Health & Social Care in the Community最新文献

{"title":"Women Caregivers’ Engagement With Healthcare Services for Their Personal Healthcare Needs: A Scoping Review","authors":"Sarah Martin,&nbsp;Lyndal C. Hickey,&nbsp;Anna Bornemisza,&nbsp;Louise K. Harms","doi":"10.1155/hsc/2778779","DOIUrl":"https://doi.org/10.1155/hsc/2778779","url":null,"abstract":"<p>The objective of this scoping review is to map the extent, range and nature of literature pertaining to women caregivers and their engagement with healthcare for their personal healthcare needs. It is estimated that 3 out of 5 people will become caregivers at some stage throughout their life, with a large percentage of women (75%) being primary carers. Family or informal care has been the subject of extensive research in the past, demonstrating the physical and emotional health risks placed on caregivers. However, little is known about how women caregivers engage with healthcare services for their own health needs, a factor that could mediate or prevent these health outcomes. Arksey and O’Malley’s scoping review methodology was applied to identify relevant empirical, peer-reviewed studies across six databases: MEDLINE, PsycINFO, SocIndex, CINAHL, Web of Science and Sociological Abstracts. Searches were limited from January 2013 to May 2025. A total of 11,228 papers were screened, with 41 papers meeting the inclusion criteria for the review. Studies were primarily quantitative, with a focus on physical and mental health, and the comparison of caregiver to noncaregiver experiences. Three key categories/issues were identified in these studies: (1) a varying frequency of service use (higher, lower and no difference when compared with noncaregivers), (2) key engagement factors (with a focus on individual versus contextual factors), and (3) encounters with health professionals. Findings demonstrate that specific caregiving roles and healthcare system factors influence the way in which carers engage with healthcare services for themselves and have the potential to inform overall health outcomes through a lack of timely treatment or an increased likelihood of requiring healthcare. With women comprising the majority of caregivers, they face a heightened risk of exposure to these challenges, yet existing research overlooks their specific needs and experiences. Opportunities for new and innovative directions in research exist to address ongoing gaps and for the development of meaningful policy and intervention to support women caregivers more effectively.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2778779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145057752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young People’s Views of Social Prescribing as an Approach to Improving Mental Health: A Qualitative Study","authors":"Annabelle Olsson,&nbsp;Emily Stapley,&nbsp;Alexander Russell,&nbsp;Daniel Hayes","doi":"10.1155/hsc/2969967","DOIUrl":"https://doi.org/10.1155/hsc/2969967","url":null,"abstract":"<p>Child and adolescent mental health difficulties are increasing in the UK and internationally. Social prescribing (SP), a nonmedical, community-linked approach, has shown promise for improving adult wellbeing, but its use and acceptability among young people (YP) remain under-researched. There is limited evidence regarding YP’s own views on whether SP is a valuable option for supporting youth mental health. This study aimed to explore YP’s views on SP in England. Participants included YP both with and without experience of SP in England, recruited via youth organisations, social media and community contacts. Overall, 10 YP between the ages of 11 and 25 (mean = 19.6) were interviewed. This included five YP who had engaged in SP and five who had not. Data from semistructured interviews were analysed using thematic analysis (TA), identifying 10 themes organised within three main categories. These reflected positive views (e.g., a new social sphere, self-transformation and valuing a nonmedical alternative), negative views (including concerns about SP replacing therapy and experiences of feeling invalidated or dismissed) and moderating factors (such as the influence of social support, shared decision-making, resource availability and differing expectations). Findings from this study have highlighted what YP themselves think of and may want from SP services, including what would make them more or less likely to engage with SP. This study has also highlighted some limits of SP as an approach to tackle mental health inequalities in YP.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2969967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Voice of Veterans With Mild Traumatic Brain Injury: A Community Engagement Project","authors":"Cheryl A. Krause-Parello,&nbsp;Alicia Gill Rossiter,&nbsp;Abigail Kremer,&nbsp;Miriam Whitfield,&nbsp;David Hibler,&nbsp;John T. Glenny III,&nbsp;Elisa Borah,&nbsp;Jane Garvin,&nbsp;Joy Omslaer,&nbsp;Anil Arora,&nbsp;John Lindsay,&nbsp;Brian Gliba,&nbsp;Karie Hare","doi":"10.1155/hsc/9948132","DOIUrl":"https://doi.org/10.1155/hsc/9948132","url":null,"abstract":"<p>This patient-centered outcome research (PCOR) engagement project, Mind Over Matter (M.O.M.), was driven by veterans and key stakeholders, employing a successful design methodology from prior projects using think tank meetings (TTMs). Focusing on mild traumatic brain injury (mTBI), the project aimed to enhance PCOR by engaging veterans and caregivers, building capacity, and fostering collaboration with researchers to advance PCOR and comparative effectiveness research (CER). The project’s structure involved creating M.O.M. units in four states, training members as PCOR and CER partners, building competencies of veterans with mTBI and caregiver stakeholders, understanding healthcare information preferences, and promoting collaborative relationships. Key steps included creating state units, training members, building competencies, understanding communication preferences, and promoting collaboration. The project also aimed to develop a Roadmap for Research on TBI, including future CER questions. The project utilized virtual TTMs organized around TBI domains, involving 210 participants, including veterans and various stakeholders. The M.O.M. team used field note templates to guide the discussion of the veterans and community stakeholders during the virtual TTMs. The field note templates were organized by domains: attention, memory sequencing, problem solving, and executive functioning. Each domain addressed TBI symptom areas that include thinking/remembering, physical, emotional/mood, and sleep. The project successfully fostered collaboration, skill-building, and engagement among veterans and stakeholders in the context of PCOR and CER, contributing to a comprehensive understanding and research roadmap to better address mTBI and its impact on veterans.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9948132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Development and Workforce Issues of Activity Providers in UK Care Homes: A Scoping Review","authors":"Gizdem Akdur,&nbsp;Elspeth Mathie,&nbsp;Megan Davies,&nbsp;Michelle Drury-Mulholland,&nbsp;Anqa Tirmazee-Kaleem,&nbsp;Lisa Irvine,&nbsp;Anne Killett","doi":"10.1155/hsc/8844829","DOIUrl":"https://doi.org/10.1155/hsc/8844829","url":null,"abstract":"<p><b>Background and Aims:</b> This scoping review explored the role of activity providers (APs), also known as activity coordinators, in care homes for older people, and focuses on workforce issues, resources and professional development of APs in the UK. An AP is a staff member of a care home who is typically responsible for implementing activities that meet the needs of residents. Engagement in meaningful activities in care homes for older adults plays an important role in promoting older adults’ physical and mental well-being; however, despite this, evidence about AP roles is limited, and it is not known if the challenges faced in the social care workforce more generally are also a feature of activity provision roles.</p><p><b>Methods:</b> The review used established scoping review methods to map concepts around AP roles, identify resources that are or are not available for activity provision in care homes and identify challenges relevant to AP roles in care homes.</p><p><b>Results:</b> We identified 699 records across 11 databases, including grey literature. Sixty-eight publications were selected for screening, and 28 publications were included in the final data extraction. Thirteen publications were academic journal articles. Data extraction showed variation in the terms that are used to describe APs, with ‘activity coordinator’ being the most common. Resource issues were identified in funding, time and training for APs. The review identified recruitment and retention challenges specific to APs, such as inadequate support from frontline care staff and care home management. Most publications highlighted learning and development initiatives, which often included training in meaningful activities, dementia care and communication. These programmes produced positive outcomes: increased confidence and skills development for APs, and better community engagement.</p><p><b>Conclusion:</b> The review underlines the importance of addressing workforce challenges, improving resource development and recognising the value of APs in care homes. It addresses a clear gap in the academic and grey literature by focussing specifically on APs in older people’s care homes in the UK. The review highlights the diverse terminology used to describe the staff who provide activities in care homes and points to resource limitations and limited training and development for APs. The involvement of non-AP staff in activity provision suggests collaboration with other care home staff members but also reveals a lack of protected time and staffing for dedicated activity provision roles. Improving support and role clarity for APs and recognising the value of APs in care environments may help support staff recruitment and retention.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8844829","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145005551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual or Intergenerational Responses? A Mixed-Methods Study of Future Care Preparation Among Chinese Families in Hong Kong","authors":"Xue Bai,&nbsp;Wei Yang,&nbsp;Chang Liu","doi":"10.1155/hsc/6839955","DOIUrl":"https://doi.org/10.1155/hsc/6839955","url":null,"abstract":"<p>Effective care preparation requires families to work as teams. This study employed a mixed-methods design and a dyadic approach to examine the levels, processes, person-centered profiles, and characteristics of intergenerational care preparation among families in Hong Kong. Quantitative data were collected from 213 pairs of older parents (aged ≥ 50 years) and their adult children. In addition, individual interviews were conducted with 60 pairs of older parents and their adult children to understand the role of adult children in their older parents’ care preparation. A latent profile analysis of the quantitative data identified three care planning profiles: child-active intergenerational planners, dyadic thinkers, and filial-uninvolved intergenerational avoiders. An integrative analysis of both quantitative and qualitative data revealed a child-centered approach across all three profiles, influenced by the life stage and circumstances of the dyad members. The study also uncovered intergenerational discrepancies in preparation and care expectations, highlighting the need to strengthen family dynamics and intergenerational engagement for effective later-life planning and wellbeing.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6839955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144920559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction and Feature Analysis of Intracranial Aneurysms in Community Residents: A Study Based on Machine Learning","authors":"Xinwei Wang,&nbsp;Sutong Wang,&nbsp;Dujuan Wang,&nbsp;Xiutian Sima","doi":"10.1155/hsc/3585981","DOIUrl":"https://doi.org/10.1155/hsc/3585981","url":null,"abstract":"<p>The global incidence of intracranial aneurysms is increasing annually, and their rupture is associated with a high mortality rate. Many community residents often unknowingly develop intracranial aneurysms and are at risk of rupturing. To solve this problem, we conduct an innovative approach using machine learning to predict both the occurrence and rupture of intracranial aneurysms in patients with brain diseases and analyze the essential features derived from residents’ health data at various stages of clinical admission. Specifically, we design an ensemble classifier candidate pool model for the initial two stages of admission diagnosis and a deep fusion network model that integrates textual and structured data for the detailed screening stage. Also, the feature importance is explored by the Shapley value and word frequency. The proposed deep fusion neural network achieves the highest predictive performance, with a precision of 0.787, sensitivity of 0.785, specificity of 0.870, <i>F</i>1 score of 0.785, and AUC of 0.871. In addition, text features contribute most significantly to model output, and word frequency varies across different disease types in patient medical records.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3585981","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144920571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Troubleshooting Social Prescribing and the Arts in East London: Qualitative Findings From Community Arts Organisations and Link Workers","authors":"Maria Grazia Turri,&nbsp;Vivian Vigliotti,&nbsp;Yumeng Wang,&nbsp;Joseph Cook,&nbsp;William Chamberlain,&nbsp;Francesca Cornaglia","doi":"10.1155/hsc/4318767","DOIUrl":"https://doi.org/10.1155/hsc/4318767","url":null,"abstract":"<p>Engagement in the arts has been shown to benefit health by supporting both prevention and treatment, leading to the concept of creative health. The social prescribing agenda has spurred the development of dedicated arts on prescription programmes; however, the creative health agenda is mostly delivered by community arts organisations which lack a specific brief for health and whose contribution to social prescribing is under-researched. Supported by Creative Wick, an independent nonprofit, community interest company based in East London, we investigated the practice, viability, and challenges of social prescribing of the arts within the two London boroughs of Tower Hamlets and Hackney. Qualitative, in-depth semistructured interviews were conducted with 13 community artists and four primary care link workers, and the findings were thematically analysed. We found that both artists and link workers lacked reciprocal knowledge, with link workers mostly unaware of the rich local offer, and artists either unaware of the social prescribing model or only indirectly informed through the influx of referred participants. We also found that a lack of standards in quality assurance for community arts organisations was perceived as a barrier to consistent referral by link workers. Moreover, the shortage and instability of funding for community arts organisations makes the model extremely precarious. On the positive side, both artists and link workers supported the idea of integrating community arts engagement into healthcare. Drawing from our findings, we propose that supporting community arts organisations to deliver creative health requires at least three key elements: stable funding, possibly through statutory provision within healthcare; a system of quality assurance and evaluation which accounts for a context-specific, nonmedicalised approach; and the implementation of virtuous referral pathways grounded in reciprocal knowledge. As the creative health agenda is considered vital for public health, integrating the contribution of community arts organisations becomes essential.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4318767","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multigenerational Living and Mental Health Outcomes of Working-Age Adults and Children—A Scoping Systematic Review","authors":"Abbeygail Jones,&nbsp;Daniel Pugh,&nbsp;Vaughan Bell,&nbsp;Keri Ka-Yee Wong","doi":"10.1155/hsc/7513142","DOIUrl":"https://doi.org/10.1155/hsc/7513142","url":null,"abstract":"<p><b>Background:</b> Household compositions can impact health-related outcomes. However, the definition of multigenerational living and its associations with mental health outcomes in adults and children are unclear.</p><p><b>Method:</b> A systematic review was conducted according to PRISMA guidelines. Searches were conducted in Embase, PsycInfo and Medline via OVID, PubMed and the Cochrane Library. Two raters identified 112 reports for full paper reviews and 62 papers for data extraction. Quality ratings and certainty of evidence were assessed, and data were narratively synthesised.</p><p><b>Results:</b> There were 289,071 participants across studies. Ten studies recruited samples of children/young people. The average quality rating was 7.8 (out of 10) and the certainty of evidence was low. Definitions of multigenerational living and associations with mental health outcomes were heterogeneous, indicating the role of moderating factors, and a need for better operationalisation in future research.</p><p><b>Conclusions:</b> Findings have implications for clinical practice when conducting assessments and formulating psychological difficulties. There are further implications for researchers and policymakers responsible for housing and healthcare provision. The broad search strategy and specification of only anxiety and depression in the search strategy are limitations of the review, despite the scoping aims. A consensus definition of multigenerational living could benefit future research.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7513142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study on Video Conference Fatigue: Moderating Effect of Mindfulness and Mediating Effect of Appearance Dissatisfaction","authors":"Bilei Zhou,&nbsp;Qingru Qiu,&nbsp;Yuling Li","doi":"10.1155/hsc/3293591","DOIUrl":"https://doi.org/10.1155/hsc/3293591","url":null,"abstract":"<p>With the increasing popularity of remote video online meetings, video conference fatigue has become a new issue of concern. This study aimed to explore the moderating effect of mindfulness intervention on the relationship between camera use and video conference fatigue mediated by appearance dissatisfaction through two experiments. Experiment I recruited 112 undergraduate students using a 2 (camera use: on vs. off) × 2 (mindfulness intervention: mindfulness vs. mind-wandering) between-subjects design. Results showed that turning on the camera significantly increased video conference fatigue, whereas mindfulness meditation significantly reduced it; furthermore, the interaction between mindfulness intervention and camera use on appearance dissatisfaction was significant, and appearance dissatisfaction was positively correlated with video conference fatigue. Experiment II recruited 100 undergraduate students using a 2 (appearance dissatisfaction: appearance satisfaction vs. appearance dissatisfaction) × 2 (mindfulness intervention: mindfulness vs. mind-wandering) between-subjects design. We found a significant interaction between appearance dissatisfaction and mindfulness intervention on video conference fatigue. In conclusion, camera use directly influenced video conference fatigue, whereas the moderating effect of mindfulness intervention was mediated by appearance dissatisfaction.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3293591","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Literacy Among Late-Life Migrants in China: The Role of Multilevel Migration Characteristics","authors":"Siqi Wan,&nbsp;Bo Qin","doi":"10.1155/hsc/1574967","DOIUrl":"https://doi.org/10.1155/hsc/1574967","url":null,"abstract":"<p>China is experiencing rapid population aging alongside large-scale internal migration. In this context, the health literacy (HL) of late-life migrants is a crucial yet understudied issue of healthy aging. Drawing on the data from 814 late-life migrants aged 50 or above from the 2016 China Migrants Dynamic Survey, this study employed multiple linear regression models to examine how migration characteristics—at the individual, community, and city levels—relate to HL and its specific dimensions. The results showed a modest overall HL in the sample, with health-related skills scoring the lowest. Higher levels of HL were observed in those who migrated shorter distances, with family members, for employment or caregiving purposes, and had better access to community health services. Living in larger cities with more abundant healthcare resources was associated with better HL outcomes. The impact of migration characteristics varied across different HL dimensions. This study fills a key research gap by focusing on a large but often overlooked population in China’s aging society. These findings suggest the need to improve multilevel health service provision to support HL, thereby promoting health equity in the context of aging and mobility.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1574967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144888417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}