Luana-Maria Alexa, Andrei Rusu, Juliette Richetin, Ioana-Maria Latu, Mugur Daniel Ciumăgeanu, Ana-Maria Radu, Camelia Maria Dindelegan, Ciprian Ionuț Băcilă
{"title":"Measuring Self-Stigma Among Romanian Psychiatric Patients: Cultural Adaptation and Further Psychometric Insights for the Self-Stigma of Mental Illness Scale and the Paradox of Self-Stigma Scale.","authors":"Luana-Maria Alexa, Andrei Rusu, Juliette Richetin, Ioana-Maria Latu, Mugur Daniel Ciumăgeanu, Ana-Maria Radu, Camelia Maria Dindelegan, Ciprian Ionuț Băcilă","doi":"10.1177/01632787251384305","DOIUrl":"https://doi.org/10.1177/01632787251384305","url":null,"abstract":"<p><p>In the present study, we aimed to translate and validate two instruments designed to assess self-stigmatization: the <i>Self-Stigma of Mental Illness Scale</i> and the <i>Paradox of Self-Stigma Scale</i>, among Romanian psychiatric patients. Responses from 326 psychiatric patients (58% women) diagnosed with internalizing and externalizing disorders were collected to evaluate the instruments' structural validity, measurement invariance, reliability, convergent and criterion validity. Confirmatory factor analyses offered support for the intended structure of both instruments and the pattern of associations with the other investigated variables further sustained their validity. Reliability was optimal, as revealed by excellent internal consistency estimates. For the first time, the invariance of these instruments was tested based on gender and psychiatric diagnosis. Our results suggest that both instruments can be confidently used by Romanian specialists, providing an effective toolkit for measuring self-stigmatization related to mental health.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251384305"},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198896","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":"Home Healthcare Program Among Adults Aged 50 and Older: A RE-AIM Framework Evaluation Using 3-Year Real-World Data.","authors":"Zih-Syuan Yang, Huei-Ru Yang, Ping-Jen Chen, Fu-Wen Liang, Wei-Zhe Tseng, Sang-Ju Yu, Hung-Yi Chiou, Chao A Hsiung, Jung-Yu Liao","doi":"10.1177/01632787251380874","DOIUrl":"https://doi.org/10.1177/01632787251380874","url":null,"abstract":"<p><p>Home healthcare is a widely adopted health policy to address the needs of aging societies. This study examined Taiwan's home healthcare policy as a case example, assessing its implementation through the five dimensions of the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Taiwan's home healthcare policy, launched in 2016 as the \"Integrated Home-Based Medical Care\" (iHBMC) program, is reimbursed by the National Health Insurance. The study utilized data from the National Health Insurance Research Database and publicly available government sources. A total of 15,761 adults aged 50 years and above in the iHBMC program during its first year were identified, with 16% receiving home-based primary care (S1) and 84% receiving home-based advanced care (S2) (Reach). Prescriptions for chronic diseases and emergency department visits were significantly decreased among S1 and S2 patients after the iHBMC program (Effectiveness). Among all institutions delivering home healthcare, the majority were clinics (74%), followed by home nursing care agencies (18.3%) and hospitals (7.5%) (Adoption). Continuity of care was higher in S1 than in S2 (Implementation). More than 70% of participants engaged in the program for more than 6 months (Maintenance). These findings suggest the iHBMC program is feasible, improves healthcare utilization, and reduces hospital burden.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251380874"},"PeriodicalIF":1.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130375","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}
Paolo Soraci, Mark D Griffiths, Elena Del Fante, Renato Pisanti, Giulia Marafioti, Rocco Servidio, Elisa Chini, Attila Szabo
{"title":"Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale.","authors":"Paolo Soraci, Mark D Griffiths, Elena Del Fante, Renato Pisanti, Giulia Marafioti, Rocco Servidio, Elisa Chini, Attila Szabo","doi":"10.1177/01632787251380550","DOIUrl":"https://doi.org/10.1177/01632787251380550","url":null,"abstract":"<p><p>The present study aimed to validate the Italian 8-item, 9-item, and 12-item versions of the Depression, Anxiety and Stress Scale-21 (DASS-21), addressing the need for shorter yet psychometrically robust measures. Two studies were conducted with different samples. In Study 1 (<i>n</i> = 541), confirmatory factor analysis (CFA) and reliability testing of the short-form versions of the DASS were performed, and their convergent validity with life satisfaction and mental well-being was examined. Study 2 (<i>n</i> = 321) extended this validation by reassessing factor structure, reliability, and convergent validity using constructs associated with psychological distress, including positive and negative affect, self-esteem, and perceived stress. Results demonstrated that all short-form versions retained the three-factor structure of the original DASS-21, with overall sufficient fit indices, especially the 9-item model. Reliability metrics confirmed internal consistency (all Cronbach's alpha and McDonald's omega ≥0.70). Convergent validity analyses indicated strong correlations between the short-form versions of DASS-21 (min = 0.675, max = 0.956) and associated psychological constructs, aligning with theoretical expectations. The scales captured the relationships between psychological distress, positive and negative affect, perceived stress, mental well-being, self-esteem, and life satisfaction. Findings suggest that the Italian versions of the DASS-8, DASS-9, and DASS-12 provide feasible and reliable alternatives to the DASS-21 for assessing depression, anxiety, and stress, supporting their usefulness in clinical and research contexts, particularly in circumstances in which brevity is essential.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251380550"},"PeriodicalIF":1.6,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091656","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":"Psychometric Evaluation of the English Language Version of the Instagram Addiction Scale-15 Among English-Speaking Indian Adults.","authors":"Shankey Verma, Simran Dhankar, Mark D Griffiths","doi":"10.1177/01632787251377476","DOIUrl":"https://doi.org/10.1177/01632787251377476","url":null,"abstract":"<p><p>Instagram's popularity has raised concern about its problematic use. However, no validated scales assessing Instagram addiction exist in the Indian context. The present study evaluated the psychometric properties of the 15-item Instagram Addiction Scale (IAS-15) among Indian adults. In total, 301 participants (M<sub>age</sub> = 22.89 years) were recruited using a convenience sampling technique. Confirmatory factor analysis indicated that the two components of the IAS-15, social effect and compulsion, had suitable factor loadings: CMIN/DF (chi-square/degree of freedom) = 2.531, GFI (goodness of fit index) = 0.903, IFI (incremental fit index) = 0.965, TLI (Tucker-Lewis index) = 0.958, CFI (comparative fit index) = 0.965, and RMSEA (root mean square error of approximation) = 0.071. This was further improved by drawing covariances between theoretically linked items (CMIN/DF = 2.273, GFI = 0.916, IFI = 0.972, TLI = 0.965, CFI = 0.971, and RMSEA = 0.065). Strong convergent validity with a significant and positive correlation with social media addiction (<i>r</i> = 0.899), and strong concurrent validity with depression (<i>r</i> = 0.778), anxiety (<i>r</i> = 0.777), stress (<i>r</i> = 0.815), and negative correlations with self-esteem (<i>r</i> = -0.635) were observed. The IAS-15 demonstrated excellent internal consistency with Cronbach's alpha (α) and McDonald's omega (ω) coefficients of reliability for the overall scale (α = 0.962 and ω = 0.963) and its two subscales, social effect (α = 0.941 and ω = 0.942) and compulsion (α = 0.922 and ω = 0.922). Findings confirm that the IAS-15 is a valid and reliable instrument for assessing Instagram addiction among Indian adults.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251377476"},"PeriodicalIF":1.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000036","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":"The Health Sciences Evidence-Based Practice Questionnaire: Adaptation to Turkish Culture, Validity and Reliability Study in Physiotherapists.","authors":"Ayşe Nur Şahin Balık, Manolya Acar","doi":"10.1177/01632787251376312","DOIUrl":"https://doi.org/10.1177/01632787251376312","url":null,"abstract":"<p><p>This study adapted the Health Sciences Evidence-Based Practice (HS-EBP) Questionnaire, which measures evidence-based practice knowledge and attitudes, into Turkish and tested its validity and reliability among physiotherapists in Turkey. Data were obtained from 268 physiotherapists. The Quality of Professional Life (PRoQOL) Scale, Resistance to Change Scale (RCS), Maslach Burnout Inventory (MBI), and Information Literacy Self-Efficacy Scale (ILSES) were used concurrently to test the convergent validity. The confirmatory factor analysis (CFA) was created to examine construct validity. The reliability of the Turkish HS-EBP questionnaire was evaluated by internal consistency (Cronbach's alpha), correlation values between items and total scores, and test-retest reliability (intraclass correlation coefficient (ICC). The Cronbach's alpha of the scale (0.985) demonstrated high internal consistency and test-retest reliability (ICC = 0.992). The item-total correlations ranged from 0.528 to 0.867. The MDC for the scale was determined to be 7.518. The fit indices (χ2/sd) were 2.331, RMSEA 0.071, SRMR 0.062, IFI 0.907, CFI 0.906, GFI 0.862, and TLI 0.917. There was a positive statistically significant correlation between the Turkish HS-EBP questionnaire and PRoQOL, ILSES, and a negative correlation between RCS, MBI subscores (<i>p</i> < 0,05). The Turkish version of the HS-EBP questionnaire is a practical, valid, and reliable scale that measures the knowledge, skills, beliefs, and attitudes of Turkish-speaking physiotherapists.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251376312"},"PeriodicalIF":1.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991965","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}
Elizabeth D Auckley, Jack Geiger, Amy Farkas, Cecilia Scholcoff, Katherine Gavinski, Jeffrey L Jackson
{"title":"Internal Medicine Resident Evaluations of Attending Physicians.","authors":"Elizabeth D Auckley, Jack Geiger, Amy Farkas, Cecilia Scholcoff, Katherine Gavinski, Jeffrey L Jackson","doi":"10.1177/01632787251377057","DOIUrl":"https://doi.org/10.1177/01632787251377057","url":null,"abstract":"<p><p>This study's purpose was to assess the prevalence and characteristics of highly and poorly rated attending physicians as well as the evaluation's reliability and validity. Medicine residents evaluated attending physicians (2013-2024) on eight teaching domains (clarity, supervision, skills, decision-making, expectations, feedback, approachability and overall effectiveness). Overall teaching effectiveness was dichotomized into \"highly rated\" (scores of 5) and \"poorly rated\" (scores of ≤3). We assessed correlates of highly and poorly rated attending physicians using generalized latent and linear and mixed methods. Validity and reliability were assessed using factor analysis, Cronbach's alpha and intra-class correlation coefficients. Among 20,150 evaluations of 668 attending physicians by 814 residents, 67% were rated highly (n = 12,801) and 9% were poorly rated (n = 1,754). Highly rated attendings explained decisions (OR: 5.1, 95% CI: 3.l-7.0), were clear (OR: 3.2, 95% CI: 2.4-4.4), approachable (OR: 2.9, 95% CI: 2.2-3.9) and demonstrated skills (OR: 3.2, 95% CI: 2.4-4.3). Poorly rated attending physicians received multiple poor ratings (74%) and lower scores on all teaching domains. Ratings were reliable and consistent, but had low levels of agreement by residents. We conclude that attending physicians were commonly highly rated. While uncommon, poor ratings are better discriminators of teaching quality than highly rated ones.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251377057"},"PeriodicalIF":1.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948431","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}
David Buetti, Michael Fitzgerald, Cassandra Barber, Patrick R Labelle, Isabelle Bourgeois, Tim Aubry, Erin Cameron, Claire E Kendall
{"title":"The Use of Contribution Analysis in Evaluating Health Interventions: A Scoping Review.","authors":"David Buetti, Michael Fitzgerald, Cassandra Barber, Patrick R Labelle, Isabelle Bourgeois, Tim Aubry, Erin Cameron, Claire E Kendall","doi":"10.1177/01632787241281745","DOIUrl":"10.1177/01632787241281745","url":null,"abstract":"<p><p>Contribution Analysis (CA) is a promising theory-based evaluation approach for complex interventions, yet its application in health interventions remains largely unexplored. To bridge this gap, we conducted a scoping review to examine the extent of such applications and the methodologies, strengths, and limitations of this approach in health programming. Our comprehensive search strategy was developed and used in 15 databases to identify peer-reviewed articles from 1999 to 2023 that focused on using CA to evaluate health interventions. We then implemented rigorous double- and triple-screening processes for abstracts and full-text papers, respectively. Data were extracted and narratively summarized. Our review found seven relevant studies, which showed that CA has been employed in health promotion programs, health policies, and targeted health issues such as nutrition, cardiovascular disease, substance misuse, and suicide prevention. The studies identified strengths of using CA, including its flexible impact evaluation approach, capacity to inform decision-making, and potential to enhance understanding of health programs and policies. However, challenges such as how to determine suitable evidence levels and how to best manage resource intensity were also identified. The limited number of studies indicates that CA is still a novel approach, whereas the variation in the reporting of the studies suggests that this approach could benefit from more standardized methods and detailed stakeholder engagement strategies.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"363-373"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12274561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153502","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}
Kamolthip Ruckwongpatr, Daniel Kwasi Ahorsu, Apiradee Pimsen, Chirawat Paratthakonkun, Serene En Hui Tung, Iqbal Pramukti, Nadia Bevan, Jung-Sheng Chen, Chi Hsien Huang, Amir H Pakpour, Mark D Griffiths, Chung-Ying Lin
{"title":"Validation and Measurement Invariance of the Tendency to Avoid Physical Activity and Sport Scale (TAPAS) Among Thai Young Adults.","authors":"Kamolthip Ruckwongpatr, Daniel Kwasi Ahorsu, Apiradee Pimsen, Chirawat Paratthakonkun, Serene En Hui Tung, Iqbal Pramukti, Nadia Bevan, Jung-Sheng Chen, Chi Hsien Huang, Amir H Pakpour, Mark D Griffiths, Chung-Ying Lin","doi":"10.1177/01632787241271117","DOIUrl":"10.1177/01632787241271117","url":null,"abstract":"<p><p>Examining ways of reducing physical inactivity has been at the forefront of public health research. Moreover, valid and reliable scales are needed to objectively assess physical activity (PA) avoidance. Previous research has shown that experiencing weight stigma and physical appearance-related concerns are associated with physical inactivity. However, there is currently no Thai instrument that assesses physical inactivity in relation to weight stigma. Therefore, the present study examined the psychometric properties of the Thai version of the Tendency to Avoid Physical Activity and Sport Scale (TAPAS). Thai university students (<i>N</i> = 612) recruited via convenience sampling completed an online survey using <i>SurveyMonkey</i> between September 2022 and January 2023. Confirmatory factor analysis (CFA), multigroup CFA, and Pearson correlations (between TAPAS scores, age, body mass index, and time spent exercising) were used to analyze the data. The CFA showed robust psychometric properties for the Thai version of TAPAS regarding its unidimensional structure. The TAPAS was measurement invariant across sex, weight status, and daily hours of exercise. However, no significant Pearson correlations were found. In general, the results showed that the TAPAS is a good scale for assessing PA avoidance among Thai young adults across different sexes, weight status, and daily hours of exercise.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"308-319"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987725","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}
Karlie M Mirabelli, Brandon K Schultz, Alexander M Schoemann, Sequoyah R Bell, Suzanne Lazorick
{"title":"Psychometric Properties of a Wellness Behavior Rating Scale for Young Adolescents.","authors":"Karlie M Mirabelli, Brandon K Schultz, Alexander M Schoemann, Sequoyah R Bell, Suzanne Lazorick","doi":"10.1177/01632787241263372","DOIUrl":"10.1177/01632787241263372","url":null,"abstract":"<p><p>We examined the psychometric properties of the <i>Physical Activity, Nutrition, and Technology</i> (PANT) survey, developed by researchers to track weight management behaviors among youth. Data from 2,039 middle school students (<i>M</i> age = 12.4, <i>SD</i> = .5; 51.4% girls) were analyzed to explore and then confirm the factor structure of the PANT survey. We also examined the bivariate associations between the PANT survey, body mass index (BMI), and the Progressive Aerobic Cardiorespiratory Endurance Run (PACER). Results suggest that the PANT survey is comprised of two factors-<i>Physical Activity</i> and <i>Healthy Choices</i>-each with adequate internal consistency (<i>α</i> = .79 and 0.86, respectively). The Physical Activity subscale appears to be significantly associated with both <i>z</i>-BMI (<i>r</i> = -0.10, <i>p</i> < .001) and the PACER (<i>r</i> = 0.33, <i>p</i> < .001) in the anticipated directions, but the criterion validity of the Healthy Choices subscale is less clear. We discuss these findings and explore future directions for developing meaningful self-report wellness behavior scales for youth.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"320-329"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727094","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":"Validity and Reliability of the Turkish Version of the Low Back Activity Confidence Scale (LoBACS).","authors":"Sezin Solum, Ender Salbaş","doi":"10.1177/01632787241307031","DOIUrl":"10.1177/01632787241307031","url":null,"abstract":"<p><p>The Low Back Activity Confidence Scale (LoBACS) is a 15-item scale designed to assess low back pain (LBP) through self-efficacy, a key predictor of functional recovery. This study aimed to culturally adapt and evaluate the validity and reliability of the Turkish version of LoBACS in patients with LBP. The translation and adaptation followed Beaton et al.'s protocol. Content and face validity were assessed with a pre-patient group. Both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to evaluate construct validity. Internal consistency, as well as test-retest reliability, were evaluated in a sample of 150 patients aged 18-70 years. Concurrent validity was measured alongside the Oswestry Back Pain Disability Questionnaire (ODQ) and Quebec Back Pain Disability Scale (QBPDS). Two factors emerged from factor analysis, with item loadings for Functional Self-efficacy (FnSE) ranging from 0.745 to 0.896 and for Self-Regulatory and Exercise Self-efficacy (Self-Reg&ExSE) from 0.817 to 0.940. Cronbach's alpha was high for FnSE, Self-Reg&ExSE, and the total scale (α = 0.941). Total correlation for each item ranged between 0.770 and 0.925. Test-retest reliability was also high (r = 0.941, <i>p</i> < .01). LoBACS showed moderate agreement with ODQ and QBPDS, demonstrating concurrent validity. In conclusion, the Turkish version of LoBACS is a valid and reliable tool for measuring LBP-related self-efficacy.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"347-354"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806654","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}