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Background: Hypertension is a significant risk factor for cardiovascular disease, with a higher prevalence among African Americans (AA) than other racial groups. The impact of community-based interventions on managing blood pressure (BP) in AA communities is not fully understood. The purpose of this review was to synthesize literature on community-based physical activity (PA) programs designed to manage BP in AA populations. Methods: We conducted a scoping review by searching 4 databases (PubMed, CINAHL, MEDLINE, and APA PsycInfo) and reference lists of studies. Search terms included community PA, community-based, hypertension, high BP, AA, Black Americans, PA, and exercise. Inclusion criteria were studies (1) conducted in the United States and (2) published in English language from January 2013 to September 2023, with community-based interventions that included PA for BP management among AA aged ≥18 years. Results: Search results yielded 260 studies, of which 11 met the inclusion criteria. BP decreased over time in studies that incorporated PA, faith-based therapeutic lifestyle changes with nutritional education. The duration of the PA interventions varied, with moderate to vigorous PAs implemented for 12 weeks or longer having a greater impact on BP management. Conclusions: Evidence suggests that community-based PA programs can potentially reduce BP among AA. PA programs incorporating faith-based therapeutic lifestyle change with nutritional education appear to reduce BP. Practitioners should consider multicomponent community-based PA initiatives to improve BP outcomes in AA communities. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to examine whether, drawing on the perception of their coaches, the application of the pedagogical model of sport education could be associated with satisfying the basic psychological needs of children from socially vulnerable backgrounds. Method: A 36-session sport education season was implemented within a community program for youths from disadvantaged environments. Three coaches, one researcher, and 31 children aged 9–11 years (17 boys and 14 girls) of diverse ethnicities participated. Qualitative data were obtained through four focus groups conducted during the program in addition to the research diary of the researcher, who played the role of participant observer. Results: The coaches observed a progressive evolution in the satisfaction of the basic psychological needs of competence, autonomy, relatedness, and the need referred to as novelty. Discussion/Conclusion: We may conclude that sport education can be a valuable tool to improve the satisfaction of these needs in children from socially vulnerable backgrounds. [ABSTRACT FROM AUTHOR]

This study, centered around a survey of library directors (N = 83), examines community health programming (CHP) in Michigan's public libraries within the broader context of national CHP initiatives. Reponses indicate that while physical activity classes and food skills programs are popular, there are still challenges to overcome. These findings led us to recommendations for cultivating partnerships that can help CHP grow and flourish. [ABSTRACT FROM AUTHOR]

Volunteers play a crucial role in sport organizations, particularly in the nonprofit context, but there is a need for theoretically informed studies to improve their experience and intentionally develop their skillsets. This study aimed to examine strategies for undergraduate volunteer engagement and management in a community-based sport-for-development (SFD) program. The strategies evaluated in this study were reflective journaling, daily debrief meetings, and autonomy-driven task design and responsibilities, guided by self-determination theory (SDT). Through analysis of semi-structured interviews with volunteers (n = 25) and their reflective journals, findings revealed that these strategies enhanced undergraduate volunteers' experiences by increasing their perceived competence, relatedness, and autonomy. This study highlights the importance of using SDT-aligned strategies to enhance volunteer engagement and program delivery. These findings have implications for student volunteer recruitment and retention, as well as improving the overall effectiveness of SFD organizations. [ABSTRACT FROM AUTHOR]

The forensic application of stable oxygen isotope data from human tissues depends on naturally occurring isotopic variation in drinking water across geographic areas. One factor which complicates interpretation of forensic data is local variability: if a wide range of drinking water values is in a small geographic region it may be difficult to identify or rule out that region as a location of origin. We examine data from community collection programs documenting tap water isotope variation within 30 cities\developed areas throughout the United States. Isotopic variation within individual developed areas ranged widely, from essentially nil to greater than 9‰ (δ18O interdecile range). Many (14/30) of the study areas exhibited multi-modal isotope distributions, even in cases where the isotopic range was very small (e.g., <2.0‰), suggesting that the use of multiple, isotopically different sources was common. Most variation was attributed to differences in the source-region altitude or degree of evaporation for different water sources, and we observe limited variation in areas where contrasts in these variables are small. Variation tended to be largest in cities across the western USA. We explored correlations between the magnitude of local isotopic variation and climatic, environmental, and socioeconomic variables. We found that higher levels of variation occurred at sites where local water resources were likely to be more isotopically heterogeneous and in lower supply, consistent with the development of supply systems in these areas that access diverse and isotopically heterogeneous water resources. We also found that variation was positively correlated with larger developed areas, suggesting that pressures related to city growth may affect the degree to which infrastructure tapping diverse water resources is developed. Collectively, our results suggest that the influence of local tap water isotope heterogeneity on the precision of forensic geolocation is systematic and somewhat predictable, information to be factored into future applications. [ABSTRACT FROM AUTHOR]

Background: In April 2019, Texas Association of Community Health Centers launched the Trauma-Informed Care (TIC) program in community health centers across Texas. This initiative aimed to transform organizational culture for consistent delivery of TIC by providing training and coaching opportunities for Trainers and Champions in each health center. This study is an interim qualitative evaluation to gain participants' insights into their experiences of and perceptions about TIC training as part of the TIC initiative. Methods: We conducted semi-structured key informant interviews via Zoom with Trainers across four cohorts of participating health centers between February 2020 and April 2023. We used rapid assessment procedures to conduct analysis in tandem with data collection given the ongoing TIC training. We present salient quotes to illustrate the emergent themes. Results: We interviewed a total of 36 Trainers and identified the following emergent themes from the interviews: (1) Perceived need for the TIC training, (2) Perspective shift in patient care, (3) Increased support for staff wellness, (4) Importance of equal involvement of staff at all levels, (5) Need for leadership buy-in, and (6) Lack of self-efficacy and empowerment to train others. Conclusions: A trauma-informed environment in a healthcare setting can bolster patient-centered care as well as a culture of staff wellness. This qualitative evaluation revealed that after TIC training, Trainers had improved attitudes and behaviors to commit to organizational TIC transformation to prevent unintended consequences of trauma for both patients and staff. Trainers' experiences with and suggestions for enhancing the TIC training should be considered for training future cohorts as they continue to strive for TIC transformation in their health centers. [ABSTRACT FROM AUTHOR]

Objective Data Sources and Study Setting Study Design Data Collection/Extraction Methods Principal Findings Conclusions To investigate provider and administrators' perspectives about the impact of the Department of Veterans Affairs' (VA) Community Care program on acute and residential mental health treatment of rural Veterans.Primary data were collected from participants via interviews. Participants were employees of VA Healthcare Systems located in Northern New England, or employees of non‐VA mental health treatment settings affiliated with VA in Northern New England.This study was informed by the Consolidated Framework for Implementation Research (CFIR), with Community Care as the implemented program. Individual, semi‐structured interviews were conducted.Individual interviews were transcribed, coded deductively using the CFIR, and inductively coded by locating themes.Twenty‐one people completed interviews. Commonly reported challenges included community programs not focused on Veterans' needs, poor coordination of care, communication challenges, and problems tracking Veteran care. Facilitators included increased access to care and strengthening coordination of care.The VA's Community Care program can address the acute or residential mental health needs of Veterans in rural settings in some circumstances, however there are challenges to successful implementation. [ABSTRACT FROM AUTHOR]

Background: The efficacy of lung cancer screening (LCS) to reduce lung cancer specific mortality is heavily dependent on adherence to recommended screening guidelines, with real-world adherence rates reported to be drastically lower than rates described in clinical trials. There is a dearth in the literature on reminder processes and clinical workflows used to address adherence and robust data is needed to fully understand which clinical set-ups, processes, and context enhance and increase continued LCS participation. This paper describes a protocol for an environmental scan of adherence and reminder processes that are currently used in LCS programs across the United States. Methods: This study will triangulate data using a 3-step explanatory sequential mixed methods design to describe mechanisms of current adherence and reminder systems within academic and community LCS programs to pinpoint clinic or system barrier and facilitator combinations that contribute to increased adherence. In step 1, surveys from a nationally representative sample of LCS programs will yield quantitative data about program structure, volume, and tracking/reminder processes and messages. After completion of the survey, interested LCS program personnel will be invited to participate in an in-depth interview (step 2) to explore current processes and interventions used for adherence at the participant and program level. Finally, in step 3, triangulation of quantitative and qualitative data will be completed through qualitative comparative analysis to identify combinations of components that affect higher or lower adherence. Discussion: This research advances the state of the science by filling a gap in knowledge about LCS program characteristics and processes associated with better adherence which can inform the development and implementation of interventions that are scalable and sustainable across a wide variety of clinical practice settings. [ABSTRACT FROM AUTHOR]

The article discusses the evolution of substance use services, focusing on the establishment of overdose prevention centers. It highlights the challenges faced by individuals struggling with substance use and the need for more compassionate and effective support services. The text emphasizes the importance of harm reduction approaches, such as supervised consumption sites, in addressing the rising number of overdose deaths in the United States. The authors advocate for a shift towards client-centered care and collaborative efforts to improve outcomes for people who use drugs. [Extracted from the article]

Pakistan has extremely poor breastfeeding indicators: fewer than half of infants under 6 months are exclusively breastfed, only 20% of infants are breastfed within the first hour of life, and nearly half are never fed colostrum. The country's high infant morbidity and mortality is in part due to this suboptimal infant feeding. A network of lady health workers (LHWs) employed by the government facilitate maternal and child health programs, including breastfeeding support in their communities. This study describes LHWs' perspectives and experiences regarding breastfeeding. We conducted semi-structured interviews with 14 LHWs and used thematic qualitative analysis to code and analyze the data. Our research revealed that LHWs use their role as members of the community and involve influential members of the family to build trust. Frequent home visits beginning prenatally help them address misconceptions about infant feeding. While they have strong knowledge about the benefits of breastfeeding and the importance of colostrum, they demonstrate gaps in their knowledge regarding breast conditions, the safe preparation of human milk substitutes, the physiology of milk production, and supporting mothers who are separated from their baby. Future training should address these areas where LHWs lack knowledge to help mothers facilitate early and exclusive breastfeeding. With adequate training, LHWs are uniquely positioned to use their role as trusted members of the community to effectively counsel families on the importance of breastfeeding and support the clinical needs of women during the perinatal time. [ABSTRACT FROM AUTHOR]

Evidence around dam building worldwide has revealed that the impacts of dam projects can make the livelihoods of the project‐affected people worse off several years after the dam is commissioned. Despite six decades of Ghana's dam building experience, there is paucity of information on the impact of new programs implemented during post‐dam construction on local livelihoods. This study filled in the gap by examining whether the new livelihood enhancement programs introduced by the Bui Power Authority (BPA) at the Bui dam have revitalized local livelihood activities that had been disrupted by the dam construction and resettlement processes. Explorative qualitative data were collected through key informant interviews (KIIs), focus group discussions (FGDs), and field observation in the seven resettled communities at Bui and Jama Resettlement Townships and in three non‐resettled communities at the Bui dam area, including the host community. Purposive sampling was used to select a total of 130 participants for the KIIs and FGDs. Data were analyzed using thematic analysis approach. Results showed that, in general, the new livelihood support programs in the resettled communities such as cage aquaculture production, weaving, and pottery have positively impacted the socioeconomic livelihood activities of the resettlers in recent years compared to the period soon after resettlement. However, low crop yields due to poor soil fertility and small size of farmlands, lack of appropriate equipment to fish on the open water, and land compensation delays were reported to be undermining the livelihood revitalization efforts of the BPA. For effective revitalization of socioeconomic livelihood activities, the new programs should be more inclusive to cover the elderly, the host community, and possibly the neighboring communities instead of its current tilt toward the youth and the resettled communities. The findings showed the persistent impacts of dams on local population and highlighted how livelihood programs could revitalize local socioeconomic livelihood activities. The study contributed to addressing the conceptual question on whether it is possible for livelihood activities of project‐affected people to be reconstructed several years after disruption. [ABSTRACT FROM AUTHOR]

In this paper, we study the impact of the New Market Tax Credit (NMTC) program in the United States on overall jobs and jobs held by minority and rural populations within the 2010–2019 period using a dynamic event‐study analysis. We also investigate if the jobs that can be attributed to the program stayed in program recipient neighborhoods or whether those jobs were occupied by non‐residents. The results show that there is clear evidence that the program increased overall workplace jobs and workplace jobs held by White and minority populations in the program recipient tracts. We also see that a larger share of workplace jobs due to the program went to minorities compared to the job shares held by various racial and ethnic groups at the beginning of the investment period. The results further show that even though the NMTC program increased the number of jobs available in a program recipient tract, the individuals who live outside that tract are holding many of the jobs created. The results also suggest that the program had a negative impact on jobs held by residents in nonmetropolitan tracts. [ABSTRACT FROM AUTHOR]

This paper reflects on Freire's discourse on liberating education and adult educators' educational roles with community groups in transforming communities. Mineral-rich communities in Ghana are in danger of losing water bodies, rich arable lands, and forest vegetation cover through "galamsey," which refers to the gathering of rich mineral resources illegally for sale. Yet the fourth Industrial Revolution Age positions adult educators strategically in making learning the needed skill among community groups to improve communities. This qualitative study adopted a convenience sampling procedure to select and interview eight graduate students in a higher education institution (HEI) in Ghana. Data were analyzed using thematic and narrative approaches. The results indicate that adult educators' educational roles are empowering, yet they should employ more dialogical, story-telling, and conversational approaches; and must listen to community members' views on community development programs. The study concludes that adult educators drive community development programs via inclusiveness and networks to make communities sustainable. [ABSTRACT FROM AUTHOR]

Purpose: Although suicidal ideation (SI) is a serious concern in Canada, its prevalence and related factors among Black individuals are poorly documented. Using data from the Mental Health of Black Communities in Canada project (BeCoMHeal), this study aimed to assess the prevalence of SI in Black individuals aged 15–40 years old in Canada, the mediating role of traumatic life events in the association between depression and SI, and the moderating role of racial microaggressions and internalized racism. Methods: Eight hundred and sixty participants aged between 15 and 40 years (Mage =24.96, SD = 6.29) completed the online questionnaire assessing sociodemographic data, depression symptoms, traumatic life events, racial microaggressions, internalized racism, and SI. Results: Findings showed that 25.7% of the participants reported having experienced SI (26.5% women, 22.7% men, 훘2 = 1.08, p =.299). The moderated-mediation model revealed that traumatic life events fully mediated the association between depression and SI (B = 0.12, p =.004; 95% CI, [0.04, 0.20]) and that racial microaggressions (B = − 0.03, p =.042; 95% CI [-0.07, − 0.00]) and internalized racism (B = 0.06, p =.006; 95% CI [0.02, 0.10]) moderated this relationship. Conclusion: These findings underscore the importance of addressing racial microaggressions and internalized racism in therapy contexts among Black individuals to mitigate the potential negative impacts on their mental health. They also emphasize the need to develop effective, culturally sensitive, and racially adapted suicide prevention and intervention programs for Black communities in Canada. [ABSTRACT FROM AUTHOR]

Prostate cancer (PCa) is one of the most important health problems among elderly men in China, with the increasing aging of the population. A cross-sectional survey was conducted in eastern China from 2022 to 2023. Recruitment included a total of 70,342 participants aged 60 or older. Social demographic information, such as individual factors like age, education levels and behavior habits, physical examination and laboratory tests results were collected. Age-standardized prevalence rates were estimated by a direct method with a standard population. T test and chi-square test were used to compare the statistical differences. Multivariate regression models were used to identify the risk factors of PCa. Overall, the crude and age-standardized PCa prevalence is 0.93% and 0.91%, respectively in eastern China. When we adjusted all the co-variables, it showed that high age, smoking, having a higher BMI and higher CA19-9 were associated with a higher risk for a prostate cancer diagnosis. Faced with the demographic transition, innovative strategies are needed to control and prevent PCa. Conducting early screening among male population in community health service centers in eastern of China, especially among a population with associated risk factors such as high age, obesity, and conducting community-based intervention programs might be helpful to address this increasingly significant health problem. [ABSTRACT FROM AUTHOR]

This document is a compilation of articles from the American Journal of Health Promotion, covering various topics related to health promotion and well-being. The articles provide valuable insights into areas such as the impact of length of residence and food insecurity on weight status among Canadian immigrants, the validation of a COVID-19 public stigma scale, relationships among chronic pain subtypes, motor function, and physical activity in Japanese older adults, associations among self-compassion, resilience, and mental health in community adults, the relationship between health-related behaviors and academic achievement among college students, and the relationship between e-cigarette use and physical activity levels in U.S. adults. These articles can be useful for researchers and professionals in the field. [Extracted from the article]

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Osteoporosis is a major public health problem that can lead to physical disability, working performance limitations, decreased self-sufficiency, and increased hospitalization and mortality rates. People are unaware of osteoporosis, and it is often undiagnosed until fractures occur. Limited studies have been conducted to determine the knowledge, attitude, and practice regarding osteoporosis among middle-aged women in Nepal. This study aimed to determine existing knowledge, attitude, and practice towards osteoporosis among middle and old-aged women in Nepal. A cross-sectional study was conducted among the selected wards of Kirtipur Municipality to recruit 405 participants. Participants were selected using a stratified random sampling technique. Face-to-face interviews using a structured questionnaire were performed to collect the data. Frequencies, percentages, mean, and standard deviation were used to describe the characteristics of participants. Multivariate logistic regression was used to determine the factors associated with knowledge, attitude, and practice regarding osteoporosis. Pearson's correlation coefficient was used to determine the correlation between knowledge, attitude, and practice regarding osteoporosis. The mean ± SD age of the participants was 46.2 ±9.1 years. Nearly half of the participants (48.8%) had good knowledge, while 57.7% and 51.8% had positive attitudes and good practices regarding osteoporosis, respectively. The occupation and income of the participants were statistically significant and associated with the knowledge level. Meanwhile, age, ethnicity, education, occupation, and monthly household income were associated with attitude level. With a good practice level, ethnicity, family type, and education were statistically significant. The knowledge-attitude (rka = 0.093, p < 0.05), attitude-practice (rap = 0.171, p < 0.001), and knowledge-practice (rkp = 0.274, p < 0.001) for osteoporosis were positively correlated. The study found that still around half of the middle and old-aged women had poor knowledge, negative attitudes, and poor practices regarding osteoporosis. Moreover, it highlighted inadequate dietary practices, such as low consumption of milk, vegetables, fruits, and calcium supplements among women, indicates are at greater risk of osteoporosis. The study emphasized the need for community-based awareness programs for the target population such as housemakers, and lower-income groups, to prevent osteoporosis among women. [ABSTRACT FROM AUTHOR]

Background: Uterine rupture is a rare but severe obstetric complication that poses significant risks to maternal and fetal health. Understanding the lived experiences of individuals who have undergone uterine rupture is crucial for improving care and support for those affected by this condition. This qualitative phenomenological study aimed to explore the experiences of individuals who have experienced uterine rupture. Method: The study employed a qualitative phenomenological approach, conducting 12 in-depth interviews and four key informant interviews with individuals who had experienced uterine rupture. Data analysis was conducted thematically using Atlas ti software to identify patterns and themes within the participants' narratives. Results: The analysis of the interviews highlighted six key themes: experience during diagnosis and initial symptoms, perceived predisposing factors of uterine rupture, challenges faced by individuals with uterine rupture, impacts on their lives, and coping and resilience strategies. The findings revealed that women often failed to recognise the initial symptoms of uterine rupture due to a lack of preparation, a preference for home deliveries, husband refusal, and a general lack of awareness. This delay in seeking care resulted in severe consequences, including the loss of their babies, infertility, fistula, psychological trauma, and disruptions to daily life and relationships. To cope, many women resorted to accepting their situation, isolating themselves, and using traditional healing techniques. Conclusions: This study's findings provide valuable insights into the complex and multifaceted nature of uterine rupture, shedding light on the experiences of those affected by this condition. To address the challenges, it is essential to enhance awareness and education through community education programs and comprehensive antenatal classes. Additionally, improving access to healthcare by strengthening health infrastructure and deploying mobile health clinics can ensure better prenatal care. Furthermore, encouraging hospital deliveries through incentives and the support of community health workers can reduce risks. Providing psychological counselling and establishing support groups can help affected women cope with the consequences. Moreover, engaging men in maternal health through educational programs and involving them in antenatal care can foster better support. Finally, promoting safe traditional practices by integrating traditional healers and respecting cultural sensitivities can increase acceptance and adherence. [ABSTRACT FROM AUTHOR]

Background: Population surveys are necessary to measure a community's eye care needs. We conducted simultaneous surveys in two regions in Malaysia in 2023 to estimate the prevalence of blindness and/or visual impairment (VI), identify its main causes, and compare the results with the survey in 2014. Methods: The surveys were simultaneously done in Eastern and Sarawak administrative regions using the Rapid Assessment of Avoidable Blindness (RAAB) technique. It involved a multistage cluster sampling method, each cluster comprising 50 residents aged 50 years and older. The prevalence of blindness and/or visual impairment (blindness, severe, moderate, and early) and its primary cause were determined through a visual acuity test and eye examination with a hand-held ophthalmoscope. Results were compared with the previous survey in 2014. Results: A total of 10,184 subjects were enumerated, and 9,709 were examined (94.5% and 96.2% responses for Eastern and Sarawak, respectively). The prevalence of blindness and severe VI appeared lower than the previous survey. For blindness: Eastern 1.4%, 95%CI (0.9, 1.9) to 0.8%, 95%CI (0.5, 1.1) and Sarawak: 1.6% 95%CI (1.0, 2.1) to 0.6%, 95%CI (0.3, 0.9). For severe VI: Eastern 1.2%, 95%CI (0.8, 1.7) to 0.9%, 95%CI (0.6, 1.1) and Sarawak 1.1% 95%CI (0.6, 1.6) to 0.9%, 95% CI(0.6, 1.2). The main cause of blindness was untreated cataracts: 77.3% (Eastern) and 75.0% (Sarawak). Diabetic retinopathy was the 2nd main cause of blindness for Eastern at 9.1%, but it only caused early to severe VI in Sarawak. Conclusion: The prevalence of blindness and severe VI were lower than in the previous survey. It could have been attributed to a community cataract program implemented soon after the survey in 2014. However, more efforts are needed to address the high percentage of avoidable blindness within both regions. [ABSTRACT FROM AUTHOR]

Recent national calls to transform undergraduate science education have centered on engaging students in scientific practices as a means to help them develop deeper insights into science. The three-dimensional framework for science education encapsulates the goals of these national calls by recommending that instructors integrate scientific practices, crosscutting concepts, and disciplinary core ideas throughout their courses. Prior research has found that introductory undergraduate biology exams contain few three-dimensional items suggesting that instructors likely face barriers in meeting the goals of national calls. To better understand these putative challenges, we explored factors potentially associated with three-dimensional alignment. Our generalized linear mixed model indicated that instructors who used three-dimensional items on their exams were more likely to use Bloom's Taxonomy when designing their exams and were more likely to write these items using a constructed-response format. We also found that professional development opportunities did not necessarily change the likelihood an instructor would employ three-dimensional items. We previously identified that few items in our sample fully aligned to scientific practices, making scientific practices the limiting dimension for three-dimensional alignment. Our subsequent analysis here revealed that most biology instructors had exam items that were at least partially aligned to scientific practices. Based on our results, we highlight the significant time and resources that instructors likely need to write and grade constructed-response assessments, suggest that instructors build on items that are mostly aligned to scientific practices to increase their three-dimensional alignment, and propose ways that professional development programs and communities might further support instructors in meeting national calls. [ABSTRACT FROM AUTHOR]

Background: Dance is a promising health resource for older adults, but empirical evidence remains inconsistent. The lack of synthesised evidence regarding program design, dose, and delivery limits understanding of factors influencing participation and health outcomes. This scoping review aimed to map the scope, range, and effectiveness of dance programs for older people, and identify gaps and opportunities for future research and practice. Methods: Searches across five databases (September 2023) identified 148 studies evaluating 116 dance programs (≥4 weeks) for older adults (≥55 years, N = 8060), Dance interventions delivered to clinical groups were excluded. Intervention design and delivery were charted against the TIDieR reporting checklist. Program outcomes including adherence, safety, and positive tests were charted into established taxonomies. Results: Demographic information, program details, and implementation were often insufficiently reported. Participant groups differed by age range, with underserved communities underrepresented. Programs varied extensively in key factors including dose, prospective 'active ingredients', delivery approach, facilitator expertise, and class size. While dance was physically safe, adherence rates in older adults are comparable to other community exercise programs. Less than 40% of health assessments showed positive change, with more consistent benefits to physical endurance, strength, and function, moderate impacts on psychosocial health, and limited benefits to cognitive and brain health, and falls and falls risk. Conclusion: Dance is a meaningful, safe, adaptable, and low-cost health resource for older adults. Key opportunities for advancing research include improved access for underserved groups, program suitability assessments, strategies to support adherence and engagement including theory-informed approaches, and incorporation of participant and practitioner insights. Identification of key 'active ingredients' and dance program factors may improve understanding of causal pathways and mechanisms to optimise engagement and health impacts. Stronger reporting practices will facilitate comparisons across studies and more robust evidence synthesis. This review provides a critical knowledge foundation to guide future approaches in dance for health and offers reporting recommendations. [ABSTRACT FROM AUTHOR]

The Citarum River revitalization program through the "Citarum Harum" program, focuses on integrated cooperation between multi-sector actors in managing the Citarum Watershed sustainably and improving the quality of life around the river. Such as ministries (central government) acting as policy and regulation providers and as the leading sector, local governments acting as program supervisors and monitors, academics/universities acting as knowledge creators and program management innovations, the private sector acting as important partners, communities acting as program supporters and participants, and the Indonesian National Army (Tentara National Indonesia, TNI) acting as initiators, law enforcers, and field supervisors. This article outlines some of the challenges faced by Citarum Watershed, as well as important findings regarding collaborative sustainable and resilient watershed management, particularly in the context of the Citarum River, Indonesia. In this commentary, we underscore the importance of collaborative efforts, effective policy frameworks, and adaptive management strategies in addressing the environmental challenges faced by the Citarum River, while highlighting the need for ongoing commitment from all stakeholders during program implementation and post-program. The implications of these findings suggest a holistic, inclusive, and adaptive approach to sustainable management of watersheds and the environment that can be applied to other regions facing similar challenges such as Pollution; Environmental Degradation; Critical Land and Sedimentation; Inadequate Infrastructure; Population Growth and Urbanization; Climate Change, Weak Law Enforcement, and Lack of Coordination Among Stakeholders. Article highlights: Management of the Citarum River Basin (Daerah Aliran Sungai, DAS) is a mainstay of household life, urban communities, the environment, and supports industrial activities in the western region of Java Island, where no other river has a role and function as large as the Citarum River Basin. Challenges in the complexity of Citarum River Basin management highlight the need for an integrated and multi-stakeholder approach to ensure sustainable water resources management and environmental protection. The emphasis on Indonesian policy regulation and interactive collaboration model of various mutually beneficial helixes are the keys to success in sustainable and resilient management of the Citarum River Basin. Significant barriers that need to be considered in the Quintuple Helix Model framework are related to power dynamics, operational clarity, resource allocation, community involvement, and stakeholder integration to achieve its goals effectively. [ABSTRACT FROM AUTHOR]

Background: In Ghana, the use of illegal drugs and alcohol has been classified as endemic. To manage this menace, the Therapeutic Community model for Substance Use Disorders (SUD) was introduced in Ghana about a decade ago as an alternative to other existing strategies. However, the effectiveness of this treatment modality for substance use disorders in Pantang Mental Hospital and Accra Psychiatric Hospital has not been scientifically studied. Objective: This study, therefore, sought to explore the experiences of substance users or residents enrolled in the Therapeutic Community programme toward recovery from substance use disorders. Method: This research employed an explorative-descriptive design. Participants (N = 20) were enrolled purposively sampled and recruited into the study. Face-to-face interviews were conducted using a semi-structured guide and data were analyzed using Colaizzi's descriptive phenomenology data analysis process. Results: Two main themes emerged from the data: "Why I stayed" (Motivation), and "All things are new" (Life transformation). The study pointed out that residents or participants mainly expressed positive experiences in the programme, including experiencing a sense of belongingness, enhanced self-esteem/self-worth, and most importantly, developing hope of a life free of addiction. Conclusion: In conclusion, the study found that participants in the Therapeutic Community (TC) program generally had positive experiences and believed in its effectiveness for recovery. Factors such as a relaxed environment, supportive staff, and interactions with other residents contributed to their positive experience. The study discovered that motivation, a conducive environment for care, structured program activities, and relationships among residents were key factors that motivated participants to stay and actively participate in the therapeutic community program. These factors fostered hope and a sense of belonging, ultimately contributing to their recovery journey. However, participants expressed the need for self-actualization, which they hoped to achieve after completing the program and reintegrating into the community. [ABSTRACT FROM AUTHOR]

The article discusses the use of hierarchical endpoints analyzed using the win-ratio method in deprescribing trials for older adults with multimorbidity. Deprescribing, the process of discontinuing drugs when harms outweigh benefits, has shown potential to improve quality of life and reduce medication burden. The win-ratio method integrates patient priorities into composite outcomes, enhancing statistical power and accounting for competing risks like mortality. This approach can advance deprescribing research by focusing on patient-centered outcomes and improving study design for clinical trials. [Extracted from the article]

Background Methods Results Conclusions Community‐dwelling older adults are at high risk for unmet social service needs. We describe a novel partnership embedding county services case managers in the Emergency Department (ED) to connect older adults to community services alongside their medical care.Setting: A medium‐sized urban ED with 55,000 patient visits a year. Intervention: Case managers from the Franklin County, Ohio Office on Aging (OA) were embedded within the ED. The OA team worked with the ED social work team to identify community‐dwelling older patients, perform an in‐person intake assessment, and initiate needed community services (including home‐delivered meals, emergency response systems, house repairs, and transportation). Program logic model and development are reported in detail.From June to December 2023, there were 7284 ED visits for adults ≥60 years old. Referrals to the OA case manager ranged from 1 to 13 per day. The OA case managers performed 252 full intake assessments on unique patients. The population was 51% men. Only 11% (n = 28) were currently connected to OA services, and of those already connected 29% (n = 8) needed increased services. Of the remaining unconnected patients (n = 224), 8% (n = 20) were not county residents and the OA team connected them with other county OAs. Half 53% (n = 120) were accepting of services and had services from the OA or other community health programs initiated during the ED visit. The OA team made three new Adult Protective Services referrals and one referral to the long‐term care ombudsman. The program did not increase ED length of stay or hospital admission rates.Embedding county service enrollment within a community ED is a cost neutral intervention that reached a population without previous services. Future plans include expansion of the program and evaluation of the program's ability to detect elder mistreatment and self‐neglect. [ABSTRACT FROM AUTHOR]

Simple Summary: Most cats entering animal shelters in Australia are less than 1 year old and originate from disadvantaged areas. Our study examined cat ownership and caregiving practices for cats being enrolled in a free sterilization program in the neighborhoods of Ipswich, Australia with high per capita intake of cats into shelters. We surveyed 1094 cat owners and semi-owners who took ownership of a stray cat at the time of sterilization, and explored caregiving practices and reasons for transition from informal caregiving to full ownership. The results revealed that most cats were under 12 months old and were primarily acquired through friends, family, or as strays. The majority of cats lacked regular veterinary care, with only a minority having visited a veterinarian or been vaccinated. Prior to hearing about the free sterilization program, 88.5% of participants identified as full owners, while 11.5% as semi-owners. These semi-owners transitioned from semi-ownership to full ownership before completing the survey. For the semi-owned cats, 93% of respondents cited a sense of responsibility, emotional attachment, and access to free sterilization services as the primary reasons for taking ownership. The findings emphasize that making veterinary care and sterilization services easily accessible is crucial for encouraging semi-owners to become full owners, which in turn improves cat welfare and reduces unwanted kittens, benefiting both cats and the community. Most cats entering animal shelters in Australia are less than 12 months old and emanate from low socioeconomic areas. Many are unidentified and may be either owned or semi-owned cats (cats cared for by someone who does not consider themselves the owner). In Australia, approximately 33% of cats entering shelters and pounds are euthanized annually, adversely affecting the mental health of staff involved. Our study investigated cat ownership and caregiving behaviors of cats enrolled in the Australian Pet Welfare Foundation's Community Cat Program, which included free sterilization, microchipping, and preventive healthcare. The suburbs targeted in Ipswich, Australia had a high per capita cat intake into animal shelters. We surveyed 1094 cat owners and semi-owners. Most cats were under 12 months old (79%), primarily domestic short-haired (69%), and acquired through informal channels such as friends, family, or as strays. Veterinary care was limited, with only 15% of cats having visited a veterinarian and 28% being vaccinated. Prior to hearing about the free sterilization program, 88.5% of participants identified as owners, while 11.5% were semi-owners. Before completing the survey, these semi-owners transitioned from an informal caregiving relationship to becoming owner of the cat/s. Of the semi-owners, 93% indicated that their transition to ownership was driven by feelings of responsibility, emotional attachment, and access to free sterilization services. These findings suggest that targeted interventions, such as accessible veterinary care and sterilization programs, are crucial in encouraging semi-owners to take full ownership of cats, improving cat welfare, and reducing unplanned breeding. Supporting this transition helps curb overpopulation and fosters improved caregiving, benefiting both cats and communities. [ABSTRACT FROM AUTHOR]

Simple Summary: Australia's current strategies for urban cat management are outdated and ineffective, and are typically based on mandated containment and "trap, adopt, or euthanize" responses for nuisance cats. We undertook a situational analysis before implementing a cat management program based on free sterilization for owned, semi-owned, and unowned cats in a targeted area with a high per capita cat intake into the receiving shelters. Before implementing the intervention, we aimed to understand the attitudes and behaviors towards wandering and stray cats, as well as community preferences and priorities for their management. Stray or wandering cats were observed by many respondents (71%), primarily at private residences and in alleyways or streets, which caused serious or moderately serious problems for 38% of respondents who saw stray or wandering cats. Similar levels of concern were expressed in regards to the stray cats killing native birds, killing native animals, creating noise, and soiling. The respondents preferred sterilization over euthanasia for managing stray cats. Only a minority of respondents were satisfied with current local council cat management. Increasing public awareness about the advantages of cat management based on sterilization could further increase community support for this approach. Current cat management approaches are outdated and ineffective, failing to reduce stray cat numbers or related complaints and negatively impacting the job satisfaction and mental health of veterinary, shelter, and municipal staff. We undertook a situational analysis prior to implementing a Community Cat Program based on free sterilization of owned, semi-owned, and unowned cats in the city of Ipswich, Queensland, Australia. The study involved 343 residents in three suburbs in Ipswich, Queensland, Australia with high per capita intake of cats into the receiving shelter and municipal pound. We investigated the prevalence and impacts of free-roaming cats in urban areas, focusing on sightings, associated issues, and community preferences for cat management. Stray cats were observed by many respondents (71%), primarily at private residences (52%) and in alleyways or streets (22%), which caused serious or moderately serious problems for 38% of those who saw stray or wandering cats. Key concerns included the killing of native birds (38%) and animals (35%), noise (33%), and soiling (32%). Actions taken by respondents who saw stray or wandering cats included chasing them away or using deterrents (25%), capturing the cat for removal or calling council (18%) and preventing home entry (14%). Respondents' priorities for the local government management of cats included preventing kittens from being born (94% of respondents) and stopping cats from preying on native animals (91%); reducing disease spread to pets (89%), wildlife (89%), and humans (87%); decreasing stray cat numbers (75%); and preventing cat fights (70%). Respondents favored sterilization (65%) over euthanasia (35%), aligning with the results of previous research. Cat ownership and feeding unowned cats were predictors of management preferences. Only 29% of respondents were satisfied with the current local council management of the problem. Information on the benefits of management by sterilization could further enhance community support. [ABSTRACT FROM AUTHOR]

The study examines community-based breeding schemes as a cost-effective method for enhancing the productivity of indigenous livestock breeds. While such projects offer benefits, their success varies in different locations. Drawing data from Uganda's Teso and Karamoja regions, the research reveals that investing in such projects yields positive outcomes for farmer groups. However, challenges such as limited access to veterinary services, high maintenance costs, and the failure of the exotic breeds to adapt to extreme temperatures and drought conditions hinder project success and continuity. The study emphasises the importance of collective resource mobilisation, effective group governance, and farmer involvement in breed selection to address these issues. It also recommends promoting income-generating activities within the groups, strengthening leadership structures, and fosteringmember commitment to collective efforts. These measures aim to enhance the effectiveness and sustainability of community-based breeding programs. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Methods Results Discussion Community doulas are perinatal health workers who provide peer education, resource navigation, and support during pregnancy, childbirth, and the postpartum period. Evidence suggests that doulas improve the experience of care, reduce cesarean birth, and improve breastfeeding outcomes. However, people with low incomes cannot access affordable community doula support in most states due to lack of insurance reimbursement. To determine the affordability of Medicaid reimbursement for doula services, there is a need to fill a gap in research that employs real‐world data and a return‐on‐investment (ROI) analysis approach.We conducted a ROI analysis from the healthcare perspective of an enhanced community doula intervention, Best Beginnings for Babies (BBB). Healthcare and program cost data were collected alongside clinical outcomes from a randomized controlled trial of routine maternity care at Boston Medical Center with and without BBB. ROI was calculated as the net healthcare savings divided by the investment costs. Post‐COVID‐19 program costing estimates were also performed.Average healthcare costs per patient were $18,969 for the BBB group compared with $20,121 for routine care, a savings of $1,152. BBB program costs were an average of $971 per person. There was an 18% ROI. Lower costs for the birth hospitalization and NICU stays accounted for the largest areas of savings. Per‐person program costs using proposed MassHealth fees produced a positive return on investment, although 2023 hospital doula program wages and salaries did not.The BBB‐enhanced community doula program was cost‐saving to payers and increased access to doula support for low‐income people. Even with post‐COVID‐19 increases in program costs, analysis demonstrated doula support was still financially feasible. This study should reassure budget‐conscious Medicaid payers that doula services are affordable. [ABSTRACT FROM AUTHOR]

Research on community engagement largely focuses on the potential benefits of such activities for police services, policing as an industry, and the larger community, such as reduced disorder and anti-social behavior as well as increased confidence and trust in police. Absent from this conversation, however, are the officers who voluntarily initiate or participate in community engagement and the significance of these activities to them. To address this gap, this study examines officers’ engagement in community initiatives and what those activities mean to them. This study uses qualitative data from semi-structured interviews with 26 officers of various ranks who voluntarily initiated and/or participated in a community-based program(s) or event(s). A thematic analysis of the data reveals three overarching themes on what community engagement activities bring to or mean to officers: (1) community engagement represents an opportunity to build relationships with community members; (2) community engagement is a welcomed opportunity to feel like officers are helping the community; and (3) community activities contribute to officers’ mental wellbeing. This study demonstrates that community engagement is significant and meaningful to the individual officers involved. Thus, not only does community engagement benefit the police service and community (as per the existing literature), it also has potential benefits for officers. [ABSTRACT FROM AUTHOR]

This research aims to analyze the impact of social protection programs on community welfare in the Tomini Bay area. The research used data from Statistics Indonesia (BPS) collected between 2018 and 2022. It employed the Fixed Effect Model (FEM) panel data. The results indicated that several social protection programs, such as Non-cash Food Assistance (Bantuan Pangan Non Tunai or BPNT) and Pension Funds, positively affected people's welfare in the Tomini Bay area. Meanwhile, the Family Hope Program (Program Keluarga Harapan or PKH) did not appear to have a sufficient impact on people in the area. Therefore, the critical focus for improving welfare in the Tomini Bay area is improving the quality and quantity of the BPNT Programs and Pension Funds. [ABSTRACT FROM AUTHOR]

Background: Due to poorer exercise tolerance, it may be challenging for frail older adults to engage in moderate- or vigorous-intensity exercise. While low-intensity exercise interventions may be more feasible, its effectiveness for such population group remains unclear. We examined the effectiveness and implementation of community-based Baduanjin Qigong, a low-intensity exercise program in older adults with varying frailty status. Methods: A two-arm, multicenter assessor-blind parallel group randomized controlled trial was conducted at three local senior activity centers. Fifty-six community-dwelling older adults with low handgrip strength were randomly allocated to either the intervention (IG) or wait-list control (CG) group. The IG underwent a supervised 16-week Baduanjin exercise program at a frequency of 2–3 × 60 min sessions/week. The CG was instructed to maintain their usual activity and received a monthly health education talk. The primary outcome measures were knee extension strength, vital exhaustion, and fear of falling. Secondary outcome measures include physiological falls risk, handgrip strength, gait speed, timed up and go test, 30-second sit-to-stand, quality of life, depression, and frailty. All outcome measures were assessed at baseline and 4-month follow-up. Results: Overall, there were no statistically significant differences in all outcome measures between CG and IG at 4-month follow-up. However, in exploratory compliance analysis, a statistically significant group x time interaction was found for vital exhaustion (B = -3.65, 95% CI [-7.13, -0.16], p =.047) among participants with at least 75% attendance. In post-hoc within-group comparisons, IG showed improved vital exhaustion by 4.31 points (95% CI [1.41, 7.20], d = 0.60). The average participant attendance rate was 81.3%. No major adverse events occurred, and all participants reported positive experiences with the exercise intervention. Conclusions: Our study demonstrated that Baduanjin is a safe, feasible, and acceptable exercise program that can be successfully implemented in community settings for older adults with varying frailty status. With good adherence, Baduanjin exercise could potentially be effective in alleviating vital exhaustion. However, the effectiveness of Baduanjin on physical performance, psychological measures and frailty in community-dwelling older adults remains equivocal. Trial registration: ClinicalTrials.gov NCT04549103. Registered September 16, 2020. [ABSTRACT FROM AUTHOR]

Background: Cardiopulmonary resuscitation (CPR) is a crucial life-saving procedure for managing cardiac arrest, involving chest compressions and rescue breaths to maintain circulatory flow and oxygenation. Despite its importance, public awareness and proficiency in CPR are alarmingly low globally, including in Jammu & Kashmir. This study aims to evaluate CPR awareness and preparedness among the general public in Jammu & Kashmir, identifying gaps and informing targeted educational interventions. Material & Methods: This descriptive, cross-sectional survey was conducted from January 2024 to March 2024 in Jammu & Kashmir. The study targeted adults aged 18 and above who had been residents for at least 12 months. A sample size of 400 adults was determined using a 95% confidence level and a 5% error margin. Data were collected using a pre-tested Google Form questionnaire that included socio-demographic information and 20 structured questions on CPR knowledge. The data were analyzed using Epi Info V7 Software, with results presented in frequencies and percentages. Results: The study revealed a balanced age distribution among participants, with a slight male predominance (55.3%). Educationally, 39.8% were graduates, and 15.3% had postgraduate or higher qualifications. Only 10.3% of respondents achieved a 'Very Good' CPR knowledge score, while 39.8% had 'Fair' knowledge, and 24.8% were classified as 'Poor.' Younger participants (18-30 years) and those with higher education levels had significantly better CPR knowledge. Gender, marital status and employment status also influenced CPR knowledge levels. Conclusion: The study highlights a significant gap in CPR awareness and proficiency among the residents of Jammu & Kashmir. Socio-demographic factors play a critical role in influencing CPR knowledge levels. There is an urgent need for targeted, culturally sensitive educational interventions, including community-based training programs, leveraging digital platforms, and incorporating CPR education into school and workplace curricula. [ABSTRACT FROM AUTHOR]

Background: The livelihood patterns of indigenous tribal communities residing in the Ghumsur forests are intricately interwoven with their dependence on forest-related activities. However, the degradation of forest ecosystems, particularly the incidence of forest fires, exerts a profound impact on the socio-economic dynamics and resilience of these communities. Consequently, an exigent need arises to comprehensively elucidate, evaluate and comprehend the nuanced characteristics of these areas concerning the complex interplay between forest fires and livelihoods. Methods: A thorough investigation was conducted to evaluate livelihood vulnerability to forest fires in the Ghumsur North Division forests. This assessment utilized the Livelihood Vulnerability Index (LVI), incorporating 34 indicators condensed into six factors for a comprehensive composite index. The factors represented various aspects of vulnerability and were based on tangible indicators reflecting the complexity of livelihood vulnerability. Data sources were primarily used, with indicators standardized on a scale from 0 to 1, where values near 1 indicated higher vulnerability. Result: The Gallery sub-region is particularly vulnerable due to factors like poor infrastructure, increased reliance on forests, close proximity to forested areas, socio-economic fragility and exposure to extreme weather events. It's crucial to improve adaptive capacity in fire-affected regions to reduce vulnerability to forest fires. Tailored policy interventions should focus on sector-specific development programs and involve communities in adaptation planning to address the link between livelihoods and susceptibility to forest fires. [ABSTRACT FROM AUTHOR]

Promoting spatial intelligence and intuition in secondary school is critical for future architecture and engineering professionals to develop their skills. Secondary schools, based mainly on digital tools, work in this direction. However, given the performance of undergraduate students, there is still room for improvement in acquiring this skill. The main drawbacks identified in developing spatial intelligence using digital tools are the need for more development of spatial vision and its lack of correlation with the physical environment. This work aims to present the experience, and results obtained in the 4º ESO+EMPRESA program of the Community of Madrid to promote spatial intelligence. The experience used a workshop methodology to relate digital and classic spatial didactics, thus interpreting the built and urban space. This activity had a favorable development among secondary school students, in which students with architecture degrees also collaborated. The results obtained in the workshop highlight that secondary school students could correlate digital and classical media to understand the relationship between urban wandering and architectural design. The workshop results confirm that using mixed spatial methods is fundamental to achieving adequate spatial development where digital tools must complement classical ones. [ABSTRACT FROM AUTHOR]

Introduction: Cataracts are a major cause of preventable blindness in India. A considerable number of patients continue to present with advanced cataracts, which can result in complications such as Lens Induced Glaucoma (LIG). LIG is a secondary glaucoma that occurs due to mature or hypermature cataracts, potentially causing significant visual impairment. Aim: To determine the clinical presentation, prognostic factors, and surgical outcomes in patients with LIG. Materials and Methods: A prospective study involving 60 patients with LIG was conducted at a tertiary care centre in Western Maharashtra, India from September 2022 to June 2024. All patients underwent Small Incision Cataract Surgery (SICS) and were followed-up postoperatively on day 1, day 7, and week 6. Results: The mean age of the patients was 69.03 years, with 66.7% being females. Symptoms such as pain, redness, headache and diminished vision were present in all patients. The mean duration of symptoms was 4.08 days. All patients presented with poor visual acuity (<6/60), and the majority had shallow Anterior Chamber (AC) depth (83.3%). The highest number of cases exhibited elevated Intraocular Pressure (IOP), with a range of 41-50 mmHg. Postoperative visual outcomes improved significantly by week 6 in 51.7% of patients. Conclusion: Early diagnosis and management of cataracts are crucial in preventing LIG and improving visual outcomes. Community outreach programs for early detection and management are essential in a developing country like India. [ABSTRACT FROM AUTHOR]

This study examines the interrelation between prolonged conflict and economic stagnation in Southern Thailand, focusing on the government's role in mitigating these issues. It explores the deep-rooted historical, cultural, and political complexities that contribute to the region's unrest and economic underperformance compared to the national average. Emphasizing the post-2004 escalation of violence, this research analyzes the detrimental impact on key economic sectors like tourism and agriculture and the consequences of labor migration and investment trends. The study evaluates the effectiveness of the Thai government's multifaceted peacebuilding and economic recovery initiatives, from infrastructure development to community engagement programs, and security measures. It highlights the challenges of ensuring long-term economic growth, inclusive development, and effective project implementation. Finally, the study underscores the need for strategies that transcend theoretical frameworks, advocating for approaches grounded in on-the-ground intelligence and cultural awareness to foster sustainable peace and economic development in conflict-affected regions. [ABSTRACT FROM AUTHOR]

Simple Summary: Management of stray cats in urban areas is an ongoing challenge in Australia, and many are euthanized, particularly in disadvantaged regions. The Australian Pet Welfare Foundation aimed to assess the impact of a free cat sterilization program in Ipswich, Queensland. Before that intervention, a situational analysis was conducted to evaluate cat and dog ownership behaviours. In a sample of 343 residents from the area, 35% owned cats, and 3% fed strays. Cats were mainly obtained from family or friends and shelters, while 53% of respondents owned dogs, mostly sourced from breeders and family acquaintances. A higher percentage of owned cats (91%; but only 74% for those aged 4 to <12 months) were sterilized compared to owned dogs (78%). Among cat owners, 51% contained their cats all the time and 18% at night. Our findings suggest that community-based sterilization programs targeting both owned and semi-owned cats, and assisting semi-owners in becoming owners, would assist in reducing unplanned litters and the stray cat population. It is also recommended that assistance with cat containment be provided where vulnerable native species are present in urban and peri-urban areas. These insights are crucial for developing effective policies aligned with One Welfare principles. Managing stray cats in urban areas is an ongoing challenge, and in Australia, many are euthanized. Most stray cats are from disadvantaged areas and are under 1 year of age. The Australian Pet Welfare Foundation intended to assess the impact of a free cat sterilization program in an area with high shelter intake of cats in the city of Ipswich, Queensland. The aims of this pre-intervention study were to undertake a situational analysis of cat ownership, semi-ownership and cat caring behaviours, and compare those in the same demographic with dog ownership and caring behaviours relating to sterilization rates, to provide a basis against which to assess the program's effectiveness. In a sample of 343 participants from that area, 35% owned cats and 3% fed stray cats. Cats were predominantly obtained from family or friends (31%) and shelters (20%). More respondents owned dogs (53%), which were most often sourced from breeders (36%) and family acquaintances (24%). More owned cats than owned dogs were sterilized (91% versus 78%). However, only 74% of cats aged 4 to <12 months were sterilized. Cat containment practices varied, with 51% of owners containing their cat(s) at all times, and a further 18% doing so at night. These results suggest the need for community-based programs that focus on sterilizing owned and semi-owned cats, and assisting semi-owners in becoming full owners to reduce stray cat populations and associated negative impacts. This includes assistance with cat containment where vulnerable native species are present. Public understanding of the causes and effective solutions for free-roaming cats, alongside legislative changes, are required to facilitate these efforts. Assistive programs aligned with One Welfare principles are expected to benefit the wellbeing of animals, humans and their environments. [ABSTRACT FROM AUTHOR]

AbstractThe issue of substance use disorders among college students is a growing problem that has been widely studied and reported on in recent years. However, the experiences of black college students in recovery have been largely underrepresented. Although white college students tend to have higher rates of substance use, black college students face unique challenges in accessing resources that support recovery from substance use disorders. This article will highlight the experiences of black college students in recovery, the barriers they face, the importance of collegiate recovery community programs in addressing these barriers, and the need for more programs that cater to these experiences. Through an exploration of literature and current efforts, this article aims to emphasize the significance of collegiate recovery among black college students and a need for the implementation of culturally sensitive and responsive programs at historically black colleges and universities. [ABSTRACT FROM AUTHOR]

Background: This study aims to explore the psychological effects of chronic exercise on mood and well-being in adults. Methods: A qualitative research design was employed, utilizing semi-structured interviews with 20 participants from Iran who engage in regular exercise routines for at least six months. Participants ranged in age from 22 to 58 years and represented a variety of occupations and exercise preferences. Data were collected until theoretical saturation was reached and analyzed using thematic analysis to identify key themes and subthemes related to the psychological effects of exercise. Results: The analysis revealed several key themes: psychological benefits, barriers to exercise, motivational factors, and challenges in sustaining exercise. Participants reported significant improvements in mood, self-esteem, emotional resilience, and cognitive functions such as focus and memory. Barriers to exercise included time constraints, physical barriers, lack of motivation, environmental factors, and financial constraints. Motivational factors were primarily health benefits, personal goals, social influence, psychological benefits, and habit formation. Challenges in sustaining exercise included monotony, physical fatigue, balancing life demands, health setbacks, lack of immediate results, and accessibility issues. Conclusion: Regular physical activity is associated with numerous psychological benefits, including improved mood, reduced anxiety, and enhanced cognitive function. However, barriers such as time constraints, lack of motivation, and financial constraints must be addressed to sustain these benefits. Community-based exercise programs, educational support for instructors, and public health campaigns can help overcome these challenges. Future research should include larger, more diverse samples and explore the long-term psychological effects of chronic exercise. [ABSTRACT FROM AUTHOR]

Aims: Many older persons do not think of themselves as "patients" but as persons wishing to live as actively as possible for as long as possible. However, most health-related quality of life (HRQL) measures were developed for use with clinical populations. The aim of this project was to fill that gap and to develop, for international use, a measure of what matters to older persons as they age and seek to remain as active as possible, Older Persons for Active Living (OPAL). Methods: For content development, interviews about active living were conducted with older persons from Canada, USA, UK, and the Netherlands in English, French, Spanish and Dutch, respectively with subsequent thematic analysis and harmonization. Results: Analyses of transcripts from 148 older persons revealed that active living was a "way of being" and not merely doing activities. Saturation was reached and a total of 59 content areas were identified. After grouping similar "ways" together and after conducting a consensus rating of importance, 19 unique and important "ways" remained. In some languages, formulating was challenging for three of the 19, resulting in changes to two English words and dropping two other words, yielding a final list of 17 "ways of being" with harmonized wording in 4 languages. Conclusion: This study underscores the significance of listening to older adults and highlights the importance of considering linguistic and cultural nuances in measure development. [ABSTRACT FROM AUTHOR]

Traumatic injury remains a significant public health problem, with the burden highest in low-middle income countries (LMICs) and rural areas.1,2 The far-western region of Nepal, which has the lowest human development index in the country, has a high burden of traumatic injuries.3-5 One hospital in the far-western district of Achham, Bayalpata Hospital, cares for the majority of patients with traumatic injuries – most of whom arrive without any pre-hospital care. The absence of a professionalized pre-hospital program, such as an established Emergency Medical Services (EMS) system, necessitates creative strategies to address this gap.6,7 In this context, implementing a trauma-training program for community health responders (CHRs) offers a promising solution, leveraging local resources to improve early-stage trauma care. [ABSTRACT FROM AUTHOR]

Background: An October, 2021 review of Public Health Ontario's COVID-19 guidance for congregate settings such as shelters and long-term care homes demonstrated that this guidance did not include references to ventilation or filtration. In April 2022, an interdisciplinary team with expertise in indoor air quality (IAQ), engineering, epidemiology, community programming and knowledge translation launched a virtual ventilation and filtration consultation program for community spaces in Toronto, Ontario. The program gives people working in community spaces direct access to IAQ experts through 25-min online appointments. The program aims to help reduce the risk of COVID-19 transmission in community spaces, and was designed to help compensate for gaps in public health guidance and action. Methods: Representatives from participating organizations (n. 27) received a link to an online survey via email in April 2023. Survey questions explored the impacts of the program on topics such as: purchase and use of portable air filters; maintenance and use of bathroom fans; and, maintenance and modification of HVAC systems. Survey participation was anonymous, and no demographic information was collected from participants. Results: Representatives from 11 organizations completed the survey (40%). Of those who responded, nine (82%) made changes as a result of the program, with eight (73%) making two or more changes such as purchasing portable air filters and increasing routine maintenance of HVAC systems. Conclusions: When presented with brief access to expert support and tailored plain language guidance, people working in community spaces increased their use of ventilation and filtration strategies for COVID-19 infection prevention and control. [ABSTRACT FROM AUTHOR]

Interventionists are critical components of community-based gang programs. One practice they employ is diffusing or interrupting situations that lead to homicide. How they accomplish this is unclear. This paper contextualizes retaliatory gang homicide interruptions performed by one interventionist within black communities in South Los Angeles over a 24-month period between 2016–2018. Data indicates the interventionist conducted 19 interruptions involving 24 gangs utilizing nine different techniques. Gang dynamics and the triggering events that spurred retaliation shaped the techniques utilized. At least one homicide was prevented as a result of each interruption, though the likelihood is that several were given the tit-for-tat nature of gang homicide. Methodological, theoretical, and practical applications of these and other study findings are provided. [ABSTRACT FROM AUTHOR]

Home-based pediatric palliative and hospice care (PPHC) supports the hundreds of thousands of children with serious illness and complex care needs and their families in the home setting. Considerable variation, however, exists in the provision and quality of home-based PPHC in the U.S. Ensuring equitable, high-quality home-based PPHC for all children requires the evaluation of families' care experiences and assessment of whether these experiences are aligned with their needs and priorities. To evaluate the psychometric properties of the previously developed 23-item home-based PPHC EXPERIENCE Measure for use with families of children receiving home-based PPHC in the United States. Participants included families recruited from the Children's Hospital of Philadelphia, Courageous Parents Network, and several other hospital- and community-based PPHC programs across the U.S. who provide home-based PPHC services. Participants completed the EXPERIENCE Measure at baseline and again at retest. We evaluated the factor structure of the EXPERIENCE Measure, as well as evidence regarding score reliability and validity. Eighty-two family participants completed the baseline and 53 completed the retest questionnaire from 15 states across the U.S. We found evidence for the score reliability and validity of a four-domain EXPERIENCE measure. The EXPERIENCE Measure is a tool with evidence for reliable and valid scores to evaluate family-reported home-based PPHC experiences at the time care is being received. Future work will evaluate the usability (i.e., acceptability, feasibility, and clinical actionability) of EXPERIENCE, including the sensitivity of the instrument to change over time and its impact on real-time clinical actions. [ABSTRACT FROM AUTHOR]

Community-based programs serve a critical need for vulnerable youth and families. In recent years, researchers and practitioners have urged programs to adopt a trauma-informed care (TIC) approach to address adversity in young people's lives. The purpose of this article is to describe the implementation and outcomes of the Trauma Ambassador (TA) Program, a pilot youth leadership program guided by a community-university partnership that utilized a TIC approach in an underserved East North Philadelphia neighborhood. Fourteen youth engaged in interactive trainings to build their understanding of trauma and develop practical tools to support encounters with individuals with trauma histories. Focus groups and individual interviews were conducted to better understand program implementation and outcomes. Rich data emerged that identifies a myriad of ways that youth and their community might benefit from a program like the one described. The program successfully impacted participants, as TAs recognized their own trauma and were motivated to help others who may have trauma histories. This program provided quality youth development experiences, particularly with respect to trauma-informed care, and results support taking a holistic, healing-centered approach to foster well-being for youth and adult mentors. [ABSTRACT FROM AUTHOR]

The Tourette OCD Alberta Network (TOAN) supports mental health therapists to improve the delivery of care to patients with Tourette syndrome (TS) and OCD in Alberta. We evaluated the professional development needs of health care workers to develop a continuing professional development (CPD) webinar series. Health care workers demonstrated an urgent need to access a CPD program grounded in evidenced based knowledge about TS and OCD. While 80% of health care workers treated children with TS and OCD, 50% had no formal training. A curriculum consisting of a series of twelve live, online webinars was developed and delivered between September 2020 and June 2021, covering a range of clinical topics. The webinars were attended on average by 63 attendees, with the outcome of a positive knowledge gain. In future, the educational program will need to reflect the ongoing developing clinical understanding of TS and OCD. [ABSTRACT FROM AUTHOR]

Objective This study tested a randomized controlled trial of RVA Breathes, a community asthma program, in reducing asthma-related healthcare utilization among children living in an area with a high poverty rate. Methods Participants included 250 caregivers (78% African American/Black; 73.3% household income<$25,000/year) and their children with asthma (5–11 years). Inclusion criteria included an asthma-related emergency department (ED) visit, hospitalization, unscheduled doctor's visit, or systemic steroids in the past 2 years. Families were randomized to a full active intervention (asthma education with community health workers [CHWs], home remediation with home assessors, and a school nurse component; n  = 118), partial active intervention (asthma education and home remediation; n  = 69), or a control group (n  = 63) for 9 months. Measures on healthcare utilization and asthma-related factors were collected. Follow-up assessments occurred across a 9-month period. Results Although we did not find any significant effects, there was a trend toward significance for a group by time effect with objective healthcare utilization as the outcome (F 4,365   =   2.28, p  =  .061). The full intervention group experienced a significant decrease from baseline to 9-month follow-up compared with the other groups (p  <  .001). Only the full intervention group experienced a significant increase in reported asthma action plans across time (no significant group effect). Conclusions In the context of the unprecedented COVID-19 pandemic, which led to a substantial global decrease in healthcare utilization, the study's main hypotheses were not supported. Nevertheless, findings support the benefit of community asthma programs that integrate care across multiple settings and connect families with CHWs. [ABSTRACT FROM AUTHOR]