Journal of Applied Research in Intellectual Disabilities最新文献

{"title":"Factors Associated With Length of Hospital Stay for Forensic Psychiatric Inpatients With Intellectual Disabilities","authors":"Penelope McKenna,&nbsp;Rosie England,&nbsp;Carmen Fadzelmulla-Moreno,&nbsp;Paul A. Thompson,&nbsp;Harm Boer,&nbsp;Peter E. Langdon","doi":"10.1111/jar.70065","DOIUrl":"https://doi.org/10.1111/jar.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The aim of this study was to examine factors associated with length of stay within a psychiatric hospital for patients with intellectual disabilities who have a forensic history.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data about 111 patients were gathered retrospectively from historical records for the period of February 2011 to March 2021. Negative binomial regression was then used to examine the relationship between selected predictor variables and length of stay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients who were older upon admission and those who had received psychological therapies or positive behavioural support (PBS) had a significantly longer length of stay. Those with a diagnosis of a neurodevelopmental disorder had a significantly shorter length of stay. All other predictors were not statistically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There was evidence of a clinical improvement at discharge and those with autism or ADHD had a shorter length of stay. Similar studies with larger sample sizes should be completed across England.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143925904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factor Structure of the Center for Epidemiology Scale in Individuals With Intellectual Disabilities","authors":"Eun-Young Park","doi":"10.1111/jar.70064","DOIUrl":"https://doi.org/10.1111/jar.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with intellectual disabilities are as vulnerable to depression as their typically developing peers. This study aimed to verify the reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) in individuals with intellectual disabilities and determine whether the scale is appropriate for screening them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data obtained from 275 participants from Korea's Disabled People's Development Institute were analysed. The measure used 11 items from the CES-D. Confirmatory factor analysis and Cronbach's <i>α</i> of internal consistency reliability were employed for examining validity and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cronbach's <i>α</i> of total scale was 0.860. Cronbach's <i>α</i> of the subscales was 0.842 in depressive affect, 0.647 in positive affect, 0.783 in somatic/vegetative symptoms and 0.837 in interpersonal problems. Bifactor and four-factor structures were verified using confirmatory factor analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The validity and reliability of the CES-D-11 for individuals with intellectual disabilities were verified. Results indicated the cut-off and subscale scores.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to “Preliminary Evaluation of the Step-by-Step Parenting Program for Expectant Parents With Intellectual Disabilities”","authors":"","doi":"10.1111/jar.70062","DOIUrl":"https://doi.org/10.1111/jar.70062","url":null,"abstract":"<p>Feldman, M. A., A. Cappon, K. Corbier, V. Caruana, M. Laronde, and K. Thomson. 2025. “Preliminary Evaluation of the Step-by-Step Parenting Program for Expectant Parents With Intellectual Disabilities.” <i>Journal of Applied Research in Intellectual Disabilities</i> 38: e70034. https://doi.org/10.1111/jar.70034.</p><p>The funder's name should be changed from “College and Community Social Innovation Fund Grant, National Science and Engineering Research Council of Canada awarded to Amanda Cappon and Kay Corbier” to “College and Community Social Innovation Fund Grant, Social Sciences and Humanities Research Council of Canada awarded to Amanda Cappon and Kay Corbier.”</p><p>We apologise for this error.</p>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-Informed Recommendations to Developing Inclusive Dance Opportunities: Engaging Community, Dance, and Rehabilitation Experts Using a Hybrid-Delphi Method","authors":"Jacqueline C. Ladwig,&nbsp;Kathryn M. Sibley,&nbsp;Jacquie Ripat,&nbsp;Cheryl M. Glazebrook","doi":"10.1111/jar.70060","DOIUrl":"https://doi.org/10.1111/jar.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Amongst the growing number of examples of inclusive dance programming, community-informed recommendations for inclusive dance are scarce. Our purpose was to develop recommendations for inclusive dance with dancers with the lived experience of autism, intellectual, or developmental disability, and the professionals who work with them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A Hybrid-Delphi method was used to generate and rank recommendations across three expert groups. The constraints model of motor development and the social model of disability framed three questions around: (i) physical environment and culture, (ii) instruction and strategies, and (iii) dance assistants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The experts (Community; dancers, support persons/carers (<i>n</i> = 5), Rehabilitation (<i>n</i> = 6) and Dance (<i>n</i> = 7) professionals) agreed to prioritise the community perspective, highlighting the need for ongoing education around inclusive instruction, communication, and sensory considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The centring of community perspectives facilitated the development of a comprehensive list of actionable recommendations to guide inclusive dance instruction in a variety of dance spaces.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review of Health-Related Self-Management Approaches for Adults With Intellectual Disabilities","authors":"Alison Devitt,&nbsp;Melissa Nott,&nbsp;Rachel Rossiter","doi":"10.1111/jar.70057","DOIUrl":"https://doi.org/10.1111/jar.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The global rise in chronic health conditions highlights the importance of self-management in empowering people to actively participate in their healthcare. People with intellectual disabilities are disproportionately affected by these conditions and face barriers in accessing self-management interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This scoping review mapped literature on self-management approaches for adults with intellectual disabilities. A three-step search strategy was employed, involving electronic databases, reference lists, and advocacy organisation websites. Data on study design, intervention characteristics and outcomes were synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review included 38 articles from 34 studies, focusing on adults with intellectual disabilities. Studies with varied designs and interventions reported successful engagement and positive health outcomes when self-management interventions were adapted for adults with intellectual disabilities and featured caregiver support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Conclusions</h3>\u0000 \u0000 <p>Adapted self-management interventions are feasible and yield positive outcomes for adults with intellectual disabilities. Future research should focus on long-term outcomes, client–caregiver models and co-design methodology.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safer Online Lives: Internet Use and Online Experiences of Adults With Intellectual Disabilities—A Survey Study","authors":"Paraskevi Triantafyllopoulou,&nbsp;Jessie Newsome,&nbsp;Winnie Tsang,&nbsp;Michelle McCarthy,&nbsp;Karen Jones","doi":"10.1111/jar.70061","DOIUrl":"https://doi.org/10.1111/jar.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>The internet and social media are increasingly accessible to people with intellectual disabilities, offering significant benefits but also posing unique challenges and risks. This study aimed to explore the online experiences of adults with intellectual disabilities in England.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An accessible survey was conducted from July 2021 to July 2022 collecting data on online risks, perceived benefits and barriers to internet use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Amongst 115 participants, 74% reported using the internet daily, and 48% used social media every day. Participants who reported more frequent engagement in cyber-aggression were significantly more likely to also report experiences of cyber-victimisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlight the evolving use of the internet for adults with intellectual disabilities and the factors that influence their online experiences. They emphasise the need for strategies to enhance safe internet use and inform social care practices aimed at fostering positive online experiences whilst mitigating risks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Six-Month Nordic Walking Program for Adults With Intellectual and Developmental Disabilities: Feasibility and Effect","authors":"Ayelet Dunsky,&nbsp;Sharon Barak","doi":"10.1111/jar.70063","DOIUrl":"https://doi.org/10.1111/jar.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with intellectual and developmental disabilities tend to engage in low levels of physical activity, which puts them at risk for chronic health conditions, poor balance and gait difficulties. Nordic walking could improve gait, balance, strength, endurance and respiratory function while enjoying nature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Thirty-four adults with intellectual and developmental disabilities were assessed for physical performance and emotional status before and after participating in a six-month intervention comprised of weekly Nordic walking sessions. Five staff members were also interviewed about the programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nordic walking was found to be feasible, with an average monthly attendance of 60.75%. Following the intervention, significant improvements were seen in lower-extremity strength, flexibility and waist-to-hip ratios.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nordic walking motivates participants to engage in physical activity, strengthens muscles, and increases flexibility. Thus, people who work with adults with intellectual and developmental disabilities may consider including Nordic walking in their health enhancement and maintenance programmes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More Than ‘Keeping an Eye’: Ensuring Children With Intellectual Disabilities Are Safe and Feel Safe in Hospital","authors":"Kate Oulton,&nbsp;Faith Gibson,&nbsp;Charlotte Kenten,&nbsp;Jessica Russell,&nbsp;Jo Wray","doi":"10.1111/jar.70055","DOIUrl":"https://doi.org/10.1111/jar.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is a lack of evidence to inform the provision of safe hospital care and treatment to children with intellectual disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Interviews were conducted with 52 parents/carers of 42 children with intellectual disabilities and 98 hospital staff about the care of children with intellectual disabilities during in-patient stays in English hospitals. Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Factors potentially impacting on the safety of children with intellectual disabilities in hospital are encompassed under four domains: parental vigilance, child vulnerability, staffing capability and capacity, and the environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A new healthcare lens is needed which places equal priority on the non-medical and medical needs of patients, and which recognises the importance of children and their parents both <i>feeling</i> and being safe in hospital. The use of a risk assessment instrument to facilitate this has the potential for multiple improvements at all levels.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Did I Take My Medication Today? Understanding Medication Self-Management for Adults With Intellectual Disabilities Through Participatory Research","authors":"Natasha A. Spassiani,&nbsp;Anna Higgins,&nbsp;Stephan Tait,&nbsp;Aaron Hume,&nbsp;Sam Abdulla,&nbsp;Ruth Paterson","doi":"10.1111/jar.70059","DOIUrl":"https://doi.org/10.1111/jar.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is little research that has examined what support strategies are effective to help adults with intellectual disabilities take their prescribed medication correctly. The aim of the study was to gain an understanding of the barriers and supports that contribute to adults with intellectual disabilities self-managing their prescribed medicines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Nine adults with intellectual disabilities and two support staff participated in this two-phase study. Phase 1 consisted of focus groups and Phase 2 involved participants taking part in simulated real-world scenarios based on situations discussed during Phase 1 about taking prescription medication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three main themes emerged from the findings: knowledge about prescription medication, barriers to taking prescription medication, and facilitators to taking prescription medication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings of the study will help to inform healthcare professionals on how to better support adults with intellectual disabilities to take their prescription medication to ensure better health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where Care Converges: Uncovering Shared Experiences of Parents and Service Providers for Adults With Intellectual Disabilities in Times of Austerity","authors":"Rachel Abigail Harrison,&nbsp;Jill Bradshaw,&nbsp;Michelle McCarthy","doi":"10.1111/jar.70044","DOIUrl":"https://doi.org/10.1111/jar.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Since the introduction of austerity measures in 2008, funding for care, welfare, services and support systems in the United Kingdom has been reduced. There is little research that explores the experiences of parents of adults with intellectual disabilities and service providers regarding care, relationships and social networks in times of austerity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semi-structured interviews were undertaken with 10 parents of adults with intellectual disabilities and nine managers and leaders of relevant services. Reflexive thematic analysis was used to identify key themes across their experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Experiences suggested four shared key themes in relation to the effects of austerity: distanced relationships; Care Act assessments being used to make cuts; deteriorating health and wellbeing; and participants feeling forced to become fighters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Whilst previous research has considered the adversarial nature of relationships between parents and service providers, this study suggests they can experience shared difficulties under austerity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}