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Mechanisms of change in alcohol use in online relationship programs for distressed couples.

OBJECTIVE: Although interventions exist for couples with alcohol use problems, web-based adaptations are in their early stages. Online programs for general relationship distress sharing elements with couple therapies for alcohol use may be an effective adjunctive intervention even without directly targeting alcohol use. This study evaluated whether two online interventions for general relationship distress decreased alcohol use and whether improvements in individual and relationship-level mechanisms contributed to reductions in alcohol use during and after the intervention. METHOD: Couples (N

Personality and impulsivity traits associated with problematic online gaming and poker playing.

Online gambling and gaming are associated with Problematic Usage of the Internet (PUI) in subgroups of individuals. This study aimed to assess how different personality dimensions are associated with PUI scores of Massively Multiplayer Online Role Playing Games (MMORPG) players and online poker players, and to characterize common and specific personality traits of both groups in their association with PUI. Participants (N = 1144) were recruited online and assessed with the Internet Addiction Test (IAT), the Big Five Inventory and the Short UPPS-P Impulsive Behavior Scale. Data were analyzed wi…

A Web-Based Lifestyle-Related Course for People Living With Multiple Sclerosis: Quantitative Evaluation of Course Completion, Satisfaction, and Lifestyle Changes Among Participants Enrolled in a Randomized Controlled Trial.

BACKGROUND: Web-based health courses providing lifestyle-related information can potentially increase knowledge, facilitate behavior change, and improve health outcomes for people living with multiple sclerosis (MS). Despite the low engagement with web-based programs by this population, few studies have evaluated factors influencing engagement. This study evaluated engagement with our 6-week lifestyle-related course (Multiple Sclerosis Online Course; MSOC) by participants enrolled in a large, international randomized controlled trial, as well as preliminary outcomes. OBJECTIVE: This study aim

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… The web-based courses were freely delivered worldwide in English via a laptop or PC connected to the internet. … Second, while efforts were undertaken to recruit participants through various channels worldwide, this study also primarily involved participants from English-speaking countries with convenient internet able to access the recruitment sites. …

Evaluation and enumeration of online test providers for sexually transmitted infections, specifically chlamydia, in the Netherlands.

OBJECTIVES: Online testing for STIs might complement regular care provided by general practitioners or STI clinics. Two types of online test … t on the proportion of online testing in the STI testing arena. METHODS: We performed a systematic internet search to identify online STI test providers. Twenty quality indicators were evaluated on their websites; indicator scores were weighted by level of importance (expert opinion). High scoring providers were recommended, on the condition that the sens …

The relationship between nursing students' digital literacy and their levels of clinical decision-making.

BACKGROUND: The rapid integration of digital health technologies into healthcare has made digital literacy a fundamental competency for nurs … 9 ± 14.04. Digital literacy scores differed significantly according to gender, academic year, daily internet use, and purpose of internet use (all p < 0.05). Clinical decision-making scores differed significantly by gender, daily internet use, and health information-seeking behavior (all p < 0.05). Digital literacy was positively associated with clinical d …

How environmental health burdens shape physical activity patterns: age-specific evidence from OECD countries.

BACKGROUND: Despite widespread acknowledgment of physical activity's (PA) benefits, inactivity remains a significant public health challenge … elated Disability-Adjusted Life Years (DALYs), Body Mass Index (BMI), GDP per capita, urbanization, internet penetration, access to sports facilities, healthcare expenditure, and average annual working hours. Data imputation techniques ensured dataset completeness, supported by auxiliary demographic variables. Robustness checks included multicollinearity a …

Medication information sources and associated factors among older adults in Nanjing, China: a CMIS-based cross-sectional study.

BACKGROUND: Functional decline and high disease prevalence increases medication needs among older adults, making medication safety a pressin … nterpersonal networks (68.5%), and professional medical materials (66.1%) were most common, whereas internet use was lowest (32.1%). Higher perceived information-seeking ability significantly increased use of the internet (OR = 2.90), professional materials (OR = 2.68), doctors (OR = 4.46), pharmacists (2.21), nurses (OR = 2.40), and traditional media (OR …

Adding Self-directed Psychological Support to Usual Rehabilitation Following Anterior Cruciate Ligament Reconstruction Did Not Increase Return-to-Sport Rates at 12 Months. Results From the BAck iN the Game (BANG) Randomized Controlled Trial.

OBJECTIVE: To evaluate the efficacy of internet-delivered psychological support-the BAck iN the Game (BANG) intervention-after anterior cruciate ligament reconstruction (ACLR) for improving return to sport (RTS). DESIGN: Randomized controlled trial. METHODS: Participants aged 15-30 years, who were playing contact or noncontact pivoting sports at least twice per week prior to anterior cruciate ligament (ACL) injury and intending to return to pivoting sports after ACLR, were included. Participants were randomized to either usual care (UC; standard postoperative treatment) plus the BANG intervent…

Intergenerational patterns of digital use: Evidence from a large cross-sectional study.

This study aims to determine the level of digital use across six generations (Greatest, Silent, Baby Boomers, and Generations X, Y and Z) within a district in North East England (population ~200,000). A cross-sectional descriptive study was conducted via an online and paper-based survey from February to May 2022, mailed to households in the district (N = 98,260). Respondents estimated their weekly use of digital tools and the internet at home. One-way ANOVA and Tukey-Kramer HSD tests were used to analyse differences in digital resource uses across six generations. To account for underlying soc…

Telehepatology Satisfaction Is Associated with Ethnicity: The Real-World Experience of a Vulnerable Population with Fatty Liver Disease.

BACKGROUND: Since the coronavirus disease 2019 (COVID-19) pandemic began, telemedicine use has transformed healthcare delivery. Yet there is … y (versus non-Hispanic, OR 0.34, 95% CI 0.1-0.9, p = 0.03) and limited access to personal cellphone/internet (OR 0.16, 95% CI 0.04-0.6, p = 0.01) were associated with lower satisfaction. On multivariable logistic regression modeling adjusted for pandemic duration, age, sex, severity of liver disease, and coexisting liver disease, Hispanic ethnicity and lac …

Multilevel Determinants of Long COVID and Potential for Telehealth Intervention.

BACKGROUND: Post-coronavirus disease 2019 (COVID-19) syndrome, or long COVID, has a variety of symptoms, but little is known about the condition. This study evaluated the association between individual factors, social determinants of health, and the likelihood of long COVID by assessing internet usage as an indicator of viable access to telehealth. METHODS: Data from the 2022 National Health Interview Survey identified adults who (1) reported a previous COVID-19-positive test and/or diagnosis and (2) experienced long COVID. A 2-stage selection model predicted COVID-19 infection in the first s…

The Relationship Between eHealth Literacy and Self-Efficacy Levels in Midwifery Students Receiving Distance Education During the COVID-19 Pandemic.

BACKGROUND: During the ongoing COVID-19 pandemic period, most university courses in Turkey have been taught via distance education. Beyond k … re in their first year, who were from low-income families, who spent less than an hour a day on the Internet, who had a low level of satisfaction with distance education, and who wanted to continue taking theoretical courses via distance education. In addition, self-efficacy related to online technologies was shown to be relatively low in students who foun …

The status of occupational therapy: addressing the needs of people experiencing homelessness.

SUMMARY This paper discusses the move of occupational therapy practitioners towards providing services for people who are homeless, presents the results of an internet-based survey of assessment tools used with this population, and provides an overview of this volume's papers while discussing the current status of occupational therapy interventions.

What the Health? Information Sources and Maternal Lifestyle Behaviors.

BACKGROUND: Regular physical activity (PA), adequate gestational weight gain (GWG), and healthy eating are important for the long-term healt … m blogs and online forums and 26.6%, from their midwife or family physician. Women who reported the internet and media as their primary source of information on weight gain had increased odds of gaining weight below the Institute of Medicine (IOM) guidelines compared with gaining within the guidelines (odds ratio [OR] 15.5, 95% CI 1.4-167.4; P=.02). Higher …

A database for mucositis induced by cancer chemotherapy.

Ulcerative mucositis has become an increasingly important toxicity of antineoplastic therapy. In an effort to establish mucositis risk prediction for specific cancer chemotherapy regimens, a 25 field database was developed. This paper describes the rationale and methodology for creation of the database and instructions for access to it via the Internet.

Using Factorial Survey Design with photographs to explore multiprofessional clinical decision-making in obesity management research.

Obesity is a significant risk factor for cardiovascular disease (CVD) and attributed to two-thirds of mortality linked to CVD worldwide. Exp … en exploring sensitive topics. This methods paper discusses implementing factorial design within an Internet-Mediated platform using the innovative approach of embedding photographs within clinical vignettes. The recruitment of a large, complete, multiprofessional dataset (n = 427) indicated that clinicians engaged easily with the Internet Mediated platfor …

Prediction of IGS RTS Orbit Correction Using LSTM Network at the Time of IOD Change.

The international GNSS service (IGS) real-time service (RTS) provides orbit and clock corrections for the global navigation satellite system (GNSS) via the internet. RTS is widely used for real-time, precise positioning and its data is transmitted via the internet. Intermittent data loss can occur and cause positioning accuracy degradation. RTS data has a discontinuity when the issue of data (IOD) changes every two hours. If the signal loss occurs immediately after the IOD change, then the performance of the RTS prediction degrades significantly. We propose an adjustment method to make the RTS…

A Qualitative Examination of School Counselors' Experiences of Sextortion Cases of Female Students in Israel.

Sextortion (a portmanteau of "sexual" and "extortion") is a relatively new phenomenon of sexual exploitation, which occurs when a person threatens another with the distribution of sexual content on the Internet, to obtain more pictures or videos, money, or have some other demand met. The current study examined how school counselors in Israel perceive the phenomenon of online sextortion. To this end, we conducted a qualitative study based on 20 semi-structured in-depth interviews with school counselors working in middle schools and high schools in Israel, who treated adolescent girls blackmaile…

Suicide prevention is everyone's business: Challenges and opportunities for Google.

The internet has become a key frontier for large-scale, public health efforts in suicide prevention. Market-leading technology companies, such as Google, are developing interventions to deliver support information to those experiencing suicidal distress, but the precise technology, i.e. algorithms, behind this are proprietary. This raises important ethical questions regarding whether such large-scale public health interventions for suicide prevention should be happening behind closed corporate doors when this makes the evaluation of such interventions extremely difficult. Furthermore, as illus…

[Attempted suicide with barbiturates purchased online].

BACKGROUND: Barbiturate intoxication is potentially lethal. With the availability of the newer anticonvulsants the use of barbiturates in treating epilepsy has decreased significantly, with a concurrent decrease in the incidence of overdose with these medications. There have, however, been recent alarm signals from governmental sources concerning the increase in the Internet purchase of illegal medications, including barbiturates, for use in attempted suicide. CASE DESCRIPTION: Here we describe two patient cases involving barbiturate intoxication with amobarbital and thiopental, respectively.…