Healthcare最新文献

{"title":"Effect of a Smartphone-Based Neonatal Transitional Care Program for Families of Infants and Toddlers Born as High-Risk Neonates.","authors":"Jeong Soon Kim, Yoon Kyung Kim","doi":"10.3390/healthcare14193349","DOIUrl":"10.3390/healthcare14193349","url":null,"abstract":"<p><p><b>Background:</b> In this study, researchers developed and evaluated the effect of a neonatal transitional care program application designed for home use by families of infants and toddlers born as high-risk neonates following discharge from the neonatal intensive care unit. <b>Methods:</b> The and \"Developing Together\" (neonatal transitional care, NTC) program, a smartphone-based application, was created based on the FICare model, utilizing the Analysis, Design, Develop, Implement, and Evaluate instructional design process. Researchers employed a nonequivalent control group and non-synchronized design (experimental group, <i>n</i> = 65; control group, <i>n</i> = 63). The program was conducted over 5-6 weeks. Participants were evaluated using questionnaires before and immediately after the program as an online, self-administered questionnaire. Data were analyzed using descriptive statistics, <i>t</i>-tests, χ² tests and Fisher's exact tests, in addition to ANCOVA. <b>Results:</b> Compared with the parents in the control group, those in the experimental group demonstrated increased developmental knowledge (F = 3.94, <i>p</i> = 0.009), parenting knowledge (F = 6.72, <i>p</i> < 0.001) and maternal confidence (F = 9.33, <i>p</i> < 0.001), and reduced stress levels (F = 2.70, <i>p</i> = 0.046). <b>Conclusions:</b> The transitional care program utilizing a smartphone app led to significant improvements following the educational intervention for families of high-risk neonates within the community.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediterranean Diet Adherence and Cardiometabolic, Inflammatory, Hormonal, Body Composition, and Behavioral Health Profiles in Physically Active Young Adults: An Analytical Cross-Sectional Study.","authors":"Nour Amin Elsahoryi, Huda Awni Al-Ramahi, Omar Amin Alhaj, Haitham Jahrami","doi":"10.3390/healthcare14193345","DOIUrl":"10.3390/healthcare14193345","url":null,"abstract":"<p><p><b>Background:</b> The Mediterranean Diet (MD) is linked to better cardiometabolic and inflammatory health, but its relationships with appetite-related hormones, body composition, and behavioral health remain unclear in physically active young adults from understudied Arab settings. Objective: To examine associations between MD adherence and cardiometabolic, inflammatory, hormonal, body-composition, and behavioral-health profiles, including sleep quality, physical activity, perceived recovery, and health-related quality of life (HRQoL), among physically active young adults in Jordan. <b>Methods:</b> Eighty adults aged 18-35 years (44 men and 36 women) were recruited from fitness centers and campuses in Amman. MD adherence was assessed using the validated Moroccan Arabic version of the 14-item Mediterranean Diet Adherence Screener (MEDAS; adherent ≥ 8). Fasting lipid profile, C-reactive protein (CRP), interleukin-6 (IL-6), leptin, and ghrelin were measured using enzymatic and ELISA methods. Anthropometric and body-composition measures were assessed using stadiometry and multifrequency bioelectrical impedance analysis. Sleep quality, physical activity, perceived recovery, and HRQoL were assessed using validated questionnaires. <b>Results:</b> 60% of participants were non-adherent to the MD. In exploratory analyses, non-adherence was associated with higher odds of abnormal triglycerides (adjusted OR = 9.17, 95% CI: 2.08-40.38). After additional adjustment for percent body fat, the association with abnormal CRP remained significant (adjusted OR = 5.39, 95% CI: 1.34-21.61), whereas the association with abnormal leptin was attenuated and no longer statistically significant (adjusted OR = 3.47, 95% CI: 0.75-16.07). The leptin finding was sensitive to adjustment for adiposity, while residual confounding remains possible for the CRP association. Non-adherent participants had higher BMI, body fat mass, and percent body fat, and lower physical HRQoL. No statistically significant associations were detected for ghrelin, resting blood pressure, or resting heart rate. The IL-6 findings were inconclusive because 62.5% of measurements were below the assay detection limit. <b>Conclusions:</b> Greater MD adherence was associated with a more favorable cardiometabolic and body-composition profile in this exploratory cross-sectional sample. These hypothesis-generating findings highlight the importance of considering dietary quality alongside physical activity and require confirmation in larger prospective studies with more comprehensive confounder adjustment.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Engagement in Healthcare: The Influence of Internet Use and Social Media on Messaging Providers, Viewing Test Results, and Scheduling Appointments.","authors":"Banee Louis, Gulzar Shah, Bettye Apenteng, Jeffery Jones","doi":"10.3390/healthcare14193358","DOIUrl":"10.3390/healthcare14193358","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Digital platforms are increasingly used to access health information and healthcare services, yet engagement with online health services varies across individuals. This study examined factors associated with three forms of digital health engagement among U.S. adults: using the Internet to message healthcare providers or their offices, view medical test results, and make medical appointments. <b>Methods</b>: Cross-sectional data from the 2022 Health Information National Trends Survey (HINTS 6) were analyzed. Survey-weighted multivariable logistic regression models were used to examine associations between the three digital health engagement outcomes and Internet use for health information, social media use for health decision-making, confidence in finding helpful health resources online, trust in the healthcare system, and delayed needed care, while adjusting for selected demographic and health characteristics. <b>Results</b>: Across all three models, respondents who used the Internet to look for health information had substantially higher odds of messaging healthcare providers (AOR = 9.88, 95% CI [7.59, 12.87]), viewing test results (AOR = 14.46, 95% CI [10.80, 19.37]), and making medical appointments online (AOR = 7.38, 95% CI [5.16, 10.54]). Lower confidence in finding helpful health resources online was also associated with lower odds of selected forms of digital health engagement. Delayed needed care was associated with lower odds of viewing test results, while age and race/ethnicity were associated with selected forms of digital engagement. <b>Conclusions</b>: Internet health information seeking and confidence in finding helpful health resources online were consistently associated with engagement in online health services. These findings highlight the importance of prior online health experience and confidence in understanding patterns of digital healthcare engagement and may inform efforts to promote equitable access to and use of online healthcare services.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Indicators in Older Men Practising Aquatic Exercise and Multicomponent Exercise: An Exploratory Cross-Sectional Study.","authors":"Carlos Farinha, José Pedro Ferreira, Ana Teixeira, Samuel Honório, Marco Batista, Jorge Santos, Miguel Rebelo, João Petrica, João Serrano","doi":"10.3390/healthcare14193343","DOIUrl":"10.3390/healthcare14193343","url":null,"abstract":"<p><strong>Background/objectives: </strong>Regular physical exercise is considered a relevant strategy for promoting physical and mental health in older adults. However, studies using exclusively male samples that directly compare different exercise modalities in mental health indicators remain scarce. Therefore, this study aimed to compare mental health indicators between older men practising aquatic physical exercise and older men practising multicomponent physical exercise.</p><p><strong>Methods: </strong>This exploratory cross-sectional study included 17 older men, divided into two groups: aquatic exercise (AE; n = 8; 70.8 ± 4.5 years) and multicomponent exercise (ME; n = 9; 75.4 ± 4.1 years). We assessed the following mental health indicators: self-esteem (Rosenberg Self-Esteem Scale); life satisfaction (Satisfaction with Life Scale); depressive symptoms (Geriatric Depression Scale); and perceived stress (Perceived Stress Scale). As sample characterisation variables, body composition parameters were analysed: body weight, bioelectrical impedance-derived visceral fat level, percentage of fat mass, and percentage of muscle mass.</p><p><strong>Results: </strong>In the unadjusted parametric analysis, life satisfaction differed significantly between groups, with higher values in the ME group (<i>p</i> = 0.029; <i>d</i> = -1.174; 95% CI: -2.20 to -0.12). However, this difference no longer reached the threshold for statistical significance after the Bonferroni correction for multiple comparisons (adjusted <i>p</i> = 0.116) or in the non-parametric sensitivity analysis (<i>p</i> = 0.054). We observed no statistically significant between-group differences in self-esteem, depressive symptoms, or perceived stress.</p><p><strong>Conclusions: </strong>In this sample of older men, the unadjusted parametric analysis showed a between-group difference in life satisfaction, with higher values in the multicomponent exercise group. However, this finding did not remain statistically significant after correction for multiple comparisons or in the non-parametric sensitivity analysis. No statistically significant between-group differences were detected in the remaining mental health indicators analysed. Nevertheless, given the small sample size and limited statistical power, the absence of statistically significant differences in these indicators should not be interpreted as evidence of similarity between the exercise modalities. These findings should be considered exploratory and interpreted with caution, also taking into account the cross-sectional design of the study.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Depressive Symptoms Among Korean Young Adults by Sex in the Third Year of the COVID-19 Pandemic.","authors":"Seol-Bin Kim","doi":"10.3390/healthcare14193356","DOIUrl":"10.3390/healthcare14193356","url":null,"abstract":"<p><p><b>Background/Objectives:</b> This study analyzed factors associated with depressive symptoms by sex among Korean young adults in the third year of the coronavirus disease 2019 (COVID-19) pandemic. <b>Methods:</b> The subjects of this secondary data analysis were 47,353 young adults (23,407 men and 23,946 women) aged 19-39 years from the nationwide 2022 Community Health Survey. Depressive symptoms were defined as a Patient Health Questionnaire-9 score ≥ 6. Complex sample multiple logistic regression analyses were performed for the total sample (adjusted for sex) and separately for men and women. <b>Results:</b> The proportion of participants with depressive symptoms was 16.3% in women and 10.1% in men, and women had higher odds of depressive symptoms than men (adjusted odds ratio = 1.89, 95% confidence interval: 1.72-2.07). In both sexes, high subjective stress, poor subjective health status, short or long sleep duration, perceiving oneself as obese, living alone, low household income, and smoking were associated with depressive symptoms, whereas a higher body mass index (obesity in men and overweight in women) was associated with lower odds. Lower education; being separated, widowed, or divorced; having no occupation; and perceiving oneself as skinny were associated with depressive symptoms only in men, whereas binge drinking was associated with depressive symptoms only in women. <b>Conclusions:</b> Korean young adults showed both common and sex-specific correlates of depressive symptoms in 2022. Screening and intervention programs for depressive symptoms in young adults may need to consider psychological stress, sleep, and economic and household conditions, as well as sex differences.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Academic Stress in Secondary Education: A Systematic Review of Intervention Approaches and Related Outcomes.","authors":"Miriam Catalina González-Afonso, Raquel García-García, Iris Alexia Hernández-González, David Pérez-Jorge","doi":"10.3390/healthcare14193346","DOIUrl":"10.3390/healthcare14193346","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Academic stress is associated with a range of adverse psychological and educational outcomes among secondary school students, yet evidence on interventions addressing academic stress and related academic demands remains heterogeneous. This systematic review aimed to synthesise this evidence and examine the intervention approaches, delivery modalities, and outcomes reported. <b>Methods:</b> The review followed PRISMA 2020 guidelines and was registered in PROSPERO (CRD420261476775). Web of Science, Scopus, PsycINFO, and PubMed were searched for studies published between 2015 and 2026, with the final search conducted on 12 August 2026. During full-text eligibility assessment, the registered outcome criterion was expanded to include related psychological or educational outcomes in studies addressing academic demands; this post-registration deviation is reported explicitly in the review. Two reviewers independently screened studies, and methodological appraisal was conducted using JBI and MMAT tools. Given the heterogeneity of study designs, interventions, outcomes, and effect-size metrics, findings were synthesised narratively. <b>Results:</b> Eighteen studies were included. Five intervention approaches were identified: socio-emotional and life-skills programmes (<i>n</i> = 4), cognitive-behavioural and rational-emotive interventions (<i>n</i> = 5), mindfulness- and acceptance-based interventions (<i>n</i> = 4), stress-management and mindset interventions (<i>n</i> = 3), and organisational approaches (<i>n</i> = 2). Academic or school-related stress was assessed directly as an intervention outcome in four studies, while the remaining 14 examined related psychological and educational outcomes and constituted a secondary, non-comprehensive extension of the evidence base. Favourable findings were reported across several intervention approaches, but effects varied according to the outcome assessed, and direct evidence for academic or school-related stress was less consistent than evidence for related psychological and educational outcomes. Most interventions were delivered face-to-face, while evidence on digital, blended, and organisational approaches was limited. <b>Conclusions:</b> The available evidence suggests that several intervention approaches may be useful for addressing academic stress or related responses to academic demands among secondary school students. However, direct evidence for academic or school-related stress remains limited and heterogeneous, and differences in study designs, measures, and effect-size metrics preclude conclusions about the comparative superiority of any one approach.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rape Myth Acceptance and Its Link with Mental Health Problems in Older Victims of Sexual Violence.","authors":"Anne Nobels, Arne Van den Broeck, Elizaveta Fomenko, Ines Keygnaert","doi":"10.3390/healthcare14193354","DOIUrl":"10.3390/healthcare14193354","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Rape myth acceptance (RMA) may influence how older victims perceive their experiences of sexual violence (SV) and, consequently, their mental health. This study examined the associations between RMA, the framing of SV experiences, and mental health outcomes among sexually victimised older adults, with the aim of informing clinical practice. <b>Methods:</b> We analysed data from 197 adults aged 70 years and older in Belgium who reported lifetime sexual victimisation. Information on sexual victimisation, mental health, the framing of SV experiences, and RMA was collected through structured face-to-face interviews. Sexual victimisation was assessed using behaviourally specific questions, while symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) were measured using validated instruments. <b>Results:</b> Higher levels of RMA were associated with more severe depressive symptoms (<i>p</i> = 0.031) and anxiety symptoms (<i>p</i> = 0.008) among participants who labeled their SV experience as \"wrong\" or \"a crime.\" In addition, RMA was linked to higher anxiety symptoms among participants reporting financial difficulties (<i>p</i> = 0.012). <b>Conclusions:</b> Our findings highlight the importance of considering how RMA interacts with subjective framing of SV when evaluating mental health outcomes in older victims. Practitioners should be cautious about encouraging older victims with high RMA to frame their experience as \"wrong\" or \"a crime\", while actively challenging rape myths when such framing emerges. For those with high RMA who frame their experience as \"just something that happened\", interventions should focus on reducing self-blame and preventing revictimization.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Institutional Silence and Informal Coping: A Qualitative Descriptive Study of Nurses' Experiences of Workplace Violence in Three Hospitals in Riyadh, Saudi Arabia.","authors":"Abdulaziz M Alodhailah","doi":"10.3390/healthcare14193341","DOIUrl":"10.3390/healthcare14193341","url":null,"abstract":"<p><strong>Background/objectives: </strong>Saudi evidence on workplace violence (WPV) against nurses is largely survey-based. This study explored how nurses in three Riyadh hospitals experienced and coped with WPV, the institutional factors shaping their responses, and the improvements they proposed.</p><p><strong>Methods: </strong>In this qualitative descriptive study, 17 purposively recruited registered nurses from a tertiary government, a specialised government, and a private hospital took part in face-to-face semi-structured interviews (January-March 2026). Data were analysed using reflexive thematic analysis and reported according to COREQ.</p><p><strong>Results: </strong>The findings describe participants' experiences and are not prevalence estimates. Four themes were constructed: (1) everyday exposure to violence and its cumulative burden; (2) coping through personal strategies and peer support; (3) institutional silence and gaps in organisational protection; and (4) balancing self-protection and therapeutic care. Participants described relying on personal and peer resources where they perceived institutional protection as insufficient. Their priorities for improvement, reported separately, centred on de-escalation training, simpler reporting, timely post-incident support, and leadership accountability.</p><p><strong>Conclusions: </strong>In participants' accounts, informal coping absorbed harms that organisational systems did not address. Hospital managers could use these findings to check whether reporting, post-incident follow-up, training, staffing, and security arrangements work in practice. Participants' proposals require evaluation.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Psychometric Evaluation of the Peritoneal Dialysis Treatment Adherence Scale: A Multicenter Methodological Study.","authors":"Zehra Aydın, Tuğba Pehlivan Sarıbudak","doi":"10.3390/healthcare14193338","DOIUrl":"10.3390/healthcare14193338","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Peritoneal dialysis (PD) requires patients to manage dialysis procedures, medications, fluid intake, and nutrition at home. Existing assessment approaches do not adequately distinguish patients' treatment-related knowledge and awareness from their self-reported adherence practices across these domains. This study aimed to develop and psychometrically evaluate the Peritoneal Dialysis Treatment Adherence Scale, a patient-reported instrument designed to assess treatment-related knowledge/awareness and self-reported adherence practices in peritoneal dialysis. <b>Methods:</b> This multicenter methodological study included 600 adults receiving PD at eight hospitals in Türkiye. An initial 64-item pool was evaluated by 12 experts and pilot-tested with 30 patients. The main sample was randomly divided into two independent subsamples of 300 participants for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). EFA was conducted using principal axis factoring with direct oblimin rotation, and Horn's parallel analysis was used to determine factor retention. CFA was conducted in the independent confirmatory subsample. Internal consistency was evaluated using Cronbach's alpha and McDonald's omega, and three-week test-retest reliability was assessed in 30 participants using intraclass correlation coefficients. <b>Results:</b> The final instrument comprised a 32-item Knowledge Dimension, assessing self-reported treatment knowledge and awareness, and a 25-item Adherence Practices Dimension, assessing the frequency and consistency of self-reported adherence practices. Primary factor loadings ranged from 0.694 to 0.971 for Knowledge and from 0.508 to 0.951 for Adherence Practices, with no items meeting the prespecified criterion for problematic cross-loading. Separate four-factor CFA models demonstrated acceptable within-dimension fit; however, the additional integrated eight-factor CFA including all 57 items did not meet all conventional global-fit criteria, indicating that the overall measurement structure requires further independent validation. Internal consistency in the independent confirmatory subsample was high for both dimensions: Knowledge, α = 0.950 and ω = 0.984; Adherence Practices, α = 0.952 and ω = 0.986. Test-retest reliability was strong for Knowledge (ICC = 0.946) and Adherence Practices (ICC = 0.940). <b>Conclusions:</b> The Peritoneal Dialysis Treatment Adherence Scale demonstrated promising but provisional structural evidence, high internal consistency, and strong temporal stability. Its separately scored Knowledge and Adherence Practices dimensions may support domain-specific assessment in PD; however, the overall eight-factor measurement structure requires further independent validation before widespread clinical use.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body-Self Relations, Eating Behaviors, and Occupational Factors Associated with BMI and Obesity in Mass Catering Workers: A Cross-Sectional Study.","authors":"Hatice Baygut","doi":"10.3390/healthcare14193340","DOIUrl":"10.3390/healthcare14193340","url":null,"abstract":"<p><strong>Background: </strong>Mass catering workers are repeatedly exposed to food during working hours while also experiencing time pressure and psychosocial job demands. This study aimed to examine associations of BMI and obesity with body-self relations, eating behaviors, and demand-control-support characteristics in mass catering workers.</p><p><strong>Methods: </strong>This cross-sectional study included 452 workers in Isparta, Türkiye. BMI was calculated from measured weight and height. Body-self relations, eating behaviors, and occupational characteristics were assessed using the MBSRQ, TFEQ-R18, and Swedish Demand-Control-Support Questionnaire. BMI-group comparisons, Spearman correlations, and multivariable linear regression with HC3 robust standard errors were performed; obesity models were secondary.</p><p><strong>Results: </strong>Mean BMI was 28.38 ± 4.66 kg/m²; 31.4% were classified as overweight and 44.2% as having obesity. body-self relation scores decreased and uncontrolled eating increased across BMI groups (both BH-adjusted <i>p</i> < 0.001). BMI correlated negatively with body-self relations (ρ = -0.465) and positively with uncontrolled eating (ρ = 0.427). In the fully adjusted model, body-self relations were inversely associated with BMI (β = -2.816, 95% CI -3.855 to -1.778), whereas uncontrolled eating was positively associated with BMI (β = 0.0347 per point, 95% CI 0.0190 to 0.0503).</p><p><strong>Conclusions: </strong>BMI variation in this workforce was characterized most consistently by body-self relations and uncontrolled eating, alongside smaller occupational associations.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}