Journal of Community Health Nursing最新文献

{"title":"\"I Felt Supported, Empowered, and Encouraged\": Early Findings from a Community Initiative to Strengthen and Support Families Through the First 1,000 Days of Life.","authors":"Amanda Terry, Chelsea Arnold, Zackery White, Mary O'Connor, Halima Ahmadi-Montecalvo","doi":"10.1080/07370016.2024.2430242","DOIUrl":"10.1080/07370016.2024.2430242","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluation of the First 1,000 Days Suncoast Family Navigation program aimed to (1) describe the social needs of families in Southwest Florida and (2) measure the program's impact on client-reported mental health and social support outcomes.</p><p><strong>Design: </strong>A multi-method design was employed, including quantitative data collected through an online social care referral network and longitudinal surveys, supplemented by qualitative key informant interview data.</p><p><strong>Methods: </strong>A convenience sample of 538 parents who submitted online assistance request forms to First 1,000 Days between August 2020 and January 2024 were included. Phone surveys were conducted from October 2022 to October 2023 with a subset of individuals (n=33) at three timepoints: (1) initial intake; (2) 30 days; and (3) 60 days after receiving assistance. Key informant interviews were conducted (n = 20) to explore the themes of parental coping and resilience.</p><p><strong>Findings: </strong>Parents reported statistically significant improvements in concrete and social support networks. We observed an average reduction in perceived stress scores of 3.88 points by 30 days and of 4.82 points by 60 days post intervention. The number of unhealthy mental health days per month was reduced from 9.9 to 6.0 days per month.</p><p><strong>Conclusions: </strong>Social care technology paired with family navigation support demonstrates the potential for long-term impact on the quality of life, well-being, and self-sufficiency.</p><p><strong>Clinical evidence: </strong>These early results make a compelling case for incorporating social care coordination services into clinical practice to achieve improved patient outcomes.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"71-80"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711331","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":"Determining Adults' Attitudes towards Cancer Screening, Information Load, and Mythical Causes of Cancer.","authors":"Fatma Zehra Genç, Zeynep Saçıkara, Nesime Demirören, Kübra Sultan Dengiz, Dilek Cingil, Filiz Hisar","doi":"10.1080/07370016.2024.2409447","DOIUrl":"10.1080/07370016.2024.2409447","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the attitudes of adults presenting to primary care services toward cancer screening, information overload, and mythical causes of cancer.</p><p><strong>Design: </strong>Descriptive and correlational type study.</p><p><strong>Methods: </strong>The research was conducted face-to-face with 702 adults. The data were collected using a personal information form, the Attitude Scale for Cancer Screening, Cancer Information Overload Scale, and Cancer Awareness Measure Mythical Causes Scale, and evaluated using multivariate analysis of variance.</p><p><strong>Findings: </strong>It was determined that adults with chronic diseases, who did not have sufficient information about cancer, who did not have cancer screening, and who thought that cancer was a disease that could not be prevented, had low scores on attitudes towards cancer screening. It was found that adults who were male, literate, had no cancer screening and thought that cancer was an unpreventable disease had a high cancer knowledge burden. Adults who thought that cancer was an unpreventable disease and did not know the causes of cancer had a high rate of mythical causes of cancer.</p><p><strong>Conclusions: </strong>It was determined that adults' attitudes toward cancer screening were negative, information overload was moderate, and awareness was at a low level.</p><p><strong>Clinical evidence: </strong>Health promotion and promotion strategies should be developed to increase cancer screening and awareness for these groups, public awareness campaigns should be organized, and evidence-based structured interventions should be implemented. These recommended practices can positively influence adults' attitudes towards cancer screening, enable them to manage cancer information effectively, and help them understand the proven causes of cancer.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"122-134"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378592","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":"Evaluation of the Effectiveness of WeChat-Based Continuing Care Services on Maternal Parenting Competence.","authors":"Ping Wang, Yueying Chen, Jing Li, Xiuhua Xu","doi":"10.1080/07370016.2025.2449871","DOIUrl":"10.1080/07370016.2025.2449871","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of WeChat-based continuing care services in enhancing maternal parenting competence.</p><p><strong>Design: </strong>This study included 524 primiparas who underwent obstetrics department from June 2022 to June 2023. 286 women were assigned to the intervention group, receiving WeChatbased continuing care services, while 238 women were assigned to the control group, receiving traditional care services.</p><p><strong>Methods: </strong>Key measures included neonatal health metrics, maternal caregiving knowledge, the incidence of postpartum depression, and self-25 efficacy scores.</p><p><strong>Findings: </strong>The intervention group showed significantly shorter neonatal jaundice duration (p = 0.005), reduced incidence of newborn adverse reactions such as diarrhea and eczema (p < 0.05), and higher maternal selfefficacy scores in both skills and inner activities (p < 0.01). Postpartum 30 depression was lower in the intervention group (p = 0.002). There was no significant difference in the duration of umbilical cord detachment, breastfeeding practices or maternal satisfaction with hospital care between groups. Knowledge of newborn care was improved in the intervention group (p < 0.01).</p><p><strong>Conclusions: </strong>WeChat-based continuing care services enhanced maternal 35 self-efficacy, knowledge, and reduced postpartum depression.</p><p><strong>Clinical evidence: </strong>WeChat-based continuing care services demonstrates promising potential in enhancing maternal parenting competence..</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"135-146"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383568","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":"Texas Dance for Health: Mixed Methods Pilot Study Promoting Physical Activity Among Older Adults.","authors":"Pamela J Frable, Teresa L Wagner, Bobbie D Bratton, Carol J Howe","doi":"10.1080/07370016.2024.2416957","DOIUrl":"10.1080/07370016.2024.2416957","url":null,"abstract":"<p><strong>Purpose: </strong>Regular physical activity is essential for healthy aging. Less than 25% of older U.S. adults meet physical activity recommendations. The primary aim of Texas Dance for Health (D4H) was to determine whether older adults could achieve recommended aerobic physical activity intensity by dancing. Secondary aims were (1) determining participants' attendance and enjoyment and (2) building a community-academic partnership.</p><p><strong>Design: </strong>RE-AIM was the design framework for this mixed methods, nurse-facilitated, 8-week pilot study in the Spring of 2023. Weekly sessions comprised check-in, mini-lessons, dancing, and data collection. Participants danced sitting, standing, or both.</p><p><strong>Methods: </strong>We divided each participant's pulse rate by maximum aerobic capacity to determine weekly activity intensity. Participants completed Physical Activity Enjoyment and Rating of Perceived Exertion scales after each session. Nurses collected attendance data and facilitated Table Talks (Weeks 4 and 8) to explore participants' enjoyment and solicit feedback for improving and sustaining Dance for Health (D4H). Observations and field notes provided data regarding time, cost, logistics, and overall feasibility.</p><p><strong>Findings: </strong>Across eight weeks, 68 to 84% of participants reached target heart rates. Nearly one-quarter of participants attended all sessions, with 65.7% attending <u>></u> 5 sessions. At Week 8, the mean enjoyment score was 6.7 of 7. No adverse consequences occurred. Partners and participants identified strategies for sustainability.</p><p><strong>Conclusions: </strong>D4H was an enjoyable way for older adults to reach recommended aerobic physical activity intensity. Feasible in costs and logistics, D4H design addressed key barriers to older adult physical activity.</p><p><strong>Clinical evidence: </strong>Dancing is an effective multicomponent fitness intervention for community dwelling older adults.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"81-93"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480188","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":"Training Community Health Workers to Respond to Public Health Demands.","authors":"Tsu-Yin Wu, Jenni L Hoffman, Sarah Lally, Brian Hartl, Tracy Malinowski-Fahner, Renuka Roche, Vicki L Washington, Jeanne Yang","doi":"10.1080/07370016.2024.2403555","DOIUrl":"10.1080/07370016.2024.2403555","url":null,"abstract":"<p><strong>Background: </strong>Community health workers (CHWs) connect individuals to community resources and build individual competence in an effort to improve overall community/public health. There is a need for more research on how community health nurse (CHN)-led training programs are needed to help train and support CHWs.</p><p><strong>Purpose: </strong>The purpose was to describe the development and evaluation of a series of CHN-led CHW trainings on CHW role, boundaries, and motivational interviewing; diabetes; mental health and long COVID; sexually transmitted infections; and lead poisoning prevention and treatment.</p><p><strong>Design: </strong>This study utilized a one-group pretest-posttest design in which quantitative and qualitative data were collected.</p><p><strong>Methods: </strong>The sample consisted of CHWs representing White/Caucasian, Black/African American, Hispanic/Latinx, and Asian American populations who for each topic, completed a pretest one week prior to the training, the training, and a posttest one week after the training. The quantitative and qualitative data collected during winter and spring/summer 2023 underwent statistical and thematic analysis, respectively.</p><p><strong>Findings: </strong>The results suggest that the CHW trainings were effective overall at increasing participants' knowledge and confidence in their knowledge levels, as well as comfort with educating community members on various public health topics. Information learned and found most helpful, and application and utilization plans for this knowledge in their work were revealed.</p><p><strong>Conclusions: </strong>CHWs are important for disseminating health communication and education among members of their communities, and play a key role in reducing health disparities among at-risk populations.</p><p><strong>Clinical evidence: </strong>CHN-led educational intervention is a strategy to improve CHWs' knowledge, confidence, and comfort.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"109-121"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480189","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":"Strategies for Influenza Outbreak Management in a US Residential Summer Camp Communal Housing: A Comparative Analysis of Targeted Antiviral Prophylaxis.","authors":"Sandra D Shapiro, Michelle DeDeo, Amber Barnes","doi":"10.1080/07370016.2025.2452164","DOIUrl":"10.1080/07370016.2025.2452164","url":null,"abstract":"<p><strong>Background: </strong>Previous research has underscored the efficacy of individual control strategies in mitigating influenza spread within communal settings; however, the unique dynamics of residential summer camps-characterized by close contact and high social interaction-present distinct challenges for outbreak management.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate and compare the effectiveness of two targeted antiviral prophylaxis protocols using oseltamivir in controlling influenza outbreaks within a residential youth camp, aiming to provide evidence-based insights for optimizing outbreak management in communal settings with high social interaction.</p><p><strong>Design: </strong>This retrospective study analyzed the progression of influenza outbreaks in a residential youth camp using two antiviral prophylaxis protocols with oseltamivir. Time-series models assessed outbreak dynamics, and descriptive statistics characterized camp cohorts to evaluate the effectiveness of mass chemoprophylaxis (2022 Protocol) versus more rapidly deployed chemoprophylaxis (2023 Protocol).</p><p><strong>Methods: </strong>We used descriptive statistics to define the camp cohorts and time-series models to analyze the outbreak's progression under each protocol.</p><p><strong>Findings: </strong>In 2022, oseltamivir was widely distributed after the outbreak began, likely resulting in a reduced but ongoing spread. In 2023, targeted use of oseltamivir early in the outbreak significantly reduced transmission within the camp.</p><p><strong>Conclusion: </strong>The study demonstrated oseltamivir's efficacy in reducing influenza transmission and emphasized the importance of rapid intervention in communal settings, offering valuable insights for optimizing outbreak management.</p><p><strong>Clinical evidence: </strong>Early intervention with oseltamivir was more effective in controlling the outbreak than a later intervention. Targeted use of oseltamivir, focusing on individuals exposed to the virus, was shown to be beneficial.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"94-108"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015448","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":"The Mediating Role of Emotional Self-Efficacy in the Relationship Between the Number of Medications and Psychological Distress Among Older Adults with Chronic Illness.","authors":"Huoba Li, Cheng Cheng","doi":"10.1080/07370016.2025.2477446","DOIUrl":"https://doi.org/10.1080/07370016.2025.2477446","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to examine the associations between the number of medications, emotional self-efficacy, and psychological distress in older adults with chronic illness.</p><p><strong>Design: </strong>A cross-sectional study was conducted with a convenience sample of 191 older adults in Anhui, China.</p><p><strong>Methods: </strong>Those participants completed a structured questionnaire that included sociodemographic data, medications, emotional self-efficacy, and psychological distress status. Pearson correlation analysis was used to examine the correlation between study variables. The bootstrap method was employed to analyze the mediating role of emotional self-efficacy.</p><p><strong>Findings: </strong>The results showed that 10.5% and 14.1% of the participants might be experiencing symptoms of anxiety and depression, respectively. Correlation analysis revealed that emotional self-efficacy was negatively correlated with anxiety and depression. The results showed that emotional self-efficacy partially mediated the relationship between the number of medications and depression, accounting for 51.9% of the total effect. Additionally, emotional self-efficacy partially mediated the relationship between the number of medications and anxiety, accounting for 50.8% of the total effect. However, a suppressor effect was established for the relationship between the number of medications and polypharmacy-related psychological distress.</p><p><strong>Conclusions: </strong>The findings suggested that emotional self-efficacy might play an important role in the relationship between the number of medications and psychological distress in Chinese older adults with chronic illness.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-14"},"PeriodicalIF":0.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651923","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":"Unintended Consequences of Follow-Up Care: Patient Experiences with Hypertension Management in Chinese Community Nursing.","authors":"Bo Li","doi":"10.1080/07370016.2025.2462006","DOIUrl":"https://doi.org/10.1080/07370016.2025.2462006","url":null,"abstract":"<p><strong>Purpose: </strong>Community follow-up care is essential for managing hypertension, with Chinese community nurses playing a pivotal role in sustaining long-term management. However, little research has examined how rigid or inappropriate care approaches may inadvertently cause patient discomfort. This study addresses this gap by exploring the unintended consequences of follow-up practices among community nurses caring for hypertensive patients in China.</p><p><strong>Design: </strong>A qualitative descriptive study.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 23 hypertensive patients in Shenzhen between June and August 2024. Data were analyzed using iterative thematic analysis.</p><p><strong>Findings: </strong>Three themes emerged. First, standardized follow-up protocols often clashed with patients' individual needs, leading to frustration with the rigid, one-size-fits-all approach. Second, patients experienced emotional distress, feeling alienated by impersonal, task-oriented nurse communication. Third, health education communication breakdowns were prevalent, with patients finding vague lifestyle recommendations impractical and difficult to apply.</p><p><strong>Conclusions: </strong>This study uncovers overlooked complexities in follow-up interactions, critiques the rigidity of current protocols, and challenges the predominantly positive perception of standardized follow-up care.</p><p><strong>Clinical evidence: </strong>Findings underscore the need for training programs to equip community nurses with patient-centered care skills, emphasizing effective communication and personalized health education to improve patient engagement and clinical outcomes in hypertension management.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-16"},"PeriodicalIF":0.8,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191139","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":"Community Health Physicians' and Nurses' Dementia Knowledge and Attitudes: A Cross-Sectional Survey in Turkiye.","authors":"Burcu Cengiz, Merve Aliye Akyol, Dilay Açıl","doi":"10.1080/07370016.2025.2454463","DOIUrl":"https://doi.org/10.1080/07370016.2025.2454463","url":null,"abstract":"<p><strong>Purpose: </strong>Community health physicians and nurses are pivotal in the prevention, detection, and management of dementia, particularly as its prevalence continues to rise globally. This study aims to assess community health physicians' and nurses' dementia knowledge and attitudes, as well as the associated factors.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A survey was conducted with 146 participants, including 103 nurses and 43 physicians, . The research tools were the demographic characteristics form, dementia knowledge assessment scale (DKAS), and dementia attitudes scale (DAS). The data were analyzed using descriptive statistics and multiple regression analysis.</p><p><strong>Findings: </strong>Mean score on the DKAS was 16.53 ± 6.24 (min: 0 point, max: 30 points) out of 34 and DAS was 96.23 ± 15.72 (min: 12 points, max: 120 points) out of 140. The total score of DKAS was positively predicted by being a physician, having prior education about dementia, and having experience with caring for people with dementia (PwD). These variables accounted for 35.4% of the total variance of DKAS (F: 8.292, R2 : 0.354, <i>p</i> < 0.001). Age and total scores of DKAS predicted the total scores of DAS. These variables accounted for 25.2% of the total variance of DAS (F: 4.553, R2 : 0.252, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>While community health physicians and nurses lack comprehensive knowledge about dementia, their positive attitudes present an opportunity for improvement.</p><p><strong>Clinical evidence: </strong>It is crucial to foster community health professionals' dementia knowledge, as well as more positive attitudes toward PwD, in order to enhance the quality of care provided in primary care settings.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-12"},"PeriodicalIF":0.8,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048608","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":"Dance for Wellness: Indigenous adolescents' Perspectives on Mental Health, Wellness, and Dance.","authors":"Tatum Wildeman, Shelley Spurr, Jill Bally, Carol Bullin","doi":"10.1080/07370016.2024.2424166","DOIUrl":"10.1080/07370016.2024.2424166","url":null,"abstract":"<p><strong>Purpose: </strong>Indigenous adolescents living on reservations in Canada experience mental health disparities, and there is an urgent need to address this as mental illness and suicide increase. Therefore, a dance program was initiated to attempt to improve mental health and wellness for Indigenous adolescents The reaearch purpose was to gain insight into theexperiences of mental health and wellness in Indigenous adolescents and identify if and how a four-week dance program affected their mental health and wellness.</p><p><strong>Design: </strong>A trauma-informed, qualitative, single-case study design was used.</p><p><strong>Method: </strong>Semi-structured interviews and symbol-based data were used to interview eight adolescents aged 11 - 16 years living in a Denesuliné community from February to June 2022.</p><p><strong>Findings: </strong>Three multidimensional themes emerged: It Helped My Mental Health and Everything (Dance Helps Me Escape, Dance Makes Me Feel Good, and Dance Is Just Really Fun); A Little Bubble Around Me When I Dance (I Can Be More Confident and I Can Be Myself), and We Won't Judge You Here (Creation of Friendship, He Said I Was Really Good, and Improved School Attendance).</p><p><strong>Conclusions: </strong>The dance program impacted the participants' mental health and wellness by providing positive activities to engage the adolescents.</p><p><strong>Clinical evidence: </strong>Community health nurses (CHNs) assist in promoting health and wellness in Indigenous adolescents living on reservation and can use these findings to advocate for funding for the development of dance-based mental health and wellness programs.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"19-34"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631990","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}