Graciela Rojas, Pablo Martínez, Viviana Guajardo, Pablo Herrera, Solange Campos, Markus Moessner, Francisco Diez-Canseco, Ricardo Araya, Paula Aldunate Gonzalez, Paul A Vöhringer
{"title":"Collaborative Technology-Assisted Depression Program for Chronic Disease Patients in Santiago, Chile.","authors":"Graciela Rojas, Pablo Martínez, Viviana Guajardo, Pablo Herrera, Solange Campos, Markus Moessner, Francisco Diez-Canseco, Ricardo Araya, Paula Aldunate Gonzalez, Paul A Vöhringer","doi":"10.1080/07317115.2026.2746045","DOIUrl":"https://doi.org/10.1080/07317115.2026.2746045","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the effectiveness of a collaborative, computer-assisted psycho-educational intervention for managing depression in patients with hypertension and/or diabetes in comparison with usual care in primary care clinics in Santiago, Chile.</p><p><strong>Methods: </strong>Adults with moderate-to-severe depression (Patient Health Questionnaire-9 [PHQ-9] ≥15) enrolled in the Cardiovascular Health Care Program were recruited. The active arm (<i>n</i> = 180) received an eight-session computer-assisted, psycho-educational program, telephone monitoring, and usual care for chronic diseases, while the control group (<i>n</i> = 179) received usual care for depression and chronic diseases. Outcomes were assessed at 3-, 6-, and 12-month follow-ups, with the primary outcome being depression improvement (50% decrease in PHQ-9 score) at 6 months. Intention-to-treat analyses were conducted.</p><p><strong>Results: </strong>The active arm showed non-statistically significant reductions in depressive symptoms and improvements in mental health-related quality of life, treatment adherence, and health care utilization compared to the control arm.</p><p><strong>Conclusions: </strong>While results did not demonstrate statistical difference within the programs to treat the health problems included in the study, the findings support the use of computer-assisted psychoeducation intervention.</p><p><strong>Clinical implications: </strong>These findings advocate for optimizing current care models by incorporating scalable, evidence-based interventions, such as technology-assisted programs, to address remaining gaps in mental health integration.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Climate Change Worry, Eco-Anxiety, Quality of Life, and Life Satisfaction Among Older Adults: A Cross-Sectional Study in Türkiye.","authors":"Harun Ceylan, Yeliz Bayram, Furkan Ulusal","doi":"10.1080/07317115.2026.2746047","DOIUrl":"https://doi.org/10.1080/07317115.2026.2746047","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined associations among climate change worry, eco-anxiety, quality of life, and life satisfaction among older adults in Türkiye, including statistical indirect associations of worry with these outcomes involving eco-anxiety.</p><p><strong>Methods: </strong>In this cross-sectional study, 426 adults aged ≥ 60 years (including 71 residents of institutional care settings) completed validated Turkish measures. Analyses included correlations, hierarchical regression, and covariate-adjusted structural equation modeling.</p><p><strong>Results: </strong>Climate change worry was positively associated with eco-anxiety (β = .536), which was negatively associated with quality of life (β = -.243) and life satisfaction (β = -.264). Worry showed positive direct associations with quality of life (β = .228) and life satisfaction (β = .226), alongside negative statistical indirect associations involving eco-anxiety. Higher education was associated with higher life satisfaction, and poorer economic circumstances with lower quality of life and life satisfaction.</p><p><strong>Conclusions: </strong>Climate change worry showed opposing associations with well-being: positive direct associations coexisted with negative statistical indirect associations involving eco-anxiety, underscoring the importance of distinguishing climate-related worry from more distressing anxiety-related responses.</p><p><strong>Clinical implications: </strong>Gerontological interventions may benefit from supporting constructive engagement with climate-related concerns while addressing distressing eco-anxiety and considering socioeconomic differences in well-being.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceived Physical Health and Depressive Symptoms Among Older Nepali Adults: The Moderating Role of the Components of Hope and Self-Compassion, and Place of Residence.","authors":"Pralhad Adhikari, Clifford Lewis, Danielle Sulikowski, Suzanne McLaren","doi":"10.1080/07317115.2026.2741255","DOIUrl":"https://doi.org/10.1080/07317115.2026.2741255","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined whether the components of hope (agency and pathways) and self-compassion (self-warmth and self-coldness) moderate the relationship between poorer perceived physical health and depressive symptoms, and whether these moderating effects are conditional on place of residence.</p><p><strong>Methods: </strong>A sample of 508 Nepali adults aged 60 to 95 years (<i>M</i> = 69.7, <i>SD</i> = 8.16) completed the Adult Hope Scale, Self-Compassion Scale, physical health items of the Duke Health Profile, and short form of the Geriatric Depression Scale.</p><p><strong>Results: </strong>Almost half (46.3%) of the sample had sub-threshold depressive symptoms. Pathways weakened the association between poorer perceived physical health and depressive symptoms for urban older adults. Self-coldness strengthened the association between poorer perceived physical health and depressive symptoms for rural older adults.</p><p><strong>Conclusions: </strong>Pathways are a protective factor for Nepali older adults experiencing poorer perceived physical health from urban areas, whereas self-coldness is an additional risk factor for those living in rural areas.</p><p><strong>Clinical implications: </strong>Interventions aimed at reducing depressive symptoms among Nepali older adults with poorer perceived physical health should focus on increasing pathways in urban areas and reducing self-coldness in rural areas.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Future Psychologists' Intentions to Work with Older Adults: Extending the Theory of Planned Behavior with Ageism.","authors":"Anna Rosa Donizzetti, Cristina Curcio","doi":"10.1080/07317115.2026.2746424","DOIUrl":"https://doi.org/10.1080/07317115.2026.2746424","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate future psychologists' intentions to work with older adults by extending the Theory of Planned Behavior (TPB) to include ageism, frequency of intergenerational contact, and knowledge of gerontology professionals.</p><p><strong>Methods: </strong>A cross-sectional online survey was administered to 615 psychology students. Structural Equation Modeling (SEM) tested the associations between TPB constructs (attitudes, subjective norms, perceived behavioral control), ageism, contact frequency, and knowledge of gerontology professionals on work intentions.</p><p><strong>Results: </strong>Subjective norms and attitudes were significant positive predictors of intentions, whereas perceived behavioral control was not. Ageism demonstrated a strong negative association with attitudes. Furthermore, frequency of interactions with older adults negatively predicted ageism and, alongside knowledge of gerontology professionals, positively predicted subjective norms.</p><p><strong>Conclusions: </strong>Ageism represents a significant negative correlate of attitudes toward working with older adults. Enhancing intergenerational contact and providing specialized mentoring are crucial to fostering positive career intentions in psychogeriatrics.</p><p><strong>Clinical implications: </strong>Integrating specific training modules on ageism, promoting intergenerational contact, and facilitating mentoring relationships may represent valuable steps in preparing future professionals to deliver equitable and high-quality clinical mental health care in psychogeriatrics.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Page to Stage: A Randomized Controlled Trial of Dramatic Reading Workshops in Older Adults Living with Neurocognitive Disorders.","authors":"Pauline Simon, Nicole Cantisano, Christine-Vanessa Cuervo-Lombard","doi":"10.1080/07317115.2026.2743133","DOIUrl":"https://doi.org/10.1080/07317115.2026.2743133","url":null,"abstract":"<p><strong>Objectives: </strong>The high prevalence of neurocognitive disorders in nursing homes highlights the need for non-pharmacological interventions aimed at improving quality of life and psychosocial well-being. This study examines the effects of dramatized reading workshops (the Lulue® Method) on quality of life, well-being, loneliness, subjective memory complaints, life satisfaction, and anxiety and depression symptoms among older adults living with neurocognitive disorders.</p><p><strong>Methods: </strong>A randomized controlled trial with two parallel groups was conducted among older adults with mild-to-moderate neurocognitive disorders (MMSE < 25/30). Participants were randomly assigned to a weekly Lulue® dramatized reading program delivered over three months or a waiting-list control group.</p><p><strong>Results: </strong>Significant improvements were observed in the intervention group compared to the control group for quality of life (<i>p</i> = .010), well-being (<i>p</i> = .004), and loneliness (<i>p</i> = .050). No significant differences were found for depressive symptoms or subjective memory complaints. .</p><p><strong>Conclusions: </strong>These findings support the potential of dramatized reading workshops to enhance psychological well-being among older adults with neurocognitive disorders.</p><p><strong>Clinical implications: </strong>Dramatized reading workshops appear to be a feasible, low-cost non-pharmacological intervention that nursing homes could integrate into routine care to support residents' quality of life, well-being, and sense of loneliness.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Through Bhajan-Kirtan\": Toward Informing a Mental Health Intervention for Nepali Older Adults.","authors":"Pralhad Adhikari, Clifford Lewis, Suzanne McLaren","doi":"10.1080/07317115.2026.2743132","DOIUrl":"https://doi.org/10.1080/07317115.2026.2743132","url":null,"abstract":"<p><strong>Objectives: </strong>Despite Nepali older adults reporting high levels of depressive symptoms, interventions have not been developed to support their mental health. This study examines what such interventions should include and the factors that attract or prevent participation.</p><p><strong>Methods: </strong>A survey was used to collect qualitative data from 280 older adults aged 60 to 95 years (<i>M</i> = 69.6, SD = 8.05). Three open-ended questions inquired about the content of such interventions, and the factors that attract or prevent participation. These were analyzed using a content analysis approach.</p><p><strong>Results: </strong>Interventions for Nepali older adults should address physical and mental health, social connection, leisure, and spirituality. They should be delivered in comfortable, inclusive, and supportive settings. Participants would be attracted by ease of access, perceived relevance, apolitical content, and peer influence. Factors that would prevent participation include hostile environments, perceived irrelevance or politicization, cultural mismatch, inaccessibility, and personal constraints.</p><p><strong>Conclusions: </strong>When designing interventions targeting Nepali older adults, consideration needs to be given to the content of the intervention, how it is delivered, and the factors that attract or prevent participation.</p><p><strong>Clinical implications: </strong>Nepali older adults need relational and cultural components in addition to specific foci to encourage their participation in mental health interventions.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Regina Vila-Badia, Teia Anglada-Dilmé, Geòrgia Coderch-Clavaguera, Cristina Capdevila-Crusellas, Tura Freixa-Canal, Laura Costa-Vilarrasa, Anna Tubert-Maune, Ma Àngels Navarro-Garcia, Mercè Pratsevall-Roca, Marina Sales-Mesquida, Marta Planas Sabate, Cristina Espelt-Sallent, Mapi Martín-Martinez, Laia Briones-Buixassa
{"title":"Therapeutic Impact of Snoezelen Environments on Emotional Outcomes and Pain in Long-Term Care Residents with and Without Dementia.","authors":"Regina Vila-Badia, Teia Anglada-Dilmé, Geòrgia Coderch-Clavaguera, Cristina Capdevila-Crusellas, Tura Freixa-Canal, Laura Costa-Vilarrasa, Anna Tubert-Maune, Ma Àngels Navarro-Garcia, Mercè Pratsevall-Roca, Marina Sales-Mesquida, Marta Planas Sabate, Cristina Espelt-Sallent, Mapi Martín-Martinez, Laia Briones-Buixassa","doi":"10.1080/07317115.2026.2738798","DOIUrl":"https://doi.org/10.1080/07317115.2026.2738798","url":null,"abstract":"<p><strong>Objectives: </strong>Older adults living in long-term care facilities are at increased risk of reduced psychoemotional well-being. Snoezelen multisensory environments have been proposed as person-centered interventions, although evidence remains inconsistent. This study aimed to evaluate the effects of Snoezelen environments on biopsychosocial outcomes in older adults living in long-term care facilities with and without dementia.</p><p><strong>Methods: </strong>A mixed-methods, quasi-experimental repeated-measures design was applied. Participants completed eight sessions over four weeks with a self-controlled comparison phase. Quantitative analyses examined pre-post intervention and pre-post session effects in physiological measures, pain perception, psychoemotional domains, functional status and quality-of-life outcomes. Data from focus groups with participants and professionals were analyzed thematically.</p><p><strong>Results: </strong>Session-level analyses revealed improvements in emotional expression, psychoemotional outcomes, and pain perception following sessions. Qualitative findings supported these results. No pre-post intervention effects were observed.</p><p><strong>Conclusions: </strong>Snoezelen multisensory environments provide immediate psychoemotional benefits and pain reduction in older adults living in long-term care facilities with and without dementia.</p><p><strong>Clinical implications: </strong>When implemented on demand or preventively, Snoezelen multisensory environments may serve as complementary, person-centered interventions in long-term care settings.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2026-10-01Epub Date: 2026-03-01DOI: 10.1080/07317115.2026.2629563
Batholomew Chireh, Samuel Kwaku Essien, Annshirley Afful, Carl D'Arcy
{"title":"Working Beyond 65: Factors Associated with Mental Health Among Older Canadians.","authors":"Batholomew Chireh, Samuel Kwaku Essien, Annshirley Afful, Carl D'Arcy","doi":"10.1080/07317115.2026.2629563","DOIUrl":"10.1080/07317115.2026.2629563","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the association between work beyond the traditional retirement age and mental health outcomes among older Canadians (65+ years) and to assess whether these associations vary by sex.</p><p><strong>Methods: </strong>A subsample of (<i>N</i> = 65,033) older adults was drawn from repeated national Canadian Community Health Surveys between 2013 to 2018. Firth's logistic regression model was applied to identify factors associated with self-reported mood and anxiety disorders. Prevalence estimates and adjusted odds ratios with 95% confidence intervals are reported.</p><p><strong>Results: </strong>The prevalence of self-reported mood and anxiety disorders were 6.9% and 5.3% respectively. We found that paid full-time work was positively associated with self-reported mood disorder (OR = 0.61, 95% CI: 0.50-0.73) and self-reported anxiety disorder (OR = 0.65, 95% CI: 0.52-0.81). Older age (75+) was positively associated with self-reported mood disorder (OR = 0.56, 95% CI: 0.51-0.62) and self-reported anxiety disorder (OR = 0.62, 95% CI: 0.55-0.69). High work-related stress was a significant negative associated factor for both mental disorders [(OR = 1.46, 95% CI: 1.16-1.82), and (OR = 1.38, 95% CI: 1.07-1.77, respectively)]. Being female, single, a current smoker, and multimorbidity were statistically significant negative associated factors for both self-reported mood and anxiety disorders. Although females reported higher prevalence of self-reported mood and anxiety disorders, the significant factors associated with these conditions were largely similar across both sexes.</p><p><strong>Conclusions: </strong>Our findings emphasize the positive mental health benefits of paid work past age 65+ and its obvious financial benefit.</p><p><strong>Clinical implications: </strong>This research supports the idea of \"active aging\" and emphasize the need for further research to explore the motivations behind continued employment and their differential impact on mental health.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1376-1395"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2026-10-01Epub Date: 2026-02-01DOI: 10.1080/07317115.2026.2620525
Andre A Rosario, Ellen Munsterman, Mary Dioise Ramos, Olga F Jarrín
{"title":"Filipino American Family Caregivers of Older Adults Living with Dementia: A Scoping Review.","authors":"Andre A Rosario, Ellen Munsterman, Mary Dioise Ramos, Olga F Jarrín","doi":"10.1080/07317115.2026.2620525","DOIUrl":"10.1080/07317115.2026.2620525","url":null,"abstract":"<p><strong>Objectives: </strong>While data suggest that Filipino Americans face a higher incidence of dementia compared to other Asian subgroups, Filipino American family caregivers are understudied. Thus, the objectives of this scoping review are (a) to characterize the scope of the literature related to Filipino American family caregivers of older adults living with dementia and (b) to identify gaps and discuss implications for future studies.</p><p><strong>Methods: </strong>We conducted a scoping review in CINAHL, Embase, PsycINFO, PubMed, and Scopus. Qualitative content analysis was conducted to identify themes.</p><p><strong>Results: </strong>Twenty-two publications were included. Few examined Filipino Americans as the sole focus; most included them among Asian Americans more broadly. Key findings indicate language and cultural family expectations around caregiving affect recognition of dementia, decisions to seek care, and caregiver responsibilities. Four interventions were identified. Burden, stress, depression, and service utilization were commonly explored caregiver outcomes.</p><p><strong>Conclusions: </strong>Future research can (a) recruit more diverse samples from within the Filipino American population, (b) examine social determinants of health, (c) incorporate historical knowledge of Asian Americans, and (d) measure caregiver-specific outcomes.</p><p><strong>Clinical implications: </strong>Clinicians can recognize population-specific caregiving needs to help family members recognize dementia symptoms, reduce stigma around dementia, and promote access to caregiver support services.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1066-1078"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12970720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146099907","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}
Clinical GerontologistPub Date : 2026-10-01Epub Date: 2026-10-04DOI: 10.1080/07317115.2026.2735586
Victoria R Marino, Da Jung Chang, Jennifer Moye
{"title":"Widening the Lens: Caregiver, Social, and Attitudinal Contributors to Behavioral Health and Aging.","authors":"Victoria R Marino, Da Jung Chang, Jennifer Moye","doi":"10.1080/07317115.2026.2735586","DOIUrl":"https://doi.org/10.1080/07317115.2026.2735586","url":null,"abstract":"","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":"49 5","pages":"1053-1057"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}