Administration and Policy in Mental Health and Mental Health Services Research最新文献

{"title":"Addressing the Gap: Real-World Evidence of Technology-Enabled Coaching Services for Mental Health.","authors":"Sara Sagui Henson, Komal Kumar, Kristen M Van Swearingen, Jessica Watrous, Neha Chaudhary","doi":"10.1007/s10488-025-01473-8","DOIUrl":"https://doi.org/10.1007/s10488-025-01473-8","url":null,"abstract":"<p><p>A quarter of US adults face mental health challenges, yet less than half receive treatment, partly due to therapist shortages. Scaling trained paraprofessionals to provide effective care could address this gap. We evaluated the impact of evidence-based coaching within a real-world blended care digital mental health platform. 266 working adults (62% women, M_age=33 years, 40% people of color) newly enrolled (2021-2022) in the platform (Modern Health) completed surveys at baseline and 3-months. Participants primarily engaged with certified professional coaches and could also access therapy and digital resources. We examined pre-post changes in outcomes and differences by baseline clinical status. Participants used an average of 2.5 coaching sessions and improved in distress tolerance (+ 4.1%), perceived stress (-8.4%), self-compassion (+ 5.9%), and mindfulness (+ 2.6%) (ps < 0.01). Although elevated risk users (vs. lower risk) reported descriptively greater improvements in distress tolerance (+ 4.7% vs. +3.7%), perceived stress (-10% vs. -3.7%), self-compassion (+ 7.6% vs. +5.2%), and mindfulness (+ 3.3% vs. +2.1%), these differences were not statistically significant (ps > 0.05). Depression (-22.5%) and anxiety (-12%) improved (ps < 0.001), with elevated risk users reporting greater reductions (b=-3.15, p < .001 for depression; b=-2.61, p < .001 for anxiety). Among elevated risk users, 71.7% improved or recovered from depression or anxiety and 96.1% of lower risk users maintained lower depression and anxiety. Technology-enabled coaching, as part of a blended care platform, improved depression, anxiety, and transdiagnostic emotional processes. Participants with higher baseline depression and anxiety reported greater improvements, highlighting coaching's effectiveness for people with elevated needs. By redefining care and leveraging technology, coaching may be a scalable treatment solution.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145181750","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":"Inner and Outer Contextual Factors Impacting Mental Health and Criminal Legal Cross-Systems Collaborations.","authors":"Stacey L Barrenger, Leslie L Wood, Natalie Bonfine","doi":"10.1007/s10488-025-01474-7","DOIUrl":"https://doi.org/10.1007/s10488-025-01474-7","url":null,"abstract":"<p><p>People with serious mental illnesses continue to be overrepresented within the criminal legal system despite multiple diversion and reentry intervention efforts. Engaging in a coordinated systems-level approach to this problem has increased, as mental health criminal legal cross-systems collaborations, like Stepping Up and Sequential Intercept Mapping, proliferate across the United States. Despite their proliferation, little is known about how these cross-systems collaborations operate, including what factors are present and how these factors help or hinder group effectiveness. Stakeholders engaged in mental health criminal legal cross systems collaboration participated in focus groups and in-depth interviews. Using the Exploration, Preparation, Implementation, and Sustainment framework to guide the analysis, findings showed that inner, outer, and bridging factors feature predominately in cross-systems collaborations. Inner and outer contextual factors like leadership, values, funding, and data accessibility are important to their operations. Additionally, bridging factors of purveyors (engaging in technical assistance) and systems-level collaboration strategies (cross-training, sequential intercept mapping, and data sharing) were important to supporting sustainability. Future research should investigate which systems-level collaboration factors are tied to the implementation of new practices, programs, and policies which in turn may improve the behavioral healthcare system and health outcomes for people with serious mental illnesses.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079068","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":"Retrospective Study of Homelessness among Transitioning Service Members Within Two Years after Military Service.","authors":"Jack Tsai, Dorota Szymkowiak","doi":"10.1007/s10488-025-01475-6","DOIUrl":"https://doi.org/10.1007/s10488-025-01475-6","url":null,"abstract":"<p><p>This study aimed to identify predictors of homelessness among transitioning service members (TSM) in the military. Data from the U.S. Departments of Defense (DoD) and Veterans Affairs (VA) were analyzed. A total of 211,530 TSM discharged from military service between August 2022 to December 2023. Military and clinical characteristics of TSM were examined along with any indicator of homelessness in VA records within 1 and 2 years after military discharge. Multivariable logistic regression and survival analyses were conducted. Results found that the incidence of homelessness among TSM was 1.85% within 1 year of military discharge and 2.95% within 2 years of military discharge. Among the strongest predictors of homelessness, TSM who were non-Hispanic black (aOR = 3.16, 95% CI = 2.92-3.41) or who had reasons for military discharge related to hardship (aOR = 3.26, 95% CI = 2.54-4.118), mental health/substance use (aOR = 3.89, 95% CI = 3.42-4.41), or criminal activity (aOR = 4.24, 95% CI = 3.76-4.78) were at risk of homelessness within 1 year of military discharge. Similar predictors were found among TSM for homelessness in year 2 suggesting the risk factors remain the same over time. In conclusion, some of the risks for homelessness may be ascertained from TSM while they are still in the military. Special support for TSM who are discharged due to hardship, mental health/substance use problems, and criminal activity may help prevent homelessness among veterans.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074240","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":"Preferences for Decision-Making Style and Knowledge of and Attitudes To Recovery in Mental Health Professionals Working in Inpatient and Outpatient Settings in Routine Mental Health Practice: An Exploratory Cross-Sectional Study in the Danish Mental Health Services.","authors":"Lisa Korsbek, Stine Bjerrum Moeller, Marie Bonde, Rikke Amalie Agergaard Jensen","doi":"10.1007/s10488-025-01472-9","DOIUrl":"https://doi.org/10.1007/s10488-025-01472-9","url":null,"abstract":"<p><p>In mental health care, shared decision making (SDM) is a central part of the recovery paradigm. However, implementing SDM can be challenging, and professionals may prefer different decision-making styles. This study explored preferences for decision-making style and examined their association with knowledge of and attitudes to recovery among mental health professionals in routine hospital-based services. An exploratory cross-sectional survey was conducted among mental health professionals (N = 552) in hospital-based services in one of Denmark's five regions. Preferences for decision-making style were measured using the Clinical Decision Making Style Scale - Staff Questionnaire, while professionals' knowledge of and attitudes to recovery were assessed using the Recovery Knowledge Inventory. Although the majority of participants (72.4%) preferred a shared decision-making style, there were differences in preferences based on profession, work experience, and setting. One in five reported having received SDM training, and fewer reported having access to decision-support tools. Indications of differences in knowledge of and attitudes to recovery between professionals' preferences for decision-making styles were found: those who preferred a shared or active style seemed to score higher on the RKI compared to those who preferred a passive, clinician-led style. While descriptive in nature, the findings suggest patterns in decision-making preferences that may help inform future implementation efforts. The results also suggest a potential alignment between endorsement of shared- or active decision-making styles and recovery-oriented values. Further research is needed to investigate how preferences translate into actual clinical practice and how knowledge about and attitudes to recovery may be operationalized as recovery-oriented care.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145051311","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":"One of These Things is Not Like the Other: Parents’ Experience of Family-Focused Substance Use Treatment","authors":"Emily A. Bosk,&nbsp;Sarah V. Kautz","doi":"10.1007/s10488-025-01471-w","DOIUrl":"10.1007/s10488-025-01471-w","url":null,"abstract":"<div><p>Parental substance use represents a significant source of family separation in the U.S. child welfare system. Family-focused substance use treatment programs are an innovative approach to keeping families safely together while addressing the impacts of parental substance use on children and the family system. Yet, we know very little about how families experience this new type of treatment, particularly as it relates to trauma-informed care (TIC). This qualitative study examines the experience of 24 parents participating in the In-Home Recovery Program (IHRP), an intervention that provides substance use and early child relational health treatment to families at risk of separation in the child welfare system. A content analysis indicated that IHRP was highly valued by families. The majority of participants experienced the intervention as uniquely helpful and supportive compared to other forms of substance use treatment they had previously received. Results suggest that IHRP is a model that operationalizes principles of TIC and which could be expanded as a supportive approach to parental substance use in the child welfare system to prevent family separation.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"999 - 1016"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-025-01471-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999487","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":"Exploring Teacher Practices and Perceptions of Implementing Anxiety-Focused Supports in Low-Income Urban Elementary Schools.","authors":"Kristina Conroy, Anya E Urcuyo, Elena M Schiavone, Averill F Obee, Stacy L Frazier, Elizabeth Cramer, Jonathan S Comer","doi":"10.1007/s10488-025-01468-5","DOIUrl":"10.1007/s10488-025-01468-5","url":null,"abstract":"<p><p>Surging rates in child internalizing problems require teachers to serve as frontline responders, especially in marginalized urban communities where structural barriers constrain access to healthcare resources. The current mixed methods study examined teachers' use and perceptions of tools for addressing anxiety in urban elementary schools serving predominately low-income and Black and Hispanic youth. Across surveys (N = 82) and interviews (n = 12), teachers were asked about their current practices, their perceptions of the most common evidence-based practice elements for youth anxiety, and their preferences for professional development (PD) materials going forward. All teachers endorsed use of evidence-based practices for anxiety. Among the practices assessed, teachers were most enthusiastic about using modeling, praise/rewards, cognitive coping, and relaxation strategies, and were least enthusiastic about exposure, self-monitoring, and psychoeducation. In interviews, teachers noted key facilitators (e.g., keeping strategies time-limited), and highlighted other \"setting up for success\" strategies (e.g., building relationships with students) that work to minimize anxiety in classrooms. Teachers with higher self-efficacy and sense of personal accomplishment perceived evidence-based practices for student anxiety as more usable, underscoring the importance of teachers' job-related wellness in student mental health promotion. Teachers preferred PD materials that were time-limited, asynchronous, and engaging. Taken together, findings indicate that many teachers are already incorporating evidence-based anxiety practices into their routines. Results inform policy and practice recommendations, and suggest value in leveraging teachers' existing practices and opinions to develop relevant PD materials that optimize practices for addressing child anxiety in urban schools.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938679","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":"Teacher-Delivered Mental Health Interventions: Promises, Challenges, and Recommendations for Future Directions.","authors":"Gwendolyn M Lawson, Andrew Orapallo, Golda S Ginsburg, Avery Brewton, Courtney N Baker, Gazi Azad","doi":"10.1007/s10488-025-01467-6","DOIUrl":"https://doi.org/10.1007/s10488-025-01467-6","url":null,"abstract":"<p><p>Schools are a key setting where services to support youth mental health can occur, and teachers are important for students' social, emotional and behavioral well-being. Teacher-delivered mental health prevention and intervention programs offer an opportunity to integrate mental health support meaningfully into students' everyday lives, as well as expand the reach and impact of mental health services. This is particularly important given the lack of highly trained mental health providers and the barriers to accessing clinical services. However, teachers are not trained as mental health providers and serve a primarily educational mission, and therefore, there are unique considerations for conceptualizing teachers as individuals who can deliver mental health prevention and intervention programs. The purpose of this paper is to delineate conceptual and practical issues related to utilizing teachers as non-traditional mental health providers including key opportunities and challenges to teacher-delivered mental health interventions. We present four examples of teacher-delivered programs that aim to support student mental health and well-being and use these example programs to illustrate these key opportunities and challenges. We also outline directions for future research, with the ultimate goal of enhancing teachers' skills and improving youth mental health.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938061","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":"Barriers and Facilitators to Implementation of Mental Health Task Sharing Among Older Chinese Adults: A Qualitative Study.","authors":"Yuanyuan Hu, Whitney Wortham, Emmeline Chuang, Victoria Stanhope","doi":"10.1007/s10488-025-01469-4","DOIUrl":"https://doi.org/10.1007/s10488-025-01469-4","url":null,"abstract":"<p><p>Mental health task sharing, which involves delegating select mental health tasks to non-licensed providers in social service settings, has been used globally and in the U.S. to improve access to and uptake of mental health care. This study aimed to identify barriers and facilitators to effective implementation of mental health task sharing in community-based organizations mainly serving older Chinese adults, a fast-growing older immigrant population with a high prevalence of unmet mental health needs. Semi-structured interviews were conducted in 2023 with 30 service providers from 17 community-based social service organizations in New York City that had implemented mental health task-sharing initiatives since 2016. Interview data were analyzed by two coders using the framework method, a systematic approach for managing and interpreting qualitative data through coding, charting, and thematic analysis, with codes reflecting key domains in the Consolidated Framework for Implementation Research (CFIR). Codes were further analyzed for the factors' positive or negative influence on implementation. Key barriers to the implementation of mental health task sharing included limited mental health resources, varying levels of staff mental health competencies, and insufficient financial incentives for social service organizations to provide mental health care. Facilitators to mental health task sharing implementation included supportive leadership, training, cross-system collaborations between mental health specialists and social service providers, and close teamwork between administrators and frontline providers in social service organizations. Study findings highlight the importance of more systematically integrating mental health and social care and of using culturally tailored strategies to engage different populations in care.</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938610","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":"Barriers to Access to Care Evaluation Scale - Proxy Report (BACE-PR): Evidence of Reliability and Validity for Caregivers Reporting on Children and Adolescents with Mental Health Concerns in Greece","authors":"Konstantinos Kotsis,&nbsp;Graham Thornicroft,&nbsp;Julia Luiza Schafer,&nbsp;Aspasia Serdari,&nbsp;Maria Basta,&nbsp;Caio Borba Casella,&nbsp;Lauro Estivalete Marchionatti,&nbsp;Mauricio Scopel Hoffmann,&nbsp;Alexandra Tzotzi,&nbsp;Andromachi Mitropoulou,&nbsp;André Simioni,&nbsp;Katerina Papanikolaou,&nbsp;Anastasia Koumoula,&nbsp;Giovanni Abrahão Salum","doi":"10.1007/s10488-025-01466-7","DOIUrl":"10.1007/s10488-025-01466-7","url":null,"abstract":"<div><p>To improve access to mental health care for children and adolescents, it is necessary to identify the barriers faced by their caregivers. The aim of this study is to identify these barriers in Greece and to investigate the reliability and validity of the modified version of the Barriers to Access to Care Evaluation scale (BACE) - the BACE Proxy Report (BACE-PR). A total of 265 caregivers who reported that their offspring had mental health difficulties completed the BACE-PR. Descriptive statistics were used to identify the major barriers to accessing care. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were used to investigate the factor structure of the instrument. Item parameters were assessed via Item Response Theory. Interpretability was assessed by linking summed scores to IRT-based scores. Caregivers reported care costs, their willingness to resolve problems on their own, and their own concern that their children might be seen as weak, as the major barriers to services access. Obsessive compulsive symptoms and self-harm were the conditions for which caregivers reported the highest level of barriers. EFA and CFA suggested that a one-factor solution fit the data well (RMSEA = 0.048, CFI = 0.991, TLI = 0.990). Internal consistency was found to be high (ω = 0.96). Average z-scores provided five meaningful levels of caregivers’ perceived barriers compared to the national average. Caregivers face a variety of barriers to access mental health care for their children, and this could partly explain the treatment gap in the Greek mental health sector. Our study provides evidence for the reliability and validity of the BACE-PR scale, which can aid to identify caregiver-perceived barriers and to design interventions to improve access to mental health care.</p></div>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"983 - 998"},"PeriodicalIF":2.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-025-01466-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938660","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":"An Examination of Training Quality and Provider Outcomes Across Two Generations of Train-the-Trainer","authors":"Catherine A. Callaway,&nbsp;Joshua M. Varghese,&nbsp;Emma R. Agnew,&nbsp;Laurel D. Sarfan,&nbsp;Allison G. Harvey","doi":"10.1007/s10488-025-01463-w","DOIUrl":"10.1007/s10488-025-01463-w","url":null,"abstract":"<p>Train-the-trainer (TTT) is a promising method for implementing and sustaining evidence-based psychological treatments (EBPTs) in routine practice. In TTT, external “expert” trainers train an initial provider cohort (i.e., Generation 1) and then train “local” trainers to train the next provider cohort (i.e., Generation 2). This study evaluated whether training quality and provider outcomes are maintained across two generations of TTT in a hybrid type 2 effectiveness-implementation trial. TTT was used to implement the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) in community mental health centers (CMHCs) across California, United States. CMHCs were randomized to receive training in either Standard or Adapted TranS-C. Data from both conditions were combined to maximize power. Two expert trainers trained 115 providers (Generation 1), and 25 local trainers trained 42 providers (Generation 2). Trainings were coded for gold standard training elements (TranS-C content, training techniques) using the Gold Standard Training Checklist. Providers completed a post-training assessment which measured TranS-C knowledge, acceptability, appropriateness, and feasibility of TranS-C, and willingness and confidence to use TranS-C. Local trainers delivered more gold standard training techniques than expert trainers. No differences were found between generations on provider outcomes after correcting for multiple comparisons. Sensitivity analyses excluding outliers revealed that providers trained in Generation 2 rated TranS-C as more appropriate to their setting. The extent of gold standard elements delivered in trainings were not related to provider outcomes. These findings support the potential of TTT to sustain, and even improve, training quality and provider outcomes in a CMHC setting.</p><p>The parent study was registered on ClinicalTrials.gov (NCT04154631) on 11 April 2019, https//clinicaltrials.gov/study/NCT04154631. This study was preregistered on the Open Science Framework (osfregistrationsx7v38v1).</p>","PeriodicalId":7195,"journal":{"name":"Administration and Policy in Mental Health and Mental Health Services Research","volume":"52 5","pages":"966 - 982"},"PeriodicalIF":2.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10488-025-01463-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938638","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}