International Journal of Environmental Research and Public Health最新文献

{"title":"Association Between Climate Change Awareness and Depression & Anxiety: Findings from a U.S. Sample.","authors":"Stanley Nkemjika, Colvette Brown, Henry Onyeaka, Srikanta Banerjee, Jennifer A Oliphant","doi":"10.3390/ijerph22091426","DOIUrl":"10.3390/ijerph22091426","url":null,"abstract":"<p><strong>Background: </strong>Exploring the connection between climate change awareness and overall well-being is crucial, particularly in how it impacts both the environment and mental health. The mental health consequences of climate change and its awareness have not been thoroughly examined, especially in the U.S. In this study, the relationship between awareness of climate change and depression or anxiety among U.S. adults was explored. Similarly, the role of climate change awareness has not been explored in relation to mental health concerns.</p><p><strong>Methods: </strong>Based on the HINTS-6 dataset, a nationally representative, cross-sectional survey conducted by the National Cancer Institute, a variety of statistical methods, including logistic regression models, to examine these relationships were used. This study had a sample size of 6154 participants. A statistically significant level of <0.05 was used.</p><p><strong>Result: </strong>The findings showed that individuals who are aware of climate change have a higher adjusted odds ratio of 1.392 (1.160-1.671) for experiencing depression or anxiety compared to those who are unaware. Additionally, non-heterosexual individuals displayed a significantly higher adjusted odds ratio of 2.691 (CI: 2.125-3.407) for depression or anxiety, underscoring the strong connection between mental health and climate change awareness.</p><p><strong>Conclusion: </strong>This study highlights a notable link between heightened awareness of climate change with depression and anxiety among the U.S.</p><p><strong>Population: </strong></p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout and Psychosocial Risks Among Doctors Working in the Private Sector: The Role of Health and Wellbeing Resources.","authors":"Kevin Rui-Han Teoh, Oliver Bullock, Marleen Reinke, Gail Kinman, Nicola Cordell, Jo Yarker","doi":"10.3390/ijerph22091427","DOIUrl":"10.3390/ijerph22091427","url":null,"abstract":"<p><p>The increasing prevalence of private-sector work among doctors raises questions about its impact on their health and wellbeing. While private practice may offer autonomy and financial benefits, it presents unique psychosocial risks that are less understood. This study investigates the relationship between private-sector work, psychosocial working conditions, and burnout among doctors, and examines whether access to health and wellbeing resources changes these relationships. A cross-sectional survey with 509 doctors from 16 countries working either exclusively or partially in private practice assessed psychosocial risk factors (e.g., work demands, financial pressures, support, job control), and burnout, alongside access to and use of wellbeing resources. Results showed that more time in private practice was associated with higher work and financial demands, bullying, and burnout. Although access to health and wellbeing resources was initially linked to lower burnout, this relationship was not significant when psychosocial risk factors were accounted for. These findings suggest that support mechanisms are often reactive and insufficient in mitigating the impact of systemic demands. The study highlights the need for private healthcare employers to recognise their role in developing healthy work environments, and for organisational-level interventions to address the root causes of poor health and wellbeing among doctors in this sector.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Posture, Neck Angle, and Body Discomfort During Various Electronic Device Usage with Virtual Classroom.","authors":"Roongnapa Intaruk, Praphatson Sengsoon","doi":"10.3390/ijerph22091418","DOIUrl":"10.3390/ijerph22091418","url":null,"abstract":"<p><strong>Background: </strong>Prolonged use of electronic devices in virtual classrooms can influence posture, neck angle, and body discomfort. Recent evidence suggests that not only \"incorrect\" postures but also sustained static positions, regardless of being ergonomically correct, contribute to musculoskeletal strain. However, limited studies have directly compared posture and discomfort across different types of devices in a virtual classroom setting.</p><p><strong>Objective: </strong>To evaluate differences in posture, neck angle, and body discomfort among female university students during the use of three electronic devices (smartphone, tablet, notebook) in a virtual classroom for 20 min.</p><p><strong>Methods: </strong>Twenty-four healthy female participants (aged 18-23 years) completed three randomized sessions using a smartphone, tablet, or notebook in a virtual classroom task. Posture was assessed using the Rapid Upper Limb Assessment (RULA), neck angle was measured via motion analysis, and body discomfort was rated with a standardized visual analog scale. Statistical analyses were performed using repeated-measures ANOVA with Bonferroni correction, with effect sizes reported.</p><p><strong>Results: </strong>Significant differences were observed in posture (RULA scores: smartphone 5.12 ± 1.26; tablet 4.62 ± 1.35; notebook 4.21 ± 1.32, <i>p</i> < 0.05), neck angle (smartphone 32.48 ± 11.81 and tablet 36.93 ± 7.97, <i>p</i> > 0.05; notebook 39.30 ± 7.82, <i>p</i> > 0.05), and body discomfort of all regions (VAS: smartphone 1.08 ± 1.69; tablet 1.06 ± 1.75; notebook 1.01 ± 1.66, <i>p</i> < 0.05). Although all devices induced discomfort after 20 min of sustained posture, the smartphone condition showed the greatest neck flexion and discomfort.</p><p><strong>Conclusion: </strong>This study demonstrates that sustained posture during virtual classroom activities leads to increased neck angle deviation and body discomfort, with device type influencing the magnitude of these effects. These findings highlight the importance of postural variability and active breaks, rather than relying solely on maintaining a \"correct\" posture, to reduce musculoskeletal strain in technology-based learning environments.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiological Findings of Chest X-Rays During the Hajj Seasons 1444-1445 H/2023-2024 G: Diagnostic Quality and Gender Differences in Interpretation Concordance.","authors":"Ghadah Sulaiman Alsaleh, Abdulaziz Almosabahi, Abdulaziz S Alhomod, Mohamed Elgaria, Haifa Alharbi, Mohamed Sabry, Mohammed Elttanikhy, Ebtsam Kamal, Hassel Mohammed Alasmary, Khalid Alsuhaibani, Fahad A Alamri, Reem Hasan, Anas Khan","doi":"10.3390/ijerph22091415","DOIUrl":"10.3390/ijerph22091415","url":null,"abstract":"<p><p><b>Background</b>: Mass gatherings like the Hajj pilgrimage present unique challenges for radiological services, with high patient volumes and increased respiratory disease risks necessitating reliable chest X-ray interpretation. <b>Objectives</b>: The objective of this study is to assess the diagnostic quality, abnormality rates, and peer-review concordance of chest X-rays in patients transferred during the Hajj seasons of 1444-1445 H/2023-2024 G, with an additional focus on gender-based differences in radiological interpretation. <b>Methods and Materials</b>: A cross-sectional analysis of 2093 chest X-rays from Hajj healthcare facilities was conducted. Two blinded radiologists independently reinterpreted images using standardized criteria. Data included demographic variables, radiographic findings (quality, opacities, nodules, cardiomegaly, effusions), and tuberculosis likelihood. <b>Results</b>: Among interpretable films (89.7% acceptable quality), 69.2% showed abnormalities, primarily opacities (56.4%) and cardiomegaly (27.0%). Tuberculosis was considered probable by radiographic appearance in 21.0% of cases. Peer review demonstrated 94.2% overall concordance. Regression analysis identified the presence of any abnormality (OR = 10.67, <i>p</i> < 0.001) and female gender (OR = 2.97, <i>p</i> = 0.003) as significant independent predictors of interpretive discordance. A trend towards higher discordance was noted for pulmonary nodules, though it was not statistically significant (9.4% vs. 5.6%, <i>p</i> = 0.062). <b>Conclusions</b>: While chest X-rays proved reliable for Hajj screening, gender disparities in interpretation and challenges in certain assessments, such as nodule evaluation, highlight opportunities to refine radiological protocols in mass gatherings.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex and Gender Influences on the Impacts of Disasters: A Rapid Review of Evidence.","authors":"Carol Muñoz-Nieves, Lorraine Greaves, Ella Huber, Andreea C Brabete, Lindsay Wolfson, Nancy Poole","doi":"10.3390/ijerph22091417","DOIUrl":"10.3390/ijerph22091417","url":null,"abstract":"<p><p>Both sex-related factors and gender-related factors affect the immediate and long term mental and physical health impacts of disasters, including those resulting from public health emergencies, climate-related events, and naturally occurring phenomena. These include sex-specific biological, physiological and genetic processes, mechanisms underlying reproduction, disease outcomes, and stress, immune, and trauma responses. Gendered factors such as roles, relations, identity, and institutional policies that have an impact on caregiving, occupation, gender-based violence, and access to healthcare, also influence the impacts of disasters and emergencies. Sex/gender factors interact with a range of social determinants to affect the equitability of impacts. A rapid review was conducted to examine evidence from Australia, Canada, countries from the European Union, New Zealand, the United Kingdom (UK), and the United States of America (USA) on the influence of sex- and gender-related factors in the context of disasters, such as COVID-19, earthquakes, floods, hurricanes, and wildfires. This article describes and categorizes this evidence with attention to real-world impacts of the interactions between sex, gender, and other equity related factors. Broad considerations for improving research and practices to support more sex and gender research in this area and ultimately, to improve emergency and disaster management, are discussed.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drivers of and Barriers to Behavioural Change to Support Public Health and Social Wellbeing in Mbire District, Zimbabwe.","authors":"Davison Munodawafa, Pepukai Manjeru, Lioyd Goronga","doi":"10.3390/ijerph22091419","DOIUrl":"10.3390/ijerph22091419","url":null,"abstract":"<p><p>Foundational behaviours across health, education, sanitation, and energy use remain suboptimal in Mbire District, Zimbabwe. This qualitative formative study examined drivers of and barriers to five priority behaviours: birth notification and registration (BNR), exclusive breastfeeding (EBF), early childhood development education (ECDE), open-defecation-free (ODF) practices, and efficient use of energy (EUE). Between 15 January and 30 March 2023, we conducted 15 focus group discussions (<i>n</i> = 180 participants) and 20 key informant interviews (<i>n</i> = 20 participants). Data were thematically analysed in QDA Miner 6 (<i>Cohen's κ =</i> 0.82). Drivers of positive behaviours included leadership support, peer networks, and radio/village meetings, while barriers included bureaucratic requirements, cultural norms, and financial constraints. We recommend a multi-sectoral Social and Behavioural Change (SBC) approach integrating community events, subsidies, and culturally sensitive communication. These findings provide actionable evidence to inform district-level programming and contribute to achieving Zimbabwe's national development targets and relevant Sustainable Development Goals.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent Profile Analysis of Children's Active Physical Recreation Patterns in Middle Childhood.","authors":"Stephanie C Field, John T Foley, Patti-Jean Naylor, Viviene A Temple","doi":"10.3390/ijerph22091421","DOIUrl":"10.3390/ijerph22091421","url":null,"abstract":"<p><p>Understanding factors that influence physical activity participation in middle childhood is essential for developing effective interventions. To date, many studies have contributed valuable knowledge on the individual, or person-centered, factors that influence participation, such as motor competence and perceived motor competence. However, there is an increasing body of literature in support of exploring participation through a broader lens, considering additional social ecological factors and their role in participation. Understanding the development of unique combinations of personal and environmental characteristics can shed light on participation patterns over time. Therefore, the aim of this study is to identify clusters of a longitudinal sample of children in grades 2, 3, 4, and 5 (<i>n</i> = 155; 55% girls) based on: motor skills; perceived physical competence; active physical recreation; and with whom and where participation occurs. Latent profile analysis results revealed a range of clusters within each grade, with a 3-cluster solution in grade 2, a 5-cluster solution in grade 3, a 4-cluster solution in grade 4, and a 6-cluster solution in grade 5. An analysis of the clusters revealed increasingly diverse clusters over time, with some clusters demonstrating paths toward engagement or disengagement in active physical recreation. The variation in clusters across grades indicates increasing diversity in personal and environmental factors through middle childhood. Recognizing this diversity can allow for teachers, coaches, and instructors to employ instructional styles to accommodate individuals' differences and maximize participation in a range of physical activity contexts.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Dimensions of Professional Burnout in Special Education: A Cross-Sectional Behavioral Data Analysis of Emotional Exhaustion, Personal Achievement, and Depersonalization.","authors":"Paraskevi-Spyridoula Alexaki, Hera Antonopoulou, Evgenia Gkintoni, Nikos Adamopoulos, Constantinos Halkiopoulos","doi":"10.3390/ijerph22091420","DOIUrl":"10.3390/ijerph22091420","url":null,"abstract":"<p><strong>Background and objectives: </strong>Professional burnout threatens special education teachers' well-being and educational service quality through three psychological dimensions: emotional exhaustion, depersonalization, and personal achievement. Limited studies have employed behavioral data analysis to examine burnout patterns in special education and their relationships with demographic factors and contemporary stressors. This study aimed to (1) identify burnout levels among Greek special education teachers, (2) determine demographic risk factors, and (3) examine relationships between burnout dimensions and COVID-19 psychological impact.</p><p><strong>Materials and methods: </strong>A cross-sectional study surveyed 114 special education teachers from Achaia and Aitoloakarnania prefectures, Greece (response rate: 87.7%), using the Maslach Burnout Inventory-Educators Survey (MBI-ES) and demographic questionnaires. Behavioral data analysis integrates traditional statistics with advanced techniques, including cluster analysis and classification modeling.</p><p><strong>Results: </strong>Four distinct burnout profiles emerged: Low Burnout (36.8%), Moderate Emotional Exhaustion (30.7%), High Risk (21.9%), and Depersonalization-Dominant (10.5%). Overall burnout prevalence was low, with 73.7% showing minimal depersonalization and 67.5% maintaining high personal achievement. Employment status emerged as the strongest predictor of burnout risk. Emotional exhaustion was the primary predictor of COVID-19 psychological impact (<i>r</i> = 0.547, <i>p</i> < 0.001), explaining 29.9% of pandemic-related distress variance. Male substitute teachers demonstrated the highest vulnerability to depersonalization, while experienced female permanent teachers showed resilience patterns.</p><p><strong>Conclusions: </strong>Behavioral data analysis revealed distinct burnout patterns enabling personalized interventions. Emotional exhaustion serves as both a key vulnerability factor and primary intervention target. These findings support targeted approaches to occupational health with implications for educational policy. Limitations include cross-sectional design and regional sampling. Future longitudinal studies should validate these patterns across diverse educational contexts.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Ethnic-Cultural Educational Strategies for the Promotion of Breastfeeding.","authors":"José Fabián Hidrobo-Guzmán, Gladys Edelmira Morejón-Jácome, Edison Daniel Cárdenas-Robles, Lizbeth Dayana Pilco-Vargas, Doménica Vanesa Posso López, Estefany Tatiana Iguago Angamarca","doi":"10.3390/ijerph22091416","DOIUrl":"10.3390/ijerph22091416","url":null,"abstract":"<p><p><b>Introduction:</b> The implementation of pedagogical tactics with ethnic-cultural approaches represents essential mechanisms for promoting breastfeeding, ensuring greater effectiveness in knowledge dissemination. These are supported by cultural ideologies that integrate didactic processes tailored to the beliefs and practices of each ethnic group, thus facilitating greater acceptance and adherence to health recommendations. <b>Objective:</b> The study aims to analyze the effectiveness of culturally sensitive educational strategies from the prenatal stage at the Quiroga Health Center, Ecuador, exploring how indigenous cultural dynamics influence the receptivity of education. <b>Methodology:</b> The research is quantitative, quasi-experimental, and employs a descriptive, documentary, bibliographic, and analytical cross-sectional cohort design to thoroughly analyze collected data and identify cause-and-effect factors influencing breastfeeding knowledge and practice. <b>Results:</b> The effectiveness of the educational intervention in promoting cognitive awareness of breastfeeding was confirmed using the McNemar statistic applied to related samples. <b>Conclusions:</b> Breastfeeding knowledge levels are closely tied to reproductive history, a constantly evolving process affected by various social factors. Health education is implemented and strengthened through teaching programs as these strategies can significantly contribute to maternal and child health promotion, adapting to the specific needs and contexts of each community.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Telerehabilitation Among Libyan Physiotherapists During the COVID-19 Pandemic: A Cross-Sectional Study.","authors":"Sami Elmahgoub, Adel El Taguri, Amira Ben Said, Farah Abu Khadra, Aseel Aburub, Ákos Levente Tóth","doi":"10.3390/ijerph22091414","DOIUrl":"10.3390/ijerph22091414","url":null,"abstract":"<p><p><b>Background</b>: The COVID-19 pandemic has significantly disrupted healthcare delivery globally, particularly affecting physiotherapy practices that rely on close patient interactions. <b>Objectives</b>: This study investigates the knowledge and readiness of Libyan physiotherapists to adopt telerehabilitation during the pandemic. <b>Methodology</b>: A cross-sectional questionnaire-based study was conducted on a total of 109 physiotherapists who were recruited through convenience sampling from public and private hospitals, with a demographic distribution of 54 males and 55 females, aged 25 to 55 years. <b>Results</b>: Approximately 64% of physiotherapists reported being impacted by COVID-19. Among the participants, 67.9% indicated they had limited knowledge of telerehabilitation, whereas only 32.1% were familiar with the concept. Of those who were knowledgeable, only 57.1% had actually practiced telerehabilitation, and just 35% successfully integrated it into their patient management strategies. Key barriers to implementation included poor internet connectivity (71.6%) and high technology costs (38.5%). <b>Conclusions</b>: Our study highlights the importance of telerehabilitation for the future of physical therapy, particularly for patients with chronic conditions. Proper staff training, robust IT infrastructure, and patient education are all essential for enhancing the quality of service physiotherapists deliver in today's evolving healthcare landscape.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}