Health & Social Care in the Community最新文献

{"title":"Association Between Social Isolation and Fall Injury","authors":"Do Hyung Kim,&nbsp;Sujin Lee,&nbsp;Jae Ho Chung","doi":"10.1155/hsc/6644375","DOIUrl":"https://doi.org/10.1155/hsc/6644375","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to analyze the association between social isolation (SI) and falls in Koreans.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The cross-sectional study of the 2019 Korea Community Health Survey (KCHS) was conducted on 228,143 individuals aged 19 years or older. SI was defined using five indicators as “the presence of a spouse,” “social network,” “single-person household,” “participation in social activities,” and “job status,” and SI group were defined as SI score ≥ 3. Multiple logistic regression after adjusting factors (socioeconomic status, health behavior and psychological factors) were used for association SI and falls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fall injury were significantly higher in the SI group (15.8%) than that in the non-SI group (10.8%) (<i>p</i> &lt; 0.001), and subcomponent scores for nonspouse, single-person household, nonsocial activity, nonsocial network, and no job were significantly higher in the falls group (<i>p</i> &lt; 0.001). The multivariate odds ratio (OR) after adjusting multiple confounding variables showed SI (SI score ≥ 3) was significantly associated with an increased risk of falls (OR: 1.23, 95% confidence interval [CI]: 1.19–1.27). The presence of falls according to the SI subcomponents was more likely to be associated with nonspouse (OR: 1.40, 95% CI: 1.36–1.44), single-person households (OR: 1.17, 95% CI: 1.13–1.21), non-social network (OR: 1.09, 95% CI: 1.00–1.19) and nonjob (OR: 1.14, 95% CI: 1.11–1.18), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SI was associated with falls.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6644375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708220","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":"Suicidal Ideation as a Multifactorial Concept: A Systematic Review of Psychosocial Risk Factors in Women","authors":"Cristina Rea-Rodríguez,&nbsp;Esteban Agulló-Tomás,&nbsp;José Antonio Llosa,&nbsp;Sara Menéndez-Espina,&nbsp;Beatriz Oliveros,&nbsp;Laura Mateos-González","doi":"10.1155/hsc/7128705","DOIUrl":"https://doi.org/10.1155/hsc/7128705","url":null,"abstract":"<p>Suicidal ideation is a complex and multifactorial phenomenon that has been widely studied over the years, although many of these studies have mainly reflected a clinical component, focussing on risk factors and causes from a medical perspective. This systematic review focuses on the importance of psychosocial factors in order to understand the phenomenon as a whole. PubMed, Web of Science and Scopus databases were searched following the PRISMA methodology, including empirical studies related to suicidal ideation and its variables. Post-2008 studies were selected since the global financial crisis marked a structural change in the economy and public policies, affecting key variables that may influence the results. Previous studies may not reflect current economic and social conditions. In total, 22 studies were included, providing evidence on the most significant risk factors for suicidal ideation in the female population, highlighting those related to mental health, stress, social support, sociodemographic factors and contextual and cultural factors. Within these blocks, variables associated with social support, both emotional and instrumental, played a crucial role, as did sociodemographic and economic factors, such as income level, educational level and marital status. In addition, financial and job insecurity were found to increase women’s vulnerability to suicidal ideation. Contextual and cultural factors, such as geographical location, culture, traumatic experiences or structural changes, including the pandemic, were also identified as key determinants.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7128705","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708143","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 Effect of Home- and Community-Based Eldercare Services on Depression in the Elderly: Evidence From China Longitudinal Aging Social Survey","authors":"Mei Zhou,&nbsp;Xuan Zhou,&nbsp;Chunmei Liu,&nbsp;Yuxiao Chen","doi":"10.1155/hsc/9920025","DOIUrl":"https://doi.org/10.1155/hsc/9920025","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Aimed to examine the impact of home- and community-based eldercare services on depression in the elderly.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were obtained from the China Longitudinal Aging Social Survey (CLASS) 2014, 2016, 2018, and 2020, the final sample comprised 33,437 observations. Leveraging a quasi-natural experimental design based on China’s pilot programs for home- and community-based eldercare services, a quasi-experimental staggered difference-in-differences analysis compared changes in depressive symptoms between exposed and unexposed elderly.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The pilot programs for home- and community-based eldercare services significantly improved depressive symptoms among elderly individuals (Coef. = 0.962, 95% CI [0.299, 1.625], <i>p</i> = 0.005), and increased the probability of being nondepressed (Coef. = 0.120, 95% CI [0.032, 0.208], <i>p</i> = 0.008). Heterogeneity analyses indicated that the policy had a more pronounced impact on the elderly individuals characterized as urban, living with family, females, and those community engaged. Among the different service models, life care and psychological comfort services notably enhanced elderly mental health, while the effects of healthcare services were less effective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Social support has a positive impact on the mental health of the elderly, and more comfort services are in demand, especially for rural and solitary older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9920025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708154","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":"An Exploration of the Experiences of Vulnerable Young People Participating in a Stand-Up Paddle-Boarding Therapy Course: A Phenomenological Study","authors":"Claire Hornsby,&nbsp;Alison Warren,&nbsp;Rosi Raine,&nbsp;Alun Morgan","doi":"10.1155/hsc/6382125","DOIUrl":"https://doi.org/10.1155/hsc/6382125","url":null,"abstract":"<p>Nature-based interventions have been advocated as an approach to support mental health and well-being in young people. The Wave Project, a United Kingdom–based charity, has an established surf therapy intervention for vulnerable children and adolescents which has been demonstrated to have a positive impact on mental health and well-being. However, this intervention provides challenges in terms of accessibility for young people located away from the coast. Stand-up paddle-boarding is an aquatic activity which can be conducted on inland waters, which therefore has the potential to address this barrier. Semistructured interviews (<i>n</i> = 6) utilizing video and photo elicitation were conducted with young people participating in a 5-week stand-up paddle-boarding course delivered on a canal in a central city location in the south-west of England. Transcripts were analyzed using a qualitative phenomenological approach. Participants reported engaging in paddle-boarding induced a feeling of calmness and provided respite from preoccupations of school and other concerns. The support provided by instructors and volunteers gave them a sense of both physical and psychological safety which provided them with the confidence to master a new skill. This experience increased their self-confidence and self-esteem as well as reducing social anxiety and feelings of anger. The findings suggest that a stand-up paddle-boarding course may confer mental health and well-being benefits for vulnerable young people. The ability to deliver this intervention on a canal in the center of a city increases its accessibility to young people living inland.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6382125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708022","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":"Digital Technologies for Community Health Worker–Facilitated Hearing Assessment in Low Resource Settings: A Feasibility Study","authors":"Caitlin Frisby,&nbsp;Karina C. De Sousa,&nbsp;Vinaya Manchaiah,&nbsp;Tersia de Kock,&nbsp;De Wet Swanepoel","doi":"10.1155/hsc/9960953","DOIUrl":"https://doi.org/10.1155/hsc/9960953","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Digital technologies are increasingly used to support task-sharing to community healthcare workers (CHWs) for accessible hearing healthcare in low- and middle-income (LMI) settings. This study evaluates the feasibility of CHW-facilitated hearing care, enabled by digital technologies, for ear assessment, hearing testing, and telehealth support in LMI settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>CHWs in three South African LMI setting were trained to facilitate hearing care using smartphone- and tablet-based digital tools. For ear assessment, CHWs conducted video-otoscopy with artificial intelligence (AI) image classification support. The accuracy of AI classification was assessed by comparing results to blinded ENT evaluations (August 2022 and April 2023). For hearing testing, automated pure-tone audiometry established hearing thresholds at key frequencies. For telehealth support, CHWs engaged in WhatsApp-based consultations with audiologists and an ENT specialist for guidance in complex cases. A subsequent feasibility component (October 2023–July 2024) assessed the real-world implementation of this CHW-facilitated hearing care model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>CHWs conducted video-otoscopy on 212 adults, with AI and ENT classifications corresponding in 89.2% of the cases. During the feasibility phase, 166 participants were recruited, with otoscopy completed for 163. The most common AI classifications were “normal” (65.6%; <i>n</i> = 215 ears) and “wax obstruction” (24.2%; <i>n</i> = 79). For hearing testing, CHWs facilitated audiometry for 161 participants, with 77.6% presenting with mild (45.3%; <i>n</i> = 73) or moderate (32.3%; <i>n</i> = 52) hearing loss. Quality control flagged concerns in 36 participants due to test–retest reliability (19.3%; <i>n</i> = 31) and environmental noise (3.1%; <i>n</i> = 5). CHWs used telehealth support 22 times, primarily for “abnormal” (<i>n</i> = 19) and infection/asymmetry cases (<i>n</i> = 3).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Innovative digital technologies, including smartphone- and tablet-based devices, enabled CHWs to expand hearing care access in LMI setting through AI-supported video-otoscopy, automated audiometry, and telehealth support, demonstrating real-world feasibility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9960953","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147707838","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":"Examining the Associations Between Social Trust and Self-Rated Health Among Immigrants and Native-Born Populations: A Global Perspective","authors":"Wenze Lu,&nbsp;Yan Li,&nbsp;Rui She,&nbsp;Xiaoxiao Mei,&nbsp;Mengting He,&nbsp;Jinyan Shi,&nbsp;Hammoda Abu-Odah,&nbsp;Janelle Yorke","doi":"10.1155/hsc/7004659","DOIUrl":"https://doi.org/10.1155/hsc/7004659","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The growing global immigrant population encounters health disparities. Theories of social capital suggest that social trust is a strong predictor of self-rated health. This study examined the associations between interpersonal social trust and self-rated health among immigrants and native-born populations globally.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The study utilized data from the seventh wave of the World Values Survey. Interpersonal trust was measured across six dimensions (family, neighbors, acquaintances, strangers, people of other religions, and people of other nationalities), with sociodemographic and socioeconomic factors as covariates. Data analysis included independent samples <i>t</i>-tests, latent profile analysis, and multilevel linear regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results show that immigrants reported better self-rated health compared to native-born individuals (<i>p</i> &lt; 0.001). Three distinct trust profiles emerged: universal high trust (more common among immigrant populations at 55%), family trust dominant (higher among native-born populations at 36%), and universal low trust. Interpersonal social trust was significantly associated with self-rated health in both groups: native-born (<i>B</i> = 0.144, <i>p</i> &lt; 0.001) and immigrants (<i>B</i> = 0.073, <i>p</i> &lt; 0.001). Individuals with universal high trust exhibited better health outcomes across both populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>As global migration continues to increase in response to crises such as armed conflict, climate change, and economic inequality, it is imperative to examine the long-term health outcomes of immigrant populations. The findings of this study will provide valuable evidence to inform policymakers and public health professionals in the development of responsive and sustainable health interventions, with the aim of enhancing health equity and building trust within immigrant communities worldwide.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7004659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708382","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":"Using the Candidacy Model to Understand Service Users’ Experiences of Access to Social Prescribing","authors":"Peter Unwin,&nbsp;Coco Burnside,&nbsp;Nick Evans,&nbsp;Frances Howie","doi":"10.1155/hsc/6687580","DOIUrl":"https://doi.org/10.1155/hsc/6687580","url":null,"abstract":"<p>Social prescribing is an increasingly well-known international model of healthcare, yet there is little agreement about its role and efficacy. This paper comprises a secondary analysis of findings from service users in a small-scale (n.8) qualitative study in the English Midlands using the approach of candidacy, a comprehensive framework with the potential for achieving a deeper understanding of social prescribing. Participants were accessed through local social prescribing link workers, who were located within general practitioner services. A candidacy approach recognises that the ways in which individuals perceive their health needs are key to understanding how or why they assert a claim to be a candidate for services. The aim of the paper is to add to the voices of lived experience within social prescribing and to explore whether the application of a candidacy framework brings about new insights. The original study on which this paper is based employed a mixed-methods approach in one clinical commissioning group area with a significant rural population. The secondary analysis brought forth three new themes not originally illuminated—accessibility of the service (permeability), financial constraints (appearances) and relationships with social prescribing link workers (adjudications).</p><p>Recommendations are that communities, and especially rural ones, need to be made more aware of their local social prescribing offers, that social prescribing staff take fuller account of individuals’ contexts and that healthcare staff need to be clear about how services are explained. Further larger-scale research is needed to demonstrate the ways in which candidacy theory can remain relevant within increasingly digitalised and complex health services where the opportunities for face-to-face negotiation are limited.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6687580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708386","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":"Parental Mental Ill-Health: Experiences of Navigating Multiple Services—A Systematic Review Conducted by Learnt and Lived Experience Researchers","authors":"Kate Blake-Holmes,&nbsp;Claire McCartan,&nbsp;Becca Allchin,&nbsp;Sophie Bagge,&nbsp;Gavin Davidson,&nbsp;Anne Grant,&nbsp;Jason Harris,&nbsp;Susan Lagdon,&nbsp;Emma Loudon,&nbsp;Emma Maynard,&nbsp;Andrea Reupert,&nbsp;Scott Yates,&nbsp;Grace Williams","doi":"10.1155/hsc/3187904","DOIUrl":"https://doi.org/10.1155/hsc/3187904","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Families in which a parent experiences mental ill-health often face complex and evolving challenges, with individual family members’ needs impacting one another across generations. Accessing appropriate support frequently requires the navigation of multiple services and systems, which can be overwhelming for both families and professionals, potentially leading to barriers in care. To address the challenges inherent with navigating complex systems of care, it is imperative that the experiences of individuals using these services are understood. The aim of this paper is to review qualitative studies of family members’ experiences of accessing multiple services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multidisciplinary research team with both learnt and lived experience of parental mental illness conducted a systematic review using PsycINFO, Academic Search Ultimate, Complementary Index, Medline Ultimate, CINAHL, ERIC and Scopus databases. Studies were screened according to predefined inclusion criteria. Quality assessment was undertaken using an expanded version of the Critical Appraisal Skills Programme (CASP) Qualitative Studies Checklist. Findings were thematically synthesised using a reflexive thematic analysis approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While no studies were found that directly addressed the navigation of complex support systems, sixteen papers were identified that explored experiences related to receiving or engaging with multiple services (<i>N</i> = 417). Inhibiting and enabling factors were identified at an individual and systemic level, highlighting key considerations for service design and delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The limited research in this area indicates a pressing need to understand the experiences of individuals, families and professionals navigating complex and often contradictory systems of care. This review highlights a critical gap in the literature and emphasises the value of lived experience in research. Future work must centre the voices of all family members to develop coordinated, responsive and effective systems of care. Integrating insights from those directly affected can lead to more family-centred care models, ultimately improving health outcomes and service delivery for all family members.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3187904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708435","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":"Mental Risk-Taking of Students When Learning Mathematics by Gender: Proposing a Mental Risk-Taking Filter Model","authors":"Belgin Bal İncebacak,&nbsp;Yüksel Dede","doi":"10.1155/hsc/7863806","DOIUrl":"https://doi.org/10.1155/hsc/7863806","url":null,"abstract":"<p>This study aims to examine the mental risk-taking skills of Turkish Grade 8 students in mathematics learning, with particular attention to gender differences and the demands of 21st-century competencies. Drawing directly on qualitative data, the study develops a mental risk-taking filter model to explain how students’ mathematical task selection is shaped through layered cultural, gendered, and affective mechanisms. The model conceptualizes mental risk-taking as a process in which mathematical challenges are filtered through multiple constraints, leading students toward either safe or risky task pathways. A multiple case study design was employed. The participants consisted of 52 Grade 8 students selected through convenience sampling. Data were collected using a mental risk-taking skills interview form and semistructured interviews. The data were analyzed through directed content analysis, and the emergent themes and relationships were subsequently synthesized into a data-driven conceptual model. The findings indicate that male students generally exhibit higher levels of mental risk-taking than female students in mathematics learning contexts. Students’ mental risk-taking experiences clustered around three interrelated themes derived from the data: perception of risk, fear of failure, and task selection. The analysis revealed a double filtration effect, particularly for female students, whereby cultural uncertainty avoidance and gender norms jointly suppress willingness to take mathematical risks. Within the model, cultural uncertainty avoidance functions as the broadest filter, intensifying fear of failure and social judgment, while gender norms introduce an additional layer of risk aversion. Fear of failure emerges as the final mechanism directing students toward either safe or risky task choices. According to the data-driven model, the safe pathway is characterized by preferences for easy or algorithmic tasks and routine problem-solving, whereas the risky pathway—more frequently observed among male students—supports engagement with challenging and open-ended tasks, fostering deeper learning and entrepreneurial thinking. This study contributes an original, empirically grounded conceptual model that explains mental risk-taking within a local cultural context and highlights implications for instructional and assessment practices in mathematics education.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7863806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615407","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":"Incorporating Quality of Life Into Care for People Living With HIV: Developing a Core Outcome Set of Health and Social Well-Being Patient-Reported Outcome Measures for Clinical and Community Services","authors":"Aleksandra Olekalns,&nbsp;Catherine Mai,&nbsp;Chris Howard,&nbsp;Jennifer Hoy,&nbsp;John Rule,&nbsp;Donatella Cifali,&nbsp;Graham Brown","doi":"10.1155/hsc/2503979","DOIUrl":"https://doi.org/10.1155/hsc/2503979","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Achieving quality of life (QoL) outcomes for people living with HIV (PLHIV) is reliant on a mix of clinical and community service initiatives. A brief, agreed-upon set of Patient-Reported Outcome Measures (PROMs) may enhance shared care, strengthen service partnerships, and improve QoL monitoring and other relevant outcomes. Currently, there is no consensus on PROMs across HIV clinical, community and research settings. This study aimed to identify a small set of PROMs with Australian HIV peer, community, clinical, research and policy collaborators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a review of PROM literature and Australian policy documents to assemble an initial list of social and health PROMs. A 3-round online adapted Delphi consensus process asked participants in PLHIV peer, community, clinical, research and policy settings how important, appropriate and feasible each PROM would be in their work. A final consensus meeting confirmed the proposed structure of the PROM set.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review produced an initial list of 47 PROMs. The Delphi process resulted in 23 PROMs reaching consensus after Round 1 (<i>n</i> = 40), which were then refined to 17 PROMs after Round 2 (<i>n</i> = 34). In Round 3, participants preferred six PROMs to form a primary outcome set. Following the final consensus meeting, the PROM set included a building block structure, with a “Group A” set of six preferred PROMs (20 questions). A set of 10 “Group B” PROMs could be used optionally, depending on the specific context of community and clinical organisations, with one alternative PROM that applies across all outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study identified 17 PROMs using an adapted Delphi consensus process that can be used to standardise measurement tools for QoL monitoring for PLHIV across community, clinical, and research settings in Australia. The future adoption of consensus-based tools may enhance holistic, person-centred care and improve the evaluation of shared care models.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2503979","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147585187","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}