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Effect of Portable Rent Subsidies and Mentorship on Socioeconomic Inclusion for Young People Exiting Homelessness: A Community-Based Pilot Randomized Clinical Trial.

IMPORTANCE: There have been no published randomized clinical trials with a primary outcome of socioeconomic inclusion for young people who have experienced homelessness. OBJECTIVE: To explore whether young people exiting homelessness who received rent subsidies and adult mentorship experienced more socioeconomic inclusion relative to young people who received only rent subsidies. DESIGN, SETTING, AND PARTICIPANTS: This was a convergent mixed-methods, unblinded, 2-group, parallel randomized clinical trial with 1:1 allocation embedded within a community-based framework in 3 cities in Ontario,

Examining gender as an issue of policy priority: a case study of four Kenyan health policy implementation strategies.

BACKGROUND: Despite global and national commitments to gender equity, including Sustainable Development Goal 5, health policy processes often fail to adequately integrate gender considerations. This study explores how gender is prioritized in the development and implementation of four Kenyan Health Policy Implementation Strategies (HPIS), offering insight into the role of institutional actors, policy framing, and contextual factors. METHODS: A qualitative case study was conducted involving content analysis of four HPIS documents - KASF II 2020, NSP-NCD 2021, NSP-TB 2019, and COVID-TTS 2019 -

Adaptation drivers of evidence-based brief advice/counselling for tobacco use in high-reach, low-resource settings in Mumbai: a qualitative exploration with patients, practitioners and policymakers.

INTRODUCTION: Tobacco use accounts for approximately 1.35 million deaths annually in India, disproportionately affecting low-income individuals, men, rural residents, those without formal education and groups of low socioeconomic status (SES). Despite progress in tobacco control, scalable, low-cost solutions, such as brief advice interventions, are needed. This study explored priority implementation determinants for adapting an evidence-based brief advice/counselling intervention for high-reach, low-resource settings in Mumbai, India. The focal settings (health-focused and tuberculosis-focused

Increased scale-free and aperiodic neural activity during sensorimotor integration-a novel facet in Tourette syndrome.

Tourette syndrome is a common neurodevelopmental disorder defined by multiple motor and phonic tics. Tics in Tourette syndrome resemble spontaneously occurring movements in healthy controls and are therefore sometimes difficult to distinguish from these. Tics may in fact be mis-interpreted as a meaningful action, i.e. a signal with social content, whereas they lack such information and could be conceived a surplus of action or 'motor noise'. These and other considerations have led to a 'neural noise account' of Tourette syndrome suggesting that the processing of neural noise and adaptation of

Independent Associations of Diabetes Stigma and Perceived Social Support with Depression and Anxiety Among Adults with Type 2 Diabetes.

Background/Objectives: Depression and anxiety are common among individuals with type 2 diabetes mellitus (T2DM) and are associated with poorer clinical outcomes. Although diabetes stigma and perceived social support have been linked to psychological distress in T2DM, they have largely been investigated separately and with limited adjustment for potential confounders. This study aimed to examine whether diabetes stigma and perceived social support are independently associated with depression and anxiety after adjustment for sociodemographic and clinical confounders and, secondarily, to evaluate

The chain-mediating roles of social support and depression in the relationship between tuberculosis knowledge and self-management: a cross-sectional study based on the ABC-X model.

BACKGROUND AND OBJECTIVE: Self-management plays a vital role in tuberculosis (TB) care, yet remains suboptimal among patients due to limited disease knowledge and psychosocial challenges. While prior studies have explored the individual roles of knowledge, social support, or depression in TB treatment, few have examined their interactive and sequential effects. This study aimed to investigate whether perceived social support and depression mediate the relationship between TB knowledge and self-management, using the ABC-X family stress model as the theoretical framework. METHODS: A cross-secti

Towards a standardized approach of assessing social context of persons receiving home care in Flanders, Belgium: the development and test of a social supplement to the interRAI instruments.

BACKGROUND: Apart from a person's physical functioning, the early identification of social context indicators which affect patient outcomes - such as environmental and psychosocial issues - is key for high quality and comprehensive care at home. During a home care assessment, a person's biomedical and functional problems are typically considered. Harder to define concepts, such as psychosocial well-being or living arrangements, are not routinely documented, even though research shows they also affect functioning and health outcomes. The purpose of this study is to develop and test a concise, i

Predicting depression in middle-aged adults using kidney deficiency questionnaire: an exploratory machine learning study.

In Korean medicine (KM), kidney deficiency represents age-related physiological decline theoretically linked to depression. However, its empirical predictive value in modern clinical frameworks remains underexplored. This study aimed to develop and validate a machine learning model predicting depression in middle-aged adults by integrating kidney deficiency with psychosocial variables. We analyzed baseline data from 1000 community-dwelling adults aged 50-65 from the Korean Medicine for Aging Cohort study. Depression was defined using the Geriatric Depression Scale Short Form (GDS-SF-K ≥ 5). Pr

Exploring core competence in first-year medical students through narrative medicine and peer-assisted learning: a mixed-methods study.

BACKGROUND: Early development of core competencies is essential in medical education, yet traditional medical curricula often struggle to bridge the gap between biomedical knowledge and humanistic application. Drawing on social constructivism, this study examines an integrated Narrative Medicine (NM) and Peer-Assisted Learning (PAL) model designed to facilitate the transition from foundational knowledge to contextualized professional application. METHODS: An explanatory sequential mixed-methods design was employed. A 19-indicator Knowledge-Skills-Attitude (KSA) scale was developed via a Delph

Prevalence and social-ecological correlates of parents' adherence to the 24 h movement guidelines for adults during the COVID-19 pandemic: a national cross-sectional survey in Canada.

Canadian adults are at high risk of chronic diseases from physical inactivity, excessive sedentary behaviour, and poor sleep. Understanding the social-ecological correlates of these behaviours is essential for informing public health interventions. This study examined social-ecological correlates of adherence to the Canadian 24 h Movement Guidelines among parents during the second wave of the COVID-19 pandemic (December 2020). We used baseline data from an online longitudinal survey investigating Canadian parents' adherence to 24 h movement behaviours guidelines. Each guideline was dichotomize

Political and social analysis of the impact of national identity and gender roles on national stability (in the context of Kazakhstan).

INTRODUCTION: In post-Soviet societies, the transformation of national identity and gender roles has become a pressing issue for state stability. However, there is little empirical research on the combined impact of these factors on social cohesion. This study aims to analyze the relationship between attitudes toward national identity, gender equality, and national stability in Kazakhstan. METHODS: The research design used a mixed-methods approach, combining quantitative and qualitative methods. In the first phase, 284 participants were surveyed using purposive sampling targeting urban youth

Dysphagia-A Gift With Purchase: A Head and Neck Cancer Survivor's Narrative of Swallowing Difficulties.

PURPOSE: This article provides readers with a first-person account of the physical, emotional, and social burdens caused by iatrogenic dysphagia resulting from oncological treatment. The challenges that persist after treatment for human papillomavirus positive oropharyngeal cancer are illustrated through the patient's narrative. When integrated with current evidence highlighting the multifaceted impact of dysphagia on quality of life, the importance of patient education and self-advocacy is demonstrated. METHOD: A qualitative, narrative-based approach captured the lived experiences of David,

A multilevel conceptual framework for dementia: from life-course mechanisms to public health strategies.

Dementia is a growing global health challenge driven by population aging and unequal exposure to biological, behavioral, social, and environmental determinants across the life course. Existing evidence demonstrates that these factors accumulate and interact from fetal development through old age, shaping cognitive reserve, brain resilience, and vulnerability to neurodegeneration. However, current models rarely integrate these multilevel influences in a structured manner. This study proposes a comprehensive multilevel conceptual framework for dementia that maps determinants across seven levels

Advancing Narcolepsy Advocacy: Bridging Patient Narratives and Systemic Change.

We introduce the Stigma-to-Structure Advocacy Framework, a novel, evidence-based model designed to transform narcolepsy advocacy by systematically bridging patient narratives with structural change. Narcolepsy remains a profoundly underdiagnosed and misunderstood neurological disorder, with persistent diagnostic delays and pervasive cultural stigma undermining patient well-being and access to care. Despite recent progress in awareness and support, advocacy efforts remain fragmented and insufficiently integrated with health policy, particularly in low- and middle-income countries. This perspect

Снижение стигматизации, укрепление психического здоровья и индивидуальности при множественном склерозе: обзор текущей практики и направлений будущей деятельности.

Стигма - это широко распространенный, хотя и недостаточно изученный, психосоциальный фактор, затрагивающий людей с множественным склерозом. В этом обзоре обобщается литература о воздействии воспринимаемого, внедренного и интернализованного стигматизации на психологическое здоровье и идентичность заболеваний в PwMS. МЕТОДЫ: Был принят всеобъемлющий подход к обзору описательной части с учетом выводов, сделанных в результате проведенных экспертными экспертами количественных и качественных исследований. Базы данных, включая PubMed, PsycINFO и Scopus, искали с помощью таких комбинаций терминов, как

Совпадение в полном тексте источника
… An accepting or enriching illness identity correlates with increased treatment adherence, psychological flexibility and social integration [ 70 ], while engulfment and rejection correlate with suffering, social withdrawal and identity diffusion [ 71 , 72 ]. …

Paradigms, pragmatism and possibilities: mixed-methods research in speech and language therapy.

BACKGROUND: After the decades of the so-called 'paradigm wars' in social science research methodology and the controversy about the relative place and value of quantitative and qualitative research methodologies, 'paradigm peace' appears to have now been declared. This has come about as many researchers have begun to take a 'pragmatic' approach in the selection of research methodology, choosing the methodology best suited to answering the research question rather than conforming to a methodological orthodoxy. With the differences in the philosophical underpinnings of the two traditions set to

A-TEAM: An Interprofessional Approach to Mandated Reporting in the Hospital Setting.

Reporting suspected child maltreatment in pediatric settings presents unique challenges. Variation in mandated reporter training may lead to discomfort and emotional dysregulation. Failure to collaborate inter-professionally potentially results in suboptimal care for vulnerable children and families. A-TEAM promotes awareness, transparency, empathy, a nonjudgmental strategy, and management by an interprofessional team when referring patients for child protective services evaluation. A faculty trained in pediatric trauma nursing led the development of A-TEAM. Integrating nursing and social work

[The modern concept of remission in non-psychotic depressive disorders].

The modern concept of remission should take into account its multidimensional structure which includes the complex interaction between clinical (severity/nature of residual symptoms, types of clinical remission), subjective (social functioning and patient's assessment of their condition) and integrative (relapses) characteristics. Based on the study of 385 patients during pharmaco- and psychotherapy, it was shown that the leading role in this structure belongs to the clinical type of remission (full, mono-, poly-symptomatic remission and remission with the structure of minor depression) which,

Developing Customized Personas to Capture Intrinsic Capacity Profiles and Digital Monitoring Intentions in Older Adults: Mixed Methods Study.

BACKGROUND: Integrated Care for Older People (ICOPE), focused on monitoring and optimizing the intrinsic capacity (IC) of older adults, is a new model of geriatric care that is currently being accelerated globally. Digital health technologies are recommended for longitudinal IC monitoring to provide precise and timely interventions. However, little is known about the psychological intentions of engaging in digital monitoring of IC according to the profile heterogeneity of IC among older adults. OBJECTIVE: This study aims to map a set of customized personas to capture the profiles of IC and ma

Factors influencing self-care among older patients with heart failure and spouses in China: a mixed methods study.

OBJECTIVE: This study aimed to investigate the factors influencing self-care among older patients with heart failure (HF) and their spouses from a dyadic perspective. METHODS: An explanatory sequential mixed-methods design was employed. In the quantitative phase, 145 dyads of older HF patients and their spouses were recruited from a tertiary hospital in Zhejiang, China. Validated instruments were used to measure patient self-care, spouse contribution to self-care, disease-specific health literacy, mutuality, and social support. Multiple linear regression and the Actor-Partner Interdependence