PEC innovation最新文献

{"title":"Visuals versus textual scales: Optimizing reliability and user experience in observational assessment of parent-child interaction","authors":"Mirte L. Forrer ,&nbsp;Carlo Schuengel ,&nbsp;Mirjam Oosterman","doi":"10.1016/j.pecinn.2025.100376","DOIUrl":"10.1016/j.pecinn.2025.100376","url":null,"abstract":"<div><h3>Objective</h3><div>Assessment of parent-child interaction by practitioners is of great importance but hindered by a lack of instruments that withstand the constraints daily practice places on usage. Visuals may offer an alternative format. Visualizations were tested on reliability, accuracy, and feasibility in observational assessment of parent-child interaction, as alternatives for textual rating scales.</div></div><div><h3>Methods</h3><div>In Study 1, 95 students rated parent-child interactions with a video or text anchor scale, and in Study 2, 217 professionals rated the same interactions with a decision tree including visual components or a text anchor scale.</div></div><div><h3>Results</h3><div>Students using the video anchor scale were less reliable and accurate, slower, and had a less positive user experience than students using the text anchor scale. Professionals using the decision tree did not differ in reliability and were comparable in user experience with professionals using the text anchor scale. Rater accuracy showed similar dependency on quality of parental behavior for both scales: ratings were less accurate when the quality of the parent-child interaction was low, and more accurate when the quality was high. However, professionals were less accurate and slower in using the decision tree than the text anchor scale.</div></div><div><h3>Conclusion</h3><div>With a first iteration of a decision tree performing the same to or only slightly worse, efforts to further develop decision trees might be worthwhile.</div></div><div><h3>Innovation</h3><div>These nonintuitive findings underscore the value of experimental testing in assessment design in daily practice.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168144","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":"Editorial – Advancing family integrated care through health promotion, education, and communication","authors":"Anne van Kempen,&nbsp;Nicole van Veenendaal,&nbsp;Nanon Labrie","doi":"10.1016/j.pecinn.2025.100384","DOIUrl":"10.1016/j.pecinn.2025.100384","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100384"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580133","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":"Patient counselling on opioids by pharmacy technicians: A mixed-method study to explore facilitators and barriers","authors":"Elsemiek A.W. Jansen-Groot Koerkamp ,&nbsp;Irem Simsek ,&nbsp;Eman Badawy ,&nbsp;Mette Heringa ,&nbsp;Marcel L. Bouvy","doi":"10.1016/j.pecinn.2025.100382","DOIUrl":"10.1016/j.pecinn.2025.100382","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigates community pharmacy technicians' (PTs) counselling practices for patients prescribed opioids and identifies facilitators and barriers influencing their counselling behaviour.</div></div><div><h3>Methods</h3><div>A sequential exploratory mixed-method study involving interviews and a questionnaire was conducted among PTs, working in Dutch community pharmacies. PTs were recruited via professional networks, panels and social media. Inductive thematic analysis was performed for interviews. Descriptive statistics of questionnaires was performed and associations between behaviour of discussing dependency and background characteristics (1), barriers (2) and beliefs (3) were tested.</div></div><div><h3>Results</h3><div>Nineteen topics emerged from 18 interviews. Out of 252 questionnaire-respondents, most PTs consistently discussed dosage and common side effects during the first opioid dispense. Although 92 % considered discussing opioid dependency important, only 62 % frequently performed it. Barriers included a lack of information about the indication (<em>p</em> = 0.012), lack of work agreements (<em>p</em> = 0.017), time (<em>p</em> = 0.022), feeling insecure (<em>p</em> = 0.041), less work experience (<em>p</em> = 0.025) and the belief that prescribers are responsible for discussing opioid dependency with patients (<em>p</em> = 0.018).</div></div><div><h3>Conclusion</h3><div>The high importance that PTs place on counselling patients on opioid dependency does not match their behaviour. To close this gap and optimize the role of PTs in promoting safe opioid use, organizational and competency-related barriers must be addressed. This includes clear work protocols, communication training and including the indication on opioid prescriptions.</div></div><div><h3>Innovation</h3><div>This research focuses on an underexplored group involved in patients' opioid management, crucial for designing effective interventions, as PTs frequently have direct patient contact.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100382"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464978","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":"A novel outreach approach for identification of familial hypercholesterolemia: Interview-based formative evaluation to improve healthcare access and quality","authors":"Rachel C. Forcino ,&nbsp;Terry Sturke ,&nbsp;Mary P. McGowan ,&nbsp;Amanda N. Perry ,&nbsp;Shoshana H. Bardach ,&nbsp;Vikrant S. Vaze ,&nbsp;Kerrilynn C. Hennessey","doi":"10.1016/j.pecinn.2025.100407","DOIUrl":"10.1016/j.pecinn.2025.100407","url":null,"abstract":"<div><h3>Background</h3><div>Familial hypercholesterolemia (FH) is a genetic condition which elevates cholesterol levels and increases risk of premature cardiac events. Medical treatment greatly reduces those risks. However, in the United States, FH is markedly underdiagnosed. We aimed to design and evaluate direct outreach and referral to specialty care for patients with an elevated risk of FH identified through application of a machine learning model and expert review of the electronic health record in a rural United States health system.</div></div><div><h3>Methods</h3><div>Two sets of interviews: (1) seeking advice for designing outreach from a convenience sample comprising health professionals and members of the public both with and without FH and (2)) evaluating the outreach with a convenience sample of health professionals and patients who received the outreach. Two researchers conducted each interview. Thematic analysis included investigator triangulation.</div></div><div><h3>Results</h3><div>We conducted 15 pre-outreach interviews and 32 post-outreach interviews. Most members of the public felt the outreach should be initiated by the patient's primary care clinician, while health professionals recommended outreach directly from a lipid specialist after notifying the primary care clinician. Outreach ultimately included primary care clinician notification; a mailed letter from lipid specialists to the patient indicating partnership with primary care; a message sent through the online patient portal; and a telephone call(s) from a lipid specialist to the patient. Phone calls were most impactful in prompting a clinical evaluation for FH. We identified 4 themes: (1) Both patients and clinical team members supported direct-to-patient outreach about FH; (2) Phone calls from lipid specialists to patients were considered high-value; (3) The importance of primary care team member involvement was perceived differently between pre- and post-outreach phases; and (4)) Outreach had a broader impact beyond the individual patients reached, including family screening.</div></div><div><h3>Innovation</h3><div>This study provides key insights into the acceptable design and use of machine learning and electronic health record data for direct-to-patient outreach.</div></div><div><h3>Conclusions</h3><div>Partnership with the target population led to direct-to-patient FH outreach that was acceptable to most recipients. High-touch engagement by lipid specialists included repeat phone calls, which maximized patients' response but are unlikely to be sustained in routine practice.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100407"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers","authors":"Bob C. Mulder ,&nbsp;Hylkje Algra ,&nbsp;Esther Cruijsen ,&nbsp;J. Marianne Geleijnse ,&nbsp;Renate M. Winkels ,&nbsp;Willemieke Kroeze","doi":"10.1016/j.pecinn.2025.100405","DOIUrl":"10.1016/j.pecinn.2025.100405","url":null,"abstract":"<div><h3>Objective</h3><div>This article reports the findings of focus-group discussions with healthcare providers concerning the facilitators and barriers they experience when engaging in therapeutic patient education (TPE).</div></div><div><h3>Methods</h3><div>Five focus-group discussions were held with a total of 21 primary and secondary healthcare providers. Discussions were moderated using a topic list that was co-created with healthcare providers. All discussions were recorded, transcribed verbatim and analysed thematically.</div></div><div><h3>Results</h3><div>Healthcare providers consider TPE important, but it requires long-term, continuous effort in order to be effective. They sometimes doubt its effectiveness and their own efficacy. Moreover, healthcare providers experience a lack of a supportive environment. Overall, their experiences could be captured in four categories of determinants of engaging in TPE: Capabilities, Motivation, Physical Context and Social Context.</div></div><div><h3>Conclusion</h3><div>Therapeutic patient education requires healthcare providers to be capable and motivated. To maintain the continuous effort needed, healthcare providers need to be supported both socially (e.g. by colleagues and management) and physically (e.g. through communication infrastructure).</div></div><div><h3>Innovation</h3><div>In contrast to previous studies focusing on the motivation and capability of healthcare providers to perform TPE, this study contributes to innovation in health communication by identifying social and physical factors that determine whether TPE is delivered continuously under actual or perceived constraints in terms of time and effectiveness.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100405"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the language availability, readability, suitability and comprehensibility of heat-health messaging content on health authority webpages and online resources in Canada","authors":"Emily J. Tetzlaff ,&nbsp;Kristina-Marie T. Janetos ,&nbsp;Katie E. Wagar ,&nbsp;Farah Mourad ,&nbsp;Melissa Gorman ,&nbsp;Victor Gallant ,&nbsp;Glen P. Kenny","doi":"10.1016/j.pecinn.2024.100368","DOIUrl":"10.1016/j.pecinn.2024.100368","url":null,"abstract":"<div><h3>Objectives</h3><div>Heat-health communication initiatives are a key public health protection strategy. Therefore, understanding the potential challenges that all Canadians and specific groups, such as those facing literacy barriers and non-native language speakers, may experience in accessing or interpreting information, is critical.</div></div><div><h3>Methods</h3><div>This study reviewed and evaluated the language availability, readability, suitability, and comprehensibility of heat-related webpages and online resources (<em>n</em> = 417) published on public health authority websites in Canada (<em>n</em> = 73). Six validated readability scales and a comprehensibility instrument were used.</div></div><div><h3>Results</h3><div>Most content was presented in English (90 %); however, only 7 % of the online resources were available in more than one language. The average reading grade level of the content (grade 8) exceeded the recommended level (grade 6), and only 22 % of the content was deemed superior for suitability and comprehensibility.</div></div><div><h3>Conclusions</h3><div>Our study evaluating web-based materials about extreme heat published by Canadian health authorities provides evidence that the current language availability, readability, suitability, and comprehensibility may be limiting the capacity for members of the public to discern key messaging.</div></div><div><h3>Innovation</h3><div>To ensure all Canadians can access and interpret information related to heat-health protection, public health authorities may consider translating their materials into additional languages and incorporating a readability evaluation to improve public understanding.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100368"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082499","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":"Communication across language barriers in Nordic paediatric oncology care – A cross-sectional multicentre survey with healthcare personnel","authors":"Melissa Jakobsson ,&nbsp;Helena Ventovaara ,&nbsp;Johanna Granhagen Jungner ,&nbsp;Eva Broström ,&nbsp;Elisabet Tiselius ,&nbsp;Pernilla Pergert","doi":"10.1016/j.pecinn.2025.100395","DOIUrl":"10.1016/j.pecinn.2025.100395","url":null,"abstract":"<div><h3>Objective</h3><div>The study investigated how healthcare personnel communicate with families when experiencing language barriers, and the use of interpreters in Nordic paediatric oncology care.</div></div><div><h3>Methods</h3><div>A cross-sectional multicentre survey study with registered nurses (RNs) and medical doctors (MDs) at 20 Nordic paediatric oncology centres. The “Communication over Language Barriers questionnaire” (CoLB-q) was used in the respective Nordic languages. Descriptive analysis and non-parametric tests were used to summarize and compare data.</div></div><div><h3>Results</h3><div>A total of 489 RNs and MDs completed the survey (response rate of 55 %). Although most respondents reported often or sometimes caring for families with limited proficiency in the country's majority languages, only 20 % had received education in how to use an interpreter. When communicating without an interpreter both professions had used relatives and children as language brokers to some extent. Most respondents assessed that the use of interpreters increased families' participation and improved their care relationships with the families. MDs used interpreters more often than RNs, who in turn used children as language brokers more frequently than the MDs did.</div></div><div><h3>Conclusion</h3><div>Although most respondents believed that a professional interpreter increases patients' and families' participation and safety in care, children were used as language brokers by both professions. Few had received education or training on how to use an interpreter despite that most participants often met families with limited proficiency in the country's majority language.</div></div><div><h3>Innovation</h3><div>This study highlights a critical gap and underscores the necessity for healthcare personnel to receive education and training on utilizing professional interpreter resources.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100395"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and confidence regarding pressure ulcer prevention among caregivers of high-risk individuals: A pre- and post-education assessment in a single-center","authors":"Maram T. Alkhatieb ,&nbsp;Rahaf W. Shigdar ,&nbsp;Zainab A. Alkhalifah ,&nbsp;Hussain A. Alkhalifah ,&nbsp;Hanan F. Alsabri ,&nbsp;Lama W. Attar ,&nbsp;Hana Z. Fatani ,&nbsp;Haifa M. Alnahdi","doi":"10.1016/j.pecinn.2025.100393","DOIUrl":"10.1016/j.pecinn.2025.100393","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to measure the effect of implementing a pressure ulcer (PU) educational program on the knowledge and confidence of caregivers taking care of bedridden patients or patients with limited mobility.</div></div><div><h3>Methods</h3><div>This study included caregivers of immobile or bedridden patients in our center from 23 April 2023 to 13 May 2023. A pre-assessment questionnaire to assess knowledge about PUs was provided. After this, an educational session was implemented. Thereafter, a post-assessment questionnaire was provided to measure the education outcomes.</div></div><div><h3>Results</h3><div>A total of 98 caregivers were included in the study; the majority were females (<em>n</em> = 69, 70.4 %) and were family members of the patient (<em>n</em> = 89, 90.8 %). Most have never received education on PUs and their prevention (<em>n</em> = 63, 64.3 %). The education sessions significantly affected the level of knowledge, as the scores were significantly higher post-education compared to pre-education (16.96 ± 2.73 vs. 11.06 ± 3.71, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Overall, we found that education sessions on PUs using different visual and audio aids could significantly increase caregivers' knowledge of PU prevention.</div></div><div><h3>Innovation</h3><div>We adopted a multi-faceted approach by developing original educational materials tailored to non-professional caregivers, including videos, booklets, and brochures in Arabic and English. This helped ensure accessibility and enhance the potential for widespread applicability in diverse home settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“In some ways it feels like a specialism”: Exploring the lived experience of multilingual maternity professionals – A qualitative interview study","authors":"Emma Brooks","doi":"10.1016/j.pecinn.2025.100378","DOIUrl":"10.1016/j.pecinn.2025.100378","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the experience of multilingual maternity staff working in UK NHS hospitals.</div></div><div><h3>Methods</h3><div>As part of an exploratory qualitative descriptive approach, semi-structured interviews were conducted with multilingual healthcare professionals, working in perinatal care in different NHS trusts across the United Kingdom. Interviews were audio-recorded, transcribed and subsequently analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Where practitioners were able to draw on their linguistic skills, they felt that multilingualism was a specialism and appreciated by colleagues. Practitioners also felt that the utilisation of shared languages could boost the confidence of women and birthing people, as well as improving their understanding and sense of wellbeing. Conversely, several practitioners felt an obligation to offer linguistic support, noting that it added to a workload burden, and fear of litigation, that was not experienced by monolingual colleagues.</div></div><div><h3>Conclusion</h3><div>Strategic utilisation of linguistically skilled NHS practitioners may hold the potential for advancing equity of care for migrant populations, who are regularly and disproportionately represented in data recording adverse outcomes.</div></div><div><h3>Innovation</h3><div>Investing in institutional support and formal accreditation for multilingual health professionals would enable them to be able to operate with confidence, redress (invisibilized) workloads and contribute to advancing parity of care for migrant patients.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143219154","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":"Changes in community pharmacy communication – Towards emotional awareness at the pharmacy counter","authors":"Nanna Broch Mottelson ,&nbsp;Gitte Reventlov Husted ,&nbsp;Susanne Kaae ,&nbsp;Charlotte Verner Rossing ,&nbsp;Christina Fogtmann Fosgerau","doi":"10.1016/j.pecinn.2025.100380","DOIUrl":"10.1016/j.pecinn.2025.100380","url":null,"abstract":"<div><h3>Objective</h3><div>To explore whether and how community pharmacy staff display an alteration in emotional awareness through interactional behavior during desk meetings after participating in a mentalizing education programme, and thereby to investigate if theoretical learnings, or offline social cognition, can be translated into actual communicative practice, or online social cognition.</div></div><div><h3>Methods</h3><div>As part of a larger feasibility study, we developed a methodological framework to categorize interactional contributions in relation to mentalizing communication and emotional awareness. The framework was applied to a total of 50 video recordings of community pharmacy desk interactions from 11 Danish community pharmacies who all participated in the mentalizing education programme. Through this, pharmacy staffs' interactional contributions from 25 video recordings before and 25 video recordings after participation were categorized and descriptively compared.</div></div><div><h3>Results</h3><div>Pharmacy staff appear to display an altered orientation towards patients post-education; they produce more questions when initiating interactions (first position talk-turns) and more responses to patients' utterances (third position talk-turns). Furthermore, the realizations of third position contributions in post-participation measures display heightened emotional awareness, rendering a greater orientation to patients' perspectives.</div></div><div><h3>Conclusion</h3><div>In post-participation measures pharmacy staff displayed an altered interactional approach to patients. This contributes to research concerning competency training of healthcare professionals and adds weight to the notion that online social cognitive skills can be affected through training of offline social cognitive skills.</div></div><div><h3>Innovation</h3><div>The methodological framework provides a novel and innovative approach to investigating changes in communicative practices. The framework is appropriate for all dialogical healthcare communication research.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100380"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394942","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}