Health & Social Care in the Community最新文献

{"title":"A Prospective Pre–Post Evaluation of the Three Dimensions of Care (3DLC): An Integrated Mental Health and Social Care Model for Long-Term Conditions","authors":"Iliatha Papachristou Nadal,&nbsp;A. Abigail Smith,&nbsp;Lindsay Ip,&nbsp;E. Esther Tolani,&nbsp;Catherine Cliffton,&nbsp;Irem Patel,&nbsp;C. Carol Gayle,&nbsp;Sean Cross,&nbsp;Khalida Ismail","doi":"10.1155/hsc/7377190","DOIUrl":"https://doi.org/10.1155/hsc/7377190","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Three Dimensions of Care for Long-term Conditions (3DLC) is a service innovation designed to provide integrated medical, psychological and social care for people with chronic physical conditions, specifically heart failure, chronic obstructive pulmonary disease (COPD) or resistant hypertension, and who also experience mental health and/or social difficulties. The aim of this study was to assess the effectiveness of the 3DLC model in improving mental health and condition-specific outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>From this prospective pre–post evaluation, 193 patients with coexisting long-term conditions and symptoms of depression or anxiety were recruited. Based on symptom severity and using an adapted stepped care model, participants received either 3DLC services or standard care (e.g., usual care pathways or talking therapies). Depression and anxiety (PHQ-9; GAD-7) and condition-specific outcomes (COPD assessment test [CAT]; Minnesota living with heart failure) were assessed at baseline and 6 months. Paired <i>t</i>-tests were used to evaluate within-group changes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants receiving 3DLC services showed statistically and clinically significant improvements in mental health symptoms: mean PHQ-9 scores decreased from 16.9 to 13.2 (<i>p</i> = 0.004), and GAD-7 scores from 12.3 to 9.3 (<i>p</i> = 0.001). COPD-related functioning also improved (CAT score reduction: <i>p</i> = 0.030). Participants in other services showed a smaller reduction in depression scores (<i>p</i> = 0.026), but no significant changes in anxiety (<i>p</i> = 0.561) or physical health outcomes were observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Integrated psychosocial care through the 3DLC model led to clinically meaningful improvements in mental health and COPD-related outcomes among patients with complex needs. These findings underscore the importance of integrated models for individuals whose needs fall between primary care and specialist mental health services, supporting wider implementation within long-term condition pathways.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7377190","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205375","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 Conditions of Well-being in Young Disabled People’s Lives: Findings From Focus Groups and Interviews","authors":"Hrafnhildur Snæfríðar-og Gunnarsdóttir,&nbsp;Margrét Lilja Arnheiðardóttir,&nbsp;Snæfríður Þóra Egilson","doi":"10.1155/hsc/5732990","DOIUrl":"https://doi.org/10.1155/hsc/5732990","url":null,"abstract":"<p>Despite legislative advances affirming the rights of disabled people, a significant gap appears to persist between policy and practice. Previous studies have shown that young disabled individuals face social stigmas, inaccessible environments and flawed support systems. Drawing on qualitative data from focus groups and individual interviews with 10 young disabled participants, this paper explores the factors that contributed to their possibilities for well-being and living fulfilling lives, as well as the barriers they encountered. Although the participants’ accounts reflected differences—shaped by their differing impairments and social positions—their narratives converged on what mattered most for their well-being and around the relational and structural conditions that enabled or constrained it. Three interrelated themes were developed: (1) the labour of accommodation, (2) getting necessary services and support and (3) parental roles and resources. Together, these themes demonstrate how opportunities for participation, belonging, autonomy and security were shaped through negotiations with social, institutional and familial environments. Participants encountered physical and attitudinal barriers that shifted the work of achieving access and participation onto participants, requiring considerable planning and adaptation. Access to services was marked by fragmentation, rigid eligibility criteria and a lack of continuity between child and adult systems, leaving many participants feeling unsupported and disempowered. While some participants benefited from strong familial advocacy and practical assistance, others experienced overprotection, misunderstanding or absence of support, often shaped by ableist assumptions and socioeconomic disparities. The findings underscore the need to ensure equitable access to services that meet the needs of young disabled people and acknowledge the diversity of their experiences. By highlighting systemic barriers and relational dynamics, this study contributes to a deeper understanding of how well-being is shaped within social, institutional and familial contexts.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5732990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205444","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":"“All Die Be Die”: A Qualitative Study of Health-Seeking Experiences Among Men Living With Hypertension in Rural Northern Ghana","authors":"Prince Owusu Adoma,&nbsp;Saansong Omar Ansir Ahmed,&nbsp;Richard Osei Agjei,&nbsp;Joseph Oteng,&nbsp;Rufai Afushetu,&nbsp;Emmanuel Manu","doi":"10.1155/hsc/4631306","DOIUrl":"https://doi.org/10.1155/hsc/4631306","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Hypertension poses a significant health challenge in resource-constrained settings like Ghana. This study explored health-seeking behaviours of men with hypertension in rural Ghana, specifically focussing on their experiences with care seeking, self-care practices, challenges and satisfaction with the services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from male hypertension patients were gathered using a qualitative approach involving interviews and focus group discussions. Thirty-nine men receiving hypertension care in four rural districts of northern Ghana took part in in-depth interviews and focus group discussions. Thematic analysis was used to identify key themes across their narratives. NVivo software was used to analyse data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four main themes and thirteen subthemes emerged: health facility-based experiences, self-care experiences, patient satisfaction and challenges with the healthcare system. The study presented a mixed picture, characterized by both positive and negative experiences with hypertension care. In addition, the level of satisfaction differed in service provision. Significant challenges were also identified with service delivery, hampering the quality of care resulting in a popular phrase “all die be die”.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings indicated the need for multifaceted interventions to improve hypertension care in rural Ghana. Recommendations include strengthening patient-provider communication through continuous professional development, implementing family-oriented programs to enhance support systems, improving healthcare efficiency to reduce waiting times and addressing financial barriers through health insurance schemes, medication subsidies, and community-based health financing initiatives. These strategies should be integrated with broader efforts to address social determinants of health and promote equitable access to care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4631306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205518","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":"Beyond Care Provision: Australian Health Professionals’ Perspectives on Partnering With People Ageing With Spinal Cord Injury","authors":"Emma Tan,&nbsp;Lynette Mackenzie,&nbsp;Jacqueline Wesson,&nbsp;Shane Clifton","doi":"10.1155/hsc/6512897","DOIUrl":"https://doi.org/10.1155/hsc/6512897","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The number of people ageing with spinal cord injury (SCI) is increasing due to improved life expectancy and population ageing. Ageing with SCI is complex, shaped by interactions among SCI-related, age-related, personal and environmental factors, resulting in highly individualised support needs. This study explored how health professionals (HPs) understand and respond to the complexities of supporting people ageing with SCI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study conducted semistructured interviews via Zoom with HPs (<i>n</i> = 21) supporting people ageing with SCI in community settings. Data were analysed using inductive thematic analysis informed by a phenomenological approach. A Consumer Advisory Panel contributed to study design, recruitment and interpretation and validation of findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four interconnected themes were identified: (1) understanding the multidimensional nature of ageing with SCI, (2) facilitating adjustment to ageing with SCI, (3) strategies and practices to support ageing with SCI and (4) the personal journey of HPs. HPs described ageing with SCI as a complex, individualised process that requires specialised support, including SCI-specific expertise, relationship-based practice, advocacy, shared decision-making and recognition of lived experience. Facilitating adjustment to age-related change, promoting autonomy and supporting participation in meaningful activities and roles were central to care. However, fragmented systems, funding limitations and workforce challenges constrained preventative and person-centred care, contributing to moral tension, emotional burden and burnout, with implications for workforce sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>HPs supporting people to age well with SCI require specialised clinical, advocacy and relationship-based skills, delivered through collaborative partnerships with people with lived experience. In practice, the implementation of these approaches is often constrained by poorly aligned health, disability and aged care systems, placing substantial emotional demands on HPs. System-level reform is needed to support continuity of care, preventative approaches, relationship-based care and sustainability of workforce expertise.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6512897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205443","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":"Public Health Insurance and the Transition Into Formal Employment: Evidence From Urban China","authors":"Qin Zhou,&nbsp;Gordon G. Liu,&nbsp;Zhuang Hao","doi":"10.1155/hsc/4606460","DOIUrl":"https://doi.org/10.1155/hsc/4606460","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Formal employment has been declining in urban China despite rapid economic growth. One plausible but underexplored explanation is the expansion of public health insurance that is not tied to formal employment. This paper investigates whether enrollment in the Urban Residents Basic Medical Insurance (URBMI) is associated with individuals’ subsequent transitions into formal employment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We use longitudinal data from the URBMI Household Survey, conducted annually between 2007 and 2011, and employ an instrumental variable (IV) strategy to address endogeneity concerns. The instruments are the community-level URBMI enrollment rate and the city-level government subsidy ratio. The analysis sample consists of 21,913 person-wave observations of urban residents aged 16–59 who were not formally employed in the previous year.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>IV-Probit estimates indicate that enrollment in this subsidized public insurance is associated with a lower probability of taking up a formal job by 13.9 percentage points compared with being uninsured, with the estimate statistically significant at the 1% level. Secondary analyses indicate that URBMI enrollment is associated with higher probabilities of self-employment (6.2 percentage points) and unemployment (5.5 percentage points), although the estimates are statistically significant at the 5% and 10% levels, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest that access to subsidized public health insurance is associated with subsequent labor market transitions among urban residents initially outside formal employment in the sampled pilot cities. They highlight the importance of considering potential labor market responses when designing policies that expand health insurance coverage for individuals outside formal employment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4606460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205342","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":"Statewide Scale-Up of a Demand Management Model Reduced Waiting Times in Community Health: A RE-AIM Evaluation","authors":"Kate E. Noeske,&nbsp;Annie K. Lewis,&nbsp;Nicholas F. Taylor,&nbsp;Kellie B. Angel,&nbsp;Liana L. Thomas,&nbsp;Xia Li,&nbsp;Katherine E. Harding","doi":"10.1155/hsc/1116924","DOIUrl":"https://doi.org/10.1155/hsc/1116924","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Long waits for outpatient and Community Health Services are common and associated with adverse outcomes. The Specific Timely Assessment and Triage (STAT) model provides an evidence-based approach to managing demand and is effective in reducing waiting times in controlled trials. A statewide initiative supporting its implementation in Community Health Services provided an opportunity to test scalability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate outcomes of a statewide strategy to support scale-up of the STAT model across the community health sector in Victoria, Australia, using the RE-AIM framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An observational cohort study was conducted alongside a statewide scale-up strategy that included STAT training workshops, online resources and assistance to audit waiting lists. Data were collected through workshop registration records, follow-up questionnaires and organisational websites. Descriptive data were used to evaluate the RE-AIM domains of reach, adoption, implementation, and maintenance. Effectiveness was estimated by comparing organisation-reported waiting list data collected at baseline and 6-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 298 participants from 59 Community Health Services attended training, representing <i>reach</i> of 73% of eligible organisations. Of these, 120 participants (48%) from 45 organisations (76%) provided data at 6-month follow-up. <i>Adoption</i> was widespread, with 89% of organisations reporting at least partial implementation. In terms of <i>effectiveness</i>, mean waiting time decreased at follow-up from 3.9 to 2.6 months, an approximate 33% reduction (mean reduction 1.3 months, 95% CI 0.75–1.82, <i>p</i> &lt; 0.001). Key <i>implementation</i> facilitators included structured resources and leadership support, while barriers included staffing constraints and service demand pressures. Participants reported mixed expectations regarding <i>maintenance</i> of STAT-related changes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A statewide initiative to support implementation of the STAT model across Victorian Community Health Services led to widespread adoption and waiting time reductions comparable to those seen in controlled trials, providing evidence for scalability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1116924","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205335","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":"Coordination Between Social Services and Health Systems: A Multilevel Integrative Review of Concepts, Mechanisms and Barriers","authors":"Meritxell Villalonga,&nbsp;Mercedes Botija","doi":"10.1155/hsc/1801163","DOIUrl":"https://doi.org/10.1155/hsc/1801163","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coordination between social services and health systems is widely considered to be essential for responding to complex, long-term and socially determined needs. However, the field remains conceptually unstable and empirically fragmented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This integrative review synthesises how the international literature conceptualises, operationalises and evaluates coordination between social services and health systems, examining coordination through a multilevel, continuum-based perspective rather than a single model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An integrative literature review was conducted following Torraco’s methodological approach and reported in accordance with PRISMA 2020. Scopus, Web of Science, PubMed and Cochrane were searched for peer-reviewed articles published in English or Spanish between January 2006 and March 2026. Two reviewers independently screened the records and assessed methodological quality using the CASP and MMAT tools. A thematic analysis was conducted using MAXQDA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-one studies were included. The literature describes coordination as a heterogeneous phenomenon encompassing varying degrees of information exchange, cooperation, coordination and integration. Across the studies, coordination was shaped by the interaction of governance arrangements, operational mechanisms, shared tools, competency boundaries and relational conditions such as trust, role clarity and a collaborative culture. The main barriers included fragmented governance, asymmetric power between sectors, poor interoperability, inconsistent accountability and limited comparability of evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Coordination should be understood as a contextual and multilevel institutional capacity, rather than a fixed organisational solution. Stronger governance, relational infrastructure and comparable evaluation frameworks are required to strengthen coordination between health and social care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1801163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146304","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":"Physical Activity, Intrinsic Capacity and Frailty Risk in Middle-Aged and Older Adults: Evidence From the CHARLS and ELSA Cohorts","authors":"Huan Feng,&nbsp;Tianyue Zhao,&nbsp;Yunan Zhang,&nbsp;Shengjie Wang","doi":"10.1155/hsc/2133282","DOIUrl":"https://doi.org/10.1155/hsc/2133282","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine associations of physical activity (PA) and intrinsic capacity (IC) with incident frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adults aged ≥ 50 years from CHARLS (<i>n</i> = 1519) and ELSA (<i>n</i> = 4897) were analysed. PA was questionnaire-assessed; six-domain IC was classified as robust, preimpaired or impaired; incident frailty was defined as Frailty Index ≥ 0.25. Cox models estimated adjusted hazard ratios (HRs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Robust versus impaired IC was associated with lower frailty hazard in CHARLS (HR 0.42, 95% CI 0.32–0.55) and ELSA (HR 0.40, 95% CI 0.31–0.51). PA was associated with lower hazard in ELSA (HR 0.64, 95% CI 0.55–0.75) but not CHARLS (HR 0.94, 95% CI 0.77–1.16); the PA × cohort interaction was significant (<i>p</i> &lt; 0.001). Active + robust showed the lowest hazard in CHARLS (HR 0.38, 95% CI 0.27–0.55) and ELSA (HR 0.36, 95% CI 0.25–0.53).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Preserved IC was consistently associated with lower frailty risk, supporting joint assessment while accounting for cohort-specific PA measurement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2133282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146255","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":"Family Life, Psychosocial Well-being, and Community Support During COVID-19 in Addis Ababa, Ethiopia: A Qualitative Study of Four Urban Households","authors":"Konjit Kebede,&nbsp;Wassie Kebede,&nbsp;Ashenafi Woldemichael Woime","doi":"10.1155/hsc/9494779","DOIUrl":"https://doi.org/10.1155/hsc/9494779","url":null,"abstract":"<p>The COVID-19 pandemic has led to the adoption of nonpharmaceutical interventions (NPIs) worldwide, such as quarantine, social distancing, and stay-at-home. This qualitative study used thematic analysis to examine the lived experiences of Ethiopian families under these measures. In-depth interviews were conducted with five purposively selected participants from four households in two neighborhoods in Addis Ababa. Results indicate that the interventions led to multidimensional psychosocial, economic, and spiritual challenges, including extreme financial hardship, breakdown of community support networks, psychosocial distress, and adaptive family reorganization, as well as behavioral changes and reorganization of roles within the family system. The study highlights the critical need for inclusive mental health and psychosocial support services for families during public health emergencies, especially in low-income, communal societies. The paper concludes that policies for pandemic response should include social recovery strategies, not just biomedical interventions.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9494779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146159","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":"Inclusive Disaster Preparedness in the Community: Experiences of People With Physical Disabilities in Japan","authors":"Shutaro Koyama,&nbsp;Kyo Takahashi,&nbsp;Kenji Takaki,&nbsp;Jun Suzurikawa","doi":"10.1155/hsc/7225580","DOIUrl":"https://doi.org/10.1155/hsc/7225580","url":null,"abstract":"<p>People with disabilities face disproportionate risks during disasters, yet their everyday capacities for preparedness remain underexplored within community-based care research. This study examined how individuals with physical and sensory disabilities in Japan prepare for disasters in their home environments, using the Disaster Preparedness Checklist Kit—a participatory tool co-developed with people with disabilities. A mixed-methods design was employed. Quantitative data were collected from 67 participants across seven prefectures, and semistructured interviews were conducted with 11 individuals who contributed to the kit’s development. The checklist assessed preparedness across six domains: (1) General Preparations, (2) Human Services and Relationship Building, (3) Communication and Information Gathering, (4) Mobility and Transportation, (5) Food, Health and Elimination and (6) Shelters and Public Facilities. Thematic analysis of interview data complemented statistical findings. Results indicated that overall preparedness levels were low, particularly in Human Services and Relationship Building, Mobility and Transportation, and Shelters and Public Facilities. Five recurring action patterns were identified: checking and trying, consultation and discussion, forming habits and organising, substituting, and obtaining and implementing. Participants demonstrated creative self-management and mutual support strategies but faced persistent barriers related to mobility, communication accessibility and economic constraints. These findings highlight that disaster preparedness for people with disabilities is not solely an individual responsibility but a shared outcome of social inclusion, welfare systems and accessible community infrastructure. Strengthening preparedness requires policies and practices that integrate disability perspectives into local disaster planning and support everyday capability-building within community care settings. By recognising people with disabilities as active agents of resilience rather than passive recipients of aid, this study contributes to the development of inclusive disaster-preparedness approaches aligned with the principles of community-based health and social care.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7225580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146256","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}