Health and digital health literacy and self-rated health in migrants residing in Portugal.

Why adaptive institutions matter for patient education and counseling.

Food storage in household refrigerators: Exploring the role of psychosocial factors to improve food risk communication.

The impact of hostility on airline pilots' safety behaviors: The roles of impulsivity and communication

To examine whether disparities in preventable adverse events (AEs) and family experience for hospitalized children of parents with and without limited comfort with English (LCE) changed following implementation of a health literacy-informed, structured family-centered rounds intervention, Patient and Family Centered I-PASS. Seven-center prospective before and after intervention study conducted from December 2014 to January 2017. Inclusion criteria includes parents and caregivers of hospitalized children less than 18years old. LCE defined as parent and caregiver reporting any language other than English as the language in which they were most comfortable speaking to physicians and nurses. Preventable AE rates determined via (1) daily medical record surveillance, solicited clinician reports, hospital incident reports, and family safety interviews, followed by (2) dual-physician masked review and consensus rating. Changes assessed through multivariable mixed-effects logistic regression, controlling for complex chronic conditions, length of stay, parent race and ethnicity, education, and clustering by site. Family experience assessed via predischarge survey (6 domains, 5-point scale). Mixed-effects linear regression estimated changes in mean domain scores by language comfort. Of 1666 patients, 8.8% (n = 147) had parents with LCE. Preimplementation, over twice as many children of parents expressing LCE experienced preventable AEs, compared with children of parents expressing comfort with English (18.8% vs 7.6%; P = .001; adjusted odds ratio, 3.29; 95% CI, 1.48-7.31). Postimplementation, there were no significant differences between groups (6.4 vs 5.3%; P = .68; adjusted odds ratio, 1.26; 95% CI, 0.42-3.75). Some domains of family experience improved for both groups, although disparities in experience persisted in nurse communication. Patient safety disparities related to parental comfort with English narrowed after implementing a family-centered rounds communication intervention.

Association Between Family Health and Mental Health in a Peruvian Community: A Cross Sectional Study

This evidence implementation project aimed to enhance communication practices in dementia care by assessing staff adherence to evidence-based criteria, identifying barriers and facilitators to best practices, and evaluating the effectiveness of tailored training strategies. Using the JBI Model of Evidence-Based Health care and its seven-phase implementation framework, a baseline audit was conducted in three community dementia daycare centers in Yilan County, Taiwan. Thirty staff members and 80 dementia care records were evaluated against six JBI-derived best practice criteria. Following a gap analysis, a multimodal dementia communication training program was implemented using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) tools. A follow-up audit was conducted 8 months later, involving 15 staff members and 40 records. Baseline concordance with best practices was low, with two criteria scoring 0%. Post-implementation, compliance markedly improved: four criteria exceeded 80%, and two (structured staff training and multimodal approaches) reached 100%. Staff demonstrated enhanced ability to identify communication difficulties, utilize validated tools such as the Holden Communication Scale and Mini-Mental State Examination, and document care communication plans. Embedding structured training, validated assessment tools, and family engagement strategies substantially improved staff competence and adherence to evidence-based dementia communication standards. This project underscores the effectiveness of structured evidence implementation and ongoing audit-feedback mechanisms in promoting sustainable, person-centered dementia care. http://links.lww.com/IJEBH/A644.

SMS text messages have been used as part of health intervention research for over a quarter of a century. Given the ease of reaching people via SMS text message, these interventions are important for all groups, including Hispanic individuals. SMS text messaging interventions continue to show promise for improving health in this population. Several reviews have addressed aspects of designing Hispanic-focused digital health interventions. Emphasis has been placed on the linguistic and cultural relevance of SMS text messages in these studies. However, a gap exists in the literature on how SMS text messages are developed and adapted for use in health interventions with Hispanic communities across the life span. The objective of this scoping review is to answer the following question: how are bilingual SMS text message databases developed and/or adapted for use in health interventions for the Hispanic population in the United States? In this scoping review, the framework by Arksey and O'Malley and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines will be used. The review will be conducted in five stages: (1) identifying the research question; (2) identifying relevant studies; (3) study selection; (4) charting the data; and (5) collating, summarizing, and reporting the results. For the inclusion criteria, the population (Hispanic individuals across the life span), concept (development and/or adaptation of bilingual SMS text message databases for health interventions), and context (the United States) framework will be used. There is no age or time limit on the study populations or included articles. In May 2025, we searched 4 databases: PubMed, Embase, Web of Science, and CINAHL. Covidence is being used to collect studies. There are 2 phases, each involving 2 independent reviewers: the title and abstract phase followed by the full-text review phase. One of the authors developed a data extraction tool with 4 sections. These sections include general study information, foundational SMS text message database information, how the development and adaptation of the SMS text message database were informed, and data on cultural and linguistic elements of the database. Each section will be presented in tabular format, with descriptive and numerical summaries. Inductive thematic analysis will be used for the fourth section. This scoping review commenced in May 2025, and titles and abstracts are being reviewed to assess further eligibility. After the full-text review, a determination will be made on which studies to include, and data extraction and results will be documented. We anticipate that this review will be completed by December 2026. This scoping review of the cultural and linguistic elements of SMS text message databases may contribute to the development of more meaningful and concordant databases for use in health interventions among the Hispanic population. DERR1-10.2196/86032.

To design, implement, and evaluate a church-based community intervention to provide access to COVID-19 testing in African American neighborhoods in Chicago identified as testing deserts. In collaboration with the Alive Faith Network (AFN), we created a network of church-based COVID-19 testing sites in underserved African American Chicago neighborhoods identified as testing deserts. Sites offered free SARS-CoV-2 polymerase chain reaction-based testing, culturally tailored education, and linkage to care and social resources. Over time, we transitioned to community sites due to low turnout at churches. We administered a total of 4005 COVID-19 tests across 27 community sites (11 churches and 16 non-church sites) at 397 testing events over 321 testing days. We tested 1847 unique participants, 535 (29.0%) of whom were tested more than once. In summary, 1483 of the 4005 tests (37.0%) were performed in churches and 2522 (63.0%) in community sites such as food pantries, community-based organizations, children and family sporting events, and community celebrations. Because of our established relationship with the AFN, we were able to provide an important resource of COVID-19 education and testing for high-risk African American community members in Chicago. The changing nature of the pandemic necessitated real-time changes in our intervention strategy. Our study underscores the importance of robust collaborations between healthcare providers and community organizations to ensure a flexible, seamless and equitable response to future public health emergencies.

Sierra Leone is confronting an escalating polydrug epidemic centered on Kush, a synthetic cannabinoid compound whose proliferation has produced a 4000% rise in drug-related psychiatric hospitalizations since 2020 in a context of acute mental health resource scarcity. Dominant policy responses have privileged punitive containment over rehabilitative and harm-reduction frameworks, recapitulating victim-blaming discourses that obscure the structural antecedents of polydrug use. This commentary establishes why the polydrug crisis is an epidemic rooted in structural violence and situates its emergence within Sierra Leone’s intersecting legacies of civil war, recurrent epidemic shocks, and entrenched poverty. Drawing on critical pragmatism and the culture-centered tradition in critical health communication, we demonstrate how community mobilizations from past public health crises can provide insights for global health communication practitioners. We extract five health communication insights from Sierra Leone’s 2014 Ebola response: centering community engagement and trust building; investing in youth livelihoods; decriminalizing and reintegrating people who use drugs; integrating mental health into primary care; and galvanizing coordinated international support. Leaning on these theoretical and experiential insights can guide communication interventions toward addressing the sociopolitical conditions in which the polydrug crisis emerges, as well as the individuals that use Kush.

Adaptation and mitigation approaches to reduce heat-related health risks: An overview of systematic reviews.

A scoping review of patient-provider communication about weight and weight management among adults with higher body weight.

Temporomandibular disorders (TMD) impact the everyday lives of those affected. However, the longitudinal role of sick leave and health-related quality of life (HRQoL) in TMD-pain onset and remission is largely unknown. To explore whether TMD-pain onset and remission are associated with HRQoL and sick-leave history. The cohort comprised 33 571 individuals, aged 23-74 years, who participated in a community intervention programme and had routine dental check-ups in Västerbotten County, Sweden. HRQoL was assessed using two domains, i.e., Mental Component Summary (mental well-being) and Physical Component Summary (physical well-being), of the Short Form 36 Health Survey Questionnaire. Sick-leave history was defined as self-reported sick leave for at least 6 months. Associations with TMD-pain onset and remission were analysed using Markov multi-state models. Better mental and physical well-being were associated with lower rates of TMD-pain onset (hazard ratio [HR] per 10-unit increase: 0.84, CI: 0.79-0.89, and 0.90, CI: 0.84-0.96, respectively), whereas sick leave was associated with higher rates (HR: 1.18, CI: 1.03-1.36). Better mental and physical well-being were associated with higher rates of TMD-pain remission (HR per 10-unit increase: 1.33, CI: 1.28-1.37, and 1.68, CI: 1.62-1.75, respectively), whereas sick leave was associated with lower rates (HR: 0.49, CI: 0.46-0.53). The associations of sick leave, mental well-being, and physical well-being with TMD-pain remission emphasise the importance of applying a holistic approach to pain assessment and management. In addition, mental well-being is associated with TMD-pain onset, indicating that this could be a factor to consider when designing preventative strategies.

Malaria remains a major public health problem in Ethiopia despite recent progress in control and elimination efforts, including the scale‐up of long‐lasting insecticidal nets (LLINs). A facility‐based cross‐sectional study was conducted from February to March 30, 2021, among suspected malaria patients attending Bahir Dar Health Center, Amhara Regional State, Northwest Ethiopia. A total of 403 participants were selected by simple random sampling. Data on sociodemographic characteristics and LLIN possession and utilization were collected using a structured questionnaire, and malaria infection was determined by microscopic examination of blood smears. Among a total of 403 participants, 283 (70.2%) possessed at least one LLIN and 268 (66.5%) reported regular use during sleeping hours. The overall malaria prevalence was 3.7% (15/403). Plasmodium falciparum was the predominant species (60.0%), followed by Plasmodium vivax (26.7%) and mixed infections (13.3%). Malaria prevalence was significantly higher among rural than urban residents (14.3% vs. 2.9%; p = 0.002) and among participants without LLINs compared with LLIN owners (8.0% vs. 1.8%; p = 0.002). No significant associations were observed between malaria prevalence and sex, age, educational status, or LLIN washing practices. Malaria transmission persists at measurable levels in Bahir Dar despite moderate LLIN coverage and utilization. Strengthening universal LLIN coverage, promoting proper and consistent use, and implementing targeted interventions in rural communities are essential to further reduce malaria transmission.

PurposeImproving access to low-burden, evidence-based smoking cessation interventions for rural communities is essential. This study evaluated the feasibility and acceptability of a text messaging program for smoking cessation (iQuit Mindfully) in rural and urban Georgia.DesignPilot study with randomization to iQuit Mindfully or usual care at each site.SettingUrban Atlanta and Rural Georgia.Sample60 adults who smoked cigarettes (61.7% female, 41.7% African American, 53.3% with annual household income <$30,000).InterventionAll participants received nicotine replacement therapy, self-help materials, and Tobacco Quitline referrals. iQuit Mindfully participants also received daily personalized, interactive text message support for quitting smoking.MeasuresProgram evaluations and remote exhaled carbon monoxide at 8 and 12weeks.AnalysisDescriptive statistics quantified primary feasibility outcomes (engagement, retention, participant ratings) and smoking cessation by condition and rural vs urban site.ResultsMost iQuit Mindfully participants (88.9% overall; 100% rural, 78.6% urban) read most or all text messages. On average, iQuit Mindfully participants found the program helpful (median = 8 on 1-10 scale) and recommended it for others (median = 8). Biochemically verified 7-day abstinence rates were 34.8% among iQuit Mindfully vs 25.0% among usual care at week 8, and 13.6% among iQuit Mindfully vs 8.3% among usual care at week 12.ConclusionMindfulness-based text messaging appears feasible and acceptable for providing accessible smoking cessation support in rural and urban Georgia.

ABSTRACT This study examines the role of trauma in the radicalization journeys of former Salafi-Jihadist militants from Tripoli, Lebanon. Utilizing life-history interviews with ten ex-militants and experts, it explores how different forms of trauma interact across phases of involvement, engagement, and disengagement. Findings indicate that early adversity – including neglect, poverty, and violence – disrupted identity formation, fostered insecurity and desensitization, increasing susceptibility to recruitment. Social traumas, such as the 2013 mosque bombings, further fuelled collective victimhood and a desire for revenge, dignity, and heroism. During the engagement, a combination of empowering and traumatizing experiences led to symptoms of moral injury. Finally, disengagement – often triggered by traumatic imprisonment – rarely led to successful reintegration, leaving respondents with complex PTSD, stigma, and marginalization. Theoretically, this study positions trauma not as a peripheral factor, but as a central mechanism that shapes involvement, sustains engagement, and obstructs disengagement. It demonstrates that radicalization functions both as a coping strategy and an attempted identity reconstruction. Empirically, it provides rare qualitative evidence from a Middle Eastern context. Practically, the findings emphasize the need for trauma-informed counter-extremism strategies that link individual healing with community and structural interventions.

Zoonotic diseases disproportionately burden settings where humans and livestock coexist, yet community-level knowledge, attitudes, and practices (KAP) remain poorly characterized in West Africa. This study aimed to assess KAP regarding zoonotic diseases and document household biosecurity gaps among livestock-keeping community members in Ada East Distrct in Ghana. A concurrent mixed-methods design was employed, integrating a quantitative cross-sectional survey with a qualitative focus group discussion. Livestock-keeping adults were recruited from five health facilities in Ada East District. A structured survey measured knowledge, attitudes, and livestock-handling practices. Composite KAP scores were dichotomized using a modified Bloom's cutoff (≥60%). Multivariable logistic regression analyses were conducted to identify factors associated with good knowledge, positive attitudes, and good practices. A focus group discussion (FGD) explored perceptions of transmission, livestock management, and outbreak preparedness. Among 252 survey participants, 66.3% demonstrated good overall knowledge of zoonotic diseases; however, only 10.6% had good knowledge of Ebola virus disease symptoms. Positive attitudes were observed in 44.0% of respondents, while 86.9% reported good livestock-handling practices. Education beyond primary school was independently associated with higher odds of good knowledge (adjusted odds ratio (aOR) 1.97, 95% confidence intervals (CI) 1.05-3.69). Animal-related occupations were associated with lower odds of positive attitudes (aOR 0.46, 95% CI 0.25-0.85) but higher odds of good practices (aOR 3.58, 95% CI 1.26-11.8). FGD (n = 8) identified bats and sick animals as transmission sources, described economic barriers, and expressed variable beliefs regarding prevention and stigma. These findings highlight the need for locally tailored, One Health-oriented risk communication and biosecurity interventions targeting groups with lower educational attainment and limited access to animal health services.

In resource-constrained settings like South Africa’s informal settlements, adolescent boys and young men (ABYM) often navigate complex socio-economic and cultural pressures that shape their Sexual and Reproductive Health (SRH) behaviors, choices, and identities significantly. This study explored how ABYM perceived and experienced changes in their SRH behaviors and related psychosocial outcomes after participating in a Combination Social Protection programme (CSP) that integrated structural, interpersonal, economic, and behavioral components in resource-constrained settings of Gauteng, South Africa. The study adopted an exploratory qualitative design. A sample of 12 ABYM was purposively selected from NGOs in Gauteng that implemented the CSP. Data were collected through semi-structured qualitative interviews and analyzed using Creswell and Creswell’s model of thematic data analysis. The findings indicate that the participants’ sexual attitudes, behaviors, and perceptions of gender norms were shifted positively following their attendance of the CSP intervention. The CSP programme’s apparent success in impacting sexual behaviors and gender norms among ABYM offers a critical entry point for rethinking adolescent programming at the policy level. However, the geographic limitation of the study underscores the need for future comparative studies across diverse settings using robust longitudinal Randomized Control Trial designs.

Preterm neonatal morbidity and mortality remain major global health challenges, particularly in low-resource settings. Family-centered communication (FCC) has shown promise in strengthening caregiver competencies and improving neonatal outcomes. However, evidence on the effectiveness of FCC across diverse healthcare and community contexts, intervention modalities, and outcome measures remains fragmented. This systematic review protocol will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. The review will include studies evaluating FCC interventions directed at parents or primary caregivers of preterm infants, excluding those with medical comorbidities. Eligible interventions will be delivered by healthcare professionals and include structured health education, counseling, communication training, multidisciplinary collaboration, and caregiver involvement in decision-making. Eligible study designs include randomized controlled trials, quasi-experimental, and analytical observational studies. The search strategy will be guided by the Population, Intervention, Comparator, Outcome (PICO) framework and conducted in PubMed, EMBASE, CINAHL, PsycINFO and Scopus, supplemented by manual screening of reference lists and key journals. Two reviewers will independently conduct study selection, critical appraisal, and data extraction. The findings will be synthesized narratively following the Synthesis Without Meta-analysis (SWiM) guidelines, and where appropriate, meta-analysis will be performed. Certainty of evidence will be appraised using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach, and results summarized in a Summary of Findings table. This review aims to provide a comprehensive synthesis of evidence on the effectiveness of FCC strategies compared with standard care in improving caregivers' ability and the health outcomes of preterm infants. The findings are expected to inform evidence-based practices and guide healthcare professionals, policymakers, and program developers in implementing effective FCC approaches across diverse settings. PROSPERO CRD420250645221.

ABSTRACT This study examines the intellectual structure and thematic evolution of the scientific literature on social trust in nonprofit organizations through a bibliometric approach. The analysis was conducted on 210 documents indexed in Scopus between 2003 and 2025 using the Bibliometrix package in RStudio and scientific visualization through CiteSpace. The results indicate significant publication growth since 2014, with scientific attention peaking during the 2023–2025 period. The United States, the United Kingdom, and Australia emerged as the leading centers of scientific production and international collaboration, while contributions from developing countries, including Indonesia, demonstrated a promising upward trend. Thematic mapping and keyword co-occurrence analyses identified three major research clusters: community empowerment and participation, nonprofit governance and communication, and trust-building in civic participation. Highly influential authors, including Albanna H. Al-Emran M. and Alalwan A.A. demonstrate that trust is conceptualized as a multidimensional construct encompassing institutional legitimacy, participatory communication, and social capital formation. The findings highlight the strategic, although not predominant, role of social marketing approaches in strengthening public trust through value-oriented communication and shared narratives. Furthermore, this study positions trust as both a prerequisite for and an outcome of sustained community engagement, thereby advancing the conceptual understanding of human behavior in social contexts. The findings also provide practical implications for nonprofit managers, social workers, and policymakers in designing trust-based communication strategies and community interventions. Future research should integrate qualitative content analysis and cross-cultural perspectives to deepen understanding of the contextual mechanisms underlying social trust formation.