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In the context of a diverse media landscape grappling with an increasingly stringent political climate, this study asks whether the Chinese government's media-control policies shape public opinion. Drawing on online survey data collected between 2014 and 2018 and using regression models and inverse probability weighting, I find that in 2017, as Xi Jinping began his second term as general secretary, there was a noticeable conservative shift in the political attitudes of the Chinese public. While foreign media might have reduced support for the Chinese Communist Party's stance and ideology among those with less exposure to the party-state media, state propaganda did shift public attitudes, offsetting the impact of foreign media. These findings underscore the Party's effectiveness in using media censorship and propaganda to consolidate its legitimacy in the ideological sphere. [ABSTRACT FROM AUTHOR]

With the rapid development of information technology, digital health technologies have become increasingly prevalent in the field of healthcare. In this study, business intelligence (BI) techniques were combined with research-based prediction models to increase the efficiency and quality of healthcare practices. A data scenario involving 200 older adults with various measurements, including health beliefs, social support, self-efficacy, and disease duration, was used to establish a medication adherence prediction model in a BI system. A regression model, logistic regression model, tree model, and score-based prediction model were used to predict medication adherence among older adults. The developed BI-based prediction model has visualization, real-time feedback, and data updating functionality. These features enhanced the effectiveness of prediction models in clinical practice. Healthcare professionals can incorporate the proposed system into their care practice for health assessments and management, and patients can use the system to manage themselves. The developed BI-based care system can also be used to achieve effective communication and shared decision-making between care managers and patients. Further empirical studies integrating prediction models into the proposed BI system for assessment, management, and decision-making in healthcare practice are warranted. [ABSTRACT FROM AUTHOR]

Background and Objectives This study aimed to investigate the diagnostic accuracy of four questionnaire-based tools (i.e. the FRAIL scale, Groningen Frailty Indicator [GFI], Tilburg Frailty Indicator [TFI], and PRISMA-7) for screening frailty in older adults. Research Design and Methods The 4 databases comprising the Cumulative Index to Nursing and Allied Health Literature, Embase, PubMed, and ProQuest were searched from inception to June 20, 2023. Study quality comprising risks of bias and applicability was assessed via a QUADAS-2 questionnaire. A bivariate network meta-analysis model and Youden's index were performed to identify the optimal tool and cutoff points. Results In total, 20 studies comprising 13 for FRAIL, 7 for GFI, 6 for TFI, and 5 for PRISMA-7 were included. Regarding study quality appraisal, all studies had high risks of bias for study quality assessment domains. Values of the pooled sensitivity of the FRAIL scale, GFI, TFI, and PRISMA-7 were 0.58, 0.74, 0.66, and 0.73, respectively. Values of the pooled specificity of the FRAIL scale, GFI, TFI, and PRISMA-7 were 0.92, 0.77, 0.84, and 0.86, respectively. The Youden's index was obtained for the FRAIL scale with a cutoff of 2 points (Youden's index = 0.65), indicating that the FRAIL scale with a cutoff of 2 points was the optimal tool for frailty screening in older adults. Discussion and Implications The FRAIL scale comprising 5 self-assessed items is a suitable tool for interview older adults for early frailty detection in community settings; it has the advantages of being short, simple, and easy to respond to. [ABSTRACT FROM AUTHOR]

Background: Lack of education is a known barrier to vaccination, but data on the design and effectiveness of interventions remain limited. Objective: This study aims to identify the effectiveness of a Facebook-assisted teaching method on female adolescents' knowledge and attitudes about cervical cancer prevention and on their human papillomavirus vaccination intention. Method: A quasi-experimental time series research design was used. Two hundred female adolescents at a senior high school in Taipei were recruited into two groups. Following a classroom lecture, one group was provided a Facebook-assisted online discussion, and the other group was provided an in-person discussion forum. A demographic questionnaire and cervical cancer prevention questionnaire were distributed. Data were analyzed for descriptive statistics and generalized estimation equations. Results: Improvement from T0 to T2 in knowledge and attitude scores was 4.204 and 4.496 points, respectively. The Facebook group's improvement in vaccination intention from T0 to T2 was 2.310 times greater than the control group's improvement under conditions of out-of-pocket expenses and 2.368 times greater under conditions of free vaccination. Conclusions: School-based cervical cancer prevention education can be effective. The Facebook-assisted discussion method was more effective than the in-person discussion. Providing the human papillomavirus vaccine free of charge would increase female adolescents' intention to be vaccinated.

Aims and Objectives: This study examined the changes in patients' parental functioning and the associated factors, including manic, depressive symptoms and social support from before discharge to 6 months post‐discharge. Background: For parents with bipolar disorder and major depression, parenting is a recovery factor for patients, but little research examines the dynamic parental functioning from acute hospitalisation to a remission stage. Design: A longitudinal design was used. The STROBE Checklist were used in presenting this research. Methods: Participants were inpatients with bipolar disorder or major depression (n = 33) recruited within one week before discharge from the acute psychiatric ward in Taiwan. Data on parental functioning was collected four times: before discharge (T1), the 1st (T2), the 3rd (T3) and the 6th (T4) months of post‐discharge. Baseline parental functioning before admitting to the acute word was retrospectively assessed at T0. The questionnaires included positive and negative domains of parenting practice, hypomanic/manic symptoms, depressive symptoms and social support. Generalised estimating equations were applied for data analysis. Results: The negative parenting domains (poor monitoring, inconsistent discipline) decreased during hospitalisation but increased at one month post‐discharge, except corporal punishment at 3‐months discharge. The positive parenting domains (parental involvement and nurturance/responsiveness) did not recovery to baseline. While clinical symptoms remained stable during 6 months post‐discharge, social support decreased at 3 and 6 months post‐discharge. Higher depressive symptoms and low social support were associated with positive parenting domains but not related to negative parenting domains. Manic symptoms were not associated with positive or negative parenting domains. Conclusions: Positive parenting domains did not fully return to the usual situation during 6 months post‐discharge. Relevance to clinical practice: Parenting functioning recovery program targeting at the impacts of depressive symptoms on the parenting functioning and insufficient social support is needed from hospitalisation to post‐discharge. [ABSTRACT FROM AUTHOR]