Health Psychology and Behavioral Medicine最新文献

{"title":"Differences of sex development and surgical decisions: focus group interviews with health care professionals in Norway.","authors":"Line Merete Mediå, Lena Fauske, Solrun Sigurdardottir, Kristin J Billaud Feragen, Anne Waehre","doi":"10.1080/21642850.2024.2371134","DOIUrl":"10.1080/21642850.2024.2371134","url":null,"abstract":"<p><strong>Background: </strong>Differences of Sex Development (DSD) are congenital conditions where the chromosomal, gonadal and anatomical sex characteristics do not strictly belong to male or female categories, or that belong to both at the same time. Surgical interventions for individuals with DSD remain controversial, among affected individuals, caregivers, and health-care providers. A lack of evidence in support of, for deferring, or for avoiding surgery complicates the decision-making process. This study explores Norwegian health-care professionals' (HCPs) perspectives on decision-making in DSD-related surgeries and the dilemmas they are facing in this process.</p><p><strong>Methods: </strong>Focus group interviews with 14 HCPs integrated into or collaborating with multidisciplinary DSD teams were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Two overarching dilemmas shed light on the intricate considerations and challenges that HCPs encounter when guiding affected individuals and caregivers through surgical decision-making processes in the context of DSD. The first theme describes how shared decision-making was found to be influenced by fear of stigma and balancing the interplay between concepts of normality, personal experiences and external expectations when navigating the child's and caregivers' needs. The second theme illuminated dilemmas due to a lack of evidence-based practice. The core concepts within each theme were the dilemmas health-care professionals face during consultations with caregivers and affected individuals.</p><p><strong>Conclusion: </strong>HCPs were aware of the controversies with DSD-related surgeries. However, they struggled to reconcile knowledge with parents' wishes for surgery and faced dilemmas making decisions in the best interests of the child. This study draws attention to the benefits of increased knowledge on the consequences of performing or withholding surgery as well as incorporating tools enabling shared decision-making between HCPs and affected individuals/caregivers.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2371134"},"PeriodicalIF":2.4,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health behavior interventions among people with lower socio-economic position: a scoping review of behavior change techniques and effectiveness.","authors":"Loes van den Bekerom, Laurens C van Gestel, Jan W Schoones, Jet Bussemaker, Marieke A Adriaanse","doi":"10.1080/21642850.2024.2365931","DOIUrl":"10.1080/21642850.2024.2365931","url":null,"abstract":"<p><strong>Background: </strong>Behavior change interventions can unintendedly widen existing socio-economic health inequalities. Understanding why interventions are (in)effective among people with lower socio-economic position (SEP) is essential. Therefore, this scoping review aims to describe what is reported about the behavior change techniques (BCTs) applied within interventions and their effectiveness in encouraging physical activity and healthy eating, and reducing smoking and alcohol consumption according to SEP.</p><p><strong>Methods: </strong>A systematic search was conducted in 12 electronic databases, and 151 studies meeting the eligibility criteria were included and coded for health behavioral outcomes, SEP-operationalization, BCTs (type and number) and effectiveness.</p><p><strong>Results: </strong>Findings suggest that approaches for measuring, defining and substantiating lower SEP vary. Current studies of behavior change interventions for people of different SEP do not systematically identify BCTs, making systematic evaluation of BCT effectiveness impossible. The effectiveness of interventions is mainly evaluated by overall intervention outcomes and SEP-moderation effects are mostly not assessed.</p><p><strong>Conclusion: </strong>Using different SEP-operationalizations and not specifying BCTs hampers systematic evidence accumulation regarding effective (combinations of) BCTs for the low SEP population. To learn which BCTs effectively improve health behaviors among people with lower SEP, future intervention developers should justify how SEP is operationalized and must systematically describe and examine BCTs.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2365931"},"PeriodicalIF":2.4,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Falls prevention is more than just promoting physical health: evaluation of the group-based, out-patient prevention program 'Staying safe and active in old age - falls prevention'.","authors":"Greta M Steckhan, Lisa M Warner, Lena Fleig","doi":"10.1080/21642850.2024.2358915","DOIUrl":"10.1080/21642850.2024.2358915","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to evaluate the German falls prevention program 'Staying safe and active in old age - falls prevention', which is already established in practice.</p><p><strong>Methods: </strong>The single-arm intervention study consisted of two time points, 6 months apart, to evaluate the multifactorial falls prevention program (<i>n</i> = 125 at Time 2). We observed the groups and their trainers and assessed which behavior change techniques (BCTs) were used. According to our evaluation framework, changes in the following three domains were assessed: (a) <i>fall-related variables</i> (i.e. number of falls, fear of falling), (b) <i>physical functioning</i> (i.e. performance-based gait speed, coordination, self-reported leg strength, balance, as well as habitual execution of the exercises), and (c) <i>psychosocial functioning</i> (i.e. quality of life, activities of daily living, mobility, and loneliness). Linear mixed models were used to determine changes in each variable.</p><p><strong>Results: </strong><i>Demonstration of behavior</i> was the most frequently used BCT. The program showed significant benefits for fear of falling, balance, coordination, habitual execution, and loneliness over time (Cohen's <i>d</i> between -0.59 and 1.73). Number of falls, gait speed, coordination (dual task), activities of daily living, and quality of life were maintained (Cohen's <i>d</i> between -0.26 and 0.30), whereas leg strength and mobility decreased significantly at Time 2 (Cohen's <i>d</i> = -0.55 and -0.36).</p><p><strong>Discussion: </strong>Group-based falls prevention programs may facilitate social integration among older adults and may also enhance and maintain physical functioning in old age.<b>Trial registration:</b> German Clinical Trials Register identifier: DRKS00012321.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2358915"},"PeriodicalIF":2.7,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do young women approaching screening age interpret the NHS cervical screening leaflet? A mixed methods study of identifying interpretation difficulties, barriers, facilitators, and leaflet interpretation, engagement and future screening behaviour.","authors":"Caroline Charlton, Angela M Rodrigues","doi":"10.1080/21642850.2024.2361005","DOIUrl":"10.1080/21642850.2024.2361005","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer is a common cancer among young women aged 25-29 in England, and the NHS cervical screening leaflet is the first point of contact for those being invited for their first screening. This study aimed to explore how young women (18-24) understand and engage with the leaflet, as well as the barriers and facilitators associated with its interpretation, engagement, and screening intentions.</p><p><strong>Methods: </strong>The study used a mixed-methods approach, including a survey (<i>n</i> = 120) to identify interpretation difficulties and how they were affected by different characteristics, and a follow-up interview (<i>n</i> = 10) to assess the utility of the leaflet, identify issues with its practicality, and determine the factors that influence screening intentions.</p><p><strong>Results: </strong>The survey results showed that interpretation difficulties were common, particularly regarding HPV assessment, screening results, additional tests/treatment, and screening risks. Lower interpretation accuracy was associated with lower numeracy scores and non-white ethnicity. Despite these difficulties, participants had high confidence and motivation to engage with the leaflet. The interviews revealed knowledge gaps, issues with the leaflet's practicality, and a preference for digital information. Factors that were identified as barriers and facilitators of leaflet interpretation, engagement, and screening intentions included knowledge, social influence, beliefs about consequences, environmental context and resources, social role and identity, emotions and intentions.</p><p><strong>Conclusion: </strong>The current leaflet does not provide enough information for young women to make an informed decision about screening attendance. Implementing a digital invitation featuring simplified gist representation, targeted behaviour change techniques (BCTs), videos, and interactive tools can enhance education and promote screening behaviour. Future research should consider using digital tools and strategies to address existing barriers related to interpretation and engagement.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2361005"},"PeriodicalIF":2.7,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11146246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demystifying Open Science in health psychology and behavioral medicine: a practical guide to Registered Reports and Data Notes.","authors":"Emma Norris, Aoife O'Mahony, Rory Coyne, Tugce Varol, James A Green, James Reynolds, Elaine Toomey","doi":"10.1080/21642850.2024.2351939","DOIUrl":"10.1080/21642850.2024.2351939","url":null,"abstract":"<p><p>Open Science practices are integral to increasing transparency, reproducibility, and accessibility of research in health psychology and behavioral medicine. Drives to facilitate Open Science practices are becoming increasingly evident in journal editorial policies, including the establishment of new paper formats such as Registered Reports and Data Notes. This paper provides: (i) an overview of the current state of Open Science policies within health psychology and behavioral medicine, (ii) a call for submissions to an Article Collection of Registered Reports and Data Notes as new paper formats within the journal of <i>Health Psychology & Behavioral Medicine</i>, (iii) an overview of Registered Reports and Data Notes, and (iv) practical considerations for authors and reviewers of Registered Reports and Data Notes.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2351939"},"PeriodicalIF":2.7,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11138224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between exercise-related expectancies and exercise behaviour in adolescent athletes.","authors":"Katharina Borgolte, Martin Pinquart","doi":"10.1080/21642850.2024.2356777","DOIUrl":"10.1080/21642850.2024.2356777","url":null,"abstract":"<p><strong>Background: </strong>In recent years, a decline in sports behaviour among adolescents was observed, even though it is generally known that sports contribute to healthy development. According to the social cognitive theory of Bandura, outcome expectancies play an important role in the practice of health behaviour.</p><p><strong>Methods: </strong>This study analysed the relationship between exercise-related outcome expectancies (EOEs) and exercise behaviour among adolescent athletes, and the differences of EOEs according to age, gender and type of sport played. In an online survey <i>N</i> = 223 (female = 140, male = 83) athletes between the age of 10-19 (<i>M_age</i> = 14.27, <i>SD </i>= 3.21) completed the Exercise-related Outcome Expectancies Questionnaire for Adolescents (EOEQ-A), as well as questions about their sociodemographic background and training behaviour.</p><p><strong>Results: </strong>A small positive correlation of psychological EOEs with the overall amount of training was discovered while expectancies about negative consequences of sports were associated with lower training efforts. Athletes between 14 and 16 years reported significantly stronger negative EOEs than younger or older participants. Regarding gender, no significant differences were found. Furthermore, a positive correlation between social EOEs and participation in team sports, as well as training in a group was found.</p><p><strong>Conclusion: </strong>These results could help with adapting exercise-related interventions so that the positive expectancies of the athletes can be fulfilled and exercise behaviour among adolescents can be promoted. Future studies should investigate the relationship between changes in expectancies and changes in exercise behaviour.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2356777"},"PeriodicalIF":2.7,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11132558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More than my appearance: a pilot evaluation of the expand your Horizon Online functionality-based writing programme for adults with visible differences.","authors":"Ella Guest, Emma Halliwell, Abbi Mathews, Jessica Alleva, Diana Harcourt","doi":"10.1080/21642850.2024.2349004","DOIUrl":"10.1080/21642850.2024.2349004","url":null,"abstract":"<p><strong>Background: </strong>Adults with conditions that affect their appearance, known as visible differences, can experience appearance concerns, social anxiety, and depression. Interventions have been developed for this population to facilitate adjustment and coping skills; however, they have limited evidence of efficacy. The Expand Your Horizon [Alleva, J. M., Martijn, C., Van Breukelen, G. J., Jansen, A., & Karos, K. (2015). Expand Your Horizon: A programme that improves body image and reduces self-objectification by training women to focus on body functionality. <i>Body Image,</i> 15, 81-89. https://doi.org/10.1016/j.bodyim.2015.07.001] online functionality-based writing programme was adapted for adults with visible differences.</p><p><strong>Method: </strong>A pilot randomised controlled trial with a wait-list control group was carried out to assess preliminary intervention efficacy and gain information about the acceptability and feasibility of the programme. Forty-four adults aged 21-63 years (<i>M</i> = 40.21; <i>SD</i> = 12.05) with visible differences took part. Various facets of body image (i.e. functionality appreciation and body appreciation) as well as depression and anxiety were assessed immediately pre- and post-intervention and at three-months.</p><p><strong>Results: </strong>Participants reported enjoying the programme, felt that the format was acceptable, and it significantly increased functionality appreciation, which was maintained at three-months. However, there were no improvements in body appreciation, depression, and anxiety.</p><p><strong>Conclusions: </strong>In future, a full trial should be carried out with an active control group.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2349004"},"PeriodicalIF":2.7,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11085943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological distress in individuals with irritable bowel syndrome: the roles of body image and self-criticism.","authors":"Shulamit Geller, Sigal Levy, Ronit Avitsur","doi":"10.1080/21642850.2024.2334466","DOIUrl":"10.1080/21642850.2024.2334466","url":null,"abstract":"<p><strong>Objective: </strong>Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disorder associated with reduced quality of life and psychological distress (PD) including anxiety and depression. The mechanisms linking IBS to PD are unclear. Previous studies showed that body image and self-criticism may be contributory factors. Thus, the objective of this study was to test the potential mediating roles of these factors in the relationship between IBS and PD.</p><p><strong>Method: </strong>507 adults participated, including 142 with IBS (Mean age = 31.9, SD = 11.7), and 365 healthy peers (Mean age = 26.2, SD = 6.4), ranging in age from 18 to 75. The majority of participants were women (78%). Self-report measures assessed IBS status, body appreciation, body dissatisfaction, self-criticism, sociodemographic status, depression, and anxiety. Path analysis tested the hypothesized mediation model.</p><p><strong>Results: </strong>IBS participants reported greater PD, lower body appreciation, higher body dissatisfaction, and higher self-criticism than controls. Body appreciation and self-criticism sequentially mediated the link between IBS status and both depression and anxiety. IBS was associated with reduced body appreciation, which in turn was linked to heightened self-criticism, thereby leading to elevated psychological distress.</p><p><strong>Conclusion: </strong>Results suggest IBS negatively impacts body image appreciation, fostering self-critical judgments that exacerbate psychological symptoms. This study is the first to demonstrate a significant association between body appreciation and IBS, specifically highlighting this relationship. Findings clarify the psychosocial pathways at play in the comorbidity of mental health issues in IBS. Physicians and other health professionals are advised to detect women with IBS who are distressed, and to offer them appropriate intervention to prevent downstream consequences.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2334466"},"PeriodicalIF":2.7,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficulties in emotion regulation and well-being in breast cancer.","authors":"Isabel Guimarães, Sandra Torres, Ana Isabel Vieira, Catherina Jönsson, Marina Prista Guerra, Leonor Lencastre","doi":"10.1080/21642850.2024.2329087","DOIUrl":"10.1080/21642850.2024.2329087","url":null,"abstract":"<p><strong>Objective: </strong>Breast cancer is responsible for disruptive changes in women's lives, causing them to experience diverse and intense negative emotions that can affect their perception of well-being. The present study aimed to characterize difficulties in emotion regulation (ER), according to Gratz and Roemer's multidimensional assessment, in women with breast cancer and to relate them with General Well-Being and its different domains: Physical, Social/Familial, Emotional, and Functional.</p><p><strong>Method: </strong>Ninety-five Portuguese women with breast cancer aged between 32 and 75 years answered a sociodemographic and clinical questionnaire and the Portuguese versions of the Difficulties in Emotion Regulation Scale and the Functional Assessment of Cancer Therapy - General. Data were collected in an oncology public hospital.</p><p><strong>Results: </strong>In general, difficulties in ER presented negative correlations with General Well-Being and its domains. The multiple regression analysis findings indicated that two specific types of difficulties, Limited Access to ER Strategies and Lack of Emotional Clarity, play a significant role in predicting well-being, especially in the Emotional domain, which was most compromised in these patients.</p><p><strong>Conclusions: </strong>These difficulties should be approached within psycho-oncological interventions as they are essential contributors to improving emotional and general well-being and fostering psychological adaptation to breast cancer.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2329087"},"PeriodicalIF":2.7,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10953782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring environmental cues to instigate physical movement in the workplace.","authors":"Kailas Jenkins, Jena Buchan, Ryan E Rhodes, Kyra Hamilton","doi":"10.1080/21642850.2024.2323433","DOIUrl":"10.1080/21642850.2024.2323433","url":null,"abstract":"<p><strong>Background: </strong>With the increase of sedentary jobs and the health risks associated with a sedentary lifestyle, finding novel methods to increase physical activity should be a priority. Environmental cues within the workplace can serve as cues to action for initiating light physical activity.</p><p><strong>Aim: </strong>To qualitatively explore the environmental cues that can instigate light physical activity within an office workplace context. Identification of these cues can inform behaviour change programmes designed to promote habitual physical movement within the workplace.</p><p><strong>Method: </strong>Purposive sampling was used to recruit full-time sedentary office workers who self-report as having a highly sedentary job. Interviews followed a semi-structured design and thematic analysis was used to explore environmental cues within commercial, home, and mixed office settings.</p><p><strong>Results: </strong>Forty-three office workers were interviewed, 16 from a commercial office, 12 from a home office, and 15 with a flexible work arrangement whereby they worked from both a commercial and home office. The findings of this study indicate that across all three groups the main instigator of movement was influenced by office layout (e.g. getting up for beverages and taking bathroom breaks), social environment (e.g. informal and formal meetings), and taking active breaks, both job-related (e.g. printing and filing) and non-job-related (e.g. household chores).</p><p><strong>Conclusions: </strong>These findings provide valuable insight for behaviour change programmes utilising environmental cues to inform habit-based interventions designed to instigate movement within the workplace.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"12 1","pages":"2323433"},"PeriodicalIF":2.7,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10930145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}