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Predictors of postbereavement depressive symptomatology among family caregivers of cancer patients.

The present study investigated two aspects of the sequelae of recent bereavement among family caregivers following the death of their cancer patient: (1) the extent to which depressive symptomatology among family caregivers measured following the death of their patient could be predicted by their levels of depressive symptomatology in the months prior to death, their physical health, the setting in which the patient's death occurred, patient age, gender of the caregiver, consanguinity, financial stress, social support from family and friends during the terminal stage, impact of caregiving acti

Bridging the "med-ed gap" for students with special health care needs: a model school liaison program.

A successful school experience is critical to the development of all children, particularly in the areas of academic achievement, regular school attendance, and social competency. Vulnerabilities in achieving each of these three goals have been documented among students with special health care needs (SSHCN), and ascribed to the influence of their health-related disabilities. Despite recognition of these vulnerabilities, barriers still exist to successful integration of SSHCN into educational settings. A key barrier to successful integration involves poor linkages between the health and educat

The value of community engagement in the ESTRO-EORTC OligoCare project: A quantification of the in-kind contributions.

BACKGROUND: The OligoCare cohort constitutes the largest prospective dataset evaluating metastasis-directed radiotherapy in oligometastatic disease worldwide. Although the project received financial support for central coordination, no financial compensation for the operational involvement of the participating centres was available. This study quantified the in-kind professional contribution provided by the European radiation oncology community. METHODS: In-kind professional contribution was defined as the sum of two components: time invested by clinical staff at enrolling centres for patient…

AI-enhanced culturally tailored intervention for Latino family caregivers of persons living with dementia: a feasibility study.

BACKGROUND AND OBJECTIVES: CONFIDENCE is a culturally tailored intervention to reduce caregiver financial strain, which disproportionately impacts Latino family caregivers to persons living with dementia. CONFIDENCE demonstrated preliminary efficacy at lowering financial strain in a feasibility study, yet attendance in group videoconference sessions was low (62%). CONFIDENCE was revised to integrate the NeuViCareTM application (app) that leveraged an interactive artificial intelligence (AI) assistant and text message reminders to engage participants between sessions. This study examined whethe

Multidimensional burden of raising children with learning disabilities: a mothers' perspective on economic, psychological, and social challenges.

BACKGROUND: Families of children with learning disabilities often face multidimensional challenges that affect their economic stability, psychological well-being, and social functioning, yet limited empirical evidence exists on how these burdens vary across socioeconomic and educational contexts in developing settings. This study aimed to examine the level, prevalence, and determinants of family burden among mothers of children with learning disabilities, and to assess differences based on child disability severity, maternal education, and economic status. METHODS: A quantitative cross-sectio

Psychosocial considerations in pediatric heart transplantation: Initial validation of the Pediatric Psychosocial Assessment Tool at a single center.

BACKGROUND: Pre-transplant psychosocial assessment, in conjunction with medical and surgical evaluation, is a critical component of determining pediatric heart transplant candidacy. Psychosocial factors such as family dynamics, health literacy, mental health, financial stability, and adherence potential are often multidimensional and interdependent, making their assessment both vital and complex. However, few standardized tools exist to guide these evaluations in pediatric heart transplant settings, and even fewer have demonstrated empirical validity or predictive value. To address this gap, t

Mapping Perceived Impact, Facilitators and Barriers of Cystic Fibrosis Management in Children and Adolescents: A Qualitative Study From the Parents' Perspective.

BACKGROUND: Cystic fibrosis imposes a significant treatment burden on children and their informal caregivers, who have to change their routines to carefully adhere to medication and exercise as treatment regimes. Although informal caregivers are known to be key players in the daily management of these children, their own voice is scarcely explored, often hindering personalisation of care. The main objective of the study was to map the multifactorial impact of cystic fibrosis, as well as identify barriers and facilitators perceived by parental caregivers in managing the disease in the paediatri

Exploring cancer care needs for Latinx adults: a qualitative evaluation.

PurposeLatinx adults with cancer, as compared with non-Latinx White adults, are diagnosed with more advanced stages and experience worse quality of life. Identifying barriers in cancer care among low-income Latinx adults is crucial to designing and implementing culturally appropriate interventions. The objective of this study was to explore the specific barriers encountered by Latinx adults after a cancer diagnosis and perspectives on the use of community health workers (CHWs) to address these barriers.MethodsWe conducted semi-structured qualitative interviews with low-income Latinx adults wit

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… A respondent stated, “ I have to go to the places like the salvation army where I didn’t go before to look for clothes or shoes. ” Many depended on their family members or friends for financial support and help with paying rent and bills. … support resources. …

Socioeconomic Disparities in Caregiver Burden Among Families of Older Patients With Cancer.

IMPORTANCE: Population aging and rising cancer burden in low- and middle-income countries have intensified reliance on family caregivers, yet evidence on socioeconomic disparities in caregiving burden remains scarce. OBJECTIVE: To quantify multidimensional caregiving burden, psychological distress, and economic burden, as well as identify risk factors, with a focus on the impact of socioeconomic disparities among family caregivers of older patients with cancer in China. DESIGN, SETTING, AND PARTICIPANTS: This multicenter cross-sectional study recruited 6786 patient-caregiver dyads from 22 ho

Improving Vocational Rehabilitation for people with Mental Health Problems through Intersectoral Collaboration: A Mixed-Method Implementation Study.

RATIONALE: Work participation is associated with improved health and wellbeing. Vocational rehabilitation (VR) programs support individuals, including those with mental health problems, in obtaining and maintaining employment. Integrating mental health and work support in VR is considered more effective but requires cross-sector collaboration. In a Dutch region, multiple stakeholders jointly implemented a collaborative initiative, covering the access route to and the delivery of three VR interventions. This study evaluated the implementation process, outcomes, and working mechanisms of this co

Factors that influence the burden of the caregiver of cardiovascular patients. A multicenter study.

BACKGROUND: Stroke is one of the leading causes of dependency and family burden in Europe. Informal caregivers, mostly women, play a crucial … other family members or knowing that they can rely on them on an ad hoc basis, or receiving public financial support. CONCLUSION: This study shows that family caregivers of people with stroke experience intense levels of burden, influenced by health, social and economic factors across all countries studied. Supporting caregivers requires targeted strategies, inclu …

Provision of interpreting support for cross-cultural communication in UK maternity services: A Freedom of Information request.

BACKGROUND: Language, communication and understanding of information are central to safe, ethical and efficient maternity care. The National Health Service (NHS) commissioning board, NHS England, describes how healthcare providers should obtain language support through professionally trained interpreters. Providers of interpreters are commissioned to deliver remote/face to face interpretation across the NHS. Services can be booked in advance or calls can be made in real time. However, women report infrequent use of professionally trained interpreters during their maternity care, often relying

Assessment of Studies of Quality Improvement Strategies to Enhance Outcomes in Patients With Cardiovascular Disease.

IMPORTANCE: Clinical care quality improvement (QI) strategies are critical to prevent and control cardiovascular disease (CVD). However, there is limited evidence regarding which components of the health system-, clinician-, and patient-based QI strategies contribute to their impact on CVD. OBJECTIVES: To identify, map, and organize evidence on the effectiveness and implementation of cardiovascular QI strategies that seek to improve outcomes in patients with CVD. EVIDENCE REVIEW: Eight electronic databases (MEDLINE, EMBASE, CINAHL, PsycINFO, the Cochrane Library, ProQuest, ClinicalTrials.gov

Managerial attitude to the implementation of quality management systems in Lithuanian support treatment and nursing hospitals.

BACKGROUND: The regulations of the Quality Management System (QMS) implementation in health care organizations were approved by the Lithuanian Ministry of Health in 1998. Following the above regulations, general managers of health care organizations had to initiate the QMS implementation in hospitals. As no research on the QMS implementation has been carried out in Lithuanian support treatment and nursing hospitals since, the objective of this study is to assess its current stage from a managerial perspective. METHODS: A questionnaire survey of general managers of Lithuanian support treatment

Mental health and the role of social support in the lives of vulnerabilized sexual minority women.

INTRODUCTION: Sexual minority women (SMW; women who self-identify as lesbian, queer, etc., as well as heterosexually-identified women who experience attraction to romantic or sexual partnerships with women) and vulnerabilized women (those marginalized due to structural forces such as housing insecurity, violence, sex exchange, drug use, or HIV positive status) experience a range of mental health challenges compared to their heterosexual and general population counterparts. General populations studies show a positive relationship between social support and mental health; less is known about SMW

Program evaluation of a student-led peer support service at a Canadian university.

BACKGROUND: University students often experience numerous financial, social and emotional stressors that can affect their mental health. The Peer Support Centre (PSC) is a pilot project that was established to provide peer support to students in these stressful conditions. We wanted to investigate whether peer support is a viable form of support that would benefit university students. The objective of this study is to determine whether the organization was indeed providing a beneficial service to students and if it was fulfilling the needs of the students that visited the service. METHODS: Af

Study of urban population attitudes towards various wastewater reuse options: Israel as a case study.

This paper summarizes the findings of a survey (256 participants) conducted to determine the attitude of the Israeli urban public towards various urban water reuse options. Israel is known for its long and successful agricultural water reuse scheme, but to date no large-scale urban reuse projects have been implemented. The survey included 21 reuse options, which were clustered into three reuse categories, namely: low, medium, and high contact levels. Results show that a high proportion of the participants supported medium contact reuse options such as sidewalk landscaping (95%), domestic WC fl

Get BusActive!: Protocol of a single-blinded randomised controlled trial incentivising public transport use for physical activity gain among young people and adults.

BACKGROUND: Population level physical activity generally does not meet recommended targets. Compared with private motor vehicle users, public transport users tend to be more physically active and financial incentives may encourage more public transport use, but these relationships are under-investigated. This paper describes the protocol of a randomised controlled trial that aimed to determine the effect of financially incentivising public transport use on physical activity in a regional Australian setting. METHODS: Get BusActive! is a 9.5-month single-blinded randomised controlled trial. A c

Prevalence and Correlates of Sexual Violence Experienced by Young Adult Black Men Who Have Sex with Men.

Men who have sex with men (MSM) experience high prevalence of sexual violence (SV), and SV has well-documented effects on health. Research gaps are especially evident for young Black MSM (YBMSM), who experience significant HIV disparities and syndemics, including multiple forms of violence victimization. We examined lifetime prevalence of SV (having been forced or frightened into sexual activity) in a cross-sectional sample of YBMSM (N = 1732), and tested associations of demographic, psychosocial, and structural factors using multivariable regression. YBMSM were recruited between 2013 and 2015