Childhood Obesity最新文献

{"title":"Implementation and Effectiveness of the Healthy Weight Clinic Type III Hybrid Trial: Massachusetts CORD 3.0.","authors":"Ines Castro, Cara F Ruggiero, Man Luo, Justin D Smith, Meghan E Perkins, Janice Liebhart, Jeanne Lindros, Jeremiah Salmon, Vincent Biggs, Braveen Ragunanthan, Sarah Matathia, Alexy Arauz Boudreau, Yasmin Cheema, Gerri Cannon-Smith, Elsie M Taveras, Lauren Fiechtner","doi":"10.1177/21532176251386213","DOIUrl":"10.1177/21532176251386213","url":null,"abstract":"<p><p><b><i>Background:</i></b> There is a pressing need to provide evidence-based treatment for obesity to millions of children. We sought to implement and evaluate the packaged Healthy Weight Clinic (HWC), a primary care-based Family Healthy Weight Program (FHWP) delivering Intensive Health Behavior and Lifestyle Treatment.<b><i>Methods:</i></b> We conducted a Type III hybrid effectiveness-implementation study in four health care organizations affiliated with eight primary care clinics. Sites received provider training, technical assistance, and participated in a virtual learning community with quality improvement. Consolidated Framework for Implementation Research (CFIR) and Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) implementation frameworks were used to evaluate implementation via quantitative and qualitative methods. Children with a BMI ≥85th percentile were eligible to participate in the effectiveness trial. A group of 5990 children with a BMI ≥ 95th percentile receiving care at the eight health centers but not participating in the HWC served as the comparison group.<b><i>Results:</i></b> The packaged HWC reached 191 children. The HWC was effective in reducing BMI -0.26 (95% confidence interval [CI]: -0.47, -0.04), percentage of the median -1.87 (95% CI: -3.09, -0.64), and %BMIp95 -1.05 (95% CI: -1.97, -0.13) compared with comparisons. Seven of the eight sites were able to adopt all the components of the program except the texting campaign and sustain the program 18 months after training. Qualitative themes contextualized implementation findings, highlighting barriers and facilitators.<b><i>Conclusions:</i></b> The HWC is a promising FHWP that can improve health for children with overweight and obesity. The implementation package can facilitate the adoption across diverse primary care settings in the United States.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176251386213"},"PeriodicalIF":1.4,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scaling What Works: The Role of CDC's CORD 3.0 in Packaging Family Healthy Weight Programs for Real-World Impact to Address Childhood Obesity.","authors":"Renee M Porter, Carrie A Dooyema, Marissa Scalia Sucosky, Lilanthi Balasuriya, Brianna Smarsh, Heidi M Blanck, Brook Belay, Alyson B Goodman","doi":"10.1177/21532176261419223","DOIUrl":"https://doi.org/10.1177/21532176261419223","url":null,"abstract":"","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176261419223"},"PeriodicalIF":1.4,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing the <i>JOIN for ME</i> Program in Low-Income Communities: Rhode Island CORD 3.0.","authors":"Elissa Jelalian, Jacqueline Hayes, Katherine E Darling, Ronald Seifer, Donald S Shepard, Andrea Grenga, Whitney Evans, A Rani Elwy","doi":"10.1177/21532176251385687","DOIUrl":"10.1177/21532176251385687","url":null,"abstract":"<p><strong>Background: </strong>Dissemination of evidence-based intensive health behavior and lifestyle treatments (IHBLTs) to families from low-income communities was the primary objective of the CDC Childhood Obesity Research Demonstration (CORD) 3.0 projects. The goal of RI CORD 3.0 was to adapt and test the effectiveness and context for remote implementation of an IHBLT, <i>JOIN for ME</i>.</p><p><strong>Methods: </strong>Children aged 6-12 years with body mass index (BMI) >85th percentile and a caregiver (<i>N</i> = 111) were recruited through a federally qualified health center (FQHC) or community setting and participated in an immediate or 4-month delay condition. Child and caregiver weight status, Family Nutrition and Physical Activity (FNPA), and child weight-related quality of life were assessed at baseline, 4 months, and at the end of the 10-month remotely delivered intervention. Program acceptability and intervention fidelity were assessed to inform subsequent implementation.</p><p><strong>Results: </strong>Analyses comparing active and delayed treatment groups at 4 months showed significant improvements in FNPA for the active treatment group compared with delayed group. Groups did not differ significantly on child or caregiver weight status. Ten-month treatment effects in the combined sample showed significant effects of time on child relative weight status, with children who initiated the program demonstrating decreases of 2.90% median BMI, 3.89%BMIp95, and 0.16 zBMI units. Session attendance and food security at baseline were related to greater changes in weight status.</p><p><strong>Conclusions: </strong>The adapted version of the <i>JOIN for ME</i> was successfully implemented and shown to be associated with significant, modest changes in child weight status.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176251385687"},"PeriodicalIF":1.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing Implementation Strategies for a Family Healthy Weight Program: Results From the Nebraska Childhood Obesity Research Demonstration 3.0 Pilot Trial.","authors":"Jennie L Hill, Kate A Heelan, Bryce M Abbey, Tzeyu L Michaud, Caitlin A Golden, Ali Mercado, Gwenn C Porter, Paul A Estabrooks","doi":"10.1177/21532176251390824","DOIUrl":"10.1177/21532176251390824","url":null,"abstract":"<p><strong>Background: </strong>Building Healthy Families (BHF) is an adapted family healthy weight program (FHWP) designed for and implemented in rural areas. To increase the likelihood of the broad dissemination and implementation of BHF to other rural communities, the Nebraska Childhood Obesity Research Demonstration 3.0 project developed the BHF Online Training Resources and Program Package (BHF Program Resources). The BHF Program Resources is a \"turn-key\" online platform that includes a train-the-trainer system, program materials, and a data portal for use by community-based implementation teams.</p><p><strong>Methods: </strong>A community-randomized type 3 hybrid effectiveness-implementation pilot study tested the BHF Program Package only (BHF-PO) with and without an action learning collaborative (BHF-LC) to determine relative implementation fidelity and effectiveness among community-based implementation teams. RE-AIM was used for planning and reporting outcomes.</p><p><strong>Results: </strong>The BHF-LC communities demonstrated higher implementation fidelity during the core sessions (90.6% vs. 75.8%, <i>p</i> = 0.076), with greater contact hours (17.8 vs. 14.8, <i>p</i> = 0.096). Adoption and Maintenance were successfully achieved but did not differ by the study condition. Children in the BHF-LC communities attended significantly more sessions (79% vs. 69%, <i>p</i> < 0.05, <i>Reach</i>) and showed a greater change in the BMI z-score (-0.15 ± 0.14 vs. -0.08 ± 0.16, <i>p</i> < 0.05, <i>Effectiveness</i>) by 3 months.</p><p><strong>Conclusions: </strong>Rural communities can implement the BHF program with fidelity using online resources; however, adding a learning collaborative may improve early implementation quality and child engagement. These findings warrant further testing in a larger trial.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176251390824"},"PeriodicalIF":1.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12854066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427096","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":"Participation in a Produce Prescription Observational Cohort Intervention Is Associated with Improvements in Child Fruit and Vegetable Intake.","authors":"Emily Minkah-Premo, Kofi Essel, Alicia Tucker, Qadira Ali, Laura Fischer","doi":"10.1177/21532176251408688","DOIUrl":"https://doi.org/10.1177/21532176251408688","url":null,"abstract":"<p><p><b><i>Background:</i></b> Produce Prescription Interventions (PRx) are designed to improve food insecurity and diet quality by offering greater access to healthy fruits and vegetables (FV) and nutrition and culinary education. This study evaluated the relationship between participation in a family-based PRx and child FV intake. <b><i>Methods:</i></b> Between November 2022 and December 2024, children (0-18 years) and caregiver dyads were recruited to participate in a 6-month PRx that provided 16 pounds of FV per month and virtual nutrition and culinary education sessions monthly. Adult-reported child FV intake data were collected at baseline and post-intervention. The effect of the intervention on child FV intake was evaluated by multiple mixed model regression analyses. <b><i>Results:</i></b> A total of 176 dyads completed an FV intake evaluation. Participation in the intervention was associated with a significant increase in fruit (R = 0.21, <i>p</i> = 0.004) and vegetable (R = 0.30, <i>p</i> < 0.0001) consumption. When adjusting for demographic and programmatic variables, the effect of time remained significant. <b><i>Conclusions:</i></b> These data support the hypothesis that PRx participation is associated with a modest improvement in FV intake, but barriers to FV intake remain. Further work is needed to understand the optimal PRx design to achieve healthy FV intake in children.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and Effectiveness Outcomes of a Pilot Comparative Effectiveness Randomized Controlled Trial Evaluating a Food Is Medicine Program Among At-Risk Pediatric Populations.","authors":"Mallika Mathur, Prajakta Yeragi, Vinay Prabhu, Allison Marshall, Joanne Chow, Azar Gaminian, Mike Pomeroy, Christine Markham, Ru-Jye Chuang, Shreela V Sharma","doi":"10.1177/21532176251403284","DOIUrl":"https://doi.org/10.1177/21532176251403284","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Food Is Medicine (FIM) programs have demonstrated effectiveness in improving diet quality and food insecurity. There remains a lack of evidence of their impacts in pediatric populations. This pilot comparative effectiveness randomized control trial assessed two FIM strategies on implementation and health outcomes in Medicaid-eligible children aged 5-12 years with a BMI ≥85th percentile. <b><i>Methods:</i></b> Participants (<i>n</i> = 150) were enrolled for a 32-week intervention through recruitment at two urban pediatric primary care clinics in Houston, TX. Participants were randomized 1:1:1 into three arms: (1) biweekly $25 produce vouchers + nutrition education, (2) biweekly produce home delivery + nutrition education, or (3) wait-listed control (<i>n</i> = 50 per arm). Implementation outcomes included retention, redemption, dosage, reach, fidelity, and acceptability. Child outcome measures included diet, food security, BMI z-scores, hemoglobin A1c, liver panels, and lipid panels. Multilevel mixed-effects regression models were used to assess the effectiveness of the intervention on outcomes. <b><i>Results:</i></b> On average, voucher participants redeemed $353 out of $400 (88%) of their funds, and 100% of the home delivery group received ∼18 lb (52 servings) of produce per week. Parents found the program helpful in reducing grocery costs (voucher: 95%, delivery: 76%). Compared to the control group, voucher group participants had a significant decrease in aspartate aminotransferase (-5.50, 95% confidence interval: -9.43, -1.57, <i>p</i> = 0.006) from baseline to post-intervention. <b><i>Conclusions:</i></b> This pilot study found FIM programs are both feasible and well accepted among at-risk populations, with slightly higher acceptability of the voucher model. More adequately powered studies with a stringent design are needed to test their effectiveness.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Behaviors of Transgender Youth with and Without Obesity: Establishing an Evidence Base and Prevalence Rates.","authors":"Abigail Sharer, Kathyria Oyola-Cartagena, Sarah Gedeon, Rachel L Doyle, Christy L Olezeski, Christine Finck, Michael Brimacombe, Melissa M Santos","doi":"10.1177/21532176251369202","DOIUrl":"10.1177/21532176251369202","url":null,"abstract":"<p><p><b><i>Background:</i></b> Transgender youth in the United States are at increased risk for obesity and type 2 diabetes compared with their cisgender peers due to diverse factors including minority stress, stigma, and limited knowledge regarding effective care. Given myriad factors limiting affirming weight-related care, research is needed on health behaviors of transgender youth to provide insight into their experiences and inform novel approaches to care. <b><i>Methods:</i></b> Data from the 2017 and 2019 Youth Risk Behavior Surveillance Survey were used to explore the health behaviors of transgender youth with obesity (TYO) and without obesity (TYNO) and cisgender youth with obesity (CYO) and without obesity. Differences by racial and ethnic identity were considered. The study sample included 2561 transgender youths and 21,146 cisgender youths with obesity from 15 US states. <b><i>Results:</i></b> Transgender youth had a higher rate of obesity than their cisgender peers. Few significant differences were observed when comparing health behaviors of TYO and TYNO and CYO. Describing self as overweight was the only variable that was consistently significant across comparisons. Transgender youth of all racial/ethnic identities except Other were significantly likely to endorse sleeping <6 hours a night. Health behaviors did not consistently explain obesity status. Race/ethnicity was not significant for any comparison. <b><i>Conclusions:</i></b> Results of this study indicated race, ethnicity, and health behaviors did not explain differences in obesity rates for transgender and cisgender youth. Future research is needed to understand factors contributing to the increased risk of obesity in transgender youth.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"657-666"},"PeriodicalIF":1.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caring for Kids of All Sizes: An Outpatient Quality Improvement Pilot Project to Decrease Weight Stigma.","authors":"Julia L Clemens, Michael Shen, Brittany J Allen","doi":"10.1177/21532176251385695","DOIUrl":"10.1177/21532176251385695","url":null,"abstract":"<p><p>Weight stigma is a pervasive problem affecting children's mental and physical health. This unique pilot project sought to improve pediatric providers' attitudes and confidence in skills around weight stigma by combining education with practice changes. Educational interventions and practice changes around the weighing process were performed at a pediatric primary care clinic across 1 year. Providers at the practice took the same self-assessment survey at baseline, before and after each intervention, at project end, and 6 months post-project completion. Results showed statistically significant increases in confidence in skills related to identifying and addressing weight stigma in clinic, both at project end and in long-term follow-up. This project may represent a model that other practices could adapt to improve weight stigma in their own clinics.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"677-681"},"PeriodicalIF":1.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficulties in Emotional Regulation May Mediate the Relationship Between Low Mindfulness and High Emotional Eating in Adolescents with Obesity.","authors":"Muge Karagoz Cetiner, Hatice Aksu, Doga Sevincok, Borte Gurbuz Ozgur, Tolga Unuvar","doi":"10.1177/21532176251370448","DOIUrl":"10.1177/21532176251370448","url":null,"abstract":"<p><p><b><i>Background:</i></b> Although the effect of mindfulness on emotion regulation is known, the relationship between mindfulness and emotional eating has not been well-studied in adolescents to date. In this study, we investigated whether mindfulness has a direct effect on the level of emotional eating or whether this association is mediated by emotional dysregulation in a sample of adolescents with obesity. <b><i>Methods:</i></b> Our sample consisted of 80 adolescents with obesity. All participants were administered the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL), the Difficulties in Emotion Regulation Scale (DERS), the Dutch Eating Behavior Questionnaire (DEBQ-EE), and the Mindful Attention Awareness Scale (MAAS). <b><i>Results:</i></b> The mean age of the sample was 15.32 ± 1.07, the mean body weight was 93.33 ± 20.84 kg, and the BMI percentile was 98.33 ± 1.65. In total, 22.5% of mothers and 7.5% of fathers were obese. There were significant associations between high emotional eating and emotion dysregulation and low mindfulness. In two mediation models, the indirect effects obtained by using DERS-total and DERS-impulsivity as the mediators were statistically significant on the path between MAAS and DEBQ-emotion [<i>b</i> = -0.148, confidence interval (CI) = -0.318/-0.031; <i>b</i> = -0.114, CI = -0.233/-0.015, respectively], indicating a significant mediating effects of DERS-total and DERS-impulsivity. <b><i>Conclusions:</i></b> We suggest that emotional eating increases as mindfulness decreases, through emotional dysregulation, particularly difficulty in regulating impulsivity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"648-656"},"PeriodicalIF":1.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent-Reported Measures of Weight-Related Health Behaviors in Early Childhood: A Scoping Review.","authors":"Carlin F Aloe, Esther I Tsai, Sydney V Lagalante, Courtney C Choy, Melissa C Funaro, Jeanne Lindros, Kimberley A Bako, Gabriela Buccini, Rachel S Gross, Charles T Wood, Amanda E Staiano, Mona Sharifi","doi":"10.1177/21532176251369634","DOIUrl":"10.1177/21532176251369634","url":null,"abstract":"<p><p><b><i>Background:</i></b> Pediatricians support families in establishing healthy behaviors, yet there is limited information on valid and pragmatic questionnaires for assessing weight-related health behaviors in early childhood (≤24 months). The objective of this review is to summarize the evidence on parent-reported measures of weight-related health behaviors and/or parenting practices (e.g., feeding practices, dietary intake, sleep duration/routine, physical activity/sedentary behavior, and screen time) in early childhood. <b><i>Methods:</i></b> We conducted a scoping review by searching MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and Cochrane from inception to May 2025 (Open Science Framework Protocol https://doi.org/10.17605/OSF.IO/ME5KW). Articles included were peer reviewed, original research, published in English, and parent-reported measures of weight-related health behaviors in early childhood that reported psychometric results and/or were used in primary care. Trained reviewers systematically extracted details on the setting, questionnaire, and psychometrics. Findings were summarized using descriptive analysis. <b><i>Results:</i></b> Our search yielded 26,642 articles with a final data set of 223 articles. Of the 100 unique questionnaires identified, most (90%) assessed parents' feeding practices and/or children's dietary intake; few assessed sleep duration/routine (13%), screen time (13%), and/or physical activity/sedentary behavior (12%). Of the 52 articles describing questionnaires used in primary care, 35% reported psychometric analyses. <b><i>Conclusions:</i></b> Most questionnaires measuring weight-related health behaviors in early childhood assessed parent feeding practices and/or children's dietary intake. Few questionnaires used in primary care reported psychometric results. Comprehensive, valid, reliable, and pragmatic questionnaires of health behaviors in early childhood are needed in the primary care settings to standardize screening for obesity risk in early childhood.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"688-712"},"PeriodicalIF":1.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042071","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}