{"title":"Healthcare Interventions in the Management of Rheumatic Diseases: A Narrative Analysis of Effectiveness and Emerging Strategies.","authors":"Gabriela Isabela Verga Răuță, Alexia Anastasia Ștefania Baltă, Diana-Andreea Ciortea, Carmen Loredana Petrea Cliveți, Mariana Șerban Grădinaru, Mădălina Nicoleta Matei, Gabriela Gurău, Victoria-Cristina Șuța, Doina Carina Voinescu","doi":"10.3390/healthcare13141691","DOIUrl":"10.3390/healthcare13141691","url":null,"abstract":"<p><strong>Background and aims: </strong>Rheumatic diseases are chronic, progressive conditions associated with severe pain, joint damage, disability, and even death. Healthcare interventions play a critical role in symptom management, patient education, and adherence to treatment plans. This study evaluates the role of healthcare interventions in the management of patients with rheumatic diseases, focusing on pain management, functional rehabilitation, patient education, and multidisciplinary collaboration. In addition, barriers to optimal care and potential solutions, including digital health technologies, are explored.</p><p><strong>Materials and methods: </strong>We conducted a narrative review of the scientific literature. Studies published between 2014 and 2025 were selected from PubMed, Scopus, Web of Science, Elsevier, Springer, Frontiers, and Wiley Online Library. Key areas of review included nurse-led pain management, education programs, and the impact of interdisciplinary care on patient outcomes.</p><p><strong>Results: </strong>Nursing interventions significantly improve pain control, treatment adherence, and self-management skills in patients with rheumatic diseases. Multidisciplinary approaches improve functional rehabilitation and increase quality of life in patients with rheumatic conditions. However, barriers such as insufficient health care resources, lack of patient awareness, and disparities in the availability of services hinder effective care delivery.</p><p><strong>Conclusions: </strong>A structured, multidisciplinary approach integrating healthcare interventions, digital health solutions, and patient-centered education is essential to optimize the management of rheumatic diseases. Future research should focus on improving access to non-pharmacological therapies and standardizing healthcare protocols for better patient outcomes.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-14DOI: 10.3390/healthcare13141688
Ivana Bozovic, Aleksandra Jovic-Vranes, Ivana Stasevic-Karlicic, Dejana Stanisavljevic, Vedrana Pavlovic, Jovana Todorovic
{"title":"Exploring the Association Between Digital Health Literacy and Burnout and Depression Among TV Journalists During the COVID-19 Pandemic in Serbia.","authors":"Ivana Bozovic, Aleksandra Jovic-Vranes, Ivana Stasevic-Karlicic, Dejana Stanisavljevic, Vedrana Pavlovic, Jovana Todorovic","doi":"10.3390/healthcare13141688","DOIUrl":"10.3390/healthcare13141688","url":null,"abstract":"<p><p><b>Introduction:</b> As in other crises, during COVID-19 pandemic, journalists were under immense pressure to report precise scientific information in a timely manner, which may have had a negative influence on their mental health. There could be an association between the digital health literacy of journalists and their mental health. The aim of this article was to explore the association between digital health literacy and burnout and depression among journalists in Serbia. <b>Methods:</b> A cross-sectional study was conducted involving a total of 180 journalists working on television with national coverage in Serbia. The main research instrument used was a questionnaire with four sections containing personal demographic information, the Digital Health Literacy Instrument, the Maslach Burnout Inventory-Human Services Survey, and the Beck Depression Inventory. <b>Results:</b> A total of 30% participants were found to have high levels of burnout on the emotional exhaustion (EE) subscale. On the depersonalization (DP) subscale, 10.6% experienced high levels of burnout. On the personal accomplishment (PA) subscale, 38.3% of participants faced high levels of burnout. Multivariate logistic regression analyses showed the association between high burnout on the EE scale and health status (OR: 0.597, 95% CI: 0.375-0.952) and protecting privacy (OR: 0.522, 95% CI: 0.311-0.875). Multivariate logistic regression analysis showed the association between high burnout on the PA scale and information searching (OR: 0.255, 95% CI: 0.124-0.526), sex (OR: 2.594, 95% CI: 1.007-6.68), socioeconomic status (OR: 2.282, 95% CI: 1.133-4.595), and alcohol consumption (OR: 2.188, 95% CI: 1.004-4.769). Multivariate logistic regression analysis showed associations between depression and sex (OR: 0.180, 95% CI: 0.059-0.548), health status (OR: 0.316, 95% CI: 0.160-0.626), the use of anti-anxiety medications (OR: 7.303, 95% CI: 3.167-16.840), information searching (OR: 0.432, 95% CI: 0.191-0.981), and protecting privacy (OR: 0.443, 95% CI: 0.233-0.841). <b>Conclusions:</b> Our study showed a negative association between different domains of burnout, depression, and scores on protecting privacy and information searching scales.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breastfeeding Self-Efficacy in Postpartum Woman.","authors":"Maria Vitória da Silva, Rafaela Zumblick Machado, Valentina Fretta Zappelini Bittencourt, Maite Farias Bittencourt, Daniela Quedi Willig, Betine Pinto Moehlecke Iser","doi":"10.3390/healthcare13141690","DOIUrl":"10.3390/healthcare13141690","url":null,"abstract":"<p><p><b>Objective:</b> This study seeks to analyze the incidence of breastfeeding self-efficacy in postpartum woman who are undergoing prenatal care at the Family Health Strategy Units in the city of Tubarão, Santa Catarina (SC), Southern Brazil, from August to December 2022. <b>Methods:</b> An observational epidemiological study with a cross-sectional design was carried out with puerperal women-either primiparous or multiparous-who were followed in the municipal public network, along with their live-born children delivered at the maternity hospital of Hospital Nossa Senhora da Conceição in Tubarão, SC. Participants agreed to participate in the study. For data collection, an instrument developed by researchers and a validated instrument entitled Breastfeeding Self-Efficacy Scale-Short Form were used to assess the self-efficacy of breastfeeding. <b>Results:</b> The mean score of the Breastfeeding Self-Efficacy Scale (BSES) was 61.75 points (±6.39), indicating high self-efficacy. There was an association between the mean of the general score and/or the domains of the BSES with maternal characteristics. Women with higher education had greater technical mastery (<i>p</i> = 0.010), and those with previous breastfeeding experience and those who breastfed their children during the first hour of life had a higher average in the overall score and in the domains of the scale. In addition, those who planned the pregnancy (<i>p</i> = 0.024) and those who did not receive assistance from the milk bank (<i>p</i> = 0.047) had greater technical domain. <b>Conclusions:</b> In the present study, there was a predominance of high breastfeeding self-efficacy. It was verified that the personal and clinical aspects interfered in the self-efficacy of breastfeeding.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-14DOI: 10.3390/healthcare13141686
Alean Al-Krenawi, Numan Al-Natsheh, Feras Ali Al-Habies, Ahmad Abudoush, Somaya Al-Ja'afreh, Ashraf Alqudah, Amal Salem Awawdeh, Dhaval Vinodkumar Patel
{"title":"Short-Term Tobacco Abstinence: Effects on Emotional Balance and Psychological Alienation.","authors":"Alean Al-Krenawi, Numan Al-Natsheh, Feras Ali Al-Habies, Ahmad Abudoush, Somaya Al-Ja'afreh, Ashraf Alqudah, Amal Salem Awawdeh, Dhaval Vinodkumar Patel","doi":"10.3390/healthcare13141686","DOIUrl":"10.3390/healthcare13141686","url":null,"abstract":"<p><strong>Background/objectives: </strong>Emerging evidence suggests that abstaining from tobacco smoking can influence emotional control and psychological well-being. This study examines the impact of short-term tobacco abstinence on emotional balance and psychological alienation through an experimental design.</p><p><strong>Methods: </strong>A total of 197 participants from a university in Jordan (academic year 2023/2024) were divided into three groups: one group abstained from smoking for 24 h (<i>n</i> = 65) and another for 48 h (<i>n</i> = 61), while the control group (<i>n</i> = 71) continued smoking as usual. Emotional balance and psychological alienation were assessed across all groups.</p><p><strong>Results: </strong>Participants who abstained from smoking (both 24 h and 48 h groups) reported lower scores on emotional balance and higher psychological alienation compared to the control group. Moreover, those in the 48 h abstinence group experienced significantly greater emotional imbalance and psychological alienation than those in the 24 h group. A significant negative correlation was found between emotional balance and psychological alienation in the 24 h abstinence and control groups, but not in the 48 h group.</p><p><strong>Conclusions: </strong>The findings indicate that short-term tobacco abstinence negatively affects emotional stability and increases feelings of psychological alienation. These effects are more pronounced after 48 h of abstinence compared to 24 h.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-14DOI: 10.3390/healthcare13141693
María Gil-Peinado, Francisco Javier Muñoz-Almaraz, Hernán Ramos, José Sendra-Lillo, Lucrecia Moreno
{"title":"Developing a Patient Profile for the Detection of Cognitive Decline in Subjective Memory Complaint Patients: A Scoping Review and Cross-Sectional Study in Community Pharmacy.","authors":"María Gil-Peinado, Francisco Javier Muñoz-Almaraz, Hernán Ramos, José Sendra-Lillo, Lucrecia Moreno","doi":"10.3390/healthcare13141693","DOIUrl":"10.3390/healthcare13141693","url":null,"abstract":"<p><strong>Background and objectives: </strong>Early detection of cognitive decline (CD) is crucial for managing dementia risk factors and preventing disease progression. This study pursues two main objectives: (1) to review existing cognitive screening practices implemented in community pharmacy settings and (2) to characterize the cognitive profile of individuals eligible for screening in this context.</p><p><strong>Materials and methods: </strong>This study was conducted in two phases. First, a scoping review of cognitive screening tools used in community pharmacies was carried out following PRISMA-ScR guidelines. Second, a cross-sectional study was performed to design and implement a CD screening protocol, assessing cognitive function. Data collection included demographic and clinical variables commonly associated with dementia risk. Decision tree analysis was applied to identify key variables contributing to the cognitive profile of patients eligible for screening.</p><p><strong>Results: </strong>The scoping review revealed that screening approaches differed by country and population, with limited pharmacy involvement suggesting implementation barriers. Cognitive screening was conducted in 18 pharmacies in Valencia, Spain (1.45%), involving 286 regular users reporting Subjective Memory Complaints (SMC). The average age of participants was 71 years, and 74.8% were women. According to the unbiased Gini impurity index, the most relevant predictors of CD-based on the corrected mean decrease in corrected impurity (MDcI), a bias-adjusted measure of variable importance-were age (MDcI: 2.60), internet and social media use (MDcI: 2.43), sleep patterns (MDcI: 1.83), and educational attainment (MDcI: 0.96). Simple decision trees can reduce the need for full screening by 53.6% while maintaining an average sensitivity of 0.707. These factors are essential for defining the profile of individuals who would benefit most from CD screening services.</p><p><strong>Conclusions: </strong>Community pharmacy-based detection of CD shows potential, though its implementation remains limited by issues of consistency and feasibility. Enhancing early dementia detection in primary care settings may be achieved by prioritizing individuals with limited internet and social media use, irregular sleep patterns, and lower education levels. Targeting these groups could significantly improve the effectiveness of CD screening programs.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-13DOI: 10.3390/healthcare13141684
Mónica-Alba Ahulló-Fuster, M Luz Sánchez-Sánchez, Alejandro Monterrubio-Gordón, Maria-Arantzazu Ruescas-Nicolau
{"title":"A Comparison of Developmental Profiles of Preschool Children with Down Syndrome, Global Developmental Delay, and Developmental Language Disorder.","authors":"Mónica-Alba Ahulló-Fuster, M Luz Sánchez-Sánchez, Alejandro Monterrubio-Gordón, Maria-Arantzazu Ruescas-Nicolau","doi":"10.3390/healthcare13141684","DOIUrl":"10.3390/healthcare13141684","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Developmental disabilities substantially affect the daily lives of children and their families. Although interest in examining the developmental profiles of children with various disabilities has grown, few studies have systematically compared them. This study aimed to characterize the developmental profiles of preschool-aged children with different disabilities. It was hypothesized that developmental profiles would differ depending on the type of developmental disability. <b>Methods</b>: A cross-sectional study was conducted. Scores on the Battelle<sup>®</sup> Developmental Inventory, 2nd Edition (BDI-2) were retrieved for a non-probabilistic convenience sample of 46 children diagnosed with Down syndrome (DS) (<i>n</i> = 22), global developmental delay (GDD) (<i>n</i> = 17), and developmental language disorder (DLD) (<i>n</i> = 7) upon completion of an early intervention program. Developmental quotients (DQs) for the overall BDI-2 and for each domain were determined. <b>Results</b>: The children's mean age was 42.39 ± 5.23 months (range: 30-57). Significant differences were observed among groups with regard to global DQ and all domain-specific DQs (<i>p</i> ≤ 0.01). The GDD group demonstrated the highest DQs across all domains and globally, in comparison to the other groups. Conversely, children with DS had substantially lower DQs across all domains and globally compared to those with GDD, and in the motor and communication domains compared to children with DLD. <b>Conclusions</b>: These findings underscore the importance of early intervention strategies to improve communication in children with DS and highlight the need for regular assessments to monitor progress and identify potential limitations, particularly during the preschool-to-school transition. Additionally, specialists should advise parents of children with DLD to adopt specific behaviors that support the development of their children's social, adaptive, and language skills.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-13DOI: 10.3390/healthcare13141685
Han Hu, Wei Zeng, Ran Liu
{"title":"When Love Comes at a Cost: Mental Health Outcomes in Older Adults Providing Grandparental Care.","authors":"Han Hu, Wei Zeng, Ran Liu","doi":"10.3390/healthcare13141685","DOIUrl":"10.3390/healthcare13141685","url":null,"abstract":"<p><strong>Background/objectives: </strong>Against the backdrop of increasing global aging and the trans-formation of family structures, grandparental caregiving has become commonplace, and its impact on the mental health of older persons is of great concern.</p><p><strong>Methods: </strong>Based on data from the 2023 Xi'an Jiaotong University Urban and Rural Elderly Family Support and Psychological Condition Survey, this study analyzed the impact of grandparental care-giving behaviors on the mental health of the elderly through the Psychological Condition Measurement Scale (PCMS), and comprehensively assessed the presence, intensity, and heterogeneous impact of grandparental caregiving behaviors by gender by applying linear regression modeling, the Propensity Score Matching (PSM) method, and the Instrumental Variables Method (IVM).</p><p><strong>Results: </strong>Grandparental care has a significant positive effect on the mental health of older people, but this positive effect diminishes as the intensity of care increases. The results of the sub-sample estimation show that grandparental caregiving has a positive effect on men's and low-intensity caregiving on women's mental health, but high-intensity caregiving has a negative effect on women's mental health. In addition, in-tergenerational financial support and intergenerational emotional comfort play an im-portant mediating role between grandparental caregiving and the mental health of older persons, in line with the explanatory framework of intergenerational exchange theory.</p><p><strong>Conclusions: </strong>It is recommended that the Government support grandparental care for the elderly at the financial, social security, and policy levels; that society build a diversified system of elderly care services and strengthen public childcare services; and that families establish a value identity of two-way support.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-12DOI: 10.3390/healthcare13141681
Alen Bišćanin, Leon Palac, Zdravko Dorosulić, Dominik Kralj, Petra Ćaćić, Filip Babić, Doris Ogresta, Davor Hrabar, Vedran Tomašić
{"title":"Impaired Quality of Life in Croatian IBD Patients in the Era of Advanced Treatment Options.","authors":"Alen Bišćanin, Leon Palac, Zdravko Dorosulić, Dominik Kralj, Petra Ćaćić, Filip Babić, Doris Ogresta, Davor Hrabar, Vedran Tomašić","doi":"10.3390/healthcare13141681","DOIUrl":"10.3390/healthcare13141681","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Inflammatory bowel disease (IBD) is a chronic gastrointestinal disorder marked by relapsing episodes of gastrointestinal inflammation, potentially causing severe symptoms. These unpredictable acute episodes, paired with chronic disabilities, such as fatigue and malabsorption, and extensive pharmacological and surgical treatments, can severely impact patients' quality of life. This study aimed to assess which aspects of the patients' lives IBD impacts, and how IBD patients perceive their disease. <b>Methods:</b> All IBD patients who had an appointment in our tertiary centre from 10 October 2022 to 21 February 2023, were invited to complete anonymous questionnaires. The questionnaires used were IBDQ-32, WPAI, and IBD Disk, all designed specifically to assess the IBD patients' quality of life. <b>Results</b>: The questionnaires were completed by a total of 159 participants, 51% of whom were males, 47.9% who had UC, and 49.4% who had been or were currently treated with biologics. There was no statistically significant difference in the answers from patients with CD compared to UC, as well as those treated with conventional therapies compared to those with advanced options. Most of them considered their health to be good, but only a few (12.8%) claimed, with absolute certainty, that their health was at the level of healthy individuals, and only 13 (8.3%) claimed their health was excellent. A total of 95 (60.1%) participants expressed at least minor limitations when performing strenuous activities, but lighter forms of activities were not affected as much by the disease. A significant portion (48.7%) of the participants believed they were exposed to more stress than others, and their current pharmacological therapy was the cause of fear in 26.5%. A total of 119 (75.3%) participants believed that the disease affected their lives at least mildly during remission. <b>Conclusions</b>: Our study showed that IBD patients have diminished quality of life, not only in the periods of active disease but also during clinical remission. The decline in quality of life was not solely attributed to physical symptoms, as previously thought. Other factors, such as mental health issues, were found to impact quality of life as well. We firmly believe that restoring quality of life should be emphasised in guidelines as one of the most important therapeutic goals.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-12DOI: 10.3390/healthcare13141683
Maria Perperidi, Eleni Skeparnakou, Dimitra Strongylou, Ariadni Leptopoulou, Thomas Tsiampalis, Konstantinos Tsapakidis, Emmanouil Saloustros, Yannis Theodorakis, Odysseas Androutsos
{"title":"Formative Development and Acceptability of a Lifestyle Weight Management Intervention for Breast Cancer Survivors in Greece: The NutriLife Study.","authors":"Maria Perperidi, Eleni Skeparnakou, Dimitra Strongylou, Ariadni Leptopoulou, Thomas Tsiampalis, Konstantinos Tsapakidis, Emmanouil Saloustros, Yannis Theodorakis, Odysseas Androutsos","doi":"10.3390/healthcare13141683","DOIUrl":"10.3390/healthcare13141683","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Weight gain is frequently observed during and following breast cancer therapy. Women with overweight/obesity have poorer breast cancer prognoses and are more likely to develop comorbidities. The present study describes the development and qualitative assessment of the acceptability of the NutriLife study, a lifestyle weight management intervention with dietetic counseling and digital tools for breast cancer survivors (BCSs). <b>Methods:</b> The intervention was developed using the Medical Research Council (MRC) framework, informed by a systematic literature review and stakeholder input. Acceptability was assessed using the Theoretical Framework of Acceptability (TFA). A total of 22 BCSs with overweight/obesity participated in focus groups, and 5 dietitians/nutritionists specializing in breast cancer in Greece participated in semi-structured interviews. The data were further analyzed using thematic analysis. <b>Results:</b> Stakeholders assessed the intervention as acceptable across all TFA constructs. The intervention was characterized as supportive, easily adaptable, time-efficient, well-organized, beneficial, and professionally driven, with potential barriers including limited personal time, inadequate digital literacy, insufficient self-care, and lack of commitment. Gradually increasing goals may be helpful and less stressful, while educational resources enhance focus on these objectives, thus encouraging intervention participation. Ensuring confidentiality was perceived as central to promoting health. <b>Conclusions:</b> The evidence-based, co-participatory design of the NutriLife intervention was perceived as acceptable by the participating stakeholders and will be pilot-tested in a randomized controlled trial.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2025-07-12DOI: 10.3390/healthcare13141682
Karina Elizabeth Andrade-Lara, Pedro Ángel Latorre Román, Eva Atero Mata, José Carlos Cabrera-Linares, Juan Antonio Párraga Montilla
{"title":"Can the Components of Physical Fitness Be Linked to Creative Thinking and Fluid Intelligence in Spanish Schoolchildren?","authors":"Karina Elizabeth Andrade-Lara, Pedro Ángel Latorre Román, Eva Atero Mata, José Carlos Cabrera-Linares, Juan Antonio Párraga Montilla","doi":"10.3390/healthcare13141682","DOIUrl":"10.3390/healthcare13141682","url":null,"abstract":"<p><p><b>Objective:</b> The aim of this study was to determine the relationship between the components of physical fitness (PF), creativity and fluid intelligence, as well as to determine which components of PF are predictors of the analysed cognitive potential. <b>Material and Methods:</b> A total of 584 Spanish schoolchildren (6-11 years old; age = 8.62 ± 1.77 years) took part in this study. Creativity was assessed using the Torrance Tests of Creative Thinking (TTCT) and fluid intelligence through TEA-1. Moreover, PF components were evaluated using a 25 m sprint, handgrip strength, standing long jump and 20 m SRT. <b>Results:</b> Boys exhibited a better PF performance than girls (<i>p</i> range from = < 0.001 to 0.05), as well as higher creativity score (<i>p</i> < 0.001), the fluid intelligence score and QI score (<i>p</i> < 0.05, respectively). Moreover, PF components (CRF, strength and speed) were positively associated with creativity (<i>p</i> range from = < 0.001 to 0.001) and fluid intelligence (<i>p</i> range from = < 0.001 to 0.015). Regression analysis showed that the creativity model explained between 31.4% and 36.6% of the variance (<i>R</i><sup>2</sup> = 0.314-0.366, <i>p</i> < 0.001), while the fluid intelligence model accounted for 25.5% to 33.1% of the variance (<i>R</i><sup>2</sup> = 0.255-0.331, <i>p</i> < 0.001 to 0.001). <b>Conclusions:</b> A positive relationship was found between creativity, fluid intelligence, and PF components. Children with higher PF levels scored better in creativity, with notable differences between boys and girls. These findings highlight the educational value of incorporating structured physical activity into school settings to support both cognitive and physical development.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}