and use a personalised approach to patient treatment. The study confirms AR/VR patient usage is an emerging topic, when compared with other AR/VR health applications. The analysed solutions which had online information were overall mature and accomplished communication to public. The AR/VR solutions intrinsically help in having a clearer communication; they support assertiveness and positivity and can be a literacy promoter. It is recommended to increase AR/VR patient usage and communication, to promote public/patient knowledge and adoption, with advantages to the patient literacy and healthcare system. The solution usage is relevant to educate public/patients and empower self-care. With correct adoption and scale, it can be an enabler to help reduce pressure in healthcare systems.
{"title":"Virtual Reality and Augmented Reality as Promoters of Better Health Literacy","authors":"Ofelia Malheiros","doi":"10.4018/978-1-7998-8824-6.ch017","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch017","url":null,"abstract":"The present study aims to give insights on how to support patient literacy using AR/VR online solutions and effective communication. The future of healthcare is previewed to be human-centric and use a personalised approach to patient treatment. The study confirms AR/VR patient usage is an emerging topic, when compared with other AR/VR health applications. The analysed solutions which had online information were overall mature and accomplished communication to public. The AR/VR solutions intrinsically help in having a clearer communication; they support assertiveness and positivity and can be a literacy promoter. It is recommended to increase AR/VR patient usage and communication, to promote public/patient knowledge and adoption, with advantages to the patient literacy and healthcare system. The solution usage is relevant to educate public/patients and empower self-care. With correct adoption and scale, it can be an enabler to help reduce pressure in healthcare systems.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129161769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch018
C. Rodrigues
This chapter focuses on the health professionals' competences and inherent evaluation by patients during the therapeutic relationship. It is grounded on a literature review and proposals on best practices to adopt in health encounters. It can be concluded that the use of communication competences by health professionals influences the patients' evaluation and their health outcomes, demonstrating that “it takes two to tango.” Results have shown that, among the communication competences, are empathy, respect, inclusion of patient in health decisions, confirmation of understanding, use of a plain language, positivity. On the patients' side, the expectations tend to be related to the communication styles of health professionals, the humanization of relationship, and the use of a personalized communication; the communication lapses are more associated with poor attitudes of health professionals, and the patients' sociodemographic attributes influence their expectations.
{"title":"Health Professional Communication Competences and Patient Evaluation in the Therapeutic Encounter","authors":"C. Rodrigues","doi":"10.4018/978-1-7998-8824-6.ch018","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch018","url":null,"abstract":"This chapter focuses on the health professionals' competences and inherent evaluation by patients during the therapeutic relationship. It is grounded on a literature review and proposals on best practices to adopt in health encounters. It can be concluded that the use of communication competences by health professionals influences the patients' evaluation and their health outcomes, demonstrating that “it takes two to tango.” Results have shown that, among the communication competences, are empathy, respect, inclusion of patient in health decisions, confirmation of understanding, use of a plain language, positivity. On the patients' side, the expectations tend to be related to the communication styles of health professionals, the humanization of relationship, and the use of a personalized communication; the communication lapses are more associated with poor attitudes of health professionals, and the patients' sociodemographic attributes influence their expectations.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116026152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch008
A. Quintela, A. Veiga
The research in question arises from the need to elaborate a work of reflection capable of contributing to one of the intervention responses with the focus of attention, integrated care in various areas of society (social and health), sensitivity to the older people, between health and the social sector, based on assertive interpersonal communication, clear and positive, which function in a holistic view of the older person, as a game of balance. This chapter aims to offer and promote some clues about the importance of the social sector's communion with the health sector in an integrated and inclusive logic for citizens. The model, Assertividade Clareza e Positivity, being an increase in health literacy, was the motto for the methodology of the chapter, in a perspective of communication facilitating the field of human relations. The results point to a better understanding and analysis of a strategy, focused on the integrated approach in the elderly with diabetes.
{"title":"An Integrated Approach (Social and Health) in the Elderly With Diabetes","authors":"A. Quintela, A. Veiga","doi":"10.4018/978-1-7998-8824-6.ch008","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch008","url":null,"abstract":"The research in question arises from the need to elaborate a work of reflection capable of contributing to one of the intervention responses with the focus of attention, integrated care in various areas of society (social and health), sensitivity to the older people, between health and the social sector, based on assertive interpersonal communication, clear and positive, which function in a holistic view of the older person, as a game of balance. This chapter aims to offer and promote some clues about the importance of the social sector's communion with the health sector in an integrated and inclusive logic for citizens. The model, Assertividade Clareza e Positivity, being an increase in health literacy, was the motto for the methodology of the chapter, in a perspective of communication facilitating the field of human relations. The results point to a better understanding and analysis of a strategy, focused on the integrated approach in the elderly with diabetes.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126168698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch014
Ana Cristina de Almeida Marinho Diniz, Catarina Ferreira, Maria Cândida Damião, Helena Cunha Xavier
The haemato-oncological patient requires care due to the impact of the disease itself as well as the hard treatment. Health professionals and informal caregivers also play a central role in this multipart and demanding process of caring and management of the disease. Communication and health literacy to the patients and respective caregivers are crucial in promoting safe care. The development of quality improvement projects by health organizations has contributed to increase health literacy among its participants. Its implementation contributes to a closer relationship between health professionals, patients, and informal caregivers with a consequent improvement in the response to their needs.
{"title":"Health Literacy of Oncologic Patients and Their Informal Caregivers","authors":"Ana Cristina de Almeida Marinho Diniz, Catarina Ferreira, Maria Cândida Damião, Helena Cunha Xavier","doi":"10.4018/978-1-7998-8824-6.ch014","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch014","url":null,"abstract":"The haemato-oncological patient requires care due to the impact of the disease itself as well as the hard treatment. Health professionals and informal caregivers also play a central role in this multipart and demanding process of caring and management of the disease. Communication and health literacy to the patients and respective caregivers are crucial in promoting safe care. The development of quality improvement projects by health organizations has contributed to increase health literacy among its participants. Its implementation contributes to a closer relationship between health professionals, patients, and informal caregivers with a consequent improvement in the response to their needs.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128065013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch011
T. Morgado, T. Costa, Odete Araújo, R. Silva
Mental health literacy (MHL) was originally defined as knowledge and beliefs about mental disorders which aid their recognition, management, and prevention. More recently, this concept has evolved to a more positive perspective by adding the focus on knowledge and abilities necessary to benefit mental health. Higher levels of MHL have a positive influence on several domains. Therefore, MHL programs should be provided in different contexts across the lifespan. Mental health is now a major public health issue in modern societies, and higher levels of MHL can prevent and mitigate the impact of mental illness. For clinical practice, the authors recommend the use of the assertiveness, clear language, and positivity (ACP) model in MHL programs and strategies that encourage the implementation of these and other programs in different settings, as well as more research.
{"title":"Interventions for Better Mental Health Literacy","authors":"T. Morgado, T. Costa, Odete Araújo, R. Silva","doi":"10.4018/978-1-7998-8824-6.ch011","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch011","url":null,"abstract":"Mental health literacy (MHL) was originally defined as knowledge and beliefs about mental disorders which aid their recognition, management, and prevention. More recently, this concept has evolved to a more positive perspective by adding the focus on knowledge and abilities necessary to benefit mental health. Higher levels of MHL have a positive influence on several domains. Therefore, MHL programs should be provided in different contexts across the lifespan. Mental health is now a major public health issue in modern societies, and higher levels of MHL can prevent and mitigate the impact of mental illness. For clinical practice, the authors recommend the use of the assertiveness, clear language, and positivity (ACP) model in MHL programs and strategies that encourage the implementation of these and other programs in different settings, as well as more research.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121338397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4018/978-1-7998-8824-6.ch002
Susana Ramos
This chapter presents a reflective analysis based on the literature and on the author's experience regarding the challenges for health professionals and for patients within the scope of the patient advocacy activity, especially in Portugal, where the formal figure of the patient advocate is almost non-existent. Patient Associations, professionals, patients and their families, and citizens in general are unaware of this concept, making it a priority to invest in health literacy and to structure training programs in patient advocacy. The authors believe that there is still a long way to go in Portugal in this matter and that the model, Assertiveness, Clarity of Language, and Positivity (ACP), is an essential model for the entire patient advocacy development process and implementation of the patient advocate figure in the area healthcare. In this chapter, some experiences, projects and the first results of an exploratory study will be presented in order to help in improving the understanding and knowledge of these concepts in Portugal.
{"title":"Patient Advocacy and Health Literacy","authors":"Susana Ramos","doi":"10.4018/978-1-7998-8824-6.ch002","DOIUrl":"https://doi.org/10.4018/978-1-7998-8824-6.ch002","url":null,"abstract":"This chapter presents a reflective analysis based on the literature and on the author's experience regarding the challenges for health professionals and for patients within the scope of the patient advocacy activity, especially in Portugal, where the formal figure of the patient advocate is almost non-existent. Patient Associations, professionals, patients and their families, and citizens in general are unaware of this concept, making it a priority to invest in health literacy and to structure training programs in patient advocacy. The authors believe that there is still a long way to go in Portugal in this matter and that the model, Assertiveness, Clarity of Language, and Positivity (ACP), is an essential model for the entire patient advocacy development process and implementation of the patient advocate figure in the area healthcare. In this chapter, some experiences, projects and the first results of an exploratory study will be presented in order to help in improving the understanding and knowledge of these concepts in Portugal.","PeriodicalId":318906,"journal":{"name":"Handbook of Research on Assertiveness, Clarity, and Positivity in Health Literacy","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126751648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}