Journal of Multidisciplinary Healthcare最新文献

{"title":"A Scoping Review on Genetic Mutations and Single-Nucleotide Polymorphisms Associated with Pectus Excavatum.","authors":"Santo Barman, Lana Momin, Rafiza Islam, Moung Shwe Shing, Redoy Ranjan, Benjamin Waterhouse, Joel Dunning","doi":"10.2147/JMDH.S592241","DOIUrl":"10.2147/JMDH.S592241","url":null,"abstract":"<p><p>Pectus excavatum (PE) is the most common congenital chest wall deformity, affecting approximately 1 in 400 live births, with a male predominance. While traditionally considered a primarily structural or biomechanical disorder, emerging evidence suggests significant genetic contributions to its etiology. This literature review systematically examines the current state of knowledge regarding genetic mutations, single-nucleotide polymorphisms (SNPs), and structural variants associated with pectus excavatum. A comprehensive search was conducted across multiple databases including PubMed, Google Scholar, SciSpace, and institutional repositories, yielding 14 relevant studies after de-duplication. The review reveals substantial genetic heterogeneity in PE, with identified variants predominantly affecting connective tissue genes including collagen family members (COL1A1, COL27A1, COL5A1), cartilage matrix proteins (ACAN, COMP), and signaling pathway components (SMAD4, REST). Copy number variants (CNVs), particularly the 3q29 deletion syndrome, show elevated PE prevalence. Early-onset PE demonstrates a 44% pathogenic genetic finding rate, suggesting stronger genetic contribution in childhood presentations. However, a critical gap exists in the literature: quantitative effect sizes such as odds ratios and hazard ratios are rarely reported, reflecting the predominance of case reports and small familial studies rather than large-scale genome-wide association studies. This review highlights the need for multi-center collaborative efforts to conduct adequately powered genetic epidemiological studies, establish genotype-phenotype correlations, and develop polygenic risk scores for clinical application.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"592241"},"PeriodicalIF":2.4,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147521248","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":"Words Matter: Content Analysis of Language Used When Documenting in the Medical Records of Patients in Mental Health.","authors":"Monica Zolezzi, Shahd Abubaker Elamin, Oraib Abdallah, Yassin Eltorki, Turfa Alhathal, Esraa Maklad, Noriya Alkhuzaie","doi":"10.2147/JMDH.S576861","DOIUrl":"10.2147/JMDH.S576861","url":null,"abstract":"<p><strong>Background: </strong>Biased healthcare documentation adversely impacts patient outcomes, by affecting providers' perceptions. Identifying stigmatizing language is crucial for appropriate workforce training.</p><p><strong>Purpose: </strong>To identify, describe, and compare language patterns used in medical records of individuals with mental illness.</p><p><strong>Methods: </strong>Patient encounters within the sole Qatari mental health governmental provider were randomly selected. Rich-text notes documented by any of eight eligible healthcare fields, written October-December/2021, and taking place during outpatient, inpatient, or community-homecare encounters were analyzed qualitatively for positive and negative language, and quantitatively for the percentage of notes with language types/subtypes. Association between language and patient/provider characteristics was tested using Goodness-of-fit chi2 and Fisher's exact test, as appropriate.</p><p><strong>Results: </strong>Of 300 notes, most included potentially stigmatizing language (62.7%). Disability-first and inappropriate treatment-related language were the top isolated subtypes (33.22% and 31.31% of negative notes, respectively). Similarly, 66.67% of notes incorporated positive statements, mainly personalized language (44%). Positive language was statistically associated with specialty, age, diagnosis, discipline, setting, and patient's first language. Stigmatizing language was statistically associated with setting, physician level, and discipline.</p><p><strong>Conclusion: </strong>Content analysis of mental health notes highlighted comparable use of positive and negative language. These findings urge policymakers and educators to advocate for recovery-oriented mental health documentation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"576861"},"PeriodicalIF":2.4,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13019163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574485","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":"Burnout Across Healthcare, Educational, and Professional Populations: A Comprehensive Scoping Review.","authors":"Nasr Chalghaf, Imed Chokri, Wissem Dhahbi, Halil İbrahim Ceylan, Nicola Luigi Bragazzi, Raul Ioan Muntean, Valentina Stefanica, Noomen Guelmami, Ismail Dergaa","doi":"10.2147/JMDH.S564113","DOIUrl":"10.2147/JMDH.S564113","url":null,"abstract":"<p><strong>Background: </strong>Burnout, defined by emotional exhaustion, depersonalization, and reduced personal accomplishment, is increasingly recognized as a significant threat to staff wellbeing, organizational performance, and patient safety in healthcare and related sectors. Although research on burnout has grown rapidly, the evidence base remains fragmented, limiting understanding of cross-population patterns, measurement approaches, and the effectiveness of interventions.</p><p><strong>Objective: </strong>This scoping review systematically maps and synthesizes the existing literature on burnout among healthcare workers, students, teachers, night shift workers, and other professional populations, with particular emphasis on its implications for staff well-being and quality of care.</p><p><strong>Methods: </strong>Following Arksey and O'Malley's framework and PRISMA-ScR guidelines, systematic searches were conducted in MEDLINE, Embase, PsycINFO, CINAHL, Scopus, Web of Science, and Cochrane from inception to December 2024. Eligible studies used validated instruments to assess burnout. Data synthesis employed narrative thematic analysis and systematic literature mapping.</p><p><strong>Results: </strong>Sixty-five studies were included (healthcare workers n=29; students n=18; teachers n=9; night shift workers n=6; other populations n=3). Six key themes emerged: prevalence variations (25-72%), with healthcare workers demonstrating the highest rates (35-68%) and strongest associations with compromised patient safety; diversity of measurement tools; intervention effectiveness patterns, wherein combined individual-organizational approaches demonstrated superiority over single-component strategies (effect size d=0.67, 95% CI: 0.42-0.91 at 12-month follow-up); organizational versus individual risk factors; temporal trends including COVID-19 impacts; and implementation challenges. Methodological heterogeneity limited cross-population comparability and the standardization of interventions.</p><p><strong>Conclusion: </strong>Burnout represents a critical occupational health and patient safety concern. This scoping review highlights significant gaps in cross-population research, the need for standardized measurement approaches, and the importance of multilevel, evidence-based interventions. The findings provide essential insights for researchers, healthcare administrators, and policymakers aiming to design sustainable strategies to protect staff wellbeing and ensure safe, high-quality care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"564113"},"PeriodicalIF":2.4,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512724","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":"The Impact of Meticulous Nursing on Self-Care Ability Within Two Weeks Postoperatively in Patients with Acute Stroke.","authors":"Yan Yang, Xiuxia Shi, Yuanzheng Zhang, Xinmin Song, Xiaojie Zhang","doi":"10.2147/JMDH.S575063","DOIUrl":"10.2147/JMDH.S575063","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effect of meticulous nursing intervention on self-care ability of patients with acute stroke.</p><p><strong>Methods: </strong>This randomized controlled trial included 100 stroke patients admitted to our hospital from June 2024 to December 2024. The participants were divided into a control group and a study group (50 cases in each group) using the random number table method. The control group received routine perioperative nursing, while the study group received systematic and meticulous nursing interventions on the basis of routine nursing. The primary outcome measures were the National Institutes of Health Stroke Scale (NIHSS) scores (to evaluate neurological deficits) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) scores (to evaluate quality of life) before and after the intervention. The key secondary outcome measures included the Fugl-Meyer Assessment (FMA) scores for the lower limbs, the Functional Ambulation Category (FAC) scores, and the Exercise of Self-Care Agency (ESCA) scale scores.</p><p><strong>Results: </strong>Significant between-group differences were observed in primary caregivers (P=0.045), hospitalization time and hospitalization expenses (all P<0.001). After-intervention, the study group demonstrated superior outcomes compared to the control group in NIHSS scores, WHOQOL-BREF scores, FMA scores, and FAC scores (all P<0.001). Furthermore, the study group showed significantly higher scores in health knowledge level, self-concept, and self-care skills (all P<0.001).</p><p><strong>Conclusion: </strong>Meticulous nursing can enhance treatment and rehabilitation compliance, promote neurological functional recovery, improve self-care capacity through multi-level nursing interventions, alleviate stroke-induced motor dysfunction in lower extremities, and consequently elevate the overall quality of life during rehabilitation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"575063"},"PeriodicalIF":2.4,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512842","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":"The Impact of Chatbots on Adolescent Mental Health Development: A Comprehensive Literature Review.","authors":"Yidong Wu, Tong Wu, Kerun Zhu, Xinyu Liu, Jiarui Liu, Yuyan Wang, Ruojin Shi, Jia Xiong, Xinyue Xing, Yao Lv, Yaohong Niu, Min Peng, Xingyan Du","doi":"10.2147/JMDH.S579872","DOIUrl":"10.2147/JMDH.S579872","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) chatbots in adolescent mental health care represents a transformative shift in how digital interventions address psychological well-being among young populations. This comprehensive review synthesizes evidence examining the multifaceted impact of chatbot technology on adolescent mental health development. A systematic search was conducted across PubMed, PsycINFO, Web of Science, and Scopus databases using terms related to chatbots, conversational agents, adolescents, and mental health. Following PRISMA guidelines, 80 studies published between 2020 and 2025 were included after screening 1247 initial records and excluding duplicates and irrelevant articles. Through systematic analysis, we explore the complex relationships between chatbot usage and emotional health, social development, cognitive functioning, and behavioral patterns among adolescents aged 10-24 years. The review reveals that chatbots demonstrate moderate effectiveness in reducing psychological distress (g = -0.46 to -0.10) and show promise in addressing barriers to mental health care access, particularly stigma-related concerns. However, emerging evidence also highlights potential risks including dependency, social withdrawal, and privacy concerns. The findings suggest that while chatbots offer valuable supplementary mental health support, careful consideration of ethical implications, cultural adaptations, and long-term developmental effects is essential for responsible implementation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"579872"},"PeriodicalIF":2.4,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503615","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":"Strengthening ENT Care in Low Resource Settings: Multidisciplinary and Technology Enabled Strategies to Reduce Preventable Morbidity.","authors":"Zakaria Mohamed Adan, Abdullahi Abdirahman Omar","doi":"10.2147/JMDH.S587883","DOIUrl":"https://doi.org/10.2147/JMDH.S587883","url":null,"abstract":"<p><p>Ear, nose, and throat disorders remain an overlooked public health challenge in low resource settings, where shortages of trained specialists, limited diagnostic tools, and fragile health systems contribute to preventable disability. Somalia exemplifies the difficulties faced by countries affected by protracted conflict, widespread displacement, and underdeveloped healthcare infrastructure, where patients frequently present late with chronic ear infections, progressive hearing loss, airway obstruction, or advanced head and neck cancers. These challenges mirror conditions across many low and middle income countries in Africa and Asia. This commentary synthesizes published literature and institutional reports to examine the burden of ENT disease, health system gaps, and feasible strengthening strategies in Somalia and comparable low resource settings. It highlights the relevance of digital diagnostics, telemedicine, task sharing, community screening, and surgical capacity development as realistic approaches to reducing preventable morbidity in fragile health systems.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"587883"},"PeriodicalIF":2.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499169","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":"Transcranial Magnetic Stimulation Combined with Nursing Intervention in Children with Autism Spectrum Disorder and Its Effects on Developmental Quotient and Serum Neurotransmitters.","authors":"Xili Chen, Yun Xia, Mingyue Zhang, Ying Xie, Shuaimei Chen, Fang Hou","doi":"10.2147/JMDH.S587415","DOIUrl":"https://doi.org/10.2147/JMDH.S587415","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical efficacy and potential biological effects of transcranial magnetic stimulation (TMS) combined with rehabilitation nursing in children with autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>This retrospective controlled study included 90 children with ASD admitted between January 2023 and January 2025. Participants were divided into a control group (rehabilitation nursing only, n = 45) and an observation group (TMS combined with rehabilitation nursing, n = 45). Outcomes included Developmental Quotient assessed by the Gesell Developmental Schedules, autism-related behaviors assessed by the Autism Behavior Checklist, symptom severity assessed by the Autism Treatment Evaluation Checklist, quality of life assessed by the Pediatric Quality of Life Inventory, and serum neurotransmitter levels [glutamate (Glu) and γ-aminobutyric acid (GABA)].</p><p><strong>Results: </strong>After intervention, both groups showed significant improvements in developmental quotient and quality of life, along with reductions in autism-related behaviors and symptom severity (all P < 0.05). Improvements were consistently greater in the observation group compared with the control group. In addition, serum Glu and GABA levels increased significantly after intervention in both groups, with a greater magnitude of change observed in the observation group (P < 0.05).</p><p><strong>Conclusion: </strong>TMS combined with rehabilitation nursing may effectively promote developmental progress, alleviate behavioral symptoms, and improve quality of life in children with ASD, accompanied by increased serum Glu and GABA levels. These findings suggest that TMS may serve as a promising adjunctive intervention. Further multicenter randomized controlled trials with long-term follow-up are warranted to confirm efficacy, optimize stimulation parameters, and explore underlying mechanisms.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"587415"},"PeriodicalIF":2.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499252","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":"Nutritional Management in Pregnant Women with Preeclampsia: A Scoping Review.","authors":"Yanti Hermayanti, Ida Maryati, Tetti Solehati, Iwan Shalahuddin","doi":"10.2147/JMDH.S574292","DOIUrl":"https://doi.org/10.2147/JMDH.S574292","url":null,"abstract":"<p><strong>Background: </strong>Hypertension during pregnancy is still the second leading cause of death in Indonesia. Most incidents are caused by delays in recognizing, bringing and taking appropriate action for pregnant women. This condition requires mutual awareness of both the mother and her family. One management that must be known together is nutritional management which can help maintain normal blood pressure.</p><p><strong>Objective: </strong>This study aims to look for various interventions that were proven to help overcome hypertension during pregnancy.</p><p><strong>Methods: </strong>The method used was a scoping review with the inclusion criteria of free full text articles, the last 12 years (2013-2025), and articles on the topic of nutritional management in pregnant women with preeclampsia. The exclusion criteria for this article review were articles with the type of literature review research. Article search techniques used PICO and PRISMA, using the PubMed (1797), CINAHL (472), and Sciencedirect (56824) databases. Based on data extraction, it was found that there were 10 articles that met the requirements.</p><p><strong>Results: </strong>Nutritional management that can help overcome hypertension during pregnancy has been proven to be effective and can be used to maintain blood pressure within normal limits, in 3 ways, namely: 1) diet program with an expert; 2) consumption of supplements, and 3) consumption of specific foods such as Ajwa dates, Ambon bananas and tomatoes.</p><p><strong>Conclusion: </strong>Nutritional strategies involving calcium intake, sodium restriction, and overall healthy dietary patterns appear to support blood pressure control in women with preeclampsia. However, variability across studies highlights the need for further research to define optimal nutritional interventions in this population.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"574292"},"PeriodicalIF":2.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499175","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":"Construction of Nursing Management Protocol for Promoting Tolerance of Enteral Nutrition in Tube-Fed Perioperative Cancer Patients.","authors":"Juan Wang, Yu Wang, Nan Jia, Yunxia Zhang, Jin Zhou, Jing Bao, Runhong Ni, Wenqing Zuo, Yan Li, Zhiying Yang","doi":"10.2147/JMDH.S569432","DOIUrl":"https://doi.org/10.2147/JMDH.S569432","url":null,"abstract":"<p><strong>Purpose: </strong>Enteral nutrition tolerance studies are mainly focused on critical care, while perioperative nursing research for cancer patients is relatively scattered. This study aims to develop an evidence-based management protocol for promoting tolerance to perioperative enteral nutrition (tube feeding) for cancer patients in general surgical wards, to provide a practical reference for nursing staff.</p><p><strong>Methods: </strong>The study used evidence-based methods. Domestic and international databases were searched for articles on perioperative enteral nutrition (tube feeding) in surgical oncology patients. An initial draft of a generalizable management protocol for enteral nutrition tolerance was formulated through evidence synthesis and research team discussion. Two rounds of Delphi consultation were subsequently conducted with experts in enteral nutrition.</p><p><strong>Results: </strong>A management protocol for perioperative enteral nutrition tolerance in surgical oncology patients was established. The protocol comprised 5 first-level, 12 second-level, and 28 third-level indicators. The expert authority coefficients (Cr) for the two Delphi rounds were 0.857 and 0.880, respectively. The Kendall's concordance coefficients (W) were 0.215 and 0.257 (both P<0.05), indicating significant consensus.</p><p><strong>Conclusion: </strong>The management protocol for tube-fed enteral nutrition tolerance in perioperative surgical oncology patients showed strong expert consensus and high authority indices. The protocol provides a robust evidence-based foundation for the management of enteral nutrition tolerance in this patient population.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"569432"},"PeriodicalIF":2.4,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12990790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473670","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":"Screen Time Matters: The Impact of Screen Time on the Risk of Personal-Social Development Outcomes Among Preschool Children in Indonesia: A Cross-Sectional Study.","authors":"Ikeu Nurhidayah, Thalia Salsabilla, Emma Aprilia Hastuti","doi":"10.2147/JMDH.S582301","DOIUrl":"https://doi.org/10.2147/JMDH.S582301","url":null,"abstract":"<p><strong>Background: </strong>The rapid increase in screen time among preschool children has become a growing public health concern, as digital gadgets are increasingly integrated into children's daily lives. Excessive screen exposure may reduce opportunities for direct social interaction and experiential learning, thereby increasing the risk of adverse personal-social development outcomes. Personal-social development is a critical component of early childhood growth, enabling children to interact effectively with peers and their environment. This study aimed to examine the association between the duration and intensity of screen time and the risk of suboptimal personal-social development among preschool-aged children.</p><p><strong>Methods: </strong>A quantitative cross-sectional study was conducted involving 98 parents of preschool children recruited from a single preschool setting in Bandung, Indonesia. Data were collected using structured, parent-reported questionnaires assessing screen time duration and frequency, and the risk of suboptimal personal-social development, based on a previously applied personal-social development instrument in the Indonesian context. Personal-social development scores were categorized into optimal (lower risk) and suboptimal (higher risk) based on an established cut-off. Screen time variables were classified according to risk-based thresholds. Descriptive statistics, chi-square tests, and multivariable analyses were performed to examine associations while adjusting for child age and parental education.</p><p><strong>Results: </strong>The findings showed a statistically significant association between screen time duration and the risk of suboptimal personal-social development (p < 0.001), as well as between the intensity of gadget use and the risk of suboptimal personal-social development (p < 0.001). Children with prolonged daily screen time (≥120 minutes) had a higher risk of suboptimal personal-social development (53.1%) compared with those with limited screen exposure. Similarly, children who used gadgets frequently (>3 times per day) were at greater risk of suboptimal personal-social development than those with moderate or minimal use.</p><p><strong>Conclusion: </strong>Prolonged duration and high intensity of screen time are significantly associated with an increased risk of suboptimal personal-social development among preschool children. These findings highlight the importance of parental monitoring and the establishment of appropriate limits on screen use during early childhood. Health professionals, educators, and policymakers should work collaboratively to promote balanced digital habits and screen time awareness as part of early childhood development strategies in the digital era. This study contributes to achieving SDG 3 (Good Health and Well-being) and SDG 4 (Quality Education), particularly Target 4.2 on early childhood development.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"582301"},"PeriodicalIF":2.4,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12990812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473935","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}