Translational Behavioral Medicine最新文献

{"title":"Understanding and overcoming barriers to digital health adoption: a patient and public involvement study.","authors":"Jacqueline Louise Mair, Jumana Hashim, Linh Thai, E Shyong Tai, Jillian C Ryan, Tobias Kowatsch, Falk Müller-Riemenschneider, Sarah Martine Edney","doi":"10.1093/tbm/ibaf010","DOIUrl":"10.1093/tbm/ibaf010","url":null,"abstract":"<p><strong>Background: </strong>Digital health (DH) technologies provide scalable and cost-effective solutions to improve population health but face challenges of uneven adoption and high attrition, particularly among vulnerable and minority groups.</p><p><strong>Purpose: </strong>This study explores factors influencing DH adoption in a multicultural population and identifies strategies to improve equitable access.</p><p><strong>Methods: </strong>Using a Patient and Public Involvement approach, lay facilitators engaged adults at public eateries in Singapore to discuss motivations and barriers to DH adoption. A semi-structured guide facilitated discussions, followed by an optional socio-demographic survey. Data were analyzed through inductive thematic analysis and mapped to behavior change theory to identify mechanisms of action (MoA) and behavior change techniques (BCTs) to support adoption.</p><p><strong>Results: </strong>Facilitators engaged 118 participants between November 2022 and February 2023. Five key themes were identified from the discussions: (a) awareness of DH solutions, (b) weighing benefits against burdens, (c) accessibility, (d) trust in DH developers and technology, and (e) the impact of user experience. These themes were mapped to 13 MoA and 26 BCTs, informing five key strategies to enhance DH adoption: community-based promotion of credible DH solutions and digital literacy training, brief counselling at opportune moments in healthcare settings, variable rewards tied to personal values, policies ensuring accessibility and regulation, and gamified, user-friendly designs emphasizing feedback and behavioral cues.</p><p><strong>Conclusion: </strong>Designing and implementing DH solutions that are accessible, trustworthy, and motivating-integrated within healthcare services and promoted through community efforts-can address barriers to adoption by diverse communities and may help to narrow the digital divide.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755311","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":"The adaptation of meaning centered psychotherapy to develop RELOAD-C: a web-based tool to reduce loneliness in caregivers of persons with Alzheimer's disease and related dementias.","authors":"Allison Marziliano, Huma Babar, Priya Patel, Marzena Gieniusz, Jessica Mongelli, Edith Burns, Allison J Applebaum, Hayley Pessin, William Breitbart, Liron Sinvani, Carla Perissinotto, Michael A Diefenbach","doi":"10.1093/tbm/ibaf059","DOIUrl":"https://doi.org/10.1093/tbm/ibaf059","url":null,"abstract":"<p><strong>Background: </strong>More than 60% of caregivers of persons with Alzheimer's disease and related dementias (AD/ADRD) are lonely. Meaning and purpose in life is associated with reduced feelings of loneliness, but has not yet been systematically fostered among caregivers of patients with AD/ADRD. Adapting meaning-centered psychotherapy (MCP), an evidence-based treatment for increasing meaning and purpose in life in cancer caregivers, might decrease loneliness in the dementia caregiver population.</p><p><strong>Purpose: </strong>The purpose of this manuscript is to report on the development, usability, and acceptability testing of REducing LOneliness in Alzeheimer's Disease-Care Partners (RELOAD-C), a web-based platform that features six brief videos and aims to reduce loneliness in caregivers of patients with dementia through introducing major concepts and principles adapted from meaning centered psychotherapy.</p><p><strong>Method: </strong>Within 12 months, RELOAD-C was developed through two rounds of one-on-one interviews with 15 dementia caregivers to obtain feedback on video scripts, recording of videos, and placement of videos and written content (e.g. thought exercises) on the website. Following this, RELOAD-C underwent rigorous usability and acceptability testing by another 16 dementia caregivers.</p><p><strong>Results: </strong>Quantitative assessments show that RELOAD-C is deemed usable by caregivers (mean = 1.69 on system usability scale, where possible range is 1-5 and lower scores indicate more favorable views of the website; and more than 90% of the usability sample correctly engaged in ≥8 of 10 discreet tasks). Qualitative data indicate acceptability of the intervention with feedback such as \"love that the videos are clear and load fast.\"</p><p><strong>Conclusions: </strong>RELOAD-C is a web-based intervention focused on reducing loneliness in dementia caregivers. It contains six therapist-narrated videos and written content, reinforcing MCP principles. It is currently undergoing pilot testing in preparation for a large-scale randomized controlled clinical trial evaluating its efficacy in reducing loneliness in dementia caregivers.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI for all: bridging data gaps in machine learning and health.","authors":"Monica L Wang, Kimberly A Bertrand","doi":"10.1093/tbm/ibae075","DOIUrl":"10.1093/tbm/ibae075","url":null,"abstract":"<p><p>Artificial intelligence (AI) and its subset, machine learning, have tremendous potential to transform health care, medicine, and population health through improved diagnoses, treatments, and patient care. However, the effectiveness of these technologies hinges on the quality and diversity of the data used to train them. Many datasets currently used in machine learning are inherently biased and lack diversity, leading to inaccurate predictions that may perpetuate existing health disparities. This commentary highlights the challenges of biased datasets, the impact on marginalized communities, and the critical need for strategies to address these disparities throughout the research continuum. To overcome these challenges, it is essential to adopt more inclusive data collection practices, engage collaboratively with community stakeholders, and leverage innovative approaches like federated learning. These steps can help mitigate bias and enhance the accuracy and fairness of AI-assisted or informed health care solutions. By addressing systemic biases embedded across research phases, we can build a better foundation for AI to enhance diagnostic and treatment capabilities and move society closer to the goal where improved health and health care can be a fundamental right for all, and not just for some.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Selah trial: A preference-based partially randomized waitlist control study of three stress management interventions.","authors":"Rae Jean Proeschold-Bell, David E Eagle, Logan C Tice, Alyssa Platt, Jia Yao, Jessie S Larkins, Eunsoo Timothy Kim, Joshua A Rash","doi":"10.1093/tbm/ibae017","DOIUrl":"10.1093/tbm/ibae017","url":null,"abstract":"<p><p>Chronic stress undermines psychological and physiological health. We tested three remotely delivered stress management interventions among clergy, accounting for intervention preferences. United Methodist clergy in North Carolina enrolled in a partially randomized, preference-based waitlist control trial. The interventions were: mindfulness-based stress reduction (MBSR), Daily Examen prayer practice, and Stress Proofing (stress inoculation plus breathing skills). Co-primary outcomes were symptoms of stress (Calgary Symptoms of Stress Inventory) and 48-hour ambulatory heart rate variability (HRV) at 12 weeks compared to waitlist control. Survey data were collected at 0, 12, and 24 weeks and 48-hour ambulatory HRV at 0 and 12 weeks. The 255 participants were 91% White and 48% female. Forty-nine participants (22%) without a preference were randomly assigned between the three interventions (n = 40) and waitlist control (n = 9). Two hundred six participants (78%) with a preference were randomly assigned to waitlist control (n = 62) or their preferred intervention (n = 144). Compared to waitlist control, MBSR [mean difference (MD) = -0.30, 95% CI: -0.41, -0.20; P < .001] and Stress Proofing (MD = -0.27, 95% CI: -0.40, -0.14; P < .001) participants had lower stress symptoms at 12 weeks; Daily Examen participants did not until 24 weeks (MD = -0.24, 95% CI: -0.41, -0.08). MBSR participants demonstrated improvement in HRV at 12 weeks (MD = +3.32 ms; 95% CI: 0.21, 6.44; P = .036). MBSR demonstrated robust improvement in self-reported and objective physical correlates of stress; Stress Proofing and Daily Examen resulted in improvements in self-reported correlates of stress. These brief practices were sustainable and beneficial for United Methodist clergy during the heightened stressors of the COVID pandemic. ClinicalTrials.gov identifier: NCT04625777.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892534","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":"Providing Reminders and Education Prior to lung cancer screening: Feasibility and acceptability of a multilevel approach to address disparities in lung cancer screening.","authors":"Randi M Williams, Julia Whealan, Anu Sangraula, Kathryn L Taylor, Lucile Adams-Campbell, Kristen E Miller, Katharine Glassmeyer, Peyton Yee, Kaylin Camidge, Kristie Foley, George Luta, Kenneth W Lin, Rachelle Barnes, William F DuBoyce","doi":"10.1093/tbm/ibaf008","DOIUrl":"10.1093/tbm/ibaf008","url":null,"abstract":"<p><strong>Background: </strong>African American individuals experience disparities in the burden of lung cancer compared to other racial or ethnic groups. Yet, African Americans are less likely than White patients to have provider-initiated discussions about lung cancer screening (LCS). In addition to provider-level barriers, predictors of racial disparities include patient-level knowledge barriers and medical mistrust. This study assessed the feasibility and acceptability of provider- and patient-oriented approaches to increase uptake of LCS in a majority African American primary care clinic setting.</p><p><strong>Methods: </strong>In Phase 1, we conducted surveys (N = 22) and usability testing with providers (N = 7) to develop a previsit planning message, a type of clinician reminder. The clinician reminder is sent via the electronic health record ahead of scheduled visits with screening-eligible participants to promote LCS discussion. We partnered with a primary care clinic (N = 5 providers; N = 399 patients 50-80 years old with a documented smoking history, no prior lung cancer diagnosis) to evaluate the impact of the reminder on LCS referral rates. In Phase 2, we conducted a pretest-posttest study (N = 16) to pilot a previsit phone-based patient education session. Patient-level LCS knowledge was assessed using 10 true/false items and a single item measured screening intentions.</p><p><strong>Results: </strong>In Phase 1, LCS referrals increased from 6 6-months prepilot to 49 during the 6-month pilot period. The majority (89.8%) of the orders placed had a clinician reminder. In Phase 2, from pretest to posttest, there was improvement in LCS knowledge (mean percent correct: 63.3% to 76.7%; P = .013) and screening intentions (43.8% to 82%; P = .05).</p><p><strong>Conclusions: </strong>In a diverse clinical setting, we developed a feasible and acceptable multilevel approach aimed at increasing LCS equitably.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT04675476.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026586","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":"Boosting access to evidence-based insomnia care: our experience with a stepped care approach in Canada.","authors":"Judith R Davidson, David Gardner, Katherine Fretz, Stephanie Lynch, Shayna Watson, Erin Desmarais, Eileen P Sloan, Cynthia Leung","doi":"10.1093/tbm/ibaf032","DOIUrl":"https://doi.org/10.1093/tbm/ibaf032","url":null,"abstract":"<p><p>Insomnia is a major issue due to its prevalence, health effects, and economic burden. In Canada, 45% of the population report trouble initiating or maintaining sleep and 16% meet criteria for insomnia disorder. Despite evidence that sedative-hypnotic medications have limited long-term effectiveness and pose risks to patient and public health, pharmacotherapy remains commonplace. Cognitive behavioral therapy for insomnia (CBT-I) is the recommended first-line intervention for insomnia; however, access to CBT-I is uneven and inequitable. We developed a stepped care model aimed at boosting Canadians' access to CBT-I. The model promotes a flexible, equitable approach to the effective management of insomnia by optimizing the efficient use of CBT-I resources and reducing chronic sedative-hypnotic medication use. Self-guided approaches are the foundation. Subsequent steps include interventions by primary care providers and community pharmacists, trained CBT-I providers, and behavioral sleep experts. In this commentary, we illustrate how this model can optimize intervention access and how it provides a framework for the training of various healthcare providers in evidence-based insomnia care. We include research evidence from each step and discuss the place of this model within Canadian healthcare systems. We hope the concepts from this broad, applied approach will be valuable for other countries.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A community-engaged implementation mapping approach to increase SNAP participation in a diverse Latine community.","authors":"Elena Byhoff, Rebecca K Rudel, Rachel Burgun, Sandra Silva, Jonathan Lichkus, Mari-Lynn Drainoni","doi":"10.1093/tbm/ibaf004","DOIUrl":"10.1093/tbm/ibaf004","url":null,"abstract":"<p><strong>Background: </strong>The Supplemental Nutrition Assistance Program (SNAP) is an underutilized program. SNAP uptake is limited in Latine households in particular due to concerns about immigration eligibility, even when there are SNAP-eligible household members. Implementation strategies are urgently needed to increase SNAP participation rates among those who are eligible.</p><p><strong>Purpose: </strong>We used collaborative planning and implementation mapping to design implementation strategies to increase SNAP participation.</p><p><strong>Methods: </strong>Collaborative planning and implementation mapping included: (i) identify a shared priority; (ii) review relevant data to identify determinants of SNAP participation; (iii) design strategies to accomplish the priority goal; (iv) reach consensus and pilot-chosen strategies and workflows; and (v) evaluate implementation success based on chosen outcomes. Using the Practical Robust Implementation and Sustainability Model, we identified two implementation strategies, a community and a policy strategy, to pilot from January to December 2023.</p><p><strong>Results: </strong>The community strategy leveraged an existing food program to identify participants who were not already enrolled in SNAP. This resulted in 69 referrals and 4 new SNAP enrollees. The policy strategy leveraged the existing policy context to link SNAP enrollment with Medicaid insurance reenrollment at the end of the COVID-19 public health emergency protections. This resulted in an unknown number of referrals due to data workflow barriers.</p><p><strong>Conclusions: </strong>Despite considering context in the design and piloting of two implementation strategies, success was limited. Future success will require including the perspectives of those with lived experience to inform processes to identify eligible individuals without creating additional stigma or furthering distrust among those who may be ineligible.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unpacking scalability in produce prescription: A qualitative implementation science investigation using the Consolidated Framework for Implementation Research.","authors":"Courtney A Parks, Patricia Rodriguez Espinosa, Amy L Yaroch, Wei-Ting Chen, Megan Reynolds, Lisa G Rosas","doi":"10.1093/tbm/ibaf012","DOIUrl":"https://doi.org/10.1093/tbm/ibaf012","url":null,"abstract":"<p><p>The purpose of this study was to Produce prescription (PPR) programs aim to improve fruit and vegetable (FV) access and health outcomes by providing FVs and nutrition education to participants with low income. While PPRs show promise in increasing FV intake and reducing food insecurity, more research is needed to understand effective implementation. To determine how PPRs work in different settings, and to describe implementation characteristics. In-depth interviews were conducted with PPR project implementers using a semi-structured guide based on the Consolidated Framework for Implementation Research (CFIR). PPR sites were selected through maximum variation and interviewees at each site were selected using snowball sampling. Interviews were recorded, transcribed, and coded using NVivo software using a deductive codebook, with two researchers coding each interview. Interviewees included 33 individuals across 13 PPR projects. The analysis identified themes across CFIR constructs: (i) project characteristics (e.g. eligibility, nutrition education, adaptations to local context, relative advantage, cost), (ii) characteristics of individuals (e.g. participants, food retailers, healthcare staff, role delineation, networks), (iii) evidence (e.g. economic impact, FV Intake, household food security and health-related outcomes, scope and impact), (iv) implementation climate (e.g. project genesis, alignment with organization values, leadership engagement, geography, technology), and (v) challenges (e.g. COVID-19 impacts, capacity limitations). Interviewees also provided recommendations for resources that would be helpful in their PPR implementation, such as \"plug and play\" materials to reduce setup burden. This study highlights PPR implementation characteristics, which can elucidate which features may be most effective in particular contexts. There was also an identified need for further investigation into fostering healthcare organization buy-in and engagement.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-engaged rapid analysis and visualization methodological framework for the cultural adaptation of evidence-based interventions.","authors":"Dinorah Martinez Tyson, Gabriella Sanabria, Melody N Chavez, Rolando F Trejos, Erik Ruiz, Sejal Barden, Brian D Doss","doi":"10.1093/tbm/ibaf040","DOIUrl":"https://doi.org/10.1093/tbm/ibaf040","url":null,"abstract":"<p><strong>Background: </strong>Cultural adaptation of evidence-based interventions (EBIs) enhances accessibility and promotes engagement and uptake within diverse communities. However, one of the challenges of culturally adapting interventions is the time required, particularly for collecting and analyzing qualitative data that may inform the adaptations.</p><p><strong>Purpose: </strong>To describe a new rapid analysis framework to identify the topics, content and adaptations that should be considered when culturally adapting EBIs.</p><p><strong>Methods: </strong>We describe the Community-Engaged Rapid Analysis and Visualization (CARV) methodological framework used for conducting a rapid cultural adaptation of an EBI.</p><p><strong>Results: </strong>The application of CARV to culturally adapting OurRelationship-an evidence-based, online psychosocial education intervention-for Latina breast cancer survivors and their romantic partners. We highlight how this team-based approach enabled timely cultural adaptation while preserving rigor and the iterative nature of qualitative analysis, offering a time-efficient alternative to more traditional qualitative methods.</p><p><strong>Conclusions: </strong>The step-by-step approach outlined here is a practical guide for researchers interested in culturally adapting EBIs.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Capacity to Address Emotional Health for Children with Chronic Conditions and their Families: Roles for Pediatric Psychologists.","authors":"Jill M Plevinsky, Becky H Lois, Erica Sood, Carole M Lannon, Laura E Peterson, Lori E Crosby","doi":"10.1093/tbm/ibaf023","DOIUrl":"https://doi.org/10.1093/tbm/ibaf023","url":null,"abstract":"","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}