Archives of Public Health最新文献

{"title":"Time to neonatal mortality and its predictors among preterm neonates admitted to the neonatal intensive care unit in northern Ethiopia, 2023/2024: a retrospective cohort study.","authors":"Brhanu Fisseha, Eskedar Berhanie Gidey, Berhe Gebrehiwot Tewele, Teklehaimanot Gereziher Haile","doi":"10.1186/s13690-024-01497-w","DOIUrl":"10.1186/s13690-024-01497-w","url":null,"abstract":"<p><strong>Background: </strong>A preterm neonate is defined by the World Health Organization as a child delivered before 37 weeks of gestation. In low- and middle-income countries, including Ethiopia, preterm-related complications are serious health problems due to increases in the mortality and morbidity of newborns and children under 5 years of age. The aim of this study was to assess the time to neonatal mortality and its predictors among preterm neonates admitted to the neonatal intensive care unit in northern Ethiopia, 2023/2024.</p><p><strong>Methods: </strong>An institution-based retrospective cohort study was conducted among 495 randomly selected preterm neonates in six out of the fourteen general hospitals of Tigray, Ethiopia from October 2023 to June 2024. Epi Data version 4.6 and STATA version 14 were used for data entry and analysis, respectively. Descriptive statistics were carried out to determine the distribution. Kaplan-Meier analysis, life table, and log rank were computed. Cox proportional hazards models were fitted to identify independent predictors of preterm mortality.</p><p><strong>Results: </strong>The proportion of preterm neonatal mortality was 109 (22.7%). The overall median survival time was 21 (95% CI: 20, 28) days. Initiation of breast milk (AHR = 0.38 (95% CI: 0.24, 0.61)), respiratory distress syndrome (AHR = 1.9 (95% CI: 1.07,3.63)), perinatal asphyxia (AHR = 2.05 (95% CI: 1.05, 4.00)), receiving kangaroo mother care practice (AHR = 0.5 (95% CI: 0.34, 0.83)), and gestational age (AHR = 1.6 (95% CI 1.07, 2.59) were the predictors of time to death.</p><p><strong>Conclusion: </strong>Respiratory distress syndrome, gestational age less than 32 weeks, and perinatal asphyxia at admission were found to be independent risk factors for preterm neonatal mortality. Breastfeeding and receiving kangaroo-mother care were independent preventive predictors of preterm neonatal mortality. It is better to give full emphasis and close follow-up to preterm neonates, especially during the early neonatal period.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"13"},"PeriodicalIF":3.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global burden and attributable risk factors of inflammatory cardiomyopathy and myocarditis from 1990 to 2019.","authors":"Guilan Wu, Wenlin Xu, Shuyi Wu, Chengfu Guan, Jinhua Zhang","doi":"10.1186/s13690-024-01473-4","DOIUrl":"10.1186/s13690-024-01473-4","url":null,"abstract":"<p><strong>Background: </strong>Our understanding of the global burden distribution of inflammatory cardiomyopathy and myocarditis is very limited.</p><p><strong>Objective: </strong>To comprehensively assess the global burden distribution and attributable risk factors of inflammatory cardiomyopathy and myocarditis from 1990 to 2019.</p><p><strong>Methods: </strong>We extracted the data on death, disability-adjusted life years (DALY), and age-standardized rate (ASR) of inflammatory cardiomyopathy and myocarditis from the 2019 Global Burden of Disease (GBD) study, including the comprehensive data and the data classified by age/sex. Evaluate the epidemic trend by calculating the estimated annual percentage change (EAPC) of the above variables. This paper discusses the spatial differences from four aspects: global, five socio-demographic index regions, 21 GBD regions, and 204 countries and regions. We also estimated the risk factors attributable to inflammatory cardiomyopathy and myocarditis-related deaths.</p><p><strong>Results: </strong>In 2019, the global death toll from inflammatory cardiomyopathy and myocarditis was 340,349, and the age-standardized mortality rate (ASDR) was 4.40/100,000, of which the elderly and men were the majority. Although ASR has decreased in developed areas, inflammatory cardiomyopathy and myocarditis are still important health problems in those relatively underdeveloped areas. Similar DALYs burden pattern of inflammatory cardiomyopathy and myocarditis was also observed during the study period. Globally, among men over 60 and women over 65, the proportion of deaths caused by high systolic blood pressure in 2019 was higher than that in 1990.</p><p><strong>Conclusions: </strong>Inflammatory cardiomyopathy and myocarditis are still important global public health problems. The changing pattern of the burden of inflammatory cardiomyopathy and myocarditis varies with location, age, and sex, so it is essential to improve resource allocation to formulate more effective and targeted prevention strategies. In addition, the control of blood pressure should be emphasized.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"11"},"PeriodicalIF":3.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing trust through home visits during pregnancy: a realist evaluation of a Danish breastfeeding support intervention.","authors":"Anne Kristine Gadeberg, Ingrid Maria Susanne Nilsson, Ulla Christensen, Marie Honoré Jacobsen, Henriette Knold Rossau, Sarah Fredsted Villadsen","doi":"10.1186/s13690-024-01488-x","DOIUrl":"10.1186/s13690-024-01488-x","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding has numerous health benefits but social inequality in breastfeeding is documented in many high-income countries. The evidence for improving breastfeeding support through prenatal encounters is conflicting, but points towards a mechanism activated through a positive relationship between the families and their health care providers. A Danish intervention included a home visit by a health visitor during pregnancy to prolong breastfeeding and reduce social inequality in its rates. The purpose of this study was to investigate how this home visit affected breastfeeding support across socioeconomic groups with attention to how, and for whom, it activated a mechanism of improved relationship and trust between the health visitor and the family.</p><p><strong>Methods: </strong>Our study used a realist evaluation approach and was embedded in a cluster randomized trial carried out in 20 municipalities. In the intervention arm, we observed 35 home visits delivered by the health visitors, interviewed 16 mothers and conducted 6 focus groups with a total of 34 health visitors to examine the intervention mechanisms and contextual factors that influence the generation of outcomes. The analysis applied Luhmann's, and Brown and Meyers' concepts of trust as middle-range theories.</p><p><strong>Results: </strong>The pregnancy home visit helped early establishment of trust which enhanced the subsequent breastfeeding support postpartum in numerous ways. In realist terms, our central mechanism of change, the establishment of trust, had optimal conditions for success in the contextual setting of the pregnancy home visit where there was time, peace, undisturbed conversations, mental capacity to reflection, and a perceived more even power balance between the family and the health visitor which resulted in a range of positive outcomes. The mechanism resulted in improved tailored breastfeeding support postpartum, families reaching out to the health visitor sooner when experiencing breastfeeding difficulties, and families expressing a more positive experience of breastfeeding. The mechanism was activated across the different socioeconomic groups.</p><p><strong>Conclusions: </strong>The circumstances of the pregnancy home visit helped to establish trust between the health visitor and the family. Especially for families in vulnerable positions, the pregnancy home visit seems to be a potent driver for enhancing the gains from breastfeeding support.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"9"},"PeriodicalIF":3.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health symptoms and associated factors in times of a pandemic: a population-based study.","authors":"J Gerbecks, C Plevier, C J Yzermans, M L A Dückers, C Baliatsas","doi":"10.1186/s13690-024-01492-1","DOIUrl":"10.1186/s13690-024-01492-1","url":null,"abstract":"<p><strong>Background: </strong>Non-specific symptoms, such as headaches and sleep problems, are more common after disasters. They can become chronic, and impact emotional and physical functioning. However, limited research has focused on such symptoms in the context of a pandemic. This study investigated the association between perceived impact of the COVID-19 pandemic, and prevalence, duration, and severity of health symptoms.</p><p><strong>Methods: </strong>A cross-sectional survey using validated questionnaires was conducted shortly after the first COVID-19 wave in 2020, with nearly 46,000 adult participants from Utrecht, the Netherlands. Negative binomial regression analyses were performed to assess the relationship between pandemic-related factors and symptom reports, adjusting for demographics, chronic conditions, lifestyle, and socio-economic status.</p><p><strong>Results: </strong>Perceived impact of the pandemic on stress levels, loneliness, anxiety and depression was consistently and significantly associated with symptom report, duration, and perceived severity. Incidence rate ratio's (IRR) varied from 1.17 to 1.29. Delayed care during the pandemic was associated with severity of symptoms (IRR = 1.63; 99% confidence intervals (CI): 1.20-2.20). People that (suspected) got COVID-19 infected were at higher risk of symptom report, duration, and perceived severity (IRR around 1.20-1.28).</p><p><strong>Conclusion: </strong>As with other disasters, the perceived impact of an immediate threat such as a pandemic can influence health symptoms, independent of health or socio-demographic factors. Understanding symptom patterns and risk factors can assist healthcare professionals and policymakers in identifying vulnerable groups, symptoms profiles, and improving care and support during and after pandemics.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"6"},"PeriodicalIF":3.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between meeting 24h movement behavior guidelines and cognition, gray matter volume, and academic performance in children and adolescents: a systematic review.","authors":"Bo Liu, Peng Shi, Teng Jin, Xiaosu Feng","doi":"10.1186/s13690-024-01493-0","DOIUrl":"10.1186/s13690-024-01493-0","url":null,"abstract":"<p><strong>Background: </strong>24-h movement behaviors have a close relationship with children and adolescents' cognition, gray matter volume, and academic performance. This systematic review aims to precisely explore the associations between meeting different combinations of guidelines and the aforementioned indicators, in order to better serve public health policy.</p><p><strong>Methods: </strong>Computer retrieval was conducted on CNKI, Web of Science, PubMed, SPORT Discus and Cochrane library databases. The screening and data extraction processes were conducted by two researchers. This study used the Joanna Briggs Institute checklist for methodological quality assessment and the Grading of Recommendations Assessment, Development, and Evaluation system for the evaluation of the level of evidence. Descriptive statistical analysis is performed using frequency and percentage on the extracted data and key findings, primarily to assess the consistency of the positive benefits associated with meeting different guidelines and outcome variables.</p><p><strong>Results: </strong>A total of 10 studies were included (with 16 correlation analyses conducted), involving 51,566 children and adolescents aged between 4.2 and 15.9 years old. The included studies generally agreed upon the following associations: adherence to the screen time (ST) guidelines is positively linked to fluid intelligence; adherence to the sleep duration (SD) guidelines is positively linked to literacy; adherence to both ST and SD guidelines is associated with increased fluid intelligence and gray matter volume; and overall adherence to all guidelines is positively correlated with fluid intelligence. The included studies reported low certainty of evidence. Additionally, the included studies have provided clear evidence, but some studies did not strictly control confounding factors, and it is also unclear whether there is a larger effect size, hence the level of evidence is relatively low.</p><p><strong>Conclusion: </strong>There are varying degrees of associations between different combinations of guidelines and cognition, gray matter volume, and academic performance, but further research is needed to confirm these findings, especially the relatively limited role of meeting physical activity guidelines.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"10"},"PeriodicalIF":3.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical functioning trajectories over statutory retirement: a finnish occupational cohort study.","authors":"Pauliina Saha, Jatta Salmela, Aapo Hiilamo, Anna Liisa Aho, Tea Lallukka","doi":"10.1186/s13690-024-01483-2","DOIUrl":"10.1186/s13690-024-01483-2","url":null,"abstract":"<p><strong>Background: </strong>The association of workload and performance with physical functioning is recognised among the ageing public sector workforce. The characteristics of working conditions and social- and health-related factors associated with physical functioning after statutory retirement are still unknown. Also, previous studies on changes in physical functioning have not used a person-oriented approach. We examined physical functioning trajectories over statutory retirement and how social- and health-related factors are associated with them. Our aim was to identify distinct developmental trajectories of physical functioning over statutory retirement and to examine how social- (age, gender, marital status, education) and health-related (physical workload, self-reported sleep problems, alcohol consumption, smoking, fruit and vegetable (F&V) consumption, leisure-time physical activity (LTPA), and body mass index (BMI)) factors before retirement were associated with the identified trajectories.</p><p><strong>Methods: </strong>We used data from the Helsinki Health Study cohort. Participants consisted of 2736 employees of the City of Helsinki, Finland who retired during the follow-up. Growth mixture modelling was used to identify physical functioning trajectories and multinominal regression analyses to examine associations of social- and health-related factors with them.</p><p><strong>Results: </strong>Three distinct developmental patterns in physical functioning before and after retirement were found among ageing and retired employees. Lower educational level, sleep problems, physical inactivity, and obesity were associated with the trajectory groups of 'fast decreasing' and 'slowly increasing', compared to the 'stable high' trajectory.</p><p><strong>Conclusion: </strong>The results suggest that poor social- and health-related factors are key risk factors associated with declining and lower-level physical functioning over the retirement period. Supporting healthy lifestyles among older employees might maintaining good physical functioning until retirement and beyond.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"8"},"PeriodicalIF":3.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between daily sitting time and sarcopenia in the US population: a cross-sectional study.","authors":"Alei Zhang, Yanlei Li, Jinlei Zhou, Yuan Zhang, Shanggao Xie, Haiyu Shao, Tingxiao Zhao, Tao Tang","doi":"10.1186/s13690-025-01501-x","DOIUrl":"10.1186/s13690-025-01501-x","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia is an age-related syndrome marked by a gradual decline in skeletal muscle mass and function. While various factors influencing sarcopenia have been studied, the link between daily sedentary time and sarcopenia remains underexplored.</p><p><strong>Method: </strong>This study analyzed the association between daily sitting time and sarcopenia using data from the National Health and Nutrition Examination Survey (NHANES 2011-2018). Daily sitting time was assessed through questionnaires, while sarcopenia was measured using body mass index (BMI) adjusted appendicular skeletal muscle mass (ASM). The relationship was analyzed using weighted logistic regression models and smoothing curves. Stratified analyses and interaction testing were employed to investigate population-specific characteristics of this association. Furthermore, chi-square test and grouped logistic regression were used to further analyze the impact of vigorous activity on the relationship between the two variables.</p><p><strong>Result: </strong>This study included 9998 participants with complete information. The fully adjusted model showed a significant positive correlation between daily sitting time and the prevalence of sarcopenia (OR = 1.07, 95% CI: 1.03-1.10, P = 0.0026). The group with daily sitting time ≥ 9 h had a 90% higher risk of sarcopenia compared to the < 4 h group (OR = 1.90, 95% CI: 1.22-2.84, P = 0.0040). Smooth curve fitting analysis showed a linear correlation between this relationship. Stratified analysis shows that non-Hispanic white men with a lower BMI (BMI < 25) have a higher risk of sarcopenia. Compared to those who actively participate in vigorous activities, individuals who lack recreational activities have a higher prevalence and risk of sarcopenia.</p><p><strong>Conclusion: </strong>Our research has found that increased sedentary time significantly increases the risk of sarcopenia, especially among non-Hispanic white men with lower BMI. Additionally, individuals who lack vigorous physical activity also have a higher prevalence and risk of sarcopenia. Therefore, reducing sedentary behavior and increasing moderate exercise may be effective prevention strategies.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"5"},"PeriodicalIF":3.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A protocol to study the effect of targeted parental education intervention to identify early childhood development disorder - multisite interventional study.","authors":"Vadivelan Kanniappan, Prakash Muthuperumal, P Venkataraman, Anuradha Murugesan, Balaji Chinnasami, Manikumar Muthiah, Subramanian Sethuraman, Abishek J R, Shrisruthi Suresh, Murali Krishnan Nambirajan, Angeline Grace G, Veeragoudhaman T S, Kuberan Deivasigamani","doi":"10.1186/s13690-024-01495-y","DOIUrl":"10.1186/s13690-024-01495-y","url":null,"abstract":"<p><strong>Background: </strong>In India, approximately 3.5 million children are affected by Developmental Delay (DD), often stemming from preterm births. These delays contribute to neurological and motor development delays, placing a significant financial burden on families. Maternal unemployment rates are also elevated in such cases. Delayed Developmental Milestones identification, often due to a lack of parental awareness, further compounds these challenges. This study introduces a multiphasic approach aimed at educating antenatal women on monitoring neurological maturation, with the overarching objective of assessing the effectiveness of a targeted multi-method parental education intervention in improving parents' knowledge and early detection of developmental disorders in early childhood.</p><p><strong>Methods: </strong>Antenatal women will be assigned to intervention or control groups. The intervention group will undergo specialized training in a multiphasic study, while the control group will receive routine care. A meticulously developed intervention module for early detection of neurodevelopmental disorders will empower mothers to monitor their newborns for potential deficits. Outcomes will be assessed through questionnaires, analyzing knowledge improvement and early identification of DD using statistical methods such as chi-square tests. The study involves three phases: preparatory, implementation, and evaluation, aiming to empower mothers to detect developmental concerns early and improve maternal awareness of child development. The study was approved by the SRM Institutional Ethical Committee with the reference number 8688/IEC/2023.</p><p><strong>Discussion: </strong>This study will identify DD and improve parental awareness by providing tools for early detection thereby empowers parents to identify developmental concerns early. The study supports policy goals to reduce the burden of DD, enhance early intervention, and improve long-term outcomes for children. It is anticipated that this intervention will complement existing health policies, contributing to better child health and developmental outcomes in India.</p><p><strong>Trial registration: </strong>Trail is registered under Clinical Trails Registry - India (CTRI/2024/04/065008) registered on 01 April 2024.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"7"},"PeriodicalIF":3.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 digital health applications on the quality of life in patients with overweight or obesity: a systematic review.","authors":"Melanie Mäder, Tonio Schönfelder, Ria Heinrich, Carsta Militzer-Horstmann, Patrick Timpel","doi":"10.1186/s13690-024-01474-3","DOIUrl":"10.1186/s13690-024-01474-3","url":null,"abstract":"<p><strong>Background: </strong>Globally, more than half of the adult population is overweight, including those who are obese, which increases the risk of premature death and reduces quality of life (QoL). Technologies such as digital health applications (DiHA) can potentially improve clinical outcomes (e.g., health status, illness duration, QoL) or patient-related factors (e.g., therapy monitoring, adherence, health literacy). To date, there is no systematic review addressing the effectiveness of DiHA on the QoL in patients with overweight or obesity.</p><p><strong>Objective: </strong>The objective was to investigate the impact of DiHA on QoL in overweight or obese patients.</p><p><strong>Methods: </strong>A systematic literature search was conducted in MEDLINE via PubMed, Cochrane Library, and Embase via Ovid in 2023, supplemented by additional manual searches. The eligibility criteria included patients with overweight and/or obesity who used a digital intervention independently and without interaction with a healthcare professional. The outcome of interest was QoL. As potentially eligible trials had to demonstrate effectiveness, only randomized controlled trials (RCT) were included as the minimum evidence standard. The study screening (title-abstract, full-text) was conducted independently by two researchers using pre-specified eligibility criteria. CONSORT-EHEALTH checklist was used for data extraction of qualitative and quantitative data (study characteristics and study results) and the Cochrane Risk of Bias Tool (version 2) for quality assessment independently by two researchers.</p><p><strong>Results: </strong>Seven RCT conducted in Europe and the United States were included in this systematic review with a total sample size of N = 946. Observation periods were heterogeneous and ranged from 3 to 24 months. The evaluated interventions consisted of websites or apps, all of which included nutrition and physical activity features, and functioned independently with minimal or no involvement of a healthcare professional. All studies showed a high risk of bias, no statistically significant improvement and no effects regarding QoL using different validated questionnaires.</p><p><strong>Conclusions: </strong>This systematic review provides a comprehensive analysis of DiHA effectiveness on QoL in patients with overweight or obesity. Overall, there is heterogeneity regarding the operationalization of QoL and the examined interventions have no statistically significant impact on QoL. Comparable systematic reviews show that digital interventions have the potential to improve the QoL of these patients, but further RCT and high-quality studies are needed to assess the impact of DiHA on QoL.</p><p><strong>Trial registration: </strong>PROSPERO CRD42023408994.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"3"},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Perceived hope scale in Arabic-speaking adults living in Gaza in the midst of war, destruction and death.","authors":"Feten Fekih-Romdhane, Kamel Jebreen, Tasnim Swaitti, Mohammed Jebreen, Eqbal Radwan, Wafa Kammoun-Rebai, Mahmoud A Abu Samra, Souheil Hallit","doi":"10.1186/s13690-024-01494-z","DOIUrl":"10.1186/s13690-024-01494-z","url":null,"abstract":"<p><strong>Background: </strong>Despite its obvious relevance for clinical practice and research, it is surprising that presently no hope measure is available for use among Arabic-speaking populations, especially the most vulnerable ones who have been going through major humanitarian crises. This paper aimed to provide novel insights into psychometric information on the psychometric properties of an Arabic translation of the Perceived Hope Scale (PHS) in Palestinians living in Gaza who have endured several months of suffering since the war began in October 2023.</p><p><strong>Method: </strong>This study had a cross-sectional design and applied a quantitative research approach. It was carried-out over a one-month period (September 2024) using an anonymous self-report questionnaire that was shared through social networks and the snowball sampling technique. A total of 534 Arabic-speaking Palestinian adults aged over 18 years and currently living in Gaza took part in the study. We conducted a confirmatory factor analysis (CFA) via the SPSS AMOS v.29 software, using the maximum likelihood method to obtain parameters estimates.</p><p><strong>Results: </strong>The fit indices of the one-factor solution reached the standards of good model fit, with excellent internal consistency (Cronbach's alpha = 0.90). Invariance was established in our sample at the configural, metric and scalar levels in terms of gender groups. PHS scores significantly and positively correlated with religiosity, resilience and post-traumatic growth. In addition, PHS inversely correlated with anxiety and depression.</p><p><strong>Conclusion: </strong>Overall, our results add to the measurement assessment of the PHS, lending further support to its value as a sound measure to assess perceived hope in a new context and cultural background of Arabic-speaking adults and fragile survivors of several decades of war that dramatically escalated over the past months.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"4"},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}