Journal of Multidisciplinary Healthcare最新文献

{"title":"Exploring Hospital Healthcare Providers' Approaches to Multidisciplinary Initiatives and Complex Care Collaboration: A Qualitative Study.","authors":"Mikkel Aagaard, Andreas Kjær Stage, Trine Boje Møller, Steen B Pedersen, Charlotte Gjørup Pedersen","doi":"10.2147/JMDH.S513370","DOIUrl":"https://doi.org/10.2147/JMDH.S513370","url":null,"abstract":"<p><strong>Background: </strong>Despite well-documented factors influencing collaboration, healthcare providers' perspectives remain limited. These perspectives are key for understanding how they manage complex patient care effectively. This study explores hospital healthcare providers' views on multidisciplinary collaboration and their openness to an intervention for managing complex care in patients with diabetes and multiple chronic conditions.</p><p><strong>Methods: </strong>An interview study. The Interpretive Description approach was employed as the research methodology, with Boundary Work as the analytical framework. Purposive sampling was utilised, with data consisting of 22 semi-structured, face-to-face individual and two focus group interviews with nurses, junior physicians, and physicians at Aarhus University Hospital, Denmark.</p><p><strong>Results: </strong>Three main themes emerged: Wide Support and Need for Multidisciplinary Collaboration; Existing Collaboration Between Clinics - and Their Limitations; and Introducing a Collaborative Initiative: the Intervention. The informants agreed that collaboration and coordination - both broadly and in relation to the specific intervention - are important and could improve care coordination, enhance patients' sense of security, clarify professional roles, enrich expertise, and streamline resource use. However, organisational structures and professional dynamics often hinder such efforts. A key challenge related to the intervention was identifying patients with complex cases for referral.</p><p><strong>Conclusion: </strong>This study highlights hospital healthcare providers' recognition of the critical need to strengthen collaboration across specialties to manage complex cases effectively. Significant barriers, such as siloed specialisation and heavy workloads, call for targeted political and managerial action. Challenges in identifying complex cases point to the need for methods that adopt a holistic, patient-centred approach to gain a nuanced understanding of the challenges individuals face in living with multiple chronic conditions and receiving care across different hospital clinics. In the future, this approach could streamline the referral of complex cases, with additional research required to explore the potential of flexible multidisciplinary team meetings in enhancing collaboration within complex care pathways.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2401-2416"},"PeriodicalIF":2.7,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063875","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":"University Students' Knowledge, Attitudes, and Practices Regarding Cervical Spine Health.","authors":"Yanxiao Liu, Hua Wang, Huafei Liu, Lei Li","doi":"10.2147/JMDH.S509806","DOIUrl":"https://doi.org/10.2147/JMDH.S509806","url":null,"abstract":"<p><strong>Introduction: </strong>Prolonged sedentary behavior and electronic device use jeopardize university students' cervical spine health. This study investigated their knowledge, attitudes, and practices (KAP) concerning cervical spine health.</p><p><strong>Methods: </strong>From May 25 to June 16, 2023, a cross-sectional survey was conducted among students at various Chinese universities. Demographic data and KAP scores were collected using self-developed questionnaires. Using 60% and 80% as cut-off values, KAP levels were categorized into three tiers: knowledge (inadequate: 0-7, moderate: 8-11, good: 12-15), attitudes (negative: 8-23, neutral: 24-31, positive: 32-39), and practices (inappropriate: 7-20, moderate: 21-28, proactive: 29-35).</p><p><strong>Results: </strong>Of 1,956 valid questionnaires, their mean age was 19.88 ± 1.40 years, with 71.8% of female gender. Notably, 75.9% reported daily electronic device use ≥4 hours. Regarding initial device acquisition, 37.1% obtained devices in middle school, 30.6% in high school, 22.5% in elementary school, and 9.9% in college. Mean knowledge, attitudes, and practices scores were 10.4 ± 2.1, 34.1 ± 3.9, and 20.9 ± 4.1. Multivariate logistic regression revealed that female students (OR = 1.39, 95% CI: 1.10-1.75), non-freshmen (OR = 1.74, 95% CI: 1.42-2.13), and acquiring knowledge through WeChat (OR = 1.86, 95% CI: 1.47-2.36) or community hospitals (OR = 1.60, 95% CI: 1.29-1.99) had higher probability of adequate knowledge. Non-medical majors (OR = 0.47, 95% CI: 0.39-0.58) and using electronic devices for 3-4 hours (OR = 0.67, 95% CI: 0.45-0.99) or ≥4 hours daily (OR = 0.64, 95% CI: 0.46-0.89) were negatively associated with attitudes. Positive attitudes (OR = 1.27, 95% CI: 1.22-1.31) and obtaining knowledge from medical experts (OR = 1.30, 95% CI: 1.03-1.63) were associated with better practices, while female students (OR = 0.56, 95% CI: 0.44-0.72) and frequent cervical discomfort (OR = 0.26, 95% CI: 0.13-0.53) were the opposite.</p><p><strong>Conclusion: </strong>University students exhibited moderate knowledge, positive attitudes, and inappropriate practices regarding cervical spine health. Educational interventions are recommended, particularly for non-medical majors, individuals with prolonged digital device use, and freshmen.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2375-2386"},"PeriodicalIF":2.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003849","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":"Assessing Clinical Governance Awareness and Implementation Among Healthcare Professionals in Madinah, Saudi Arabia: A Cross-Sectional Study.","authors":"Abdulaziz Rashed Alsaedi, Maisam Elfaki Haddad, Safaa Eid Alshelaly, Manal Mohammed Alsadei, Abdulaziz Jameel Alharbi, Abdullah Ahmad Alkhurais, Fahad Rashid Almajnoni, Nada Abdullah Alneami","doi":"10.2147/JMDH.S515427","DOIUrl":"https://doi.org/10.2147/JMDH.S515427","url":null,"abstract":"<p><strong>Background: </strong>Clinical governance has been developed as a comprehensive approach to enhance the quality of care. As a new methodology, clinical governance is increasingly adopted by Saudi Arabian hospitals.</p><p><strong>Objective: </strong>This study aims to assess the awareness level of clinical governance among healthcare professionals in King Salman Medical City, Madinah, Saudi Arabia.</p><p><strong>Methods: </strong>This is a cross-sectional survey study that used a proportionate stratified sampling technique from July to October 2024. Data collection was done using a pre-developed questionnaire involving 65 items, measuring healthcare professionals' awareness of the seven domains of clinical governance. Descriptive analysis was employed using frequencies, means, and standard deviation. Meanwhile, the one-way <i>t</i>-test and one-way ANOVA were used in the inferential analysis.</p><p><strong>Results: </strong>A total of 403 professionals responded to the survey with a response rate of 58%. Quantitative analysis revealed a notably high level of clinical governance implementation across all assessed areas in the hospital. Public and patient involvement stands out as the strongest area, with a mean difference of 0.846 and a t-value of 22.400, while risk management has a relatively lower mean difference of 0.578 with a t-value of 13.549. The descriptive statistics for public and patient involvement reveal slight variations in perceptions of involvement across different staff roles in the hospital. Doctors report the highest mean involvement level at 3.96 (SD = 0.74), with a 95% confidence interval ranging from 3.80 to 4.12. Laboratory specialists have the lowest mean at 3.60, with the largest variability (SD = 1.20), and their confidence interval (2.80 to 4.41) is wider.</p><p><strong>Conclusion: </strong>The study revealed a strong foundation in patient engagement, audit processes, and data management. Decision-makers need to encourage the culture of risk management and clinical effectiveness. Future researchers might shed light on the impact of clinical governance on patients' outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2349-2360"},"PeriodicalIF":2.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997153","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":"Family Members' Perspectives on Integrative Chinese-Western Medicine in Cancer Care.","authors":"Ting Sun, Ting Wang, Fan Xia, Lin Xia, Xin Sun, Haili Jiang, Panlin Xu, Ping Li","doi":"10.2147/JMDH.S509065","DOIUrl":"https://doi.org/10.2147/JMDH.S509065","url":null,"abstract":"<p><strong>Purpose: </strong>Family members play a central supporting role in cancer patient management. This study aimed to assess the knowledge, attitudes, and practices (KAP) of cancer patients' family members regarding the use of integrative Chinese-Western medicine in cancer treatment. Proper knowledge is necessary for informed decision-making and providing adequate care and support.</p><p><strong>Methods: </strong>This cross-sectional study was conducted between August 2022 and December 2022 and included family members of cancer patients.</p><p><strong>Results: </strong>A total of 493 questionnaires were collected. The mean score of knowledge, attitudes, and practices were 5.87 ± 3.63 (possible range: 0-12), 59.90 ± 9.45 (possible range: 16-80), and 21.73 ± 3.27 (possible range: 6-30), respectively. Junior college (university programs lasting 2-3 years) or above (OR=2.87, 95% CI: 1.41-5.88, P=0.004), had family members attending Chinese Medicine/Integrated Chinese and Western Medicine departments (OR=1.94, 95% CI: 1.17-3.24, P=0.011), and possessed knowledge of TCM (OR=2.90, 95% CI: 1.76-4.79, P<0.001) were linked to good knowledge. Knowledge (OR=1.96, 95% CI: 1.23-3.11, P=0.005) and family members attending Chinese Medicine/Integrated Chinese and Western Medicine departments (OR=2.10, 95% CI: 1.27-3.47, P=0.004) were linked to positive attitudes. Attitude (OR=5.65, 95% CI: 3.57-8.93, P<0.001) was linked to positive practices.</p><p><strong>Conclusion: </strong>The family members of cancer patients showed limited knowledge and moderate attitudes and practices. Efforts should be made to address the benefits of integrative Chinese-Western medicine and provide more access to education and resources related to TCM. Although research would be necessary, the present study could provide hints regarding the combination of modern and traditional medicine in other countries.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2361-2373"},"PeriodicalIF":2.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007022","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":"Analysis of Self-Disclosure and Empathic Interaction Willingness Among Couples with Malignant Gynaecological Tumours.","authors":"Xingyao Lu, Zhimin Liu, Wenqing Hu, Yunyun Li, Xinyi Tian, Ruofan Dong","doi":"10.2147/JMDH.S507649","DOIUrl":"https://doi.org/10.2147/JMDH.S507649","url":null,"abstract":"<p><strong>Objective: </strong>This cross-sectional study aimed to analyse the interaction willingness regarding empathy and self-disclosure among patients with malignant gynaecological tumours and their spouses and elucidate the underlying mechanisms.</p><p><strong>Methods: </strong>A total of 201 couples, each including one partner diagnosed with a malignant gynaecological tumour, were selected using a convenience sampling method between March 2023 and January 2024. Participants' general information, empathy capabilities, self-disclosure and support coping were assessed by a general information questionnaire, the Interpersonal Reactivity Index-C, the Distress Disclosure Index and the Couple Support Coping Scale, respectively.</p><p><strong>Results: </strong>Both empathy and self-disclosure scores were significantly higher in the patients than in their spouses. Agent and object effect analyses showed that empathy in patients and their spouses could significantly positively predict their own self-disclosure and supportive coping abilities (<i>p</i> < 0.001). Furthermore, mediation effects indicated that spouses' empathy could influence patients' self-disclosure, albeit with a lower coefficient of 0.063, thereby enhancing the perceived effectiveness of spousal support coping. All these effects are statistically significant (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The capabilities of self-disclosure and empathy in patients with malignant gynaecological tumours and their spouses are closely associated with spousal support coping. Therefore, interventions should be crafted from a dyadic perspective to enhance both partners' empathic abilities and self-disclosure skills, thereby promoting mutual support and coping capabilities.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2335-2348"},"PeriodicalIF":2.7,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967938","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":"'Focus on Frailty': Co-Designing Digital Frailty Education with Healthcare Students.","authors":"Kristiana Ludlow, Sarah Martin, Benignus Logan, Ruth E Hubbard, Nicola Warren, Olivia Gallagher, Bonnie K Kwok, Rosemary Saunders","doi":"10.2147/JMDH.S511359","DOIUrl":"https://doi.org/10.2147/JMDH.S511359","url":null,"abstract":"<p><strong>Introduction: </strong>Frailty is prevalent in hospitals and is associated with adverse events and poor health outcomes. In Australia, there is a need for co-designed, multidisciplinary, and contextually relevant frailty education to improve healthcare students' understanding and knowledge of frailty within the hospital setting.</p><p><strong>Objective: </strong>This study aimed to i) explore healthcare students' understanding of frailty and their experiences with patients who are frail, and ii) seek healthcare students' design ideas for the content of a new digital frailty education course.</p><p><strong>Methods: </strong>Participants were university students enrolled in a health-related degree. Online focus groups and interviews were conducted between August and September 2023. Participants were asked about their experiences with frailty education, older adults and people living with frailty; course content; education module topics; and the course name. Participants also completed a demographic questionnaire and a Research Engagement Feedback Survey. Descriptive statistics were used to analyze quantitative data. Qualitative data were analyzed using inductive template analysis, a type of codebook thematic analysis.</p><p><strong>Results: </strong>Four themes were identified: 1) Perception of frailty as loss and decline; 2) Limited education on frailty; 3) Frailty education connected to the reality of practice; and 4) Learning and practicing person-centered care. Module topics prioritized by students were 'identifying and assessing frailty' and 'understanding ageing, frailty, and geriatric conditions'. Participants advocated for a course name that was catchy and succinct, informing the course name: <i>'Focus on Frailty'</i>.</p><p><strong>Discussion: </strong>Healthcare students expressed a desire to learn more about frailty and advocated for education that is skills-based, encourages practical application of knowledge, features storytelling and lived experiences, takes a holistic approach to frailty, and teaches person-centered care. Study findings will directly influence the design of education module topics and course content, and enhance Focus on Frailty's relevance to the Australian healthcare context across medicine, nursing and allied health practice.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2305-2317"},"PeriodicalIF":2.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997711","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":"Effects of Various Transfer Strategies of Frozen-Thawed Cleavage-Stage and Blastocyst Embryos on Pregnancy and Neonatal Outcomes in Different Age Groups.","authors":"Jianxi Jiang, Xiaohan Wu, Hongliang Sun, Lei Han, Xianghui Zhang, Chunjiao Liu, Yanlin Wang, Qingchun Li","doi":"10.2147/JMDH.S502766","DOIUrl":"https://doi.org/10.2147/JMDH.S502766","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to assess the impact of different embryo transfer strategies, focusing on cleavage-stage embryos and blastocysts, on pregnancy and neonatal outcomes in frozen-thawed embryo transfer (FET) cycles among women < 35 years old and ≥ 35 years old.</p><p><strong>Methods: </strong>A retrospective cohort analysis of 3,065 FET cycles performed between April 2015 and October 2022 categorized patients into seven groups by embryo morphology, quality, and quantity: single/double high-quality cleavage (A/B), single/double high-quality blastocyst (C/D), single/double poor-quality blastocyst (E/F), and mixed-quality blastocyst (G). Stratified by age (<35/≥35 years), outcomes (clinical pregnancy, live birth, multiple pregnancy, preterm birth) were analyzed using non-parametric tests and chi-square.</p><p><strong>Results: </strong>In women <35 years, transferring two high-quality cleavage embryos (Group B) yielded higher clinical pregnancy (60.12% vs 28.57%) and live birth rates (51.45% vs 19.64%) than single high-quality cleavage embryos (Group A; P < 0.05). For blastocyst transfer, double high-quality blastocysts (Group D) showed higher multiple pregnancy and preterm birth rates than single high-quality blastocysts (Group C; P < 0.05). In women ≥35 years, Group B had superior pregnancy outcomes compared to Group A, while Group D demonstrated significantly higher clinical pregnancy and live birth rates than Group C (P < 0.05). Transferring two poor-quality blastocysts (Group F) improved live birth rates in older patients compared to single poor-quality blastocysts (Group E; 31.91% vs 14.29%, P < 0.05). No significant differences in neonatal birth weight were observed across age groups.</p><p><strong>Conclusion: </strong>For FET cycles, transferring two high-quality cleavage embryos is recommended for all ages. Women <35 years should prioritize single high-quality blastocyst transfer to minimize multiple pregnancies and preterm births, while those ≥35 years benefit from double high-quality blastocysts. Transferring two poor-quality blastocysts may enhance pregnancy outcomes in older patients. These findings warrant validation through multicenter studies to ensure clinical applicability.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2319-2334"},"PeriodicalIF":2.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022771","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":"A Scoping Review of Palliative Care Education for Preregistration Student Nurses in the Asia Pacific Region.","authors":"Hana Rizmadewi Agustina, Chandra Isabella Hostanida Purba, Theresia Eriyani, Hartiah Haroen, Siti Ulfah Rifa'atul Fitri, Muna A Alshammari, Aliffa Azwadina, Muhammad Zaky Ramdhani","doi":"10.2147/JMDH.S501701","DOIUrl":"https://doi.org/10.2147/JMDH.S501701","url":null,"abstract":"<p><p>Palliative care is essential for improving the quality of life for patients with life-threatening illnesses and their families. However, access remains limited, especially in lower-middle-income countries. Education plays a vital role in developing quality palliative care services and is crucial for cultivating competencies that enhance the delivery of care. Meanwhile, its integration into nursing curricula is inconsistent, particularly in the Asia-Pacific region. This scoping review explores core palliative care competencies for undergraduate nursing students in the Asia-Pacific region, aiming to identify, develop, and integrate these competencies into nursing education and practice. The review followed Arksey and O'Malley's five-stage framework, including a comprehensive search of databases and search engines such as PubMed/MEDLINE, CINAHL, PsycINFO, Scopus, Google Scholar, ProQuest, ResearchGate, and Academic-Edu. The study included 23 articles published from 2012 to 2023, focusing on empirical data and theoretical models related to palliative care education in the Asia-Pacific region. The review identified key palliative care competencies, including holistic care, conceptual knowledge, communication, collaboration, and emotional preparedness for death. Barriers to integration include limited resources, insufficient trained educators, and inadequate clinical placements. Facilitators include positive clinical experiences and exposure to palliative care environments, which enhance students' competencies and attitudes. There is a significant need to standardize and strengthen the integration of palliative care competencies in nursing curricula across the Asia-Pacific region. By adopting innovative teaching methods and ensuring comprehensive education, nursing students can be better prepared to deliver high-quality, patient-centered palliative care, ultimately improving patient outcomes and addressing the growing need for these services.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2271-2280"},"PeriodicalIF":2.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005249","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":"Improving Service Quality of Home-Based Health Care Services for the Elderly: A Qualitative Study of Facilitators and Barriers Reported by Community Health Workers in Beijing.","authors":"Yurun Gao, Yutong Yang, Tingting Qin, Xingming Li, Junjun Guo, Lihan Zhou, Mingyu Gu, Yao Wang","doi":"10.2147/JMDH.S514336","DOIUrl":"https://doi.org/10.2147/JMDH.S514336","url":null,"abstract":"<p><strong>Background: </strong>As the population ages, the growing demand for elderly care has become a multi-faceted issue, encompassing the health of individuals, the viability of healthcare systems in addition to family and societal pressure. This study aims to identify the associated factors and provide recommendations to inform the better implementation of home health care services in Beijing.</p><p><strong>Methods: </strong>This study was a qualitative study in which 13 individuals were selected for focus group interviews through purposive sampling to understand the current status of home-based health care service provided by Beijing's community health service organizations, and to categorize facilitating and barriers factors into the five domains of the Consolidated Framework for Implementation Research (CFIR), a comprehensive framework for implementation research, and to derive targeted recommendations by using the expert recommendations for implementing change (ERIC).</p><p><strong>Results: </strong>Of the 13 study participants, 4 (30.77%) were physicians, 9 (69.23%), were nurses and 8 (61.54%) were involved in the management of home-based health care service. The main facilitators included Intervention Source, Evidence Strength and Quality, and Adaptability; Local Attitudes, Conditions, and Cosmopolitanism; Relationship Connection, Incentive System; and Motivation. Major barriers identified included Design Quality and Packaging, Cosmopolitanism, Peer Pressure, Available Resources, Structural Characteristics, Access to knowledge and information, Key Stakeholders, and Planning. To address the barrier factors, CFIR-ERIC matching tool was utilized to make recommendations. Importance was determined by cumulative selection rate, resulting in multiple improvement strategies.</p><p><strong>Conclusions: </strong>The provision of home-based health care service by Beijing's community health service organizations meets some of the needs of participants in this study reported, but there are still some barriers that can be further improved with reference to the ERIC recommendations.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2293-2304"},"PeriodicalIF":2.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995545","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":"Virtual Reality and Videogaming in Pulmonary Rehabilitation for Asthma: A Systematic Review of Clinical Outcomes and Engagement.","authors":"Mohammad Z Darabseh, Rahaf Badran, Eman Omar Alhasan, Ala'a M Shurrab, Anwaar A Amro, Yasser Alakhdar Mohmara, Khaled Al Oweidat, Shorooq Awwad, Sean James Ledger, Aseel Aburub","doi":"10.2147/JMDH.S508524","DOIUrl":"https://doi.org/10.2147/JMDH.S508524","url":null,"abstract":"<p><p>Asthma is a chronic respiratory disease that significantly impacts quality of life. Pulmonary rehabilitation has been shown to improve lung function and symptoms in asthma, but its adoption is limited due to accessibility and patient engagement challenges. Virtual reality (VR) and videogaming technologies have emerged as potential tools to enhance pulmonary rehabilitation by providing an engaging and interactive environment. This systematic review aimed to evaluate the effectiveness, feasibility, safety, and patient engagement of VR and videogaming in pulmonary rehabilitation for individuals with asthma. A comprehensive search of seven electronic databases (PubMed, Embase, CINAHL, Cochrane, AMED, SPORTDiscus and PEDro) was conducted to identify studies that included VR and videogaming interventions. Studies included participants with asthma and used VR or videogaming as part of pulmonary rehabilitation. Data extraction focused on intervention types, clinical outcomes, patient engagement, and safety. Five studies were included in the final review and involved 104 participants. The studies implemented different digital tools, including the InSpire System, and games such as \"Reflex Ridge\" and \"Serious Games\". VR and videogaming interventions improved asthma control, lung function, and exercise capacity. High levels of patient engagement and adherence were reported, with no adverse events across the trial. VR and videogaming show promise as effective, feasible, and safe tools to enhance pulmonary rehabilitation in individuals with asthma. However, the heterogeneity of studies limited the ability to draw definitive conclusions, with further research needed using standardized outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2281-2292"},"PeriodicalIF":2.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040353","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}