American Journal of Health Promotion最新文献

{"title":"The Relationship Between Diet Quality, Nutrition Self-Efficacy and Sources of Nutrition Information in Australian Pregnant Women: A Cross-Sectional Analysis.","authors":"Akela Phillips, Tamara Bucher, Penta Pristijono, Sasha Fenton","doi":"10.1177/08901171251336931","DOIUrl":"https://doi.org/10.1177/08901171251336931","url":null,"abstract":"<p><p>PurposeTo assess diet quality and nutrition self-efficacy in pregnant women, the relationship between diet quality and nutrition self-efficacy, and differences in diet quality and self-efficacy when information obtained from health and non-health professionals.DesignObservational cross-sectional study.SettingOnline survey.SampleAustralian pregnant women.MeasuresAustralian Eating Survey measured diet quality, Ralf Schwarzer and Britta Renner nutrition self-efficacy scale measured nutrition self-efficacy.AnalysisSpearman's correlation measured the association between diet quality and nutrition self-efficacy. Linear regression examined the influence of nutrition self-efficacy on diet quality. T-tests examined differences in diet quality and nutrition self-efficacy scores in groups who did/did not obtain nutrition information from health professionals.ResultsParticipants (n = 171) (mean (SD) age 32.5 (3.9) years, 81.9% born in Australia) reported a mean diet quality score of 33.9 (8.7) out of 73 and mean nutrition self-efficacy score of 14.7 (3.7) out of 20. A moderate positive linear relationship was observed between diet quality and nutrition self-efficacy (<i>r</i>_<i>s</i> = 0.27, <i>P</i> < .001). Nutrition information was obtained by 88%, most commonly via the internet. Diet quality scores were not significantly different when nutrition information was obtained from health professionals (<i>t</i>(24) = -0.823, <i>P</i> = .32), however, nutrition self-efficacy scores were significantly higher (<i>U</i> = 856, <i>z</i> = 2.18, <i>P</i> = .03).ConclusionPregnant women report poor diet quality. Improving nutrition self-efficacy may be effective for improving diet quality. Evidence-based nutrition information should be accessible via the internet and promoted by health authorities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251336931"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Related to Self-Care Behaviors' in Chronic Heart Failure Patients: A Cross-Sectional Study in Western Iran.","authors":"Fatemeh Darabi, Arash Ziapour, Fatemeh Mohamadkhah, Shiva Malekian, Yahya Salimi, Parisa Janjani, Nahid Salehi, Murat Yıldırım","doi":"10.1177/08901171251330513","DOIUrl":"https://doi.org/10.1177/08901171251330513","url":null,"abstract":"<p><p>PurposeSelf-care is recognized as an important element in the comprehensive management of patients with heart failure. The study aimed to explore the correlations of self-care behaviors in chronic heart failure patients in Kermanshah, West Iran.DesignDescriptive and analytical cross-sectional.SettingHospital.SampleThe research population included 597 (246 female and 351 male) patients with chronic heart failure visiting Imam Ali Cardiovascular Hospital in Kermanshah in 2022.MeasuresDemographic information, European Heart Failure Self-care Behavior Scale.AnalysisIndependent-sample <i>t</i> test, ANOVA, and Kruskal-Wallis in SPSS-24. The significance level was set at 5%.ResultsThe participants' age was 63.04 ± 14.1 years. The mean and standard deviation of the participants' self-care behaviors was 2.91 ± 31.00, and only 20.60% of the patients reported engaging in satisfactory self-care behaviors. Self-care behaviors were significantly related to Income level, ethnicity, family history of background disease, history of co-morbidity, history of addiction, access to medical centers, and not with any other variables.ConclusionBased on the study's results, most participants exhibited moderate self-care behaviors, suggesting that these patients may need preventive educational interventions to acquire the knowledge, skills, and attitudes necessary for effective self-care behaviors. Therefore, it is essential to design and implement a health promotion educational intervention aimed at convincing these patients to make lifestyle changes and adhere to their dietary and medication regimens to improve self-care behaviors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330513"},"PeriodicalIF":2.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Mental Health, Confidence, and Acculturation on Breastfeeding in Hispanic People.","authors":"Paige D Gilliland, Victoria F Keeton, Sarah Haynes, Sebastian Castro-Alvarez, Aubrey Golden, Leigh Ann Simmons","doi":"10.1177/08901171251336899","DOIUrl":"10.1177/08901171251336899","url":null,"abstract":"<p><p>PurposeTo examine breastfeeding behaviors among Hispanic women who participated in a postpartum nurse home visiting program with a focus on improving breastfeeding rates overall.DesignAn analysis comparing breastfeeding rates between Hispanic and non-Hispanic women and the impacts of anxiety, depression, breastfeeding confidence, and acculturation.SettingYolo County, CA.SubjectsParticipants of the First 5 Yolo Welcome Baby: Road to Resilience home visiting program who completed both an initial and follow-up visit (N = 158).MeasuresMothers self-reported breastfeeding behavior, breastfeeding confidence, anxiety, depression, ethnicity, insurance status, access to WIC, and acculturation (ie, language preference).AnalysisMultinomial logistic regression with ridge regularization.ResultsOverall, anxiety and breastfeeding confidence were associated with more breastfeeding at 3 months postpartum. Anxiety had a greater negative impact on exclusive breastfeeding for non-Hispanic participants compared to Hispanic participants. High breastfeeding confidence was associated with increased exclusive breastfeeding at 3 months only for Spanish-preferring Hispanic participants.ConclusionUnderstanding health behaviors and resilience factors in Hispanic communities may inform interventions and policies in the US that improve breastfeeding rates overall.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251336899"},"PeriodicalIF":2.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caloric Intake at Lunch Does Not Mediate the Impact of Eating Rate on Weight Gain Among Healthy Adults: Longitudinal Cohort Study.","authors":"Daijiro Kabata, Saori Matsumiya, Fumi Yamanouchi, Noriko Saeki, Katsufumi Kajimoto, Aki Kaimori, Riho Tanaka, Ayumi Zeniya, Yukihiro Koretsune","doi":"10.1177/08901171251335778","DOIUrl":"https://doi.org/10.1177/08901171251335778","url":null,"abstract":"<p><p>PurposeThis study aims to evaluate causal relationships among eating rate, caloric intake, and weight gain using longitudinal data and to clarify how caloric intake mediates the effect of eating rate on weight gain.DesignA longitudinal cohort study with a 4-year follow-up.SettingData were collected from Daihatsu Co, Ltd employees, a major Japanese automobile manufacturer with 4 plants in Japan.SubjectsOf the 12,816 working-age Japanese individuals who underwent health checkups in 2020, 7,784 without excess weight or non-communicable diseases were included.InterventionThe eating rate was self-reported, and caloric intake was calculated based on cafeteria meal choices.MeasuresAnnual change in body mass index (BMI), calculated as the difference in BMI between consecutive years.AnalysisMediation analyses using a mixed-effects model were conducted to assess whether caloric intake mediates the effect of eating rate on BMI.ResultsCaloric intake in the fast-eating and ordinal-eating groups exceeded that of the slow-eating group by 19.21 kcal [9.28, 29.13] and 10.01 kcal [1.20, 18.81], respectively. Higher caloric intake was associated with a more significant BMI increase, rising by .09 [.06, .13] per interquartile range increase. The proportion of mediated impact among the impact of eating rate is .19% [.09, .32].ConclusionFaster eating independently contributes to BMI increases, with minimal mediation by caloric intake. Interventions targeting eating pace may prevent obesity, though the study population may limit generalizability.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251335778"},"PeriodicalIF":2.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Co-Creation for Chronic Disease Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Xueying Huang, Yi Hou, Manyao Sun, Jiang Nan, Xueqiong Zou, Songxin Fu, Yuyu Jiang","doi":"10.1177/08901171251333564","DOIUrl":"https://doi.org/10.1177/08901171251333564","url":null,"abstract":"<p><p>ObjectiveCo-creation is crucial for fostering active patient engagement in health management. However, the efficacy of co-creation in chronic disease management varies, and there is a lack of detailed description regarding co-creation practice. This study aimed to explore the effectiveness of co-creation on health outcomes and cost-effectiveness, detailing its implementation.Data SourcePubMed, Embase, Scopus, Cochrane Library and Web of Science.Study Inclusion and Exclusion CriteriaWe included peer-reviewed randomized controlled trials, published in English, that analyzed the effects of co-creation on physical health, participation outcomes, psychological health, self-efficacy and cost-effectiveness.Data ExtractionTwo researchers independently screened the articles and assessed the quality of the 16 included studies using a pre-prepared checklist.Data SynthesisMeta-analyses were conducted to summarize the characteristics, outcomes, and risk of bias of the included studies.ResultsThe results showed that co-creation significantly enhanced patients' physical health (<i>P</i> = 0.006) and participation outcomes (<i>P</i> = 0.009). Subgroup analysis revealed that co-creation combined with theory was better than co-creation without theory in improving physical health (<i>P</i> = 0.007). However, no significant difference was observed between the two groups regarding psychological health, self-efficacy and cost-effectiveness (<i>P</i> = 0.29) (<i>P</i> = 0.11) (<i>P</i> = 0.50).ConclusionCo-creation effectively improved patients' physical health and participation outcomes, without affecting psychological health, self-efficacy, and cost-effectiveness. Social determinants were found to play a more crucial role in influencing physical health of patients. Additionally, age disparities might impact the cost-effectiveness of co-creation. Future research should explore the influence of intergenerational co-creation on health promotion.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251333564"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Normalizing Secure Firearm Storage Can Save Kids' Lives.","authors":"Thomas E Kottke, Marc Gorelick, Rachel Weigert","doi":"10.1177/08901171251332078","DOIUrl":"https://doi.org/10.1177/08901171251332078","url":null,"abstract":"<p><p>Half of fatal firearm injuries, now the leading cause of death for Americans under the age of 20, occur in a home. We are asking health coaches and other health promotion professionals to help us prevent these deaths with 4 simple actions. • If you have firearms, always store them securely. • Add secure firearms storage to your safety checklist. • When arranging play dates or parties for children and adolescents, ask whether firearms are stored securely. If an unsecured firearm is in the home, change the venue. • Help normalize asking by encouraging members of your social network to ask too.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251332078"},"PeriodicalIF":2.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conflicting and Changing Health Recommendations and Their Influence on Cancer Prevention: Social Media Use and Trust as Positive Mediators.","authors":"Mary Bruns, Soojung Gina Kim","doi":"10.1177/08901171251330398","DOIUrl":"https://doi.org/10.1177/08901171251330398","url":null,"abstract":"<p><p>PurposeThis study examines the mediating roles of social media use and trust in the relationship between experts' health recommendations being conflicting and changing and their intention to receive cancer screening tests using the O₁-S-O₂-R model.DesignCross-sectional.SettingData were extracted from the Health Information National Trends Survey (HINTS) 6.SubjectsOf 6252 individuals, 5014 were used in the final analysis. The total weighted sample size is 255,489,241.MeasuresConflicting & Changing Health Recommendations (<i>O</i>_<i>1</i>): How often experts' health recommendations seem to conflict and change. Social Media Use (<i>S</i>): The use of social media to seek and share health information. Trust in Cancer Information (<i>O</i>_<i>2</i>): Trust in cancer information from doctors, government health agencies, and scientists. Interest in Cancer Screening in the next year (<i>R</i>).AnalysisMultiple and logistic regressions were performed with the weighted sample. A PROCESS mediation model with a 5000 bootstrapping sample was also performed.ResultsThe perception of health recommendations from experts conflicting was a positive, marginally significant predictor of social media use for seeking and sharing health information (<i>P</i> = .08), which generated higher trust in cancer information from government health agencies (<i>P</i> < .05) and higher intention to receive cancer screening tests within the next year (<i>P</i> < .01).ConclusionsWith strong digital health literacy and appropriate social media algorithms, social media could reinforce cancer screening behaviors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330398"},"PeriodicalIF":2.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143951348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gun Violence as a Source of Anxiety and Stress in the US Population.","authors":"Thomas E Kottke, Brian A Palmer, Stephanie A Hooker, Nicolaas P Pronk, Ross Arena, Colin Woodard","doi":"10.1177/08901171251333563","DOIUrl":"https://doi.org/10.1177/08901171251333563","url":null,"abstract":"<p><p>PurposeThe impact of gun violence on mental health is not limited to individuals who have experienced a shooting. This report enumerates, for the entire US population, the prevalence of anxiety and stress about gun violence. It also describes evidence-informed interventions that may improve these symptoms by reducing gun violence.DesignSurveys representing the US population.SettingUnited States.SubjectsAdults and adolescents.MeasuresSelf-reported anxiety and stress.AnalysisDescriptive frequencies.ResultsOn 3 surveys of adults (N sizes 2015 to 3192), between 27% and 38% selected \"extremely anxious\", 26% to 35% selected \"somewhat anxious\", and 12% selected \"not at all anxious\" when asked about gun violence concerns. When asked, 37% of respondents stated that they had avoided going somewhere over the past 6 months due to fear or anxiety about gun violence. In a survey of teens (N = 743) and their parents (N = 1058), 25% of teens selected \"very worried\" and another 32% \"somewhat worried\" about the possibility of a shooting happening at their school. In response to the same question, 24% of parents selected \"very worried\" and another 39% \"somewhat worried\".ConclusionAnxiety and stress about gun violence are pervasive in America. Secure gun storage, universal background checks and extreme risk protection orders are among the interventions that reduce gun violence and may thereby reduce the anxiety and stress it generates.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251333563"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Healthcare Doesn't Care\": A Mixed-Methods Study on Healthcare Stigma and PrEP Use Among Black Sexual Minority Men.","authors":"Rodman Turpin, Aaron D Camp, C J Mandell, Rochelle Davidson Mhonde, Julia Mandeville, Jamil Smith, Hongjie Liu, Typhanye Dyer, Kenneth Mayer, Bradley Boekeloo","doi":"10.1177/08901171251330710","DOIUrl":"10.1177/08901171251330710","url":null,"abstract":"<p><p>BackgroundPre-exposure prophylaxis (PrEP) is a critical tool for HIV-prevention, yet PrEP uptake among Black sexual minority men (BSMM) is relatively low, despite greater HIV vulnerability. Stigma in healthcare settings can be a substantial barrier to PrEP use among BSMM, with implications for the HIV epidemic. We used a sequential explanatory mixed-methods approach to assess quantitative relationships between anticipated healthcare stigma and reduced PrEP use among BSMM, and qualitatively explore stigmatizing experiences within healthcare settings among this population.MethodsWe utilized 2 data sources. First, cross-sectional data from a pilot sample of BSMM (n = 151) was collected in late 2020 in the United States. We tested for associations between healthcare stigma and PrEP use using modified Poisson regression. Subsequently, we selected participants (n = 23) from this sample in the D.C. metropolitan area for qualitative interviews starting in 2022; we used thematic analysis to investigate forms of experienced and anticipated healthcare stigma related to PrEP use.ResultsWe found 82% lower PrEP use associated with an interquartile range increase in anticipated healthcare stigma after adjustment (aPR = 0.18, 95% CI 0.06, 0.59). Subsequently, our qualitative investigation revealed that identity-specific stigma, negative socioeconomic assumptions, and assumptions of sexual risk were prevalent themes in the healthcare stigmatization experienced by BSMM. Identity-based and socioeconomic stigma were heavily interlinked due to longstanding structural racism and homophobia. Assumptions of sexual risk were particularly complex.ConclusionWe discovered a significant negative relationship between anticipated healthcare stigma and PrEP use, further elucidated in our qualitative findings. This builds upon our previous work exploring intracommunity PrEP stigma among BSMM. Healthcare stigma serves as an additional obstacle to accessing PrEP for BSMM. This highlights its importance as a target for provider-level health equity policy and research interventions. Future research exploring this stigma in specific healthcare settings is recommended.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330710"},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking Interventions and Cognitive Health in Older Adults: A Systematic Review of Randomized Controlled Trials.","authors":"Jongwon Lee, Delia West, Christine Pellegrini, Jingkai Wei, Sara Wilcox, Jean Neils-Strunjas, A Caroline Rudisill, Daniela B Friedman, David X Marquez, Jenna Dzwierzynski, Joyce Balls-Berry, Rachelle Gajadhar, Chih-Hsiang Yang","doi":"10.1177/08901171251328858","DOIUrl":"https://doi.org/10.1177/08901171251328858","url":null,"abstract":"<p><p>ObjectiveThis systematic review summarizes the effectiveness and the dose of walking interventions on specific cognition domains in older adults, including executive function, memory, attention, processing speed, and global cognition.Data sourcePublished randomized controlled trials in PubMed, Embase, and Web of Science until 10 May 2023.Study Inclusion and Exclusion CriteriaStudies include older adults without Alzheimer's or related dementias, involving a walking intervention and performance-based neuropsychological assessments for executive function, memory, processing speed, attention, or global cognition.Data ExtractionTwo independent research assistants reviewed 8424 studies and included 17 studies.Data SynthesisParticipant demographics, intervention features (type, intensity, time, frequency, duration, format, and context), cognitive assessment tools, and main findings.ResultsNine studies found a favorable effect of walking interventions on at least one cognitive domain. Walking interventions improved executive function (n = 6) and memory (n = 3). These studies delivered the intervention individually (n = 3) for at least 40 minutes (n = 6) each time, three times per week (n = 8), between 6 to 26 weeks (n = 8), and walking at a moderate to vigorous intensity (n = 7).ConclusionWalking interventions may improve specific domains of cognitive function in older adults, particularly executive function and memory. More standardized reporting of intervention design and participant compliance based on published guidelines is needed to determine the dose-response association and the long-term effect of walking interventions on cognition.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251328858"},"PeriodicalIF":2.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}