AsianPacific Island Nursing Journal最新文献

{"title":"AI Therapy Chatbots in Youth With Attention-Deficit/Hyperactivity Disorder: A Nurse-Led, Risk-Tiered Policy Framework.","authors":"Saeko Ishibashi, Kazumi Kubota","doi":"10.2196/86237","DOIUrl":"10.2196/86237","url":null,"abstract":"<p><strong>Unlabelled: </strong>AI-powered therapy chatbots and virtual companions are beginning to enter routine mental health care, yet safeguards for children and adolescents remain underdeveloped. For youth with attention-deficit/hyperactivity disorder (ADHD), these tools may offer brief coaching, psychoeducation, and structured between-visit check-ins across clinic, school, and home settings, but they also raise concerns about inappropriate content, overreliance, quiet model drift, privacy across health and education systems, and missed crisis escalation. In this Viewpoint, we propose a nurse-led, risk-tiered policy and implementation framework for integrating AI therapy chatbots into youth ADHD care safely, effectively, and equitably. The framework has 3 linked layers: policy levers, implementation enablers, and measurable outcomes. We emphasize child-specific safeguards, predetermined change control for adaptive models, equity-oriented procurement and reimbursement, interoperability and safety reporting, and nurse-led human-in-the-loop oversight. We further clarify that nursing-generated data-such as structured assessments, triage actions, escalation records, and supervision workload-can function both as governance inputs and as outcome-relevant signals within monitoring and service evaluation. We also outline a phased implementation road map and a concise indicator set that schools and clinics can monitor without major new infrastructure. A nurse-led, risk-tiered approach, combined with age-appropriate safeguards, equity-by-design implementation, and privacy-preserving real-world learning, can help health systems and schools move from ad hoc adoption toward safer and more equitable use of AI therapy chatbots for youth with ADHD while the evidence base continues to mature.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e86237"},"PeriodicalIF":0.0,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13577435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maintenance of the Self-Reported Behavior Change Stage Among Male Bus Drivers Using Longitudinal Occupational Health Checkup Data: Retrospective Cohort Study.","authors":"Eiko Nakanishi, Reiko Sakashita, Masakazu Morimoto, Manabu Nii","doi":"10.2196/93645","DOIUrl":"10.2196/93645","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Public bus drivers experience prolonged sitting, irregular shifts, limited breaks, and disrupted meals and sleep, making the maintenance of a healthy lifestyle difficult. Although occupational health checkups identify health risks, little is known about the duration of maintenance of self-reported stages of behavior change or their association with physiological markers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study examined the duration of maintenance of the self-reported stage of behavior change and its association with physiological markers and lifestyle behaviors among male bus drivers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This retrospective cohort study analyzed occupational health checkup data collected from male bus drivers at a passenger bus company in Japan between 2006 and 2023. The primary exposure was the self-reported behavior change stage, based on a standard questionnaire item used in the Specific Health Checkups questionnaire. For the duration analysis, each participant's longest continuous action or maintenance episode was identified, and the Kaplan-Meier analysis was used to estimate the retention time. For the outcome analyses, participants who maintained the action or maintenance stage for at least 1.5 years after time 0 were classified as the sustained group. Those who returned to the preaction or preparatory stage at 6 months or 1 year comprised the comparison group. Physiological markers were compared using analysis of covariance adjusted for baseline values, age, and medication use. Lifestyle items were analyzed using multivariable logistic regression.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The survival analysis dataset included 717 participants, of whom 566 (78.9%) returned to the preaction or preparatory stage, while 151 (21.1%) were right-censored. The mean age at the start of the maintenance episode was 47.2 (SD 7.0) years, and the median retention time was 362 (IQR 0-1087) days. Retention probabilities were 57.7% at 6 months, 44.1% at 1 year, 33.3% at 2 years, and 23.2% at 3 years. In the outcome analyses, the sustained and comparison groups included 249 and 468 participants, respectively. At baseline, waist circumference was lower in the sustained group (85.77 cm vs 87.54 cm; &lt;i&gt;P&lt;/i&gt;=.02), whereas other markers and medication use did not differ significantly between groups. At 2 and 3 years, the sustained group had lower BMI, waist circumference, triglycerides, and higher high-density lipoprotein cholesterol levels. Glycated hemoglobin (HbA&lt;sub&gt;1c&lt;/sub&gt;) levels were lower in the sustained group at 3 years (&lt;i&gt;P&lt;/i&gt;=.02). The sustained group had higher odds of an exercise habit (1 year: odds ratio [OR] 3.40, 95% CI 2.24-5.16; 2 years: OR 8.90, 95% CI 5.26-15.07) and daily physical activity (1 year: OR 2.51, 95% CI 1.61-3.91; 2 years: OR 5.17, 95% CI 2.93-9.13), and lower odds of current smoking (1 year: OR 0.36, 95% CI 0.14-0.95; 3 years: OR 0.26, 95% CI 0.09-0.75).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/str","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e93645"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13533414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Digital Transformation on Nursing Professional Experience: Critical Interpretive Synthesis Review Developing the Fragmented Professional Transition in Nursing (FPT-N) Model.","authors":"Yan Sun, Shangqing Xu, Xiaoli Ma, Liyan Wang, Fenyan Wang, Tingting Su, Xueli Tao, Minjie Ma","doi":"10.2196/94189","DOIUrl":"10.2196/94189","url":null,"abstract":"<p><strong>Background: </strong>Digital transformation through electronic health records (EHRs), telehealth, mobile health, and emerging AI has reshaped nursing work. Beyond questions of adoption and usability, nurses report disruptions to workflow continuity, professional identity, moral agency, and the meaning of care.</p><p><strong>Objective: </strong>This study aimed to synthesize interdisciplinary evidence on how digital transformation reshapes nursing professional experience and to develop the fragmented professional transition in nursing (FPT-N) model as a critical sociotechnical explanatory framework.</p><p><strong>Methods: </strong>A critical interpretive synthesis was conducted across nursing, health informatics, and organizational literature. A structured search of PubMed or MEDLINE, CINAHL, PsycInfo, and Scopus was followed by purposive theoretical sampling for conceptual richness. We included primary qualitative and mixed methods studies, 1 quantitative observational workflow study, and secondary syntheses used for triangulation. Qualitative evidence was appraised with the Critical Appraisal Skills Programme qualitative checklist to inform interpretive weighting. We used line-by-line coding, constant comparison, memoing, and synthesizing arguments.</p><p><strong>Results: </strong>The search identified 2847 records. After removing 865 duplicates, 1982 records were screened, 124 full-text reports were assessed, and 13 evidence sources were included. The synthesis generated 3 interacting mechanisms: workflow fragmentation, epistemic injustice in data-centric care, and expansion of invisible digital articulation work. Quantitative triangulation showed that 2871 interruption events were recorded across 145 observed shifts in 1 EHR workflow study, supporting the interpretation that digital work can intensify cognitive load. Contextual moderators, including governance, staffing, interoperability, and digital capital, shaped whether nurses experienced adaptive reintegration or alienation.</p><p><strong>Conclusions: </strong>Digital transformation may reconfigure important parts of nursing work around data production, potentially reducing the visibility of narrative clinical judgment and amplifying hidden coordination labor in some contexts. The FPT-N model offers a critical explanatory framework for examining when digital health implementation supports adaptive reintegration vs fragmented professional transition. The model identifies actionable targets for design and governance: aligning EHR workflows with nursing cognition, reducing interruptive documentation burden, recognizing invisible digital articulation work, preserving narrative clinical judgment, and involving nurses in sociotechnical decision-making.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e94189"},"PeriodicalIF":0.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Health Technology Use by Vietnamese Americans: Cross-Sectional Study.","authors":"Richard Qiu, Jinni Tang, Weiming Ke, Nnume Nwankwo, Lauren B Garza, Alexis Le, Angelina P Nguyen","doi":"10.2196/83091","DOIUrl":"https://doi.org/10.2196/83091","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Digital health technologies (DHTs), including mobile health (mHealth) apps and online medical records, are increasingly being used to support self-management and communication with health care professionals among the general population across the United States. However, few studies have explored whether cultural, privacy, and sociodemographic factors may influence DHT adoption among Vietnamese Americans specifically.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This cross-sectional study aimed to explore DHT use, barriers to adoption, and their associations with social determinants, such as age, sex, social support, and mental health concerns, among Vietnamese Americans.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Data were collected from a sample of Vietnamese American adults (n=304) through surveys assessing DHT engagement, confidence in medical record security, and social and psychological factors. Descriptive statistics and inferential analyses, including 2-tailed t tests and chi-square tests, were used to examine differences across demographic groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Many participants had engaged with mHealth tools (253/304, 83.2%), including using mobile devices for health tracking (185/302, 60.9%), and health care professional discussions (194/301, 64.5%). Online medical records were reported to be widely available (230/304, 75.7%), with a large proportion of the participants (182/227, 80.2%) accessing them at least once in the past year. Privacy concerns were a key barrier to using online medical records, with 40.5% (17/42) of nonusers citing security fears, and 26.6% (81/304) reporting withholding health information from health care professionals. The main reasons participants did not access online medical records (45/304, 14.8%) were that they preferred to speak to health care professionals directly (31/44, 70.5%) or did not perceive a need to access their online medical records (30/43, 69.8%). There were no statistically significant differences in sociodemographic characteristics between DHT users and nonusers. There were statistically significant differences in the levels of social support of participants who had varying levels of confidence in the security of their medical records (F2,301=10.19; P&lt;.001; η²=0.063). A greater proportion of male participants reported distrust (ie, being \"not confident\" in the security of their medical records) than female participants (χ22=20.8; P&lt;.001), indicating a significant association between sex and confidence level.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;While DHT adoption is high among Vietnamese Americans, privacy concerns remain a major barrier to full use of online medical records. Health care professionals and public health initiatives should focus on improving trust in medical record security, incorporating culturally tailored education on the benefits of digital health, and leveraging social media and mHealth tools to optimize patient engagement. Developing stronger ","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e83091"},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Sarcopenia Management Systems for Former Homeless Older Adults Residing in Supportive Housing: Mixed Methods Study.","authors":"Phatcharaphon Whaikid, Noppawan Piaseu, Tiraporn Junda, Kamonrat Kittipimpanon, Anita M Souza, Kulapong Jayanama","doi":"10.2196/95347","DOIUrl":"10.2196/95347","url":null,"abstract":"<p><strong>Background: </strong>Former homeless older adults represent a highly vulnerable population facing substantial community health challenges, including an elevated risk of sarcopenia due to compounded health and social disadvantages. Developing a context-specific management system is crucial for enhancing early detection, prevention, and care within supportive housing settings.</p><p><strong>Objective: </strong>This study aimed to develop and evaluate the feasibility of a sarcopenia management system for former homeless older adults in Thailand.</p><p><strong>Methods: </strong>mixed methods design was used, consisting of three phases: (1) development, (2) implementation, and (3) preliminary evaluation testing. The development phase engaged 18 stakeholders and 32 focus group participants (former homeless older adults and staff) through 2 rounds of consultation. The system was subsequently implemented and preliminarily evaluated for feasibility, perceived quality, perceived benefits, and user satisfaction.</p><p><strong>Results: </strong>Through qualitative methods and a systematic review, a context-specific sarcopenia management system was developed for former homeless older adults. The system comprised five core components screening, classification, management, follow-up, evaluation and was integrated into routine care processes involving multidisciplinary staff and homeless volunteers within a supportive housing setting. The system was subsequently implemented and preliminarily tested among 116 former homeless older adults living in a supportive housing facility in Thailand. Preliminary findings indicated good feasibility and acceptability of the system. The perceived quality of the system achieved a mean score of 2.6 (SD 0.48), while perceived benefits were rated at 3.8 (SD 0.40). Overall satisfaction with system use and implementation processes achieved mean scores of 2.8 (SD 0.41) and 2.72 (SD 0.79), respectively, indicating high user satisfaction.</p><p><strong>Conclusions: </strong>This study presents the first context-sensitive sarcopenia management system specifically developed for former homeless older adults in supportive housing in Thailand. The system was well accepted and shows promise for strengthening early detection, prevention, and management of sarcopenia in community-based housing settings.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e95347"},"PeriodicalIF":0.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13419287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Persons With Disabilities Regarding Home Adaptation and Assistive Products in a Rural Community of Northern Thailand: Qualitative Study.","authors":"Anuchart Kaunnil, Hataichanok Apikomonkon, Jiranan Griffiths, Peeraya Munkhetvit","doi":"10.2196/95026","DOIUrl":"10.2196/95026","url":null,"abstract":"<p><strong>Background: </strong>Chiang Mai Province, located in northern Thailand, is a well-known tourist destination. Its rural areas are characterized by mountainous and valley landscapes, where residents primarily engage in agricultural activities and maintain traditional ways of life rooted in Northern Thai culture. However, persons with disabilities in rural areas of Chiang Mai face significant challenges in enhancing their quality of life and well-being. Home adaptations and assistive products are essential for these individuals, as they facilitate daily activities and improve overall living conditions. To address the needs of persons with disabilities in these communities effectively, it is crucial to gather insights and perspectives that reflect their everyday experiences.</p><p><strong>Objective: </strong>This study aimed to explore the experiences of persons with disabilities, focusing on the needs and obstacles they encounter in accessing home adaptation and using assistive products.</p><p><strong>Methods: </strong>A qualitative approach was used for this study. Individual interviews were conducted with 11 persons with disabilities residing in rural communities of the Doilor Subdistrict in Chiang Mai, Thailand. The data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Five themes emerged: (1) financial and personal burdens of home adaptations, (2) living with safety risks in the home environment, (3) the need for assistive products aligned with individual health conditions and contexts, (4) challenges in accessing mobility support and essential services, and (5) emotional impact and sociocultural support.</p><p><strong>Conclusions: </strong>The findings indicate that persons with disabilities in rural northern Thailand encounter multifaceted barriers to enhancing their mobility and adapting to their home environments. More effort is needed to enhance home modification support, integrate assistive products, and provide transportation accessibility that promotes community inclusion for persons with disabilities. This study highlights the influence of organizational priorities on community practice and the need for person-centered practice to ensure that modifications lead to meaningful outcomes valued by persons with disabilities in the future.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e95026"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13313409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a Culturally Based Intervention Model on Infant Weight and Maternal Perceptions of Breastfeeding Adequacy Following Caesarean Section: Quasi-Experimental Study.","authors":"Tri Budiati, Setyowati Setyowati, J M Seno Adjie, Jajang Gunawijaya","doi":"10.2196/75203","DOIUrl":"10.2196/75203","url":null,"abstract":"<p><strong>Background: </strong>The breastfeeding coverage rate (that is, the number of mothers reached by breastfeeding programs) in several regions in Indonesia, including Banten and West Java, is still below the actual rate of breastfeeding nationwide. The breastfeeding coverage rate is influenced by mothers' condition after childbirth, particularly among mothers who have had a caesarean section. Support from partners, family, and close friends also has a large influence on the continuation of exclusive breastfeeding.</p><p><strong>Objective: </strong>This study aims to identify the effectiveness of a culturally based intervention and its effect on mothers' perceptions of breast milk adequacy and the weight of newborns after caesarean section.</p><p><strong>Methods: </strong>This study used a quasi-experimental design involving 116 respondents who were grouped into control and intervention groups. Pre- and postintervention measurements were taken using the Perceived Insufficient Milk scale (r=0.976) and calibrated baby weight scales. Paired t tests were used for the analysis.</p><p><strong>Results: </strong>There was a significant increase in perception of breast milk adequacy and newborn weight in the intervention group compared to the control group. The intervention also increased the odds of perceiving breastfeeding as \"very sufficient\" by 2.53 times (odds ratio 2.53, 95% CI 1.36-4.73) after controlling for culturally held myths regarding breast milk insufficiency and family support.</p><p><strong>Conclusions: </strong>This model could be applied as an alternative intervention by health care personnel, especially nurses, to support postpartum mothers who have undergone a cesarean section.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e75203"},"PeriodicalIF":0.0,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148304246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Culture-Based Breast Health Education Program on Breast Self-Examination Practice Among High-Risk Women: Randomized Controlled Trial.","authors":"Sumaira Naz, Sureeporn Thanasilp, Wasinee Wisesrith","doi":"10.2196/85340","DOIUrl":"10.2196/85340","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer (BC) symptom awareness through screening measures, such as breast self-examination practice (BSEP), is promoted in low-resource countries. The Muslim culture has a unique impact on family support for women's health care decisions, especially from the mother. Given the proven effect of educational intervention on breast health through interactive sessions and mobile health, implementation according to Muslim cultural values through family support, especially from the mother, was lacking, and this study was planned.</p><p><strong>Objective: </strong>This study aimed to determine the effects of a culture-based breast health education program (CBBHEP) on BSEP in high-risk women.</p><p><strong>Methods: </strong>A single-site randomized controlled trial was conducted in a hospital on 72 high-risk women, aged 20-50 years, from August 19 to November 29, 2024. The trial was registered prospectively (ID: ISRCTN-39194106). The participants were matched in pairs by age and educational level, and randomly assigned to experimental and control groups. The intervention program was based on social cognitive theory and the cultural identity concept of the PEN-3 model. The program consisted of face-to-face interactive sessions and a health app called a Women's Health app for promoting BSEP. The experimental group received CBBHEP, whereas the control group received the usual care. BSEP was measured at baseline and 12 weeks using a translated, valid, and reliable Toronto BSE frequency and proficiency of practice scale. Data analysis was performed using 1-way analysis of covariance and paired sample 1-tailedt test.</p><p><strong>Results: </strong>The participants in the experimental group who received CBBHEP for 12 weeks increased their BSEP much better than those in the control group (F1, 69=58.908, η2=0.46; P<.001). The results also revealed a statistically significant effect of a higher BSEP in the experimental group (t35=7.21, Cohen d=0.88; P<.001).</p><p><strong>Conclusions: </strong>The findings suggest that health care practitioners can apply this program to increase BSEP among high-risk women through their family support, especially from mothers.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e85340"},"PeriodicalIF":0.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Knowledge, Anxiety, and Access to Voluntary Counseling and Testing Among People With HIV During the COVID-19 Pandemic: Cross-Sectional Study.","authors":"Sitti Shoimatul Azizah, Sri Yona, Risyda Zakiyah Hanim, Rahmat Kurniawan, Anggri Noorana Zahra","doi":"10.2196/75227","DOIUrl":"10.2196/75227","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic caused significant disruption in health care services. Many essential services were delayed by health care facilities, including voluntary counseling and testing (VCT) services for people living with HIV. There were many reports of interruption in HIV testing, antiretroviral therapy (ART) initiation, and also ART access for people living with HIV during the pandemic. Patients were unable to attend follow-ups and acute care visits due to fear and anxiety. This situation also caused stress for people living with HIV.</p><p><strong>Objective: </strong>This study aimed to determine the level of COVID-19 knowledge, anxiety, and access to VCT services for people living with HIV.</p><p><strong>Methods: </strong>This cross-sectional, correlational study was conducted with 200 participants at 1 public hospital in Samarinda (n=140, 70%) and 1 public hospital in South Jakarta (n=60, 30%), Indonesia, from August 2022 to April 2023. Sampling was done using convenience methods and predefined inclusion criteria. Data collection included a demographic information form, COVID-19 knowledge questionnaire, the Coronavirus Anxiety Scale, and a questionnaire assessing access to health services.</p><p><strong>Results: </strong>Both COVID-19 knowledge (odds ratio 11.246, 95% CI 11.246; P=.001) and anxiety (odds ratio 2.258, 95% CI 2.216; P=.03) had a positive and significant relationship with access to health services. A multivariate analysis showed that the most influential factor affecting access to VCT services was knowledge (P=.001; B=2.289).</p><p><strong>Conclusions: </strong>This study highlights the need for enhanced support and education for people living with HIV or AIDS regarding their knowledge of and anxiety related to COVID-19, particularly considering their vulnerabilities. To ensure compliance with health protocols in future pandemics, it is crucial to improve access to health care services. One key recommendation is to enhance the VCT service system, especially for people living with HIV or AIDS, during public health emergencies such as the COVID-19 pandemic. Additionally, services such as telemedicine and telehealth should be further developed to allow people living with HIV or AIDS to receive ART without the need for in-person hospital visits.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e75227"},"PeriodicalIF":0.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Barriers to Hands-Free, Eyes-Free Voice Input for Nursing Records: Field Usability Study.","authors":"Natsuko Nishida, Chang Liu, Goshiro Yamamoto, Tomohiro Kuroda","doi":"10.2196/71462","DOIUrl":"10.2196/71462","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Nursing records are essential for maintaining patient care quality but impose a substantial workload on nurses, thus contributing to burnout and diverting attention from direct care. Voice input technology enables hands-free and eyes-free documentation, allowing simultaneous patient care and record entry. Despite its potential, its adoption in clinical nursing practice remains limited owing to concerns about patient privacy, technical instability, and the complexity of entering structured data into electronic medical record interfaces. Furthermore, most previous studies have been conducted in simulation settings or have focused on post hoc dictation. Thus, the feasibility of true simultaneous documentation in real-world clinical environments remains largely unexplored.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This pilot study was designed to explore the feasibility of using hands-free and eyes-free voice input for concurrent nursing documentation in the highly structured clinical environment of a catheterization laboratory.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study was conducted at Kyoto University Hospital using a mixed methods exploratory design. Eight cases of percutaneous transhepatic cholangiodrainage and transcatheter arterial chemoembolization were observed between December 2022 and January 2023. Five nurses participated in this study and documented intraoperative events using both traditional handwritten records and a prototype voice dialogue system comprising a smartphone (Google Pixel 6a) and wireless earphones (Pixel Buds Pro). Researchers observed the nurses' behavior in adjacent control rooms to minimize interference. Log data from voice input and the corresponding handwritten notes were compared to determine the proportion of events successfully captured. In addition, semistructured interviews and usability surveys were conducted to obtain qualitative feedback on usability, practicality, and perceived barriers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Voice input successfully recorded 40% to 100% of events during the preoperative and intraoperative phases, but only 0% to 12% during postoperative documentation. Observations and interviews revealed that the postoperative phase involved higher cognitive and communication demands, thereby making simultaneous voice documentation difficult. A significant barrier identified was the \"social awkwardness\" of interacting with the system; nurses reported feeling embarrassed when speaking loudly to activate the device and often stepped away from patients to record data, negating the benefit of concurrent entry. Concerns about disturbing patients or interrupting medical communication have also hindered use.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This pilot study identified two major barriers in applying concurrent voice input in clinical settings: (1) the instability and unreliability of using voice input as the sole recording method and (2) the conflict between voice interaction an","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"10 ","pages":"e71462"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148152302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}