Health & Social Care in the Community最新文献

{"title":"Youth-Led, Community-Engaged Psychological Empowerment Interventions in School Contexts: A Mixed-Methods Study of Adolescent Mental Health Promotion","authors":"Zixin Ma,&nbsp;Huanhuan Li","doi":"10.1155/hsc/5566478","DOIUrl":"https://doi.org/10.1155/hsc/5566478","url":null,"abstract":"<p>Community constitutes a vital but frequently neglected developmental asset during adolescence. Using SEM and latent profile transition analyses, we examined how residential community engagement (CE) is associated with adolescent mental health through psychological empowerment (PE) and positive youth development (PYD) characteristics and the roles of residential CE and PE in changes in adolescent health profiles over 5 months. Two mental health classes were identified: the low-risk class (61.93% at Time 1 and 58.71% at Time 2) and the high-risk class (38.07% at Time 1 and 41.29% at Time 2). With PE increasing over time, the transition probability from the low-risk class at Time 1 to the high-risk class at Time 2 is much lower (OR = 0.23) than the probability of maintaining their original state. The transition probability of the high-risk class at Time 1 to the low-risk class at Time 2 is much higher (OR = 8.12) than maintaining their original state. We also conducted a 7-week, randomized controlled pilot trial of a school-based youth-led empowerment program. Significant time effects were found for all outcomes, and group × time interactions were found for PE (<i>p</i> &lt; 0.01) and PYD characteristics (<i>p</i> &lt; 0.05). In the postintervention interviews, most participants reported that the program enhanced their inclination to criticize, engagement capability, and the motivation to make a change. Together, these findings highlight PE as a shared mechanism linking both residential CE and school-based youth-led programming to adolescent mental health outcomes.</p><p><b>Trial Registration:</b> Chinese Registry of Clinical Trials: ChiCTR2500103177</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5566478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146044","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":"Feasibility and Acceptability of Link Worker–Led Social Prescribing for Urban Older Adults at Risk of Social Isolation: A Feasibility Study in Japan","authors":"Ryohei Ishizuka,&nbsp;Asuka Suzuki,&nbsp;Yoshiharu Fukuda,&nbsp;Yousuke Ishii,&nbsp;Shinji Sato","doi":"10.1155/hsc/1973687","DOIUrl":"https://doi.org/10.1155/hsc/1973687","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Social prescribing connects patients to nonmedical support services to improve their social and emotional well-being. However, this approach has yet to be systematically implemented and evaluated in Japan. This study evaluated the acceptability and feasibility of a pilot social prescribing programme for urban older adults at high risk of social isolation in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This single-arm study involved individuals in Suginami Ward of Tokyo aged ≥ 65 years with chronic diseases who were at high risk of social isolation. Participants received social prescribing, comprising referrals to social resources by link workers, utilisation of public baths and monthly group walking activities. Link workers, community navigators providing preventive and continuity-based support between healthcare and community settings (distinct from social workers who specialise in high-risk cases and statutory or institutional interventions), connected participants to local social resources. Acceptability indicators were participation, eligibility and completion rates, while exploratory outcome measures included a binary social isolation criterion (face-to-face or non–face-to-face contact less than once per week), the Japanese version of the Subjective Happiness Scale and the Eleven-Check Questionnaire for frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 24 potential candidates, 22 participated in the initial assessment, and seven were classified as socially isolated. One participant withdrew before the scheduled follow-up. We evaluated six participants (men: 67%; mean age: 78 years). After the intervention, all participants showed improvement in social isolation as measured by the standardised binary criterion. Effect sizes indicated clinical improvements, including an increase in subjective well-being (dz = 0.24) and a decrease in frailty score (dz = −0.59).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest the acceptability of social prescribing and the potential to reduce feelings of social isolation and improve the well-being of urban older adults at high risk of social isolation in Japan. Issues regarding feasibility included selecting eligibility criteria, understanding participants’ needs and facilitating social resource referrals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1973687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145958","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":"Developing Compassionate Dementia-Inclusive Communities","authors":"Barbara Pesut,&nbsp;Gloria Puurveen,&nbsp;Kelly Ashford,&nbsp;Heather Neale Furneaux,&nbsp;Melody A. Jobse,&nbsp;Eman Hassan","doi":"10.1155/hsc/1149046","DOIUrl":"https://doi.org/10.1155/hsc/1149046","url":null,"abstract":"<p>Communities need practical solutions to help persons living with dementia and their care partners age in place with dignity and good quality of life. The purpose of this project is to implement and evaluate an interorganizational compassionate and dementia-inclusive community (CDIC) approach to enhance in-community supports for persons living with dementia. Not-for-profit organizations in six diverse Canadian communities are participating in the project. An implementation toolkit was created to guide communities in building leadership teams through organizational partnerships, develop and implement plans for a CDIC approach, and educate and mobilize volunteer navigators to provide support. Leaders of organizations participating in the CDIC approach were connected in a community of practice to share their learnings. In this paper, we describe the CDIC intervention and provide baseline findings from participating communities.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1149046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146205","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":"Acceptability and Feasibility of Parenting Tip Sheets: A Qualitative Study of Caregivers With Young Children in Ontario, Canada","authors":"Mackenzie Martin,&nbsp;Mari Dumbaugh,&nbsp;Susan Jack,&nbsp;Harriet MacMillan,&nbsp;Amanda Sim,&nbsp;Jenna Ratcliffe,&nbsp;Jacinda Burns,&nbsp;Andrea Gonzalez","doi":"10.1155/hsc/6554101","DOIUrl":"https://doi.org/10.1155/hsc/6554101","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>During the COVID-19 pandemic, Parenting for Lifelong Health (PLH) developed freely accessible parenting tip sheets. There are few studies evaluating these tip sheets, with none in Canada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to (1) understand the experiences, practices, and challenges of parents/caregivers (caregivers) in Ontario, Canada, and (2) obtain caregiver feedback on the PLH tip sheets.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive methodological framework was used. Twenty-five caregivers in Ontario, Canada, with children aged 2–6 years engaged in focus groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Caregivers shared details about their parenting experiences, practices, and challenges. Caregivers indicated that they felt that the tip sheets aligned with their parenting beliefs and practices, and addressed many challenges they face. Caregivers provided feedback on the topics covered, visual design, and structure, and offered recommendations. Caregivers, including newcomer Canadians, viewed the tip sheets as acceptable, relevant, and appropriate, and reported applying the practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study provides valuable insights into a community-level approach to support positive parenting through the implementation of parenting education resources.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6554101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146054","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":"Rising Costs, Rising Risks: How the Cost of Living Crisis Impacts People With Disabilities in Australia","authors":"Kelsey Chapman,&nbsp;Joyce Yi,&nbsp;Alicia Yon,&nbsp;Elizabeth Kendall,&nbsp;Chelsea Hannah Marsh","doi":"10.1155/hsc/5581145","DOIUrl":"https://doi.org/10.1155/hsc/5581145","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aim</h3>\u0000 \u0000 <p>Australia’s ongoing cost-of-living crisis presents a significant threat to public health, disproportionately impacting people with disabilities. Although the public health impacts are widespread, its impact on people with disabilities is compounded by systemic barriers, inaccessible health services, and inadequate social protections. This study explores how the rising cost of living intersects with social, economic, and health challenges, focusing on the lived experiences of people with disability in Queensland, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a state-wide survey, co-designed with people with disabilities, to collect qualitative and quantitative data. A citizen science method was used throughout the research design, conduct, and delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis was conducted on 427 participant responses, collected over a 6-week period. We identified four key themes: (1) financial insecurity; (2) rising costs of goods, services, and healthcare; (3) difficult choices: balancing healthcare and other basic needs; and (4) long-term health implications. Participants reported heightened stress, unmet health needs, and systemic exclusion. The findings reveal how economic pressures exacerbate existing inequities and undermine access to the social determinants of health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The cost-of-living crisis is deepening the disadvantage for people with disabilities. Inclusive, community-driven research is essential to inform policy and practice responses. This study highlights the urgent need for disability-inclusive measures, expanded healthcare access, and reforms to social protection schemes. By centering dignity and lived experience, we offer actionable insights for practitioners, policymakers, and researchers working to improve health and social care in the community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5581145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146050","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":"Cohabitation and Perceived Consequences Among Tanzanian University Students","authors":"Orestes S. Kapinga,&nbsp;Christina N. Mbilinyi,&nbsp;Mbwiga S. Aloni","doi":"10.1155/hsc/4421880","DOIUrl":"https://doi.org/10.1155/hsc/4421880","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cohabitation among university students is an increasingly recognised form of intimate partnership. This study examined cohabitation status and students’ perceptions of its possible moral, health, academic and social implications among undergraduate students in Tanzania.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted among undergraduate students from four universities in Tanzania: two public universities and two private faith-based universities. A total of 1197 students participated in the study. Data were collected using a structured questionnaire and analysed using descriptive and inferential statistics in Stata/SE Version 14.1.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 304 of 1197 students (25.4%) reported cohabitation, which was more prevalent in private universities (30.4% vs. 22.4%, <i>p</i> = 0.002). Third-year students had lower odds than second-year students (aOR = 0.59, 95% CI: 0.37–0.92, <i>p</i> = 0.020), as did students who disagreed that cohabitation improves academic performance, enhances partner security or may involve theft and cybercrime. Most students perceived possible moral (71.9%), health (81.8%) and academic (66.5%) implications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cohabitation was associated with year of study and selected perceptions. Students perceived cohabitation as having potential moral, health and academic implications. These findings reflect self-reported perceptions, not observed outcomes or causal effects. Universities should provide balanced, confidential and nonstigmatising relationship support. Further longitudinal and qualitative studies are recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4421880","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145846","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":"Living With Dementia in the Public Eye: Findings From a Citizen Science Study","authors":"Franka C. Bakker,&nbsp;Anjo Geluk,&nbsp;Charles van der Spek,&nbsp;Hilco Prins,&nbsp;Anouk C. J. Jansen,&nbsp;Gabriëlle L. ten Velde,&nbsp;Simone R. de Bruin,&nbsp;the VRbeelding Consortium","doi":"10.1155/hsc/2664145","DOIUrl":"https://doi.org/10.1155/hsc/2664145","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Many individuals fear developing dementia and hold negative associations with it, which shapes their interactions with persons with dementia. More nuanced portrayals are needed to reduce fears and stigma. We qualitatively explored the public perceptions of dementia (general perceptions, fears and positive images) and the counter-perceptions and nuances offered by experts by experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following the principles of a citizen science approach, we launched a photovoice public campaign (223 participants, August–December 2022) and organized three structured interview matrix (SIM) sessions (48 participants, December 2022–January 2023) to explore citizens’ perceptions of dementia. Findings were presented to individuals with dementia, informal caregivers and dementia health and social care professionals for supplementary insights, in three sounding board meetings (March 2023). Qualitative analyses were conducted by teams of professional and citizen co-researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified seven clusters within the public images of living with dementia: enjoyment of life, dignity and respect, meaningfulness, connection with others, connection with oneself, autonomy and cognitive and functional abilities. Within each cluster, we observed a variety of perceptions, ranging from positive to negative. Perceptions of living with dementia by the general public were predominantly pessimistic. Perceptions were mostly related to enjoyment of life and cognitive and functional abilities, and these were most discussed and nuanced by experts by experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our clustering illustrates that public images of living with dementia may reflect what people consider important in life. Social and care environments are believed to play a crucial role in shaping the experience of dementia and in determining which images become reality, particularly in its early stages. The greatest fear surrounding dementia may not stem from the condition itself but from its social implications. Study participants believe there should be more dialogue <i>about</i> dementia and <i>with</i> people living with dementia, fostering the sharing of perspectives and thereby nuancing public images.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2664145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145620","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-Centered Rehabilitation in Pediatric Care: A Modified Delphi Consensus Study at Caritas Baby Hospital, Palestine","authors":"Nancy Zeidan Ijha,&nbsp;Eman Abusaada,&nbsp;M. E. Niveen Abu-Rmeileh","doi":"10.1155/hsc/6683612","DOIUrl":"https://doi.org/10.1155/hsc/6683612","url":null,"abstract":"<p>This study explores the implementation of family-centered rehabilitation at Caritas Baby Hospital in Bethlehem, focusing on the perspectives of participating families and professionals. The primary aim is to identify strategies for enhancing family-centered care in pediatric rehabilitation. A mixed-methods approach was utilized, combining qualitative interviews with mothers and rehabilitation professionals, followed by a modified Delphi consensus workshop with a wider multidisciplinary team. Thematic analysis was applied to interview transcripts, while quantitative analysis was used for Likert scale responses, synthesizing insights from the modified Delphi workshop. Key findings highlight the consensus on the importance of family involvement in the rehabilitation process. Professionals emphasized the need for improved communication, collaboration, and access to supportive services, such as psychological counseling and peer support. Families stressed the importance of education about their child’s condition, the rehabilitation process, and emotional and psychological support. This study is one of the first to systematically evaluate the role of psychological support for parents in pediatric rehabilitation within a Middle Eastern context. The findings provide a scalable model that can inform policies in diverse healthcare systems, contributing to the global literature by advocating for the integration of structured psychological support within family-centered rehabilitation models. The study’s contribution lies in presenting a context-sensitive family-centered rehabilitation model that integrates structured psychological support, parental education, peer support, and interdisciplinary collaboration within a Palestinian resource-limited and prolonged crisis setting.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6683612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145646","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":"Effectiveness of a Novel Homecare-Delivered Falls Prevention Program on Functional Mobility in Older Adults Receiving Support at Home: A Prospective Cohort Study","authors":"Jo-Aine Hang,&nbsp;Jacqueline Francis-Coad,&nbsp;Elissa Burton,&nbsp;Vanessa Jessup,&nbsp;Leon Flicker,&nbsp;Christopher Etherton-Beer,&nbsp;Nicholas Archibald,&nbsp;Angela Jacques,&nbsp;Sharmila Vaz,&nbsp;Anne-Marie Hill","doi":"10.1155/hsc/2850620","DOIUrl":"https://doi.org/10.1155/hsc/2850620","url":null,"abstract":"<p>Older adults receiving care support at home experience increased functional decline and fall twice as often as their peers. This study aimed to evaluate the effectiveness of a novel falls prevention program delivered by trained homecare workers on older adults’ functional mobility, rates of falls, and injurious falls. A prospective pre–post intervention trial was conducted at a Western Australian organization providing homecare services to older adults. A weekly program of falls education and strength and balance exercises delivered for 12 weeks was followed by a 12-week maintenance period. Participants’ physical and psychosocial outcomes and response to the program were measured at baseline, 12 weeks, and 24 weeks. Falls rates for the study observation period (6 months) were compared to 12 months before program commencement. Quantitative data were analyzed using generalized linear mixed-effects modeling. There were 69 participants (mean age: 83.6 [±6.9] years; 60.9% female). Mobility (Timed Up and Go test: −3.36 s [−5.40, −1.31] [<i>p</i> = 0.001]) and static balance (10-s tandem stance: [<i>n</i> = 34, 52.3%] [<i>n</i> = 27, 39.1%] [<i>p</i> &lt; 0.05]) improved at 12 weeks compared to baseline. There were no significant changes in gait speed or lower limb strength. Health-related quality of life (EQ-5D-5L: 10.53 [6.03, 15.02] [<i>p</i> &lt; 0.001]) improved and fear of falling (Short FES-I: −2.33 [−3.47, −1.19] [<i>p</i> &lt; 0.001]) decreased at 12 weeks and 24 weeks compared to baseline. There were no significant differences in falls rates and injurious falls rates. Participants reported that they engaged with the program, became more confident and positive about staying safe, and had a clear plan to reduce their risk of falls. Older adults receiving homecare showed improvement in functional mobility and psychosocial outcomes after participating in a novel falls prevention program delivered by homecare workers. Trained homecare worker–delivered falls prevention could be a viable reablement strategy for enabling older adults to remain at home.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2850620","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145621","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":"From Professional Identity to Service Quality Among Nursing Home Caregivers: The Serial Mediation Effects of Job Satisfaction and Burnout","authors":"Shin Myoung Sung,&nbsp;Minsun Kim","doi":"10.1155/hsc/9035833","DOIUrl":"https://doi.org/10.1155/hsc/9035833","url":null,"abstract":"<p>This study examined the relationship between professional identity and perceived service quality among care workers in long-term care facilities, with particular attention to the serial mediating roles of job satisfaction and job burnout. A total of 690 care workers from long-term care facilities in South Korea participated in the study, and the data were analyzed using Model 6 of the SPSS PROCESS Macro. The results showed that professional identity had a significant positive direct effect on perceived service quality. Moreover, professional identity was positively associated with job satisfaction and negatively associated with job burnout. Although job satisfaction alone did not significantly mediate the relationship between professional identity and perceived service quality, job burnout emerged as a significant individual mediator. Additionally, a significant serial mediation pathway was identified whereby professional identity enhanced job satisfaction, which subsequently reduced job burnout and ultimately improved perceived service quality. These findings suggest that job burnout is a more proximal mechanism than job satisfaction in linking professional identity to perceived service quality, while also highlighting the complementary role of job satisfaction in reducing burnout. The findings underscore the importance of fostering a strong professional identity while implementing organizational strategies that enhance job satisfaction and prevent job burnout. Such integrated approaches may contribute to improving service quality and supporting a sustainable long-term care workforce.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9035833","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145746","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}