Pub Date : 2024-01-07DOI: 10.1080/18387357.2024.2302118
Kate Walker, Chris Griffiths, Andy Willis
{"title":"Patients’ and staff’s experiences of Well-Track physical activity and sleep quality intervention in an Early Intervention in Psychosis (EIP) service","authors":"Kate Walker, Chris Griffiths, Andy Willis","doi":"10.1080/18387357.2024.2302118","DOIUrl":"https://doi.org/10.1080/18387357.2024.2302118","url":null,"abstract":"","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139449015","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 : 2023-12-14DOI: 10.1080/18387357.2023.2291372
Rodrigo Rojas-Andrade, Samuel Aranguren Zurita, Gabriel Prosser Bravo, Belén Vargas
{"title":"Assessment of the implementation of psychological first aid training: adaptation and validation of determinants of the implementation behavior questionnaire","authors":"Rodrigo Rojas-Andrade, Samuel Aranguren Zurita, Gabriel Prosser Bravo, Belén Vargas","doi":"10.1080/18387357.2023.2291372","DOIUrl":"https://doi.org/10.1080/18387357.2023.2291372","url":null,"abstract":"","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139003172","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 : 2023-11-14DOI: 10.1080/18387357.2023.2280044
Simone E. Baillie, Julia N. Lyons, Amanda V. Sabo, Kathryn J. Chalmers, Alyssia Rossetto, Kathy S. Bond, Nicola J. Reavley
Objective Gambling is increasingly identified as a public health concern as it carries a risk of harm for the person who gambles, friends and family, and the broader community. Mental Health First Aid® (MHFA) Australia’s Conversations About Gambling course is an early intervention program that teaches members of the public how to support someone experiencing harm from their gambling. Although the course improves participants mental health literacy and reduces stigma, its uptake has wavered compared to other similar MHFA courses, prompting the present study to investigate enablers and barriers to its implementation.
{"title":"Investigating factors that impact on the uptake of Mental Health First Aid Australia’s <i>Conversations About Gambling</i> course: a qualitative study engaging stakeholder perspectives","authors":"Simone E. Baillie, Julia N. Lyons, Amanda V. Sabo, Kathryn J. Chalmers, Alyssia Rossetto, Kathy S. Bond, Nicola J. Reavley","doi":"10.1080/18387357.2023.2280044","DOIUrl":"https://doi.org/10.1080/18387357.2023.2280044","url":null,"abstract":"Objective Gambling is increasingly identified as a public health concern as it carries a risk of harm for the person who gambles, friends and family, and the broader community. Mental Health First Aid® (MHFA) Australia’s Conversations About Gambling course is an early intervention program that teaches members of the public how to support someone experiencing harm from their gambling. Although the course improves participants mental health literacy and reduces stigma, its uptake has wavered compared to other similar MHFA courses, prompting the present study to investigate enablers and barriers to its implementation.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134902483","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 : 2023-11-14DOI: 10.1080/18387357.2023.2282046
Ena Kantor, Gorka Vuletić
ABSTRACTObjective Stress contributes to higher occurrences of mental health problems, and satisfactory friendships can ease the stress-related emotional states. However, mental health is much more than the absence of symptoms of psychological disorders and includes aspects of well-being. Therefore, the purpose of this study was to investigate the relationships between positive mental health, perceived stress, and friendship satisfaction.Method This cross-sectional study included 555 participants aged 18-60. Data on positive mental health, stress, and friendship satisfaction were collected using validated questionnaires. Descriptive statistics, Pearson correlations, hierarchical regression, and moderation analyses were conducted.Results A significant negative correlation between stress and positive mental health was found. Stress and friendship satisfaction were identified as significant predictors of positive mental health variance. Additionally, friendship satisfaction demonstrated a moderating effect, indicating that higher satisfaction levels were associated with more positive ratings of mental health, regardless of stress levels.Discussion The findings of this study may have clinical implications for mental health professionals, and practitioners. The importance of addressing both stress management and the quality of friendships in promoting positive mental health is presented.KEYWORDS: Mental healthpsychological stresssocial relationshipssocial supportsatisfaction Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementThe original collected data, recoded data, and conducted analyses are available at the following link: https://osf.io/j9mqg/?view_only=26c6b79e73e446ed9e03345b975d3f96.
{"title":"The relationship between mental health and stress: the moderating role of satisfaction with friendships","authors":"Ena Kantor, Gorka Vuletić","doi":"10.1080/18387357.2023.2282046","DOIUrl":"https://doi.org/10.1080/18387357.2023.2282046","url":null,"abstract":"ABSTRACTObjective Stress contributes to higher occurrences of mental health problems, and satisfactory friendships can ease the stress-related emotional states. However, mental health is much more than the absence of symptoms of psychological disorders and includes aspects of well-being. Therefore, the purpose of this study was to investigate the relationships between positive mental health, perceived stress, and friendship satisfaction.Method This cross-sectional study included 555 participants aged 18-60. Data on positive mental health, stress, and friendship satisfaction were collected using validated questionnaires. Descriptive statistics, Pearson correlations, hierarchical regression, and moderation analyses were conducted.Results A significant negative correlation between stress and positive mental health was found. Stress and friendship satisfaction were identified as significant predictors of positive mental health variance. Additionally, friendship satisfaction demonstrated a moderating effect, indicating that higher satisfaction levels were associated with more positive ratings of mental health, regardless of stress levels.Discussion The findings of this study may have clinical implications for mental health professionals, and practitioners. The importance of addressing both stress management and the quality of friendships in promoting positive mental health is presented.KEYWORDS: Mental healthpsychological stresssocial relationshipssocial supportsatisfaction Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementThe original collected data, recoded data, and conducted analyses are available at the following link: https://osf.io/j9mqg/?view_only=26c6b79e73e446ed9e03345b975d3f96.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134993605","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 : 2023-11-09DOI: 10.1080/18387357.2023.2274044
Nicola J. Reavley, Amy J. Morgan, Anthony F. Jorm, Betty A. Kitchener, Shurong Lu, Wenjing Li, Yan Wang, Claire M. Kelly, Min Zhao, Yanling He
Objective This study involves a cluster randomised controlled trial (cRCT) of the effectiveness of Mental Health First Aid (MHFA) Training for China.
目的对中国精神卫生急救(MHFA)培训的有效性进行聚类随机对照试验(cRCT)研究。
{"title":"Mental Health First Aid training for China: protocol for a randomised controlled trial","authors":"Nicola J. Reavley, Amy J. Morgan, Anthony F. Jorm, Betty A. Kitchener, Shurong Lu, Wenjing Li, Yan Wang, Claire M. Kelly, Min Zhao, Yanling He","doi":"10.1080/18387357.2023.2274044","DOIUrl":"https://doi.org/10.1080/18387357.2023.2274044","url":null,"abstract":"Objective This study involves a cluster randomised controlled trial (cRCT) of the effectiveness of Mental Health First Aid (MHFA) Training for China.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192197","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 : 2023-11-06DOI: 10.1080/18387357.2023.2277757
Prince C. Ekoh, Fidel Nnadi, Hope Nwabineli, Oluwagbemiga Oyinlola, Cecilia Odo, Tochukwu Jonathan Okolie, Samuel C. Onuh, Emmanuel O. Ugwu, Kusum Bhatta, Chinyere Onalu
ABSTRACTObjective Mental health problems are increasing. Nonetheless, the uptake of professional mental health support remains very low in Nigeria and other African countries, especially among men. This study explored the potential of digital mental health support in eliminating barriers to professional mental health services amongst men in Nigeria.Method Qualitative data were collected between July-August 2022 using an In-depth Interview (IDI) Guide with 24 men aged 18–38. NVivo 12 was employed to assist with the analysis.Results Digital mental health support has the potential to improve acceptance and uptake of professional mental health support services, reduce deterrent factors such as stigma, issues with confidentiality and trust, cost and availability. The use of digital support may also mitigate the nature of masculinity which deters some men from asking for help. Regulations around providing mental health support may improve men’s confidence in seeking professional mental health support.Conclusion Findings highlight the acceptability of digital mental health support for men, and the need for clinical practice regulations.KEYWORDS: Digital mental health supportmenNigeriaqualitative research Disclosure statementNo potential conflict of interest was reported by the author(s).
{"title":"Barriers to the use of mental health services amongst men in Nigeria and the potential of digital mental health support","authors":"Prince C. Ekoh, Fidel Nnadi, Hope Nwabineli, Oluwagbemiga Oyinlola, Cecilia Odo, Tochukwu Jonathan Okolie, Samuel C. Onuh, Emmanuel O. Ugwu, Kusum Bhatta, Chinyere Onalu","doi":"10.1080/18387357.2023.2277757","DOIUrl":"https://doi.org/10.1080/18387357.2023.2277757","url":null,"abstract":"ABSTRACTObjective Mental health problems are increasing. Nonetheless, the uptake of professional mental health support remains very low in Nigeria and other African countries, especially among men. This study explored the potential of digital mental health support in eliminating barriers to professional mental health services amongst men in Nigeria.Method Qualitative data were collected between July-August 2022 using an In-depth Interview (IDI) Guide with 24 men aged 18–38. NVivo 12 was employed to assist with the analysis.Results Digital mental health support has the potential to improve acceptance and uptake of professional mental health support services, reduce deterrent factors such as stigma, issues with confidentiality and trust, cost and availability. The use of digital support may also mitigate the nature of masculinity which deters some men from asking for help. Regulations around providing mental health support may improve men’s confidence in seeking professional mental health support.Conclusion Findings highlight the acceptability of digital mental health support for men, and the need for clinical practice regulations.KEYWORDS: Digital mental health supportmenNigeriaqualitative research Disclosure statementNo potential conflict of interest was reported by the author(s).","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135680018","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 : 2023-10-16DOI: 10.1080/18387357.2023.2267148
Victoria Hamilton, Zvezdana Petrovic, Fiona Stephanie May, Catherine Wade
ABSTRACTObjective: In recent years family services have been required to rapidly employ telehealth without access to a reliable and contemporary evidence-base for implementation. This study explores expert views on systems and practices that facilitate telehealth in the delivery of family support services to vulnerable families.Method: Using the Delphi survey method, an inventory comprising 124 telepractices was presented to an initial panel of telepractice researchers and practitioners (N = 23) for ratings across three survey rounds. The panel was asked to provide feedback and suggestions for further inclusions, leading to an additional 29 items.Results: Results indicate 119 telepractice strategies were endorsed as essential and/or feasible for family services. These strategies were spread across five domains including practices prior to service delivery, practices during telepractice, practices when working with group programs, practices when working with culturally and linguistically diverse communities, and support for practitioners.Discussion: Practices that facilitate organisational support for practitioners, flexible service modality, and equitable access and privacy attracted the strongest endorsement. The findings support a hybrid model of service delivery in family services.KEYWORDS: Telepracticetelehealthfamily servicesvulnerable familiesparenting supportservice providersDelphi study Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis research project was funded by the Victorian Government Department of Families, Fairness and Housing.
{"title":"Consensus on telepractice service delivery practices with vulnerable families: a Delphi study","authors":"Victoria Hamilton, Zvezdana Petrovic, Fiona Stephanie May, Catherine Wade","doi":"10.1080/18387357.2023.2267148","DOIUrl":"https://doi.org/10.1080/18387357.2023.2267148","url":null,"abstract":"ABSTRACTObjective: In recent years family services have been required to rapidly employ telehealth without access to a reliable and contemporary evidence-base for implementation. This study explores expert views on systems and practices that facilitate telehealth in the delivery of family support services to vulnerable families.Method: Using the Delphi survey method, an inventory comprising 124 telepractices was presented to an initial panel of telepractice researchers and practitioners (N = 23) for ratings across three survey rounds. The panel was asked to provide feedback and suggestions for further inclusions, leading to an additional 29 items.Results: Results indicate 119 telepractice strategies were endorsed as essential and/or feasible for family services. These strategies were spread across five domains including practices prior to service delivery, practices during telepractice, practices when working with group programs, practices when working with culturally and linguistically diverse communities, and support for practitioners.Discussion: Practices that facilitate organisational support for practitioners, flexible service modality, and equitable access and privacy attracted the strongest endorsement. The findings support a hybrid model of service delivery in family services.KEYWORDS: Telepracticetelehealthfamily servicesvulnerable familiesparenting supportservice providersDelphi study Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis research project was funded by the Victorian Government Department of Families, Fairness and Housing.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136079580","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 : 2023-10-13DOI: 10.1080/18387357.2023.2268756
Julia Morgan
Objective Women are more likely, than men, to be diagnosed late with ADHD but there is a paucity of research on their experiences. This paper reports on women’s lived experiences of diagnosis of ADHD in adulthood.
{"title":"Exploring women’s experiences of diagnosis of ADHD in adulthood: a qualitative study","authors":"Julia Morgan","doi":"10.1080/18387357.2023.2268756","DOIUrl":"https://doi.org/10.1080/18387357.2023.2268756","url":null,"abstract":"Objective Women are more likely, than men, to be diagnosed late with ADHD but there is a paucity of research on their experiences. This paper reports on women’s lived experiences of diagnosis of ADHD in adulthood.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135854514","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 : 2023-10-08DOI: 10.1080/18387357.2023.2260020
Julia McKenzie, Melinda Goodyear, Lotti O’Dea, Rose Cuff, Bradley Morgan
ABSTRACTObjective This study aimed to investigate the benefits and difficulties with providing online peer support services for children with a family member experiencing mental health challenges.Method Using a qualitative descriptive design, the perspectives were gathered of Australian children and young people with a family member experiencing mental health challenges and had participated in online peer support activities during the COVID-19 restrictions of 2020 and 2021. Five age-differentiated focus groups were held with participants aged between 8 and 24 years (N = 32), and interviews were held with youth peer leaders (N = 3) and program facilitators (N = 6).Results This paper presents seven themes generated from the qualitative data. The themes captured the benefits of an online setting such as enabling greater accessibility, participation and comfort. Juxtaposed with this, themes also captured challenges such as the unease and risks of participating online, as well as the perspective that in-person activities facilitated stronger and quicker connections.Discussion It was concluded that a blended model of online and in-person support services is likely to be valuable for children with a family member experiencing mental health challenges to ensure accessibility and provide the capacity to meet the varied needs of this cohort.KEYWORDS: Peer supportonlinechildrenparentsmental health AcknowledgmentsWe would like to acknowledge the children and young people who shared their experiences with us through an interview or a focus group. We would also like to acknowledge the Satellite Foundation for their participation in this research and their support for the overall evaluation. Lastly, we would like to acknowledge the support for this evaluation by Emerging Minds staff. A copy of the overarching evaluation can be obtained from the Emerging Minds website (www.emergingminds.com.au) or by contacting the corresponding author.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis work was supported by the Australian Government Department of Health.
{"title":"Online peer support for children with a family member experiencing mental health challenges: perspectives from children and young people during the COVID-19 pandemic","authors":"Julia McKenzie, Melinda Goodyear, Lotti O’Dea, Rose Cuff, Bradley Morgan","doi":"10.1080/18387357.2023.2260020","DOIUrl":"https://doi.org/10.1080/18387357.2023.2260020","url":null,"abstract":"ABSTRACTObjective This study aimed to investigate the benefits and difficulties with providing online peer support services for children with a family member experiencing mental health challenges.Method Using a qualitative descriptive design, the perspectives were gathered of Australian children and young people with a family member experiencing mental health challenges and had participated in online peer support activities during the COVID-19 restrictions of 2020 and 2021. Five age-differentiated focus groups were held with participants aged between 8 and 24 years (N = 32), and interviews were held with youth peer leaders (N = 3) and program facilitators (N = 6).Results This paper presents seven themes generated from the qualitative data. The themes captured the benefits of an online setting such as enabling greater accessibility, participation and comfort. Juxtaposed with this, themes also captured challenges such as the unease and risks of participating online, as well as the perspective that in-person activities facilitated stronger and quicker connections.Discussion It was concluded that a blended model of online and in-person support services is likely to be valuable for children with a family member experiencing mental health challenges to ensure accessibility and provide the capacity to meet the varied needs of this cohort.KEYWORDS: Peer supportonlinechildrenparentsmental health AcknowledgmentsWe would like to acknowledge the children and young people who shared their experiences with us through an interview or a focus group. We would also like to acknowledge the Satellite Foundation for their participation in this research and their support for the overall evaluation. Lastly, we would like to acknowledge the support for this evaluation by Emerging Minds staff. A copy of the overarching evaluation can be obtained from the Emerging Minds website (www.emergingminds.com.au) or by contacting the corresponding author.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis work was supported by the Australian Government Department of Health.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135250719","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 : 2023-10-04DOI: 10.1080/18387357.2023.2262627
Amber D. Zeeman, Justine Jonker, Lars Groeneveld, Emily M. de Krijger, Eline Meijer
Objective To understand mental healthcare professionals’ and clients’ needs and preferences regarding smoking cessation care in mental healthcare settings.
目的了解精神卫生专业人员和患者对精神卫生机构戒烟护理的需求和偏好。
{"title":"‘Clients are the problem owners’: a qualitative study into professionals’ and clients’ perceptions of smoking cessation care for smokers with mental illness","authors":"Amber D. Zeeman, Justine Jonker, Lars Groeneveld, Emily M. de Krijger, Eline Meijer","doi":"10.1080/18387357.2023.2262627","DOIUrl":"https://doi.org/10.1080/18387357.2023.2262627","url":null,"abstract":"Objective To understand mental healthcare professionals’ and clients’ needs and preferences regarding smoking cessation care in mental healthcare settings.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135591339","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}
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