Comprehensive Intervention Approach Research Articles

Perceptual filters: Exploring disability and ableism’s cognitive framework

ABSTRACT Ableism, akin to other forms of discrimination such as sexism and racism, is increasingly recognized as a pervasive societal concern directed towards individuals with disabilities. This scholarly inquiry delineates the operational definition, manifestations, and ramifications of ableism, with a specific focus on its manifestations within healthcare settings. It underscores the critical need for targeted interventions aimed at mitigating biases among healthcare professionals and promoting inclusivity within healthcare delivery systems. Utilizing insights from cognitive psychology, the study conceptualizes ableism as a cognitive distortion, explicating the mechanisms through which biases shape perceptions and recommending Cognitive Behavioral Therapy (CBT) as a promising intervention modality. The paper advocates for exploration of intersectional analyses, utilization of qualitative research methodologies, and cultivation of collaborative partnerships with disability advocacy organizations to develop more comprehensive intervention approaches. Noteworthy limitations of the current discourse include the potential for tokenistic representations and the imperative for genuine and substantive engagement with the voices and experiences of individuals with disabilities.

THE PHYSICAL AND PSYCHOLOGICAL EFFECTS OF DANCE THERAPY ON MIDDLE-AGED AND OLDER ADULT WITH ARTERIAL HYPERTENSION: A SYSTEMATIC REVIEW

ObjectiveTo systematically review the intervention effect of dance therapy on the physical and psychological health level of middle-aged and older adult with arterial hypertension. MethodsThe databases including the Cochrane Library, PubMed, Web of Science, EBSCO, CNKI, VIP, WANFANG DATA, and Bailianyun Library, which were searched for the randomized controlled trials for identifying the effect of dance intervention on the blood pressure. The literature published from the establishment of the database to May 10, 2023, was collected for analysis. The quality of the literature was evaluated by the Cochrane bias risk assessment tool. ResultsThe blood pressure in the dance intervention group were significantly improved than those of patients in the control group. However, among the mediating variables that influence the effects of dance intervention, its intensity and frequency based on the improvement of aerobic capacity were found high and low respectively, while the research on dance intervention aimed at muscle strength, endurance, and flexibility remains lacking. The movement selection and arrangement of dance therapy could integrate the physical activities with local traditional cultural characteristics. ConclusionsIt is worth noting that in the selection and arrangement of movements, dance therapy can skillfully integrate physical activities with local cultural characteristics. This unique combination not only enriches the content of dance therapy but also deepens people's understanding and recognition of traditional culture. Through this comprehensive dance intervention approach, we hope to comprehensively improve participants' physical and mental health, and promote the inheritance and development of culture.

Effects and implementation of an intervention to improve sleep, fatigue and recovery among healthcare workers with night shifts: A pre- and post-test study

BackgroundPrevious intervention studies among night workers mainly focused on single interventions and found inconclusive evidence for effectiveness. A comprehensive intervention approach that includes individual and environmental components has been argued as important. Gaining insight into contributing factors for the implementation of interventions for night workers and effectiveness is important to distinguish between theory and programme failure. ObjectivesTo evaluate the effects and implementation of the PerfectFit@Night intervention to improve sleep, fatigue and recovery of night workers in healthcare, using the RE-AIM framework, which assesses reach, effectiveness, adoption, implementation and maintenance of interventions. DesignA prospective pre–post study design, with two measurements before and three and six months after the intervention. SettingTwelve different departments of a university hospital in the Netherlands. ParticipantsHealthcare workers working night shifts (n = 210). MethodsPerfectFit@Night consisted of environmental (provision of a powernap bed and healthy food, and workshop healthy rostering) and individual elements (e-learning and sleep coaching) and was implemented for three months in a phased manner. Questionnaires, logbooks and interview data were used. Effects of the intervention on sleep, fatigue and recovery were evaluated with mixed-effects models, and implementation factors of reach, adoption, implementation and maintenance were evaluated. ResultsNight shift-related insomnia (−11 %-points, 95 % CI: −19 %, −4 % at three months), need for recovery (β: −2.45, 95 % CI: −4.86, −0.03 at six months) and fatigue (OR: 0.46, 95 % CI: 0.25, 0.86 at six months) decreased significantly after the intervention. No changes were found for subjective sleep quality and sleep duration. Barriers and facilitators for implementation were identified for each intervention element at individual (e.g., dietary preferences), organisational (e.g., responsibilities at work) and workplace levels (e.g., location of power nap bed), and for the intervention itself (e.g., useful information in e-learning). Although satisfaction was high and continuation was preferred, embedding of the intervention in the daily routine was limited. Facilitators for future implementation include a positive attitude towards the intervention, clear guidelines regarding intervention elements, appointment of night workers as ambassadors, and suitable conditions in terms of work demands and for the intervention elements. ConclusionsThe multi-faceted PerfectFit@Night intervention reduced insomnia, fatigue and need for recovery in night workers in healthcare. The most important facilitators to improve the implementation of PerfectFit@Night exist at the organisational level (e.g., positive attitude within the culture and suitable work demands). Combining effect and implementation evaluation is crucial to identify barriers and facilitators that hamper or enhance intervention effects. Trial registrationThe study was registered in the Netherlands Trial Register on 17 January 2021 (trial number NL9224).

Large variations in intensive speech– language rehabilitation post-stroke

Background: Intensive rehabilitation of aphasia is recommended in the national guidelines for stroke care, but is far from implemented in Swedish healthcare. Aim: To explore current practice and detect barriers and enablers for intensive aphasia rehabilitation among Speech Language Pathologists (SLPs) before they were enrolled in a national intervention study.Method: Thirty-six SLPs in 26 clinics answered a web-based questionnaire. Responses were processed using descriptive statistics and thematic analysis.Result: Treatment intensity, duration and delivery format varied widely, and two-thirds offered intensive rehabilitation rarely or never. Thematic analysis generated the following five barriers: understaffing, patient factors, teamwork/scheduling, prioritization, and accessibility, and three enablers: increased staffing, planned intervention programmes, and comprehensive delivery formats.Conclusions: Compliance with Swedish stroke guidelines for intensive aphasia rehabilitation is low, and the current practice varies widely between different clinics. Increasing SLPs in primary care and restructuring care by using planned and comprehensive intervention approaches are suggested to stimulate implementation.

Addressing depression in parents of neonates: the critical need for integrated care in the NICU

Background Major Depressive Disorder (MDD) during the perinatal period is a significant global health concern, ranking as the fourth-leading contributor to the global burden of disease and the second-leading cause of disability in individuals aged 15–44. This study investigates the association between perinatal MDD, poor nutrition, low prenatal care adherence, substance use and increased suicide risk. Methodology A comprehensive review of existing research studies examined the prevalence and consequences of perinatal MDD. Studies focusing on symptoms, risk factors, and associated outcomes in mothers and infants were analyzed to provide a comprehensive overview of the multifaceted impact of MDD during the perinatal period. Conclusion Approximately 10–15% of women experience postpartum depression, with over 60% reporting symptoms within the first 6 weeks postpartum. perinatal MDD increases the likelihood of preterm birth, small-for-gestational-age newborns and developmental delay. These findings underscore the critical need for comprehensive screening, identification and intervention approaches to mitigate the short and long term consequences of perinatal MDD.

Life expectancy and years of potential life lost in people with mental disorders: a systematic review and meta-analysis

Mental disorders are associated with premature mortality. There is increasing research examining life expectancy and years-of-potential-life-lost (YPLL) to quantify the disease impact on survival in people with mental disorders. We aimed to systematically synthesize studies to estimate life expectancy and YPLL in people with any and specific mental disorders across a broad spectrum of diagnoses. In this systematic review and meta-analysis, we searched Embase, MEDLINE, PsychINFO, WOS from inception to July 31, 2023, for published studies reporting life expectancy and/or YPLL for mental disorders. Criteria for study inclusion were: patients of all ages with any mental disorders; reported data on life expectancy and/or YPLL of a mental-disorder cohort relative to the general population or a comparison group without mental disorders; and cohort studies. We excluded non-cohort studies, publications containing non-peer-reviewed data or those restricted to population subgroups. Survival estimates, i.e., life expectancy and YPLL, were pooled (based on summary data extracted from the included studies) using random-effects models. Subgroup analyses and random-effects meta-regression analyses were performed to explore sources of heterogeneity. Risk-of-bias assessment was evaluated using the Newcastle-Ottawa Scale. This study is registered with PROSPERO (CRD42022321190). Of 35,865 studies identified in our research, 109 studies from 24 countries or regions including 12,171,909 patients with mental disorders were eligible for analysis (54 for life expectancy and 109 for YPLL). Pooled life expectancy for mental disorders was 63.85 years (95% CI 62.63-65.06; I2=100.0%), and pooled YPLL was 14.66 years (95% CI 13.88-15.98; I2=100.0%). Disorder-stratified analyses revealed that substance-use disorders had the shortest life expectancy (57.07 years [95% CI 54.47-59.67]), while neurotic disorders had the longest lifespan (69.51 years [95% CI 67.26-71.76]). Substance-use disorders exhibited the greatest YPLL (20.38 years [95% CI 18.65-22.11]), followed by eating disorders (16.64 years [95% CI 7.45-25.82]), schizophrenia-spectrum disorders (15.37 years [95% CI 14.18-16.55]), and personality disorders (15.35 years [95% CI 12.80-17.89]). YPLLs attributable to natural and unnatural deaths in mental disorders were 4.38 years (95% CI 3.15-5.61) and 8.11 years (95% CI 6.10-10.13; suicide: 8.31 years [95% CI 6.43-10.19]), respectively. Stratified analyses by study period suggested that the longevity gap persisted over time. Significant cross-study heterogeneity was observed. Mental disorders are associated with substantially reduced life expectancy, which is transdiagnostic in nature, encompassing a wide range of diagnoses. Implementation of comprehensive and multilevel intervention approaches is urgently needed to rectify lifespan inequalities for people with mental disorders. None.

Application of a Psychosocial Approach to the Identification and Strengthening of Adaptation Mechanisms of Humans and a Small Social Group during the Isolation Experiment “SIRIUS 2017–2023”

TOPIC: The task of the 21st century is the implementation of manned flights in Earth’s orbit with the view to building orbital and planetary bases. This requires addressing the impacts on people and small social groups in terms of psychological, psychosocial, physiological and health. The author presents her own comprehensive research and intervention approach to exploring and supporting the operation of the space crew in the four-month isolation period of “SIRIUS-18/19”, which can be used in the future for manned flights into deep space. GOAL: The main goal is to present three main areas, within the implementation of social research, designed to analyze the operation of the crew in a simulated space flight: 1. WORKING CONDITIONS, WORKING ENVIRONMENT AND SOCIAL ATMOSPHERE; 2. the STRUCTURE AND DYNAMICS OF RELATIONSHIPS and TIES; 3. a set of other specific areas. The key outputs of the comprehensive analysis of the “SIRIUS-19” crew operations concerning the level of satisfaction with the working environment and conditions, the structure and dynamics of relationships and other specific areas are presented. The suitability of the implementation of intervention activities for isolated crews is pointed out. The purpose is to contribute to the preparation of human crews for manned flights in deep space and to reduce the risks of damage to human biopsychosocial health. METHODS: For a comprehensive analysis, a set of the author’s own questionnaire methods, verified over 25 years in the normal and extremely demanding conditions of specific professions, was used. The diagnostic and intervention method sociomapping, based on fuzzy theory and the mathematical modeling of outputs, was used for the analysis of the structure and dynamics of relationships as it is a technique suitable for the analysis of nonlinear dynamical systems. The methodology enabled the author to obtain a comprehensive view of the experimental situation from a psychosocial and sociological point of view. RESULTS: The model of the author’s analytical approach confirmed the legitimacy of its implementation in the case of isolation experiments. A comprehensive analysis of the “SIRIUS-18/19” crew’s work environment yielded outputs from the 10 main and 48 sub-areas analyzed. The analysis of the six-member, gender-mixed, multicultural crew in the area of structure and dynamics of relationships focused on 35 areas; a total of 344 sociomaps were created. The files were analyzed qualitatively and quantitatively using control diagrams. CONCLUSIONS: Outputs have the potential to be used in other isolation experiments as sociotechnical measures for project organizers and as verification of the need to introduce work with the crew in the form of development workshops using the sociomapping method.

Effectiveness of Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease Therapy: Focusing on Traditional Medical Practices.

Chronic obstructive pulmonary disease (COPD) is a complex and serious disease that is characterized by dyspnea, fatigue, decreased exercise tolerance, peripheral muscle dysfunction, and mood disorders. These manifestations are successfully treated with pulmonary rehabilitation, a comprehensive intervention and holistic approach designed to improve the physical and psychological condition of people with COPD. Exercise is a big component of pulmonary rehabilitation programs, but the efficacy of non-traditional forms of exercise as used in alternative medicine is poorly understood. Here, we aim to address this gap in knowledge and summarize the clinical evidence for the use of traditional exercise regimens in the pulmonary rehabilitation of COPD patients.

Using the Behaviour Change Wheel and modified Delphi method to identify behavioural change techniques for improving adherence to smoking cessation medications

BackgroundMedication adherence is a crucial component of the pharmacological treatment of smoking. Previous interventions targeted to improve adherence to smoking cessation medications (SCMs) were designed using pragmatic approaches. This study aims to develop a comprehensive intervention strategy to improve adherence to SCMs using the Behaviour Change Wheel (BCW) and a modified Delphi method.MethodsRecommendations for the design of intervention strategies were based on the BCW guide and six studies conducted by the research team. Factors related to healthcare providers and consumers (person making a quit attempt) that showed associations with adherence were mapped into the Capability, Opportunity, Motivation, Behaviour (COM-B) model, and corresponding intervention functions and policy categories. Interventions were then represented using the Behaviour Change Technique Taxonomy. Finally, a modified Delphi study using 17 experts was conducted to evaluate the nominated strategies using the Acceptability, Practicability, Effectiveness, Affordability, Side-effects, and Equity (APEASE) criteria.ResultsFollowing a stepped approach, an adherence support wheel was designed to guide implementation strategies and programmes. Thirteen intervention strategies were selected. The selected interventions include providing detailed instructions on how to use SCMs; establishing realistic expectations from SCMs; and providing training for healthcare providers regarding comprehensive smoking cessation care with specifics on the provision of adherence support.ConclusionThe BCW guide and a modified Delphi were applied successfully to design interventions tailored to improve adherence to SCMs. Improving adherence to SCMs requires a comprehensive intervention approach involving various stakeholders. Future research is needed to assess the effectiveness of the nominated intervention strategies.

Caregivers' experiences and perceptions of suicidality among their children and youth with fetal alcohol spectrum disorder.

Individuals with Fetal Alcohol Spectrum Disorder (FASD) experience a range of biopsychosocial vulnerabilities that can increase the possibility of adverse life outcomes, including a heightened risk of suicidality. In this study, we explored the lived experiences of caregivers of children and youth with FASD and suicidality, including their perceptions of their child and youth's suicidal experiences. Between March and June 2021, six comprehensive, semi-structured interviews were conducted with five caregivers of children and youth with FASD (Mage = 14.5 years, range 11–22) who were currently experiencing suicidality or had a history of suicidality. Data were analyzed using interpretative phenomenological analysis and then developed into a composite vignette informed and organized by the social-ecological suicide prevention model (SESPM). The composite vignette revealed the narratives of families living with and caring for children and youth with FASD who experience suicidality in relation to the complex and intersectional individual, relational, community, and societal level contextual and protective factors. Findings from this study highlight the critical need for comprehensive FASD-informed suicide prevention and intervention approaches to promote the mental health and wellbeing of children and youth with FASD and their caregivers.

Mediating effect of fear and externality of happiness in the association between psychological maltreatment and psychological well-being

ABSTRACT This study aims to explore whether psychological maltreatment predicts young adults’ psychological well-being through fear of happiness and externality of happiness. The current study included 490 young adults from a public university in an urban city in Turkey. Participants were 36% male, and they ranged in age from 18 to 39 years (M= 21.77, SD = 2.40). Findings from the study revealed that psychological maltreatment had a significant predictive effect on psychological well-being, fear of happiness, and externality of happiness. Further, fear of happiness and externality of happiness mediated the impact of psychological maltreatment on psychological well-being. These findings indicate that fear and externality of happiness are important sources that can help to explain the association between childhood psychological maltreatment and psychological well-being among young adults. Therefore, there is a need to design a more comprehensive prevention and intervention approach for improving people’s psychological well-being in the context of psychological maltreatment.

Racial and Ethnic Differences in E-Cigarette and Cigarette Use Among Adolescents.

This study examined whether e-cigarette/cigarette use status would differ by student race/ethnicity. Using the 2017 Youth risk behavior survey (YRBS), weighted Chi-square tests with Rao-Scott adjustments and adjusted weighted multinomial logistic regression analysis were conducted to examine the relationship. Weighted Chi-square tests showed that American Indian/Alaska Native (AI/AN) students had the highest prevalence rates among dual users (16.2%) and e-cigarette only users (11.3%), while White peers had the highest prevalence rates among cigarette only users (3.5%). The results of weighted multinomial logistic regression indicated that AI/AN students had higher odds than White peers of being dual users (Relative risk ratio (RRR), 2.10, 95% CI, 1.01, 4.39), while Black, Hispanic, Asian and multi-racial groups had lower odds than White peers of being dual users. Additionally, Asian students had lower odds than White students of being e-cigarette only users, whereas Black and Asian students had lower odds than their White peers of being cigarette only users. Given that AI/AN students are most vulnerable to e-cigarette/cigarette use, there should be comprehensive tobacco prevention and intervention approaches that could narrow racial/ethnic differences among both youths and adults at population level.

Coronavirus stress, meaningful living, optimism, and depressive symptoms: a study of moderated mediation model

ABSTRACT Objective: In the world, the COVID-19 pandemic has led to public mental health stress, anxiety, panic, and behavioural disorders. The purpose of the present study was to examine whether meaning in life and optimism-pessimism mediated the relationship between coronavirus stress and depressive symptoms and whether the mediating effect of meaning in life on depressive symptoms was moderated by optimism. Method: The sample of the study included 475 undergraduate students attending a public university in an urban city of Turkey. They were 69.2% female, ranged in age between 18 and 34 years (M = 20.63, SD = 1.99). Results: Results from the study showed that meaning in life and optimism–pessimism mediated the relationship between coronavirus stress and depressive symptoms. Optimism and pessimism additionally mediated the relationship between meaning in life and depressive symptoms. Furthermore, optimism moderated the mediating effect of meaning in life in the relationship between coronavirus stress and depressive symptoms. Conclusions: These results indicate that the relationship between coronavirus stress and depressive symptoms can be better understood by meaning in life and optimism. Optimism might play a protective factor to mitigate the impact of stress on individuals’ psychological health and is an important aspect of implementing meaning – centred intervention services. KEY POINTS What is already known about this topic: Meaningful living and optimism are important psychological constructs for psychological health, not only at an empirical level but also at a theoretical level. A high level of optimism improves youth well-being and mental health Stress has adverse impacts on individuals’ well-being and is a risk factor for developing psychological problems What this topic adds: The present study highlights the importance of school meaning-based preventions and interventions targeting to promote mental health during and after the COVID-19 pandemic. Optimism is an important mechanism that may help to explain the effect of coronavirus stress on psychological health of individuals. The study outcomes suggest there is a need to design a more comprehensive prevention and intervention approach for improving people’s psychological health in the context of the pandemic.

School belongingness, well-being, and mental health among adolescents: exploring the role of loneliness

ABSTRACT Objective: Within the school context, the need to belong is a fundamental psychological construct associated with a variety of important adolescent school‐based and quality‐of‐life outcomes. The objective of the present study is to investigate the mediating effect of loneliness on the association between school belonging constructs (i.e., social inclusion and exclusion) and subjective well‐being and mental health problems among adolescents. Method: Participants of this study included 244 adolescents in grades 9–12 attending a high school in a city of Turkey. They were comprised of 52.5% female and 47.5% male and ranged in age between 14 and 18-years (M = 16.27, SD = .1.02). Results: Findings of the study indicated that school‐based social inclusion and exclusion significantly predicted loneliness, mental health problems, and subjective well‐being. Mediation analyses showed that loneliness partially mediated the relationship of social inclusion with mental health problems and subjective well‐being. Thereafter, loneliness had a full mediating effect on the association between social exclusion and subjective well‐being and partially mediated the effect of social exclusion on adolescent mental health problems. Social inclusion and exclusion also indirectly predicted mental health problems through subjective well‐being. Conclusion: Findings of this study suggest that loneliness is an important mechanism that may help to explain the effect of school belongingness on adolescent well‐being and mental health. The results highlight the importance of school belongingness‐based preventions and interventions targeting to promote mental health and well‐being in school settings. KEY POINTS What is already known about this topic: Belongingness is an important psychological construct for mental health and well‐being, not only at an empirical level but also at a theoretical level. A satisfied need for belonging improves youth well‐being and mental health, whereas unsatisfied or lack of this need can lead to a variety of psychosocial problems, such as loneliness. Loneliness has adverse impacts on adolescent well‐being and is a risk factor for developing emotional and behavioural problems What this topic adds: The present study highlights the importance of school belongingness‐based preventions and interventions targeting to promote mental health and well‐being in school settings. Loneliness is an important mechanism that may help to explain the effect of school belongingness on well‐being and mental health of adolescents. The study outcomes suggest there is a need to design a more comprehensive prevention and intervention approach for improving adolescent mental health and well‐being.

A Digital Tool to Build the Capacity of Leaders to Improve Working Conditions Related to Psychological Health and Well-Being in Teams: Intervention Approach, Prototype, and Evaluation Design of the Web-Application “wecoach”

The “wecoach” is a web-application that builds the capacities of team leaders to improve working conditions that are positively related to the psychological health and well-being of their team members. The web-application works through an automated, rule-based chat enhanced by machine learning. This so-called conversational agent guides the team leader through a systematic project cycle, providing a mind map of work and health, training materials, self-assessments, and online tools to conduct team surveys and workshops, as well as self-evaluation of progress and effectiveness. In this paper, we present the development process of this web-application, which resulted in (1) a comprehensive intervention approach, (2) the prototype, and (3) the implementation of an evaluation design for a multi-level, randomized controlled trial.

Research progress of epidemiology and non-pharmaceutical intervention of Alzheimer's disease: an update

A community-based, comprehensive intervention approach can not only improve the condition of AD patients from cognitive, memory and mood, improve the quality of life, stimulate of nerve cell growth and self-care, but also reduce the pressure on the patient's family and caregivers, and on society.This paper mainly focuses on the current status of AD epidemiology and the non-pharmaceutical interventions at home and abroad, and provides a reference for improving the quality of life of the elderly. Key words: Alzheimer disease; Epidemiology; Intervention studies

Internet addiction among engineering students in Belagavi city: cross sectional study

Background: Internet addiction is not clinical diagnosis, but a potentially pathological behavioral pattern with symptoms: a loss of control over the behavior, preoccupation with the Internet, using the Internet to modify mood, and withdrawal symptoms. Easy access and low cost of Internet packs- are main cause of development of increased internet use in India. Internet addiction – factors like gender, environmental factors, socioeconomic status, etc. have effect on internet use.Methods: Cross-sectional study conducted during January 2016 to February 2016. Data was collected among 500 engineering students of four engineering colleges of Belagavi city using young's questionnaire. Analysis was performed using SPS 20. Chi-square applied as statistical test of significance for the association between age, sex, residence, SES and schooling. P<0.01 was considered to be statistically significant.Results: The present study revealed that 16.2 and 6.2% of participants had moderate and severe form of internet addiction respectively. With increase in age prevalence of addiction increased. Internet addiction was more among Males when compared to females. Addiction was seen more in students whose both parents were working.Conclusions: Internet addiction is an emerging form of addiction among students with males more than females mostly among engineering students who are dependent on internet for their work, carrier and completion of course Hence it's time to develop comprehensive intervention approach to promote healthy and safe internet use from family, college and peers.

Bibliometric analysis on nursing research status of deep venous thrombosis in China

Objective By using bibliometric analysis method, the current situation and existing problems of deep venous thrombosis nursing in China were discussed to provide reference for future research in this field. Methods We searched and analyzed the literature about the nursing of deep venous thrombosis in 12 Chinese nursing core journals through Sino-Med, CNKI and Wanfang Datebase from 1st January 2011 to 31st October 2017. We used the bibliometrics to analyze research type, research contents, research object, intervention technique, evaluation indicator and keywords. The data was done with statistical treatment using SPSS 19.0 software. Results Totally 291 articles were included. About 42.3% articles were experimental or quasi-experimental study. The main intervention method was single physical prevention (30.1%) , but the comprehensive intervention approaches was just 10.6%. The prevention of deep vein thrombosis was the main research content (55.0%) , risk assessment and therapy of thrombosis was both 11.3%. The patients of knee and hip arthroplasty, cancer, lower limb or hip fracture were the main study population. The incidence of thrombosis was the most times as evaluating indexes, the incidence of bleeding was the lowest. Conclusions There were more intervention studies about nursing of deep vein thrombosis in China, however, the intervention method was single, the quality and depth of research still need to be improved, and risk assessment of thrombosis was in the initial stage. In future, nurses should put more comprehensive intervention approaches into clinical research, pay more attention on risk assessment of thrombosis, identify the risk factors of thrombosis, focus on the high risk population of thrombosis, establish the thrombosis management process in high risk department, and implement the model of continuing nursing in therapy of DVT patients. Key words: Deep vein thrombosis; Nursing; Literature analysis; Bibliometrics

Intimate Partner Violence Perpetration: Moving Toward a Comprehensive Conceptual Framework

Intimate partner violence (IPV) is an urgent public health concern. Despite extensive research that has highlighted the heterogeneity of IPV perpetrators, the majority of treatment programs for perpetrators have taken a “one-size-fits-all” approach, which has rendered high rates of attrition and violence recidivism. More comprehensive intervention approaches are needed to address the individual treatment needs of IPV perpetrators. Intervention should be founded on a problem theory that delineates how the relevant sequelae are connected to the social problem in order to provide guidance on how it may be addressed. Accordingly, the primary aim of this article is to take an initial step toward improving IPV perpetrator intervention by examining current theory and offering a refined theoretical lens with which to view IPV perpetration. After a thorough examination of IPV perpetration, including the epidemiology, etiology, and implications for social welfare and social intervention, an in-depth review is provided on three key theories commonly applied to IPV perpetration: feminist theory, neurobiological theories of trauma, and attachment theory. This article concludes with a critique of each theory and the proposal of a new, more comprehensive conceptual model for understanding the risk factors of IPV perpetration.

Risks for tuberculosis in Kazakhstan: implications for prevention.

Four regions in Kazakhstan where participants were recruited from June 2012 to May 2014. To examine associations between incarceration history and tobacco, alcohol, and drug consumption, and human immunodeficiency virus (HIV) infection and diabetes mellitus (DM) with TB. This matched case-control study included 1600 participants who completed a survey on sociodemographics, history of incarceration, tobacco, alcohol and drug use, and HIV and DM diagnosis. Conditional logistic regression analysis was used to examine associations between a TB diagnosis and risk factors. Participants who had ever smoked tobacco (aOR 1.73, 95%CI 1.23-2.43, P  0.01), ever drank alcohol (aOR 1.41, 95%CI 1.03-1.93, P  0.05), were HIV-positive (aOR 36.37, 95%CI 2.05-646.13, P  0.05) or had DM (aOR 13.96, 95%CI 6.37-30.56, P  0.01) were more likely to have TB. The association between TB and tobacco use, alcohol use, HIV and DM in Kazakhstan suggests a need for comprehensive intervention and prevention approaches that also address tobacco and alcohol use, DM and HIV.