Disability and Health Journal最新文献

{"title":"Examine a factor structure for the World Health Organization quality of life measure among adults with ADL limitations in underserved neighborhoods in the United States","authors":"Rie Suzuki ,&nbsp;Woojong Kim ,&nbsp;Shan Parker ,&nbsp;Michelle A. Meade","doi":"10.1016/j.dhjo.2025.101853","DOIUrl":"10.1016/j.dhjo.2025.101853","url":null,"abstract":"<div><h3>Background</h3><div><span>The extent of the impact of Activity of daily living (ADL) limitations on </span>Quality of Life is well documented. However, the validity of the World Health Organization's Quality of Life-BREF (WHOQOL-BREF) rarely focuses of residents living in underserved settings and on minority inclusion.</div></div><div><h3>Objective</h3><div>to examine the structural validity of WHOQOL-BREF among adults with long-term ADL limitations residing in underserved communities.</div></div><div><h3>Methods</h3><div><span>A cross-sectional survey of patients from underserved communities in the Midwestern United States was conducted between March 2019 and February 2021. Inclusion criteria included a minimum age of 19 years, ADL limitations for more than 5 years, English proficiency, and residence in the targeted zip code areas. A confirmatory factor analysis was conducted to determine the factor structure of the WHOQOL-BREF. The </span>International Statistical Classification of Diseases and Related Health Problems 10 was used to identify individuals with ADL limitations.</div></div><div><h3>Results</h3><div>A total of 290 people met the criteria. Four latent factors were extracted. However, compared to the original conceptual relationships between variables and latent factors, <em>Physical health</em> to leisure activities, <span><em>social relationships</em></span> to self-satisfaction, and <em>environmental health</em> to acceptance of body appearance were additional leadings beyond their conceptual group. This CFA final model fit the data well (ꭓ2 (df = 228) = 320.30, p &lt; 0.001; RMSEA = 0.06; CFI = 0.95; TLI = 0.94).</div></div><div><h3>Conclusions</h3><div>These findings underscored the need for accessible environments in their communities. In addition, supportive intra- and interpersonal relationships are needed to improve the QOL for adults with long-term ADL limitations.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101853"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"School burnout among students with and without disabilities before, during, and after the COVID-19 pandemic","authors":"Marja Eliisa Holm ,&nbsp;Päivi Sainio ,&nbsp;Sinna Maija Henriikka Lehtola ,&nbsp;Mika Gissler ,&nbsp;Minna-Liisa Luoma ,&nbsp;Katariina Salmela-Aro ,&nbsp;Olli Kiviruusu","doi":"10.1016/j.dhjo.2025.101841","DOIUrl":"10.1016/j.dhjo.2025.101841","url":null,"abstract":"<div><h3>Background</h3><div>Students’ mental health problems increased during the COVID-19 pandemic and persisted afterward. Evidence regarding school burnout—particularly among disabled students—is limited.</div></div><div><h3>Objective</h3><div>We assessed school burnout and its changes among students with specific (only cognitive, only sensory, only mobility, or several) and any (at least one of the three domains) disabilities compared to those without disabilities before (2019), during (2021), and post-pandemic (2023).</div></div><div><h3>Methods</h3><div>We analyzed population-level cross-sectional data from the Finnish School Health Promotion study, including 467,186 lower secondary, upper secondary, and vocational students (mean age = 16.2; SD = 1.22) from 2019, 2021, and 2023 using logistic regression.</div></div><div><h3>Results</h3><div>At all school levels, students with any disabilities reported school burnout more often than those without disabilities. Those with several disabilities were the most vulnerable, particularly girls. At vocational level, burnout prevalence was about half that of other levels among girls and boys with and without any disabilities. In lower secondary school, burnout increased among girls with and without any disabilities from 2019 to 2021 and remained high post-pandemic. For lower secondary boys, burnout increased only among those without disabilities from 2019 to 2021 and persisted post-pandemic. For boys with any disabilities, burnout began to increase post-pandemic. In upper secondary and vocational schools, burnout increased among girls and boys with and without any disabilities from 2019 to 2021. Post-pandemic, these increases declined.</div></div><div><h3>Conclusions</h3><div>Schools require resources addressing school burnout inequalities, especially during crises and among disabled girls. Post-pandemic, addressing persistent school burnout among lower secondary students with disabilities is crucial.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101841"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain characteristics and impact of pain in individuals with spina bifida: Systematic review and meta-analysis","authors":"May Phyu Sin,&nbsp;Ann I. Alriksson-Schmidt","doi":"10.1016/j.dhjo.2025.101845","DOIUrl":"10.1016/j.dhjo.2025.101845","url":null,"abstract":"<div><h3>Background</h3><div>Pain is prevalent in spina bifida (SB), yet, it has received limited attention in research and healthcare.</div></div><div><h3>Objective</h3><div>To investigate pain severity, common pain sites, and pain interference with daily activities and sleep in individuals with SB.</div></div><div><h3>Methods</h3><div>Literature was last searched in Scopus, Web of Science, Embase, PubMed, CINAHL, and Academic Search Complete in July 2024. Inclusion criteria included observational studies on open or closed SB and published articles in English from January 2000 to January 2024. Other spinal dysraphism conditions were excluded. Meta-analyses were conducted using random effects models. Narrative reviews were provided for studies excluded from the meta-analyses. The methodological quality of included articles was assessed using the risk of bias tool for prevalence studies.</div></div><div><h3>Results</h3><div>Fifteen studies (1301 participants) were included, with 80 % rated as moderate quality. Meta-analyses showed that adults with SB had moderate to severe pain on average (mean numeric rating score: 5.4, 95 % CI: 3.2, 7.6), with the most prevalent pain sites being the back 59.1 % (95 % CI: 39.8 %, 77.1 %) and hips 35.0 % (95 % CI: 10.0 %, 66.0 %). Literature on pain in newborns is limited. For children/adolescents, pain was observed from head to lower extremities with varying intensity, and pain in the head and back were most consistently reported. Impact of pain on daily activity and sleep was inconclusive.</div></div><div><h3>Conclusions</h3><div>As individuals with SB can experience pain at any site with varying intensity, pain should be regularly assessed in this population. Findings cannot be generalized to those with communication or cognitive problems.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101845"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-level factors associated with the sedentary behavior of adults with intellectual disabilities in community living arrangements","authors":"Paige Laxton ,&nbsp;Sean Healy ,&nbsp;Benjamin Brewer ,&nbsp;Bryan McCormick ,&nbsp;Elizabeth Orsega-Smith ,&nbsp;Lee Smith ,&nbsp;Julie Daly ,&nbsp;Freda Patterson","doi":"10.1016/j.dhjo.2025.101836","DOIUrl":"10.1016/j.dhjo.2025.101836","url":null,"abstract":"<div><h3>Background</h3><div><span>Sedentary Behavior (SB) is an independent </span>risk factor<span> for cardiometabolic diseases and mortality. Adults with intellectual disabilities (ID) that live in Community Living Arrangements (CLAs) participate in higher SB, however the factors associated with SB are unknown in this group.</span></div></div><div><h3>Objective</h3><div>The cross-sectional study investigated the multi-level determinants related to SB among adults with ID in community living arrangements (CLAs).</div></div><div><h3>Methods</h3><div><span>Adults with ID who lived in CLAs wore an activPAL device for seven days so that SB could be estimated. Prolonged SB and total SB duration served as the outcome variables. Electronic surveys assessed factors across the levels of the social-ecological model. Bivariate analyses estimated the association between each of the independent variables with each of the SB outcomes followed by a multivariable analysis using </span>Least Absolute Shrinkage and Selection Operator (LASSO) regressions for both prolonged SB and total SB duration.</div></div><div><h3>Results</h3><div>Study participants (n = 36) had a mean age of 44.1 years (SD = 15.01), were predominantly male (58.33 %) and White (83.33 %). Nearly half (n = 16; 47.22 %) exhibited prolonged SB, spending on average 7.46 h (SD = 2.23) in SB daily. The LASSO regression identified higher independence in activities of daily living (ADL) and low levels of staff conflict as being associated with lower total SB duration and less likelihood of prolonged SB.</div></div><div><h3>Conclusion</h3><div>Our findings underscore the influence of multi-level factors on SB in adults with ID. These data suggest that interventions to reduce SB should consider not just individual traits but also the broader social and environmental contexts.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101836"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“The Scarlet Letter B”: A qualitative study to improve health care provider education for patients who are blind or low-vision","authors":"Rebecca Fischbein ,&nbsp;Rachel Bracken ,&nbsp;Raman Bhambra ,&nbsp;Omar Hameed ,&nbsp;Dominic Congeni ,&nbsp;Allyson S. Hughes","doi":"10.1016/j.dhjo.2025.101834","DOIUrl":"10.1016/j.dhjo.2025.101834","url":null,"abstract":"<div><h3>Background</h3><div>Individuals who are blind or low-vision face multiple barriers to quality health care, including insufficient training for health care providers and staff. Limited research has examined provider and staff skills and knowledge gaps, attitudinal barriers, or relevant training needs specific to caring for blind or low-vision patients.</div></div><div><h3>Objective</h3><div>In this qualitative study, we sought to understand, from the perspective of blind or low-vision individuals, what needs to be known and improved to better care for this population.</div></div><div><h3>Methods</h3><div>We conducted four structured focus groups with 22 blind or low-vision individuals. Questions assessed general health care impressions, positive and negative health care experiences, and recommendations for training providers.</div></div><div><h3>Results</h3><div>Reflexive thematic analysis was conducted, which identified three overlapping, training-focused themes: 1) disability etiquette and communication, 2) understanding barriers to care, and 3) dismantling ableist stereotypes and misconceptions. The need for health care provider and staff empathy and compassion is emphasized as a central, core theme shared by each of the training-focused themes.</div></div><div><h3>Conclusion</h3><div>Our findings confirm and expand previous calls for improved education regarding the health care needs for patients who are blind or low vision. Most significantly, we draw from recent literature in health professions education to propose training interventions targeted to the training needs identified via thematic analysis. We advocate for educational design and implementation that is community-engaged and centers the patient who is blind or low vision as the educator.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101834"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of providing care for stroke survivors on caregiver health and wellbeing: Developing stronger support mechanisms","authors":"Melissa Jammal ,&nbsp;Karen P.Y. Liu ,&nbsp;Emma S. George ,&nbsp;Gregory S. Kolt","doi":"10.1016/j.dhjo.2025.101912","DOIUrl":"10.1016/j.dhjo.2025.101912","url":null,"abstract":"<div><h3>Background</h3><div>Informal caregivers (i.e., individuals who provide unpaid care to a family member and/or friend) have a significant role in supporting the recovery and wellbeing of stroke survivors. To ensure adequate and effective support, caregivers must also attend to their health and wellbeing. Therefore, research is needed to understand the experiences of informal stroke caregivers to better support their wellbeing and inform intervention development.</div></div><div><h3>Objective</h3><div>To understand the experiences of informal stroke caregivers on the impact of caring on caregiver health and wellbeing, and to make recommendations to inform the development of a program to better support caregivers.</div></div><div><h3>Methods</h3><div>A mixed-methods convergent design was used to understand caregiver experiences. Semi-structured interviews were conducted with 10 informal stroke caregivers in Sydney, Australia, and data were analysed using inductive thematic analysis. The Occupational Gaps Questionnaire was also administered to participants to explore activity incongruence.</div></div><div><h3>Results</h3><div>All participants identified occupational gaps (range 7–15). Three major themes were identified from interviews: Complexities of caring, Looking after yourself, and Life changes with caring. All caregivers discussed the impact of caregiving on their identity and ability to participate in meaningful activities. Caregivers suggested the importance of developing coping strategies such as engaging in healthy behaviours and prioritising important activities. Participants identified the need for individualised support and education to assist with maintaining the caregiving role.</div></div><div><h3>Conclusions</h3><div>The caring role can significantly impact on caregiver identity and their ability to engage in meaningful activity. To further support caregivers, future interventions should consider tailored education and individual support.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101912"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial transition at DHJO","authors":"Monika Mitra (DHJO Co-Editor-in-Chief)","doi":"10.1016/j.dhjo.2025.101936","DOIUrl":"10.1016/j.dhjo.2025.101936","url":null,"abstract":"","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101936"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accessible, not Exploitable: Navigating fraud prevention in disability research","authors":"Kelsey S. Goddard,&nbsp;Jean P. Hall,&nbsp;Noelle K. Kurth","doi":"10.1016/j.dhjo.2025.101843","DOIUrl":"10.1016/j.dhjo.2025.101843","url":null,"abstract":"<div><div><span>Disability-focused research is vital for informing policies and services that address the unique needs of people with disabilities. However, survey fraud poses a growing threat to the integrity of such research. Fraudulent responses, often facilitated by bots or scammers, disproportionately impact studies with small sample sizes, where even minimal distortion can significantly skew findings and misinform policy decisions. Compounding the issue, traditional fraud detection mechanisms, such as </span>CAPTCHA<span><span><span> tasks and automated response-time analysis, often exclude legitimate participants, particularly those who rely on assistive technologies or face accessibility barriers. This commentary examines the recruitment paradox inherent in disability research, where inclusive participation incentives inadvertently invite fraud while restrictive measures risk excluding genuine respondents. To address these dual challenges, we propose adaptive fraud detection tools, participatory design approaches, and equitable incentive structures that balance </span>inclusivity with data integrity. These strategies advance robust, representative findings to support effective and equitable </span>policy development.</span></div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101843"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of women with disabilities in Lithuania when their gender, disability, domestic violence, and mental health services intertwine","authors":"Ugnė Grigaitė ,&nbsp;Simona Aginskaitė ,&nbsp;Bárbara Pedrosa ,&nbsp;Deborah Oyine Aluh ,&nbsp;Margarida Santos-Dias ,&nbsp;Manuela Silva ,&nbsp;Graça Cardoso ,&nbsp;José Miguel Caldas-de-Almeida","doi":"10.1016/j.dhjo.2025.101837","DOIUrl":"10.1016/j.dhjo.2025.101837","url":null,"abstract":"<div><h3>Background</h3><div>Women with disabilities are two to five times more likely to experience domestic violence (DV), including intimate partner violence (IPV), when compared with women without disabilities. Survivors of DV and IPV are around three times more likely than women without this life experience to develop mental health conditions or a psychosocial disability.</div></div><div><h3>Objective</h3><div>To explore the perspectives of women with disabilities who are survivors of DV and IPV about their help-seeking experiences and their use of mental health services in Lithuania.</div></div><div><h3>Methods</h3><div>A qualitative explorative study was implemented within an experiential framework. Semi-structured interviews (n = 15) were conducted with women-survivors of DV who have sensory, physical, psychosocial, and intellectual disabilities<span>. Audio recordings were transcribed verbatim and analysed thematically using MAXQDA software.</span></div></div><div><h3>Results</h3><div>The key findings highlight the complex intersection between gender, disability, and DV, including IPV. Women with disabilities may be extremely dependent on their abusers for daily individual support and may also experience disability-based violence as a result of this situation. Societal stigma and victim-blaming attitudes, as well as the lack of community-based services, may prevent survivors from seeking help. However, those who do may benefit greatly from support provided by mental health services.</div></div><div><h3>Conclusions</h3><div>Further qualitative and quantitative research concerning the interlink between the areas of gender, disability, DV and IPV, and the provision of mental health services is needed, especially about what interventions might be the most effective for this particular population.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101837"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying the prevalence of activity limitation for Māori in Aotearoa New Zealand using the Washington Group Short Set on Functioning: A national survey","authors":"Tristram R. Ingham ,&nbsp;Meredith A. Perry ,&nbsp;Bernadette Huatau Jones ,&nbsp;Paula Toko King ,&nbsp;Andrew Sporle ,&nbsp;Tom Elliott ,&nbsp;Gabrielle Baker ,&nbsp;Barry Milne ,&nbsp;Linda Waimarie Nikora","doi":"10.1016/j.dhjo.2025.101896","DOIUrl":"10.1016/j.dhjo.2025.101896","url":null,"abstract":"<div><h3>Background</h3><div>Māori, the Indigenous people of Aotearoa/New Zealand, experience higher rates of activity limitation compared to the general population, and are therefore at greater risk of disability, yet disaggregated data within this population remain limited.</div></div><div><h3>Objective</h3><div>The primary aim was to quantify the prevalence and types of activity limitation among Māori adults using the Washington Group Short Set (WG-SS) of Questions on Functioning, with a secondary objective to examine demographic variations in reported limitations.</div></div><div><h3>Methods</h3><div>This cross-sectional study analysed data from a nationally representative survey of 7230 Māori adults. Participants self-reported activity limitations across six functional domains (vision, hearing, mobility, cognition, self-care, and communication) using the WG-SS. Weighted analyses were performed to estimate prevalence and demographic variations, with results presented for both “At least a lot of difficulty”, “Some difficulty” and “Any difficulty” categories.</div></div><div><h3>Results</h3><div>In total, 15.1 % reported “At least a lot of difficulty” and 70.2 % reported “Any difficulty”. Almost 50 % of participants experienced multiple limitations. Cognitive difficulties were most prevalent, affecting 47.6 % of participants, with 8 % reporting severe difficulty. No significant differences in prevalence were observed between males and females, age, nor urbanicity.</div></div><div><h3>Conclusion</h3><div>A substantial burden of activity limitation, particularly cognitive, were found amongst Māori. The WG-SS, while effective for quantifying activity limitation, does not fully capture socio-cultural dimensions or broader participation barriers critical to understanding the experience of disability for Māori. Culturally responsive disability frameworks are urgently required to inform policies and practices which recognize the unique needs and address the existing inequities of Māori.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"18 4","pages":"Article 101896"},"PeriodicalIF":3.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}