Psychological Services最新文献

{"title":"A multilevel investigation of potential inequities in the volume of mental health care received by Black Veterans Health Administration patients.","authors":"Matt Boden, Ira Katz, A H S Harris, Rani Hoff, Jodie A Trafton","doi":"10.1037/ser0000936","DOIUrl":"https://doi.org/10.1037/ser0000936","url":null,"abstract":"<p><p>The Veterans Health Administration (VHA) has committed to increasing health equity for all veterans, which is needed to address disparities in health care and outcomes experienced by Black VHA patients. In this cross-sectional retrospective observational study, we analyzed VHA operations data on all patients receiving mental health treatment at VHA in fiscal year 2021 (<i>N</i> = 1,602,865). Facility-level negative binomial regressions demonstrated that Black patients were disproportionately treated at large, complex, urban facilities in the Southern United States that had higher overall volumes of mental health care and staff but lower mental health staffing ratios and less care for each patient. Though they utilized facilities with lower visits and hours per patient, Black versus non-Black patients had on average more visits and hours per patient. Accounting for these gaps using patient-level Kitagawa-Oaxaca-Blinder (KOB) decomposition analyses, we found (a) negligible and small within-facility effects, (b) between-facility effects that demonstrated that Black patients would have received more treatment than non-Black patients had they utilized facilities in the same proportions as non-Black patients, and (c) excluded variables in unadjusted KOB and excluded variables and covariates (e.g., age, homeless treatment receipt) in adjusted KOB most strongly accounted for gaps. Combining facility-level analyses with novel use of patient-level KOB revealed nuance in the potential inequities experienced by Black VHA mental health patients while demonstrating the need for additional research to examine whether Black patients receive the proper treatments for their mental health conditions and at the optimum dose. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a pragmatic measure for the Practical, Robust Implementation and Sustainability Model.","authors":"James O E Pittman, Laurie Lindamer, Erin Almklov, Russell E Glasgow, Amy G Huebschmann, Katy E Trinkley, Brian Huynh, Borsika A Rabin","doi":"10.1037/ser0000947","DOIUrl":"https://doi.org/10.1037/ser0000947","url":null,"abstract":"<p><p>The Practical, Robust Implementation and SustainabilityModel (PRISM) is an implementation science framework that incorporates multilevel contextual considerations and key implementation outcomes that can be used to support program planning, implementation, and sustainment. The PRISM has been applied to diverse populations, settings, and implementation strategies. Tools to rapidly assess the PRISM's contextual determinants of implementation success are needed to support implementation efforts. The objectives of this study were to describe the development and preliminary psychometric and pragmatic properties of the PRISM Contextual Survey Instrument (PCSI) and to demonstrate its use to inform implementation and sustainment in health care settings. The 29-item survey was developed based on refinement of existing questions, expert feedback, and pilot testing. Three to six items were included for each of the six PRISM context domains, each rated on a 5-point Likert scale. Implementors completed the PRISM survey and quantitative measures of implementation outcomes (acceptability, feasibility, and appropriateness; Weiner et al., 2017) to establish concurrent validity. Survey results were used to tailor subsequent implementation efforts. The PCSI took 14 min on average to complete. The mean overall score across participants and sites was 3.95 (<i>SD</i> = 0.42). The PCSI exhibited good psychometric and pragmatic properties. Internal consistency for the subscales ranged from 0.53 to 0.82, and concurrent validity with the other implementation outcomes varied from <i>r</i> = 0.70 (<i>p</i> < .001) for feasibility to <i>r</i> = 0.80 (<i>p</i> < .001) for appropriateness. Pragmatic ratings ranged from the \"minimal/emerging\" to \"excellent\" category (Lewis et al., 2021), and provided examples illustrate the practical application of the survey results for implementation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinic-wide depression screening in the waiting room using electronic health record integrated patient health questionnaire surveys: Implementation science outcomes for reach, inequitable reach and perceptions of barriers.","authors":"Angela M Stover, Shweta Pathak, C Micha Belden, Rachel Kurtzman, Christiana Ikemeh, Courtney Canter, Angela B Smith, Arlene E Chung","doi":"10.1037/ser0000937","DOIUrl":"https://doi.org/10.1037/ser0000937","url":null,"abstract":"<p><p>Detecting depression in primary care patients is suboptimal, especially among historically excluded populations. To improve depression screening rates, a primary care clinic integrated the Patient Health Questionnaire (PHQ) in the Electronic Health Record (EHR) and clinical workflow. Patients completed the PHQ on a tablet in the waiting room, and responses were available in real time for staff to review with patients. This study examined implementation science outcomes using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework 3.0. First, we calculated the percentage of patients who completed a PHQ (\"Reach\"). Second, we examined \"Inequitable Reach\" by determining if demographic characteristics were associated with the probability of not completing a PHQ. Third, we conducted 13 interviews with care team members (three physicians, five staff) and the health system's implementation team (two practice coaches, three EHR analysts) to identify barriers to Reach. Of the 8,765 patients seen in the clinic between November 2019 through September 2021, Reach was satisfactory at 71% (6,261/8,765 completed a PHQ) but inequitable because patients who did not complete PHQ screening (<i>n</i> = 2,502, 29%) had higher odds of being age 65+ (<i>OR</i> = 1.40), Black (<i>OR</i> = 1.37), or had Medicaid or no insurance (OR = 1.90; all <i>p</i> < .001). In interviews, barriers to Reach included inefficient EHR workflow, time constraints to help patients use the tablet and check if a PHQ was completed, and lack of clarity on how to talk with patients about PHQ responses. Our findings provide a roadmap for health systems to examine whether they have Inequitable Reach in depression screening. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning from the best: A positive deviance approach to Veterans Health Administration leadership practices.","authors":"Jennifer P Wisdom, Nancy Yanchus, Mira Brancu, Susan Drevo, Megan Mack, Katerine Osatuke","doi":"10.1037/ser0000951","DOIUrl":"https://doi.org/10.1037/ser0000951","url":null,"abstract":"<p><p>Health care organization leaders are charged with patient safety, evidence-based practice, financial sustainability, capacity, and staff supervision in systems that are challenged by bureaucracy, fragmentation, mistrust, and limited interdisciplinary engagement. It is not known how leaders effectively address specific challenges of staff supervision, policies/mandates, difficult conversations, and staff burnout. This study collected strategies from high-performing leaders in the Veterans Health Administration to understand how they approach these challenges. Applying a positive deviance approach to examine organizational survey data across the entire administration, we first statistically identified Veterans Health Administration sites that, based on employee feedback, showed the greatest organizational health improvements from 2022. These sites' chiefs of staff (<i>N</i> = 24) were then interviewed about how they approached four specific challenges. Findings indicate commonalities across these leaders' best practices, including creating opportunities for dialogue, building a culture of learning and psychological safety, proactively addressing process improvements, supporting work-life balance, leading with grace and courage, and maximizing and protecting resources. Public sector health care leaders may benefit from this approach to learning from these highest performers. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-academic implementation science partnership to examine adoption and impact of a patient-centered approach to sexual history.","authors":"Sarit A Golub, Stephanie Hubbard, Ariel M de Roche, Staci C Barton, Angela Merges, Augustus Klein","doi":"10.1037/ser0000935","DOIUrl":"https://doi.org/10.1037/ser0000935","url":null,"abstract":"<p><p>Progress toward ending the HIV epidemic has been slowed by suboptimal utilization of effective biomedical interventions (e.g., HIV testing, pre-exposure prophylaxis), especially for populations with the highest incidence. In 2021, the New York City Health Department initiated a multilevel implementation strategy, focused on promoting the GOALS Approach to Sexual History and Health-an antistigmatizing, client-centered strategy for sexual history taking-as a lever for increasing HIV intervention adoption, reach, and equity. Project Partnership to Increase Access, Client-Centered Care, and Equity in HIV Services is a community-academic implementation science partnership designed to investigate the impact of strategy enactment on implementation outcomes, including changes in intervention utilization (HIV testing, sexually transmitted infection testing, pre-exposure prophylaxis) in practice over time. This article presents preliminary implementation outcomes collected from the 19 programs (client <i>N</i> = 8,865) funded to adopt GOALS. Data indicate the successful enactment of systems-level strategies (infrastructure development, service mandates), program-level strategies (staff training, learning collaboratives), and provider-level strategies (utilization of the GOALS). By Quarter 5, the GOALS was being utilized in a median of 84% of visits across programs (interquartile range: 54%-97%), and GOALS utilization was positively associated with provider adoption of HIV prevention interventions in practice. Programs that struggled with implementation had less buy-in from leadership and lower commitment to provider training; programs with upward implementation trends had less experience delivering sexual health care and used a phased approach to foster support, focusing on the positive reaction to the GOALS among their clients. These data suggest that a multilevel implementation strategy focused on delivery of antistigma, client-centered sexual histories may be a potent implementation strategy for enhancing HIV prevention intervention adoption. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment barriers and preferences among veterans with chronic musculoskeletal pain and alcohol use in primary care.","authors":"Katherine A Buckheit, Jacob Scharer, Travis A Loughran, Gregory P Beehler, Dezarie Moskal, Jennifer S Funderburk","doi":"10.1037/ser0000938","DOIUrl":"https://doi.org/10.1037/ser0000938","url":null,"abstract":"<p><p>Chronic pain and alcohol use commonly co-occur and are associated with considerable functional impairment. Many patients with chronic pain present to primary care, and integrated primary care may be well-suited to provide brief, behaviorally focused treatment. Little is known about behavioral health treatment barriers and preferences among primary care patients with chronic pain and alcohol use. Veterans enrolled in Veterans Health Administration primary care with a chronic musculoskeletal pain diagnosis and past-year alcohol use were identified via electronic medical record review and mailed a survey with measures of alcohol use, pain severity/interference, treatment preferences, and treatment barriers. Chi-square tests were used to identify statistically significant treatment preferences. Generalized linear models tested for differences in treatment barriers based on alcohol risk, and pain severity was tested as a moderator using the PROCESS macro in SPSS. Patients expressed preferences for individual, face-to-face treatment in primary care. Participants reported they were overall receptive to behavioral health treatment, with the exception of treatment for alcohol, tobacco, or other drug use. Differences based on alcohol risk were observed for readiness to change alcohol use and beliefs about the relationship between pain and alcohol. Pain severity was a significant moderator of the relationships between alcohol risk and pain readiness, beliefs about pain and alcohol, and overall alcohol treatment barriers. Treatment preferences were largely aligned with models of integrated primary care. The impact of barriers on treatment engagement may vary by a patient's degree of alcohol-related risk, and thus a range of treatment options should be considered. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed methods evaluation of a motivational enhancement intervention to increase SARS-CoV-2 testing among people experiencing houselessness and people who inject drugs.","authors":"Anne Marie Mauricio, Camille C Cioffi, Abbie M Sanders, Derek Kosty, Llewellyn Fernandes, Maryanne V Mueller, Elizabeth A Stormshak","doi":"10.1037/ser0000939","DOIUrl":"https://doi.org/10.1037/ser0000939","url":null,"abstract":"<p><p>This explanatory sequential mixed methods hybrid Type 1 study examined the efficacy and implementation of Connect2Test, a brief motivational enhancement intervention to increase SARS-CoV-2 testing among people experiencing houselessness and people who inject drugs. We conducted a randomized controlled trial with participants randomly assigned to Connect2Test (<i>n</i> = 105) or services as usual (<i>n</i> = 100). Most participants self-identified as male (65%), White (72%), and not Hispanic (87%). There were no intervention effects on immediate testing rates, <i>χ</i>²(1, <i>n</i> = 205) = 0.23, <i>p</i> = .6298, <i>OR</i> [95% CI] = 1.18 [0.61, 2.27], or at 1-month, <i>χ</i>²(1, <i>n</i> = 205) = 0.05, <i>p</i> = .8263, <i>OR</i> [95% CI] = 0.93 [0.51, 1.72], or 2-month follow-ups, <i>χ</i>²(1, <i>n</i> = 205) = 0.04, <i>p</i> = .8368, <i>OR</i> [95% CI] = 1.08 [0.52, 2.22]. We interviewed staff and volunteers (<i>n</i> = 17) affiliated with our community partner to examine implementation barriers and facilitators. Barriers included (a) intervention complexity, (b) no established relationship between the interventionist and participants, (c) Connect2Test's misalignment with priorities of people experiencing houselessness, and (d) incompatibility with community partner resources. Facilitators included (a) congruency between motivational interviewing and harm reduction values, (b) collaboration with a trusted community partner, and (c) intervention alignment with the community partner's mission. Although Connect2Test did not increase testing rates, our qualitative assessment highlighted barriers reflecting intervention and implementation failure. Facilitators highlighted Connect2Test adaptations to enhance efficacy. Juxtaposing qualitative implementation assessments with randomized controlled trials can discern implementation and intervention factors impacting efficacy to inform redesign. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing implementation and health equity determinants to develop a facilitation plan for varied intensity posttraumatic stress disorder (PTSD) treatments in minority-serving institutions.","authors":"Nuha Alshabani, Laura Godfrey, Cara Fuchs, Richy Villa, Daisy Perez, Sarah E Valentine","doi":"10.1037/ser0000941","DOIUrl":"https://doi.org/10.1037/ser0000941","url":null,"abstract":"<p><p>Though the implementation of science frameworks has recently been expanded to understand determinants of health equity (Woodward et al., 2021), the application of these frameworks in safety net hospital settings is new. We applied the health equity implementation framework to (a) understand the determinants of implementation and equity and (b) develop an institution-wide implementation facilitation plan for three evidence-based practices (EBPs) for posttraumatic stress disorder. We utilized researcher field notes from clinical case consultation gathered during posttraumatic stress disorder treatment implementation initiatives (cognitive processing therapy, written exposure therapy, brief skills training in affective and interpersonal regulation) at the same safety net hospital (<i>N</i> = 94 meetings total, from 2020 to 2023) to assess determinants of implementation and equity. We developed a qualitative codebook based on the health equity implementation framework to specify determinants and then built an implementation facilitation toolkit for multi-EBP implementation. Similar determinants were found across clinics and EBPs (e.g., provider training gaps and misperceptions about manualized treatments; inefficiencies in identification, triage, and referral pathways; patient engagement barriers related to stigma, literacy, and mistrust) with additional nuance per clinic and EBP. Institution-wide facilitation strategies were then utilized to enhance implementation and equity and focused on enhancing both access and quality of services (e.g., training and consultation, refining referral pathways) and patient engagement (e.g., culturally responsive training, consultation, and treatment delivery). Implementation science has an important role to play in enhancing health equity. Our findings illustrate how pooling determinants across clinics and treatments can help implementation scientists engage with hospital leadership and advocate for system-level implementation facilitation strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial needs of incarcerated veterans with other than honorable discharge characterizations.","authors":"Emily R Edwards, Sharon Alter, Ryan Holliday, Anthony Fortuna, Matthew Stimmel","doi":"10.1037/ser0000956","DOIUrl":"https://doi.org/10.1037/ser0000956","url":null,"abstract":"<p><p>The Veterans Health Administration recently expanded eligibility to allow behavioral health care for veterans with \"other than honorable\" (OTH) discharge characterizations, a group with unique demographic and psychosocial needs, including overrepresentation in criminal-legal contexts. To guide the integration of these veterans into Veterans Health Administration behavioral health care settings, this study offers initial insight into the needs of veterans with OTH involved in the criminal-legal system. Using data from the 2016 Survey of Prison Inmates, analyses compared incarcerated veterans with OTH (<i>n</i> = 179) to those with honorable or general discharge characterizations (<i>n</i> = 1,335) on demographic profile, criminal-legal history, and psychosocial factors. Veterans with OTH were more often younger, persons of color, incarcerated for drug-related offenses, diagnosed with psychotic and personality disorders, experiencing housing and occupational instability immediately preceding arrest, and with a history of substance use treatment. Results highlight the need for culturally sensitive approaches capable of addressing complex difficulties commonly faced by this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Goldilocks disclosures: A qualitative exploration of when therapist self-disclosure of lived experience is \"just right\".","authors":"Alysia M Robertson, Tegan Cruwys, Anika Quayle, Mark Stevens, Michael J Platow, Brett Scholz","doi":"10.1037/ser0000959","DOIUrl":"10.1037/ser0000959","url":null,"abstract":"<p><p>Despite increasing employment of peer workers, primarily hired for their lived experience of mental health issues, concerns remain regarding the appropriateness of clinical health professionals (e.g., psychologists, counselors) disclosing their own lived experience. This qualitative study examined how therapists' lived experience disclosures are perceived by clients and other therapists. Participants (160 clients and 158 therapists) shared their experiences with therapist disclosure and responded to one of four hypothetical scenarios. Reflexive thematic analysis identified key themes that highlighted the tension between disclosures demonstrating humanity versus professionalism, openness versus a client-centered approach, and empathy versus competence. Themes also highlighted the challenge of getting disclosures \"just right,\" ensuring therapists had established rapport, kept disclosures brief and relevant, and shared experiences from which they had recovered. The findings underscored the trade-offs between the potential benefits and harms of disclosure, highlighting some conditions under which disclosure is considered appropriate and best supports the client. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}