Healthcare最新文献

{"title":"Cultural Adaptation in Physical Therapy: A Scoping Review of Empirical Evidence and Practices.","authors":"Jennifer J Esala, Ilona Fricker, Laura Pizer Gueron, Jepkemoi J Kibet, Sarah Lawrence, Sara Pearce, Ida Tchuisseu Fonkoue","doi":"10.3390/healthcare14193317","DOIUrl":"10.3390/healthcare14193317","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The cultural adaptation of physical therapy interventions has been widely recommended, yet the literature remains limited, heterogeneous, and unevenly reported. This scoping review maps the literature on culturally adapted physical therapy and identifies adaptation strategies, key characteristics of the evidence base, and gaps relevant to education and practice. <b>Methods:</b> A scoping review of PubMed, Google Scholar, and Elicit (2000-2026) identified 37 peer-reviewed articles on the cultural adaptation of physical therapy. Searches were supplemented by backward and forward citation tracking. Guided by PRISMA-ScR reporting standards, data were charted on study design, article type, populations, outcomes, and reported cultural adaptation approaches. <b>Results:</b> Thirty-seven articles were identified, including experimental, non-experimental quantitative, qualitative, and non-empirical sources. The literature was published primarily after 2017 and reflected substantial heterogeneity in populations, intervention types, and outcomes. Five experimental studies were identified, which assessed patient activation, attendance, adherence, pain-related suffering, pain severity, physical function, and health literacy. Reported findings were mixed, with some studies noting improvements in implementation-related or patient-reported outcomes and others reporting no significant differences across clinical outcomes. Additional evidence came from eight non-experimental quantitative studies and twelve qualitative studies. Adaptation strategies included language, content, and intervention adaptation; addressing norms, values, and context considerations; reconciling explanatory models of health and illness; engaging cultural experts; and training for providers. <b>Discussion and Conclusions:</b> This scoping review found that the literature on culturally adapted physical therapy is limited, methodologically heterogeneous, and uneven across intervention types and populations. There is a need for methodologically robust and systematically reported research to clarify adaptation approaches, inform education and practice, and support the development of adaptation frameworks. Strengthening this evidence base may help inform future education policy, clinical guidance, and culturally adapted physical therapy care.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192689","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":"Quality of Life in Women with Gynecologic Cancer and Coexisting Chronic Conditions: The Role of Cancer-Related Fatigue and Perceived Caregiver Support.","authors":"Jie Bai, Guan Gui, Aina Chen, Tingting Chen, Xiaoyan Zhang, Ying Liu, Haiyan Zhou, Jianhui Gao, Fan Xu, Qiaosong Wang, Nuannuan Pan, Weina Jin, Hui Jiang","doi":"10.3390/healthcare14193318","DOIUrl":"10.3390/healthcare14193318","url":null,"abstract":"<p><p><b>Background:</b> Women with gynecologic cancer and coexisting chronic conditions may experience extensive symptom burden and impaired quality of life. However, the adjusted associations of cancer-related fatigue, multimorbidity, and perceived caregiver support with quality of life remain insufficiently understood. <b>Methods:</b> A cross-sectional study was conducted among 210 Chinese women with cervical, ovarian, endometrial, or vulvar cancer and at least one physician-diagnosed chronic condition. A structured questionnaire was used to collect socio-demographic data, clinical data, quality-of-life measures, cancer fatigue levels, and perceived caregiver support. Hierarchical linear regression models with robust standard errors were used to examine factors associated with quality of life. <b>Results:</b> The mean quality of life score was 62.16 (SD = 18.72), and the mean fatigue score was 26.80 (SD = 12.39). Ninety-two participants (43.8%) had two or more chronic conditions. Quality of life was strongly negatively correlated with fatigue (r = -0.78, <i>p</i> < 0.001) and positively correlated with perceived caregiver support (r = 0.33, <i>p</i> < 0.001). Demographic and clinical factors explained 26.2% of the variance in quality of life. Adding perceived caregiver support increased the explained variance to 28.6%, and greater support was associated with better quality of life (B = 3.45, <i>p</i> = 0.006). After fatigue was added, the explained variance increased to 68.0%. Greater fatigue was strongly associated with poorer quality of life (B = -1.11, <i>p</i> < 0.001), whereas perceived caregiver support was no longer significant (B = 0.40, <i>p</i> = 0.672). FIGO stage III-IV disease remained associated with lower quality of life (B = -4.39, <i>p</i> = 0.005). The association between multimorbidity and quality of life was attenuated in the final model (B= -3.11, <i>p</i> = 0.063). <b>Conclusions:</b> Cancer-related fatigue was strongly associated with poorer quality of life among women with gynecologic cancer and coexisting chronic conditions. Perceived caregiver support was associated with better quality of life before fatigue was included in the model, but this association was attenuated after adjustment for fatigue. These findings support routine fatigue assessment and integrated symptom management in supportive care for this population.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193213","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":"Concurrent Associations of Gaming Time and Problematic Gaming with Depressive Symptoms in Children and Adolescents: A Three-Wave Cohort Study with Complementary Machine Learning Classification.","authors":"Yeseo Lee, Jun Seok Her, Hyo Jung Kim","doi":"10.3390/healthcare14193315","DOIUrl":"10.3390/healthcare14193315","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Digital media use is integral to the daily lives of children and adolescents, intensifying concerns regarding potential associations with mental health. However, much of the literature linking gaming and depression is based on cross-sectional designs and does not adequately distinguish within-person change from between-person differences. This study examined concurrent associations between gaming use patterns, problematic gaming behavior, and depressive symptoms across three repeated assessment waves and, as a complementary analysis, evaluated the concurrent classification performance of gaming-related indicators for elevated depressive symptoms. <b>Methods</b>: Three-wave data collected at baseline, 12 months, and 24 months were obtained from the Internet, Game, and Smartphone User Cohort established by the National Center for Mental Health. Depressive symptoms were assessed using the Children's Depression Inventory (CDI), and problematic gaming behavior was assessed using the Internet Game Use-Elicited Symptom Screen (IGUESS). Linear mixed-effects models, including within-between decomposition and change-score models, were applied. Logistic Regression, Random Forest, and XGBoost were used to classify concurrent elevated depressive symptoms (CDI ≥ 22). <b>Results</b>: The primary mixed-effects analyses included 2194 of 2294 enrolled participants. Across models, higher IGUESS scores were consistently associated with greater concurrent depressive symptoms, whereas gaming time showed weak or inconsistent associations. Machine learning models yielded ROC-AUC values of 0.85-0.88; however, precision and F1-scores were modest, indicating a substantial false-positive burden in this low-prevalence setting. <b>Conclusions</b>: Overall, problematic gaming behavior, rather than gaming time alone, may be more closely associated with depressive symptoms in children and adolescents.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192151","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":"Knowledge, Attitudes, Religiosity, and Reproductive Genetic Carrier Screening: A Cross-Sectional Study.","authors":"Keren Dopelt, Yifat Findling","doi":"10.3390/healthcare14193316","DOIUrl":"10.3390/healthcare14193316","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Reproductive genetic carrier screening for autosomal recessive and X-linked conditions is an important component of preconception care, yet uptake may be influenced by informational, attitudinal, cultural, and religious factors. Few studies have examined genetic knowledge, attitudes, and religiosity jointly in relation to self-reported carrier-screening behavior. This study characterized previous carrier screening, perceived barriers, decision influences, and preferred consultation sources among adults in Israel and assessed the independent contributions of these psychosocial factors beyond sociodemographic characteristics and reproductive life stage. <b>Methods:</b> A cross-sectional online survey was completed by 331 adults aged 18-60 years. The questionnaire introduction defined the study context as genetic carrier screening; subsequent abbreviated references to genetic testing were intended to refer to carrier screening within that frame. Measures assessed self-reported previous carrier screening, genetic knowledge, attitudes, religiosity, perceived barriers, and preferred consultation sources. Descriptive, bivariate, and hierarchical binary logistic regression analyses were conducted. <b>Results:</b> Overall, 37% reported previous genetic carrier screening. The leading perceived barriers were fear of results (66%) and insufficient knowledge of carrier screening's purpose (61%). Physicians were the most frequently reported decision influence (62%) and preferred consultation source (80%). The final combined hierarchical logistic regression model was significant relative to the intercept-only model, χ²(10) = 131.25, <i>p</i> < 0.001, with a Nagelkerke R² of 0.455. More favorable attitudes were associated with higher odds of previous carrier screening (OR = 4.329, 95% CI [2.369, 7.909]), whereas participants without children at the time of the survey had lower odds than those with children (OR = 0.080, 95% CI [0.031, 0.202]). Knowledge and religiosity were not independently associated with previous carrier screening after adjustment. <b>Conclusions:</b> A minority of participants reported having previously undergone genetic carrier screening, despite broad recognition of the importance of preconception or premarital screening. Carrier-screening programs may benefit from addressing emotional, informational, cultural, and practical barriers through proactive, culturally responsive, autonomy-supportive clinician communication in preconception and primary-care settings.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193055","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":"Prevalence and Factors Associated with the Risk of Eating Disorders Among Medical Students.","authors":"Wendy Vanessa Alfonso Lopez, Luz Patricia Ashton Yimes, Laura Lucia Quintana Espinosa, Hernan F Guillen-Burgos, Milagros Isabel Roman Cohen, Alex Dominguez Vargaz, Henry J Gonzalez-Torres","doi":"10.3390/healthcare14193314","DOIUrl":"10.3390/healthcare14193314","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Eating disorders (EDs) represent a growing mental health concern in university populations, particularly among medical students, due to academic demands and psychosocial factors associated with their training. This study aimed to estimate the prevalence of symptoms suggestive of EDs and to analyze associated factors among undergraduate medical students during 2026. <b>Methods:</b> An observational, analytical, cross-sectional study was conducted among 167 medical students. Symptoms suggestive of EDs were assessed using the Eating Attitudes Test-26 (EAT-26), with a score ≥ 20 defining high risk. Descriptive and bivariate analyses were performed, along with a multivariate logistic regression model to identify associated factors. <b>Results:</b> The prevalence of high risk for EDs was 19% (n = 31). Women showed a higher prevalence of high risk compared to men (25% vs. 8.1%; <i>p</i> = 0.007), along with significantly higher scores in the Dieting (<i>p</i> = 0.014) and Oral Control (<i>p</i> = 0.007) domains. In the multivariate analysis, female sex (aOR = 3.03; 95% CI: 1.12-8.19; <i>p</i> = 0.029) and being enrolled in the basic-science semesters (I-III) (aOR = 2.79; 95% CI: 1.05-7.47; <i>p</i> = 0.041) were identified as independent associated factors. Co-occurring anxiety and depression was the most frequent psychiatric history among affected students. <b>Conclusions:</b> One in five students presented symptoms suggesting a high risk for EDs. Female sex and early-stage medical training were the main associated factors, identifying priority groups for early detection strategies and mental health promotion in the university setting.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193210","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":"Patient Satisfaction with Process-Related Aspects of Outpatient Physiotherapy Care: Preliminary Insights from Croatia.","authors":"Maroje Višić, Ivana Kos Tolić, Iva Lončarić Kelečić, Jasna Mesarić","doi":"10.3390/healthcare14193310","DOIUrl":"10.3390/healthcare14193310","url":null,"abstract":"<p><p><b>Background:</b> Patient satisfaction is an important indicator of healthcare quality, yet evidence on satisfaction with outpatient physiotherapy (OPT) in Croatian publicly funded primary care settings remains limited. <b>Methods:</b> This exploratory cross-sectional study examined patient evaluations of process-related aspects of OPT care and explored factors associated with variability in both composite and item-level ratings. A pragmatic composite process-related satisfaction score was calculated as the mean of 15 questionnaire items. Descriptive statistics, non-parametric group comparisons, exploratory multiple linear regression, and proportional-odds ordinal logistic regression sensitivity analyses were performed. <b>Results:</b> The final sample included 151 participants. Patient evaluations were highly favourable, with a median composite score of 4.87 (IQR = 0.43) and a mean of 4.69 ± 0.44. The highest ratings were observed for professional competence (4.91 ± 0.29), friendliness (4.89 ± 0.34), attentiveness (4.87 ± 0.39), and personalised treatment (4.84 ± 0.37). Greater variability and comparatively lower ratings were observed for self-introduction (4.38 ± 1.11), side-effect information (4.41 ± 1.02), and treatment explanation (4.52 ± 0.86). Educational attainment showed a nominal association with the composite score in bivariate analysis, but this did not remain statistically significant after correction for multiple testing. In exploratory multivariable analyses, male sex was nominally associated with higher self-introduction ratings, while previous treatment at the same facility was nominally associated with lower treatment-explanation ratings; however, no predictor-level association remained statistically significant after Holm correction. Explained variance across the linear regression models was modest (adjusted R² = 0.035-0.085). <b>Conclusions:</b> Overall, patients reported highly favourable evaluations of process-related OPT care, while selected communication- and information-related items showed greater variability than the composite score. These preliminary findings support complementing composite scores with item-level assessment when examining patients' experiences of outpatient physiotherapy care.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193092","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":"Exploring the Interplay of Stress, Sleep Quality, and Lifestyle Factors in Bruxism Among Undergraduate Students in Saudi Arabia: A Cross-Sectional Study.","authors":"Reem M Alwhaibi, Remaz Almawsh, Raghad Almutairi, Dalaa Alowaishek, Dhai Aldubayan","doi":"10.3390/healthcare14193312","DOIUrl":"10.3390/healthcare14193312","url":null,"abstract":"<p><p><b>Background</b>: Bruxism, a repetitive clenching or grinding of teeth, is a prevalent yet under-recognized issue among university students. Its etiology is multifactorial, often involving psychological stress, poor sleep quality, and unhealthy lifestyle behaviors. Despite increasing evidence linking these variables, limited research has examined these associations within Middle Eastern populations. <b>Objectives</b>: This study aimed to assess the proportion screening positive for bruxism risk among Saudi undergraduate students and to investigate its associations with perceived stress, sleep quality, and lifestyle factors. <b>Methods</b>: A cross-sectional survey was conducted among 335 Saudi undergraduate students aged 18-25 years. Data were collected using the 25-item BRUXiq self-assessment questionnaire, the 11-item Stress Self-Assessment Questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and demographic and behavioral questions. Descriptive statistics, Chi-square tests, Mann-Whitney U tests, Spearman's correlations, and binary logistic regression were performed. <b>Results</b>: A total of 198 participants (59.1%) screened positive for bruxism risk according to the BRUXiq criterion, whereas 137 (40.9%) screened negative. Participants with a positive BRUXiq screen exhibited significantly higher stress scores (<i>p</i> < 0.001) and poorer sleep quality (<i>p</i> < 0.001). Multivariable logistic regression showed that higher stress scores (OR = 1.123, 95% CI [1.08, 1.17]) and poorer sleep quality (OR = 1.188, 95% CI [1.07, 1.31]) were independently associated with greater odds of a positive BRUXiq screen. No significant associations were found for smoking, stimulant use, physical activity, or academic year. <b>Conclusions</b>: A positive BRUXiq screening result was common among the participating students and was associated with higher stress and poorer sleep quality. Because bruxism was assessed using a self-report screening questionnaire, the findings should not be interpreted as the prevalence of clinically confirmed bruxism. These findings underscore the importance of psychological support services and sleep hygiene education within university health programs as potential supportive strategies that require further evaluation.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192787","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":"Accuracy of Caregiver Dosing of Acetaminophen and Ibuprofen for Febrile Children Presenting to a Saudi Arabian Tertiary Hospital Emergency Department.","authors":"Youssef A Alqahtani, Ayed A Shati, Saleh M Al-Qahtani, Syed Esam Mahmood, Ausaf Ahmad","doi":"10.3390/healthcare14193308","DOIUrl":"10.3390/healthcare14193308","url":null,"abstract":"<p><p><b>Background:</b> Fever and its related symptoms are common reasons for pediatric emergency department (ED) visits. Parents are often concerned about fever in children, and a frequent reason for ED visits is the persistence of fever despite the administration of antipyretics at home. It is hypothesized that caregivers often administer incorrect doses of acetaminophen and ibuprofen. Objective: To assess caregivers' dosing practices in children with fever by evaluating the accuracy of acetaminophen and ibuprofen dosing and to identify factors associated with inaccurate dosing in Saudi Arabia. <b>Methodology:</b> A cross-sectional survey was conducted over a six-month period from 1 January 2022 to 30 June 2022 in the emergency department. We included caregivers of children under 14 who received a quantifiable dose of acetaminophen or ibuprofen for fever. Data were collected using a structured questionnaire. Multivariable regression analysis was utilized to identify factors associated with inaccurate dosing. <b>Results</b>: A total of 330 caregivers of children were included in the study. The caregivers' ages ranged from 18 to 60 years, with a mean age of 32.3 ± 6.4. Of these, 148 (44.8%) had university-level education or higher, while 33 (10%) had education below high school level. Only 81 caregivers (24.5%) administered the correct dose of medication. In contrast, 118 (35.8%) gave subtherapeutic doses, 40 (12.1%) administered higher-than-recommended doses, and 91 (27.6%) were unsure about the correct dose. Multivariable regression indicated that caregivers with education below high school (aOR = 2.65; 95% CI: 1.30-5.40 for low dose) and those making self-directed dosing decisions (aOR = 2.10; 95% CI: 1.15-3.85 for low dose) were significantly associated with incorrect dosing. <b>Conclusions:</b> The study indicates that approximately three-quarters of caregivers either administered incorrect doses of acetaminophen or ibuprofen or were unsure of the correct dose. Given that 93% of caregivers were unaware of medication concentrations, targeted educational interventions are required to improve dosing accuracy.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192801","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 Health Among Educators: A Scoping Review.","authors":"Weiyan Liao, Min Qiu, Dandan Wu, Xianhan Huang, Junjun Chen, Minjuan Wang, Hui Li","doi":"10.3390/healthcare14193313","DOIUrl":"10.3390/healthcare14193313","url":null,"abstract":"<p><p><b>Background:</b> Digital health technologies are increasingly used to support health management, monitoring, and health-related practices. Educators face a range of physical and mental health challenges, yet research on educators' digital health remains fragmented across educational settings, geographical contexts, and forms of digital health management. This scoping review aimed to map and synthesize the literature on educators' digital health by examining (1) digital health literacy and related competencies; (2) experiences with digital health technologies, and (3) factors influencing educators' capacity to navigate the digital health ecosystem. <b>Methods:</b> The scoping review was conducted in accordance with the PRISMA-ScR guidelines. A systematic search was conducted for English written empirical peer-reviewed articles related to educators' digital health on 8 June 2026. <b>Results:</b> A total of 31 studies were included. Three themes were identified. First, educators' digital health literacy varied across demographic groups and educational settings in different geographical contexts and was associated with health behaviors and well-being. Second, educators engaged with mobile applications, wearable devices, AI-driven technologies, telehealth, and online programs. Third, educators' engagement with these technologies was shaped by individual, technological, organizational, and contextual factors, including leadership support, privacy concerns, time pressure, and workplace culture. <b>Conclusions:</b> This review provides a comprehensive synthesis of educators' digital health, covering digital health literacy, experiences with digital health technologies, and factors influencing engagement. The findings highlight uneven digital health literacy, varied experiences with digital technologies, and the importance of institutional support. They also underscore the need for targeted capacity-building initiatives, context-sensitive interventions, and further research to strengthen educators' digital health.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192899","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":"Paramedics' Perceptions and Experiences Providing End-of-Life Care: A Cross-Sectional Survey.","authors":"Felicity Hasson, Natasha Campling, Sinead Keeney, Paul Slater, Sonja McIlfatrick, Julia Wolfe","doi":"10.3390/healthcare14193309","DOIUrl":"10.3390/healthcare14193309","url":null,"abstract":"<p><p><b>Background:</b> Many people spend their last year of life at home, with most wishing to die there. Evidence suggests paramedics facilitate over half of Emergency Department visits for palliative care patients, many of which are avoidable. <b>Objective:</b> To explore the perceptions and experiences of providing end-of-life care amongst paramedics in one region of the United Kingdom. <b>Design:</b> Online descriptive cross-sectional survey design using the ParAid Questionnaire. Quantitative data analysed using descriptive statistics. <b>Setting and Participants:</b> 182 paramedic respondents completed the questionnaire online (34% response rate). <b>Results:</b> Respondents reported numerous barriers to delivering end-of-life care. Access to medicines was problematic, with 54% reporting that they 'always' or 'often' had no access to specific medicines needed for symptom control. Education gaps were also evident: 67% reported that lack of pre-registration end-of-life care education and 71% that lack of post-registration education 'always' or 'often' influenced their ability to meet patients' needs. Only 28% felt 'very' or 'extremely' competent in supporting patients and families in the last year of life, while 47% reported experiencing a 'fear of doing the wrong thing' 'always' or 'often'. Access to information and referral pathways also presented challenges: 88% reported that they 'always' or 'often' lacked access to existing Advance Care Planning documentation, while 62% reported that they 'rarely' or 'never' had access to a specialist palliative care team out-of-hours. <b>Conclusions:</b> Findings emphasise the need for improved palliative care education, support structures, and improved access to information and medicines for paramedics. Findings identify potential areas for service development, including training, communication, and referral pathways, which may better support paramedics in providing end-of-life care.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 19","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13665404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193087","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}