Journal of Multidisciplinary Healthcare最新文献

{"title":"The Impact of Online Interactive Platform Services on Oral Health Behaviors in Older Adults With Mild Cognitive Impairment: Protocol for a Randomized Controlled Trial.","authors":"Qianyu Yin, Zhaowu Chai, Binbin Tao, Ping Liu, Yu Luo, Qinghua Zhao, Bing Yang","doi":"10.2147/JMDH.S508247","DOIUrl":"10.2147/JMDH.S508247","url":null,"abstract":"<p><strong>Purpose: </strong>Older adults with mild cognitive impairment (MCI) are at a high risk for oral health decline. To address this, we designed an intervention to improve oral health behaviors specifically for elderly individuals with MCI. Here we describe the protocol for a study with the following aims: to enhance oral health behaviors through online education tailored to the cognitive load of older adults and to maintain or delay cognitive decline.</p><p><strong>Patients and methods: </strong>This randomized, parallel, single-blind controlled trial will evaluate the effectiveness of an oral health behavior intervention based on an online interactive platform (e-COM[OH]) in older adults with MCI. The participants will be randomly assigned to two groups. The intervention group will receive oral health behavior training through an online platform consisting of four modules: Games, Health Knowledge, Health Skills, and Symptom Reporting Center. The control group will follow the hospital's official account and receive general oral health education. The primary outcome will be the oral health behavior score, assessed using an oral health behavior questionnaire. The secondary outcomes will include social support, perceived stress, cognitive level, oral health-related quality of life, and oral health status. Participant enrollment will begin in April 2024 and is expected to be completed in November 2024.</p><p><strong>Conclusions: </strong>This trial will evaluate whether the e-COM(OH) WeChat mini-program is suitable to improve the oral health behaviors and cognitive functions of older adults with MCI. If its effectiveness is validated and e-COM(OH) is deemed acceptable, appropriate, and feasible, it could serve as a strategic approach to address oral health issues and prevent cognitive decline in older adults with mild cognitive impairment.</p><p><strong>Trial registration: </strong>The trial has been registered on the www.chictr.org.cn registration platform on 19 April 2024 (registration number: ChiCTR2400083250).</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"663-674"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Health Science Students' Knowledge, Attitudes, and Practices Toward Artificial Intelligence in Northern Saudi Arabia: Implications for Curriculum Refinement and Healthcare Delivery.","authors":"Bashayer Farhan ALruwail, Afrah Muteb Alshalan, Ashokkumar Thirunavukkarasu, Alaa Alibrahim, Anfal Mohammed Alenezi, Tahalil Zamil A Aldhuwayhi","doi":"10.2147/JMDH.S499902","DOIUrl":"10.2147/JMDH.S499902","url":null,"abstract":"<p><strong>Background and aim: </strong>As the integration of artificial intelligence (AI) in healthcare delivery becomes increasingly prevalent, understanding the knowledge, attitudes, and practices of health science students towards AI is crucial. However, limited evidence exists regarding the readiness of health science students, particularly in northern Saudi Arabia (KSA), to integrate AI into their future practices, highlighting the need for focused evaluation. We evaluated northern Saudi health science students' knowledge, attitude, practice, and associated factors toward AI.</p><p><strong>Participants and methods: </strong>The present cross-sectional study was conducted among 384 health science students aged 18 years and above from Jouf University, KSA. The study employed a validated data collection form with four sections: demographics, knowledge (AI principles and applications), attitudes (perceptions and ethical concerns), and practices (usage and confidence in AI tools). The three domains' scores were categorized as low (<60%), medium (60-80%) and high (>80%) based on their total scores. We utilized Spearman correlation test to ascertain the strength and direction of correlation among each subscale. Additionally, multivariate analysis was employed to identify associated factors.</p><p><strong>Results: </strong>The present study demonstrated low knowledge, attitude, and practices among 55.7%, 37.0%, and 50.3% of health science students. We observed a positive correlation between knowledge and attitude (rho = 0.451, p = 0.001), knowledge and practice (rho = 0.353, p = 0.001), and attitude and practice (rho = 0.651, p = 0.001). Knowledge (p = 0.001) and practice (p = 0.002) were significantly higher among the students who participated in a formal AI training program. Females had a significantly higher level of attitude (p = 0.001) and practice (p = 0.030) than males.</p><p><strong>Conclusion: </strong>In light of these findings, refining the curriculum to incorporate AI emerges as a critical strategy for addressing gaps in AI knowledge, attitudes, and practices among health science students. Therefore, formal and integrated training programs tailored to suit the local setting can effectively prepare health science students to adopt AI technologies in ways that enhance patient care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"623-635"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study.","authors":"Yasin Furkan Kılıç, Tuğba Yardımcı Gürel","doi":"10.2147/JMDH.S500065","DOIUrl":"10.2147/JMDH.S500065","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to investigate the relationship between self-care management behaviors of individuals with chronic disease and their adaptation to chronic illness.</p><p><strong>Methods: </strong>This cross-sectional and correlational study was conducted with 312 patients treated at a Training and Research Hospital in Turkey between December 2023 and March 2024. The data were collected using a Sociodemographic Characteristics Form, the Self-Care Management Scale in Chronic Illness (SCMP-G) and the Adaptation to Chronic Illness Scale (ACIS).</p><p><strong>Results: </strong>Mean total scores of the participants for SCMP-G were 107.52 ± 12.51 and 77.00 ± 10.00 for ACIS. There was a low-level negative correlation between age and chronic disease adaptation (rh = -0.201; P < 0.001). Adaptation to chronic illness decreased with increasing age. There was a low-level negative correlation between BMI and physical adaptation (rh = -0.127; P = 0.026) and self-guarding (rh = -0.114; P = 0.046). As BMI increased, physical adaptation and self-guarding decreased. Regression analyses revealed that age (β = -0.115, t = -0.511, P < 0.05) and economic status (β = 2.698, t = -2.487, P < 0.05) had a significant effect on adaptation to chronic illness. Multiple regression analysis of the effect of self-guarding and social guarding variables on adaptation to chronic illness was significant (F = 3.504, P < 0.05).</p><p><strong>Conclusion: </strong>Based on the results of the present study, self-care management behaviors have a significant effect on adaptation to chronic illness and individual characteristics affect the results. Individual assistance should be extended to the patients to develop self-care management behaviors, which can induce lifestyle changes and necessary trainings should be planned. Future research should prioritize evaluating nurse-led interdisciplinary interventions and exploring the impact of tailored strategies for specific chronic conditions to improve self-care and adaptation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"637-650"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abnormal Expression of Peripheral Blood Leukocyte Surface Markers in Retinopathy of Prematurity Patients.","authors":"Rui Guo, Fang Cheng, Xiang-Jie Meng, Jun-Mei Fan, Ya-Ling Lu, Xiao-Hui Ma, Xin Qiao, Jun-Hong Li","doi":"10.2147/JMDH.S495761","DOIUrl":"10.2147/JMDH.S495761","url":null,"abstract":"<p><strong>Objective: </strong>Our study compares immune cell profiles in preterm infants with and without severe ROP, identifying risk factors for its development to explore both immunological aspects and determinants of ROP in preterm infants.</p><p><strong>Methods: </strong>Infants born between January 2023 to December 2023 at the Children's Hospital of Shanxi were enrolled in this study according to the inclusion criteria. Patients were divided into a test group or a control group based on the need for Type 1 ROP treatment. Baseline data for both groups were compared. Neutrophil, lymphocyte, and monocyte subsets in the peripheral blood were analyzed using immunophenotypic analysis via multicolor flow cytometry. This method allowed for the quantification of specific cell subset proportions.</p><p><strong>Results: </strong>A total of 2,110 preterm infants were screened for inclusion in the study. Multivariate logistic regression analysis identified gestational age below 28 weeks, birth weight less than 1,000 g, and neonatal sepsis as independent risk factors for severe ROP. Furthermore, flow cytometry analysis was performed on blood samples from 45 preterm patients. Comparative analysis revealed that the test group had a lower percentage of neutrophils and higher expression of cluster of differentiation 81 (CD81) compared to the control group. Additionally, the test group showed a higher percentage of lymphocytes and a greater proportion of Th17 cells than the control group.</p><p><strong>Conclusion: </strong>Preterm gestational age, low birth weight, and neonatal sepsis increase severe ROP risk. Elevated CD81 and Th17 levels suggest inflammation linked to neutrophils and lymphocytes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"651-661"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of Masses in Mammogram Images Based on the Enhanced RetinaNet Network With INbreast Dataset.","authors":"Mingzhao Wang, Ran Liu, Joseph Luttrell Iv, Chaoyang Zhang, Juanying Xie","doi":"10.2147/JMDH.S493873","DOIUrl":"10.2147/JMDH.S493873","url":null,"abstract":"<p><strong>Purpose: </strong>Breast cancer is the most common major public health problems of women in the world. Until now, analyzing mammogram images is still the main method used by doctors to diagnose and detect breast cancers. However, this process usually depends on the experience of radiologists and is always very time consuming.</p><p><strong>Patients and methods: </strong>We propose to introduce deep learning technology into the process for the facilitation of computer-aided diagnosis (CAD), and address the challenges of class imbalance, enhance the detection of small masses and multiple targets, and reduce false positives and negatives in mammogram analysis. Therefore, we adopted and enhanced RetinaNet to detect masses in mammogram images. Specifically, we introduced a novel modification to the network structure, where the feature map M5 is processed by the ReLU function prior to the original convolution kernel. This strategic adjustment was designed to prevent the loss of resolution for small mass features. Additionally, we introduced transfer learning techniques into training process through leveraging pre-trained weights from other RetinaNet applications, and fine-tuned our improved model using the INbreast dataset.</p><p><strong>Results: </strong>The aforementioned innovations facilitate superior performance of the enhanced RetiaNet model on the public dataset INbreast, as evidenced by a mAP (mean average precision) of 1.0000 and TPR (true positive rate) of 1.00 at 0.00 FPPI (false positive per image) on the INbreast dataset.</p><p><strong>Conclusion: </strong>The experimental results demonstrate that our enhanced RetinaNet model defeats the existing models by having more generalization performance than other published studies, and it can also be applied to other types of patients to assist doctors in making a proper diagnosis.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"675-695"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Computed Tomography in Predicting Programmed Death Ligand-1 Positivity in Gastric Adenocarcinoma.","authors":"Zhi-Hong Yu, Wei-Qin Ma, Ji-Wei Ren, Xu-Ting Zhang, Lin Chu","doi":"10.2147/JMDH.S495962","DOIUrl":"10.2147/JMDH.S495962","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between computed tomography (CT) imaging characteristics and programmed death ligand-1 (PD-L1) expression in patients with gastric adenocarcinoma (GAC), and to develop a nomogram model for prediction.</p><p><strong>Methods: </strong>The patients were randomly allocated into a training set and a validation set at a ratio of 7:3. The training set was further divided into a PD-L1 positive group and a PD-L1 negative group, based on the combined positive score (CPS). Univariate and multivariate logistic regression analyses were performed to identify independent predictors of PD-L1 positivity. A nomogram was developed to assess the model's predictive performance, which was evaluated using the receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA). It was also compared with the model established by previous study.</p><p><strong>Results: </strong>Patients with PD-L1-positive gastric adenocarcinoma exhibited a higher prevalence of larger short diameters of lymph nodes (LNs) (≥ 1 cm), and lower CT attenuation values in the venous and delayed phases compared to those in the PD-L1-negative group. Short diameter of LNs, and CT attenuation values in the delayed phase were identified as independent predictors of PD-L1 positivity. The nomogram analysis indicated that CT attenuation values in the delayed phase were the most significant predictor of PD-L1 positivity, followed by short diameter of LNs.</p><p><strong>Conclusion: </strong>The GAC prediction model based on the CT imaging features is effective in predicting PD-L1 expression levels and demonstrates strong clinical applicability.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"609-621"},"PeriodicalIF":2.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary Team Pilot to Reduce Time to Administration of Piperacillin/Tazobactam in the Emergency Department at a Veterans Affairs Medical Center.","authors":"Madeline M DiVittorio, Tracy Fisher, Brendan Steadman, Brian Cone, Zane Elfessi","doi":"10.2147/JMDH.S500104","DOIUrl":"10.2147/JMDH.S500104","url":null,"abstract":"<p><strong>Background: </strong>Sepsis is a condition of life-threatening organ dysfunction caused by a dysregulated host response to an infection. Adults with suspected sepsis or possible septic shock should receive antimicrobials within 1 hour. Early administration of antibiotics to patients with sepsis has been shown to decrease in-hospital mortality. Factors that affect antibiotic administration time include the antibiotic dispensary location, best practice alerts in electronic medical records, and staff \"huddles\" to continuously reinforce the importance of antibiotics.</p><p><strong>Methods: </strong>At our Veterans Affairs Medical Center, we moved piperacillin/tazobactam from the central pharmacy to the emergency department automated dispensing cabinet. We implemented an interdisciplinary sepsis team comprised of emergency medicine (EM) nurses, pharmacists, and physicians. This was a retrospective chart review to assess whether our change in practice affected the time to administration of piperacillin/tazobactam in the emergency department. We assessed whether the change in practice had an effect on mortality in our population.</p><p><strong>Results: </strong>Patients were reviewed 6 months pre- and post-implantation of the practice changes. There were 139 veterans in the pre-implementation group and 128 in the post-implementation group. The two groups were similar in age, sex, and African-American race. There was a statistically significant reduction in the average time from EM pharmacist verification to nurse administration when comparing the groups (46.5±49.8 vs 30.6±28.7 minutes, <i>p</i>=0.004). There were statistically significant reductions in the time from EM physician recognition to pharmacist order verification (54.37±50.22 vs 40.52±31.26 minutes, <i>p</i>=0.009). Eight patients died in the pre-pilot group compared to five in the post-pilot group. The relative risk of mortality was reduced between the two groups by 32%.</p><p><strong>Conclusion: </strong>When piperacillin/tazobactam was stocked in the emergency department and we implemented an interdisciplinary sepsis team, there was a significant reduction in the time to administration in patients with sepsis.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"603-608"},"PeriodicalIF":2.7,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Radiographic Evaluation of Bone Profile Around Dental Implants Placed in the Esthetic Zone.","authors":"Lamees Alssum, Reem Al-Kattan, Nouf Al-Shibani, Hafsah Al Ali, Farah Aldossari, Eman Allam","doi":"10.2147/JMDH.S503269","DOIUrl":"10.2147/JMDH.S503269","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the bone profile around dental implants placed in the esthetic zone through periodontal assessment and radiographic analysis using cone-beam computed tomography (CBCT).</p><p><strong>Methods: </strong>We conducted a clinical observational study of 35 subjects who received dental implants placed in the esthetic zone to replace lost anterior teeth. Clinical evaluation included a comprehensive periodontal examination. The esthetic outcomes of the soft tissue around the implants were assessed using the pink esthetic score (PES). Patient satisfaction was assessed by using a specially designed questionnaire. The Oral Health Impact Profile (OHIP)-14 was used to assess the quality of life. The bone profile around the implant was assessed using CBCT. All the values were compared and statistically analyzed.</p><p><strong>Results: </strong>A soft tissue graft (STG) was associated with the presence of > 2 mm of bone thickness 1 mm from the implant shoulder (p < 0.01). The STG was also significantly associated with bone thickness at 3 and 5 mm (p = 0.04). PES was not significantly associated with the bone thickness, OHIP score, or satisfaction score. Patients with fenestrations had significantly higher scores for functional limitations and pain than those without fenestrations (p = 0.01 and 0.04 respectively).</p><p><strong>Conclusion: </strong>The bone profile around the anterior implant is not ideal. Although the buccal bone was thin around the implant placed in the esthetic zone, it did not affect the esthetic outcomes or overall satisfaction of the patient. However, fenestration defects may affect patients' quality of life.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"591-601"},"PeriodicalIF":2.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal Facilitation by Health Assistants for the \"WHO Lay Health Worker Dementia Care\" in Rural Uganda: A Formative Evaluation.","authors":"Edith K Wakida, Celestino Obua, Godfrey Zari Rukundo, Mary Samantha, Samuel Maling, Christine K Karungi, Zohray M Talib, Jessica Haberer, Stephen J Bartels","doi":"10.2147/JMDH.S507819","DOIUrl":"10.2147/JMDH.S507819","url":null,"abstract":"<p><strong>Background: </strong>Dementia is characterized by cognitive symptoms like memory loss, difficulty with language, and impaired judgment, alongside behavioral and psychological symptoms such as depression, anxiety, and aggression. Early diagnosis and tailored care are essential for managing these symptoms, improving quality of life, and reducing caregiver burden. Dementia affects a substantial portion of older people globally, especially in low- and middle-income countries like Uganda, where rural healthcare systems face challenges in dementia care access. To address these needs, we gathered key stakeholders' perspectives on a culturally tailored model employing lay health workers, supported by health assistants as internal facilitators, to implement the World Health Organization dementia toolkit in rural communities.</p><p><strong>Methods: </strong>We conducted a formative qualitative study, utilizing one-on-one interviews with health assistants, district health team members, and primary healthcare providers in rural Uganda. We solicited their perspectives on implementing the World Health Organization dementia toolkit at the village level. The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework guided data collection and analysis, focusing on implementation support, process improvement, and practice sustainment.</p><p><strong>Results: </strong>Strong support was found for health assistants' roles in facilitating lay health worker-led dementia care at the community level. Health assistants' familiarity with lay health workers and pre-established structures were considered facilitating factors. Key challenges included knowledge gaps in dementia care and limited resources. Participants emphasized the importance of training, mentorship, and standardized reporting tools to enhance the implementation of dementia care. They recommended providing the health assistants with job guides, updated reporting templates to collect dementia indicators, and orientation on what they should do during internal facilitation with the lay health workers using the dementia toolkit.</p><p><strong>Conclusion: </strong>Health assistants' internal facilitation provides a promising strategy for scaling dementia care in rural Uganda by leveraging community-based lay health workers. Addressing identified knowledge gaps, communication needs, and resource constraints will be essential to sustaining dementia care interventions in these communities.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"579-590"},"PeriodicalIF":2.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Treatment-Seeking Behavior Among Caregivers of Children with Cancer: A Scoping Review.","authors":"Ikeu Nurhidayah, Desy Hendriyani, Fanny Adistie, Nani Nurhaeni, Henny Suzana Mediani","doi":"10.2147/JMDH.S497004","DOIUrl":"10.2147/JMDH.S497004","url":null,"abstract":"<p><strong>Background: </strong>The survival rates for children with cancer, particularly in developing countries, remain low. A key factor contributing to these poor survival rates is the late diagnosis of pediatric cancer, which is often due to insufficient treatment-seeking behaviors by parents. This study aimed to explore the factors that influence the treatment-seeking behavior among caregivers of children with cancer.</p><p><strong>Methods: </strong>This study employed a scoping review approach. Data was gathered from three sources: PubMed, CINAHL, and Medline. The search protocol adhered to the PRISMA guidelines for scoping reviews, using the terms (\"children OR childhood\") AND (\"cancer OR malignancy\") AND (\"factors OR causes\") AND (\"health-seeking behavior OR treatment-seeking behavior\") AND (\"treatment delay\"). Selected studies were based on original research, utilized either a cross-sectional or qualitative approach, focused on caregivers of children diagnosed with cancer, and were published in the last ten years (2013-2023).</p><p><strong>Results: </strong>A total of nine articles met the criteria for inclusion: seven were cross-sectional studies, while two were qualitative studies. The ages of the children ranged from 1 to 18 years. Caregivers included parents (mother, father, or both), uncles, siblings, and cousins. The number of respondents varied from 12 to 200. The findings of the studies indicate that a range of complex and interrelated factors affects parental behavior, which includes child-related factors, parent-related factors, knowledge-related factors, perception-related factors, access to health services, and levels of social support.</p><p><strong>Conclusion: </strong>This study highlights that caregiver behavior in seeking treatment for children with cancer is influenced by various factors that all contribute to delays in the treatment. We advocate for increased health promotion initiatives by the government and policymakers aimed at enhancing parents' knowledge and awareness regarding childhood cancer and its early detection. Expanding the cancer service network in developing countries could improve public access to pediatric cancer services.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"563-578"},"PeriodicalIF":2.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}