Examining product innovation in women-led enterprises: Linking the influential role of innovation orientation, family support and risk management using Smart PLS-SEM

Background. Numerous risk factors for stroke are modifiable and are associated with lifestyle and daily habits. An occupational perspective in prevention, which emphasizes habits and routines, can facilitate sustainable and healthy lifestyle changes. Additionally, lifestyle changes generally take place within a social context, making family involvement indispensable. Purpose. This study aims to explore family support from the perspective of persons with risk for stroke (PWRS) who participated in an occupation-based stroke prevention program, and their family members. Method. Explorative qualitative design using interviews was conducted with 10 PWRS who participated in the Make My Day intervention and 10 family members of intervention participants, including both married and nonmarried partners and adult children. Data were analyzed using an inductive semantic approach and reflexive thematic analysis. Findings. Family support depends on the nature of relationships, the family's willingness to accept support, and expectations. Three themes were generated through the analysis: (a) shared perspectives on lifestyle influence support, (b) balancing support and individual responsibility, and (c) generating tensions from different views on health and lifestyle habits. Conclusion. Family support encourages lifestyle changes by sharing activities, offering encouragement, and providing positive reinforcement. Nonetheless, difficulties can occur in maintaining a balance between supporting family members and respecting their personal responsibility, particularly when family members have varying levels of understanding regarding health.

Personal recovery is a mainstream concept in mental health research and practice in the West. The applicability of personal recovery to other cultural and economic contexts is not well understood. This study aimed to characterise the recovery narratives of people living with psychosis in rural Ethiopia. We carried out in-depth interviews with 13 individuals with psychosis, and repeated interviews after 12 months. We conducted an inductive narrative analysis. We first read transcripts to create a case history for each participant. We then identified text which spoke to the dimensions: (i) narrative form (genre and tone); (ii) narrative structure; and (iii) narrative ‘voices’ (characters and meta-narratives). We created a typology of narratives by grouping them into genres, before comparing findings between participants. Whilst there were some stories of change and hope (endeavour narratives), the majority were characterised by struggle (endurance narratives) or despair (entrapment narratives). The narratives were shaped by key characters (family, community, God, medication) and five meta-narratives: supporting family is the priority in life; working makes you well; people with mental illness are less than human; traumatic life events cause or worsen mental illness; and it is God's will that ultimately determines events. Contextual circumstances- poverty, lack of work opportunities, limited access to mental healthcare, and gender norms- were critically important in shaping the lives of our participants. These findings resonate with the critique that some recovery frameworks may be too positive, neat and individualistic to speak to the range of experiences of people with psychosis. Supporting mental health recovery in contexts such as Ethiopia involves addressing structural factors that impede recovery, such as poverty, poor access to medication, and stigma, in ways that are congruent with cultural norms. • People with psychosis in Ethiopia tell of struggle, despair and sometimes hope. • Supporting family is the priority in life for most. • Poverty, limited mental healthcare, stigma and gender norms shape peoples' lives. • Addressing these factors may support personal recovery.

Factors influencing adherence to dietary management in patients with classical galactosemia: A systematic review.

Learning from the wisdom of community: Applying a community based participatory multiple case study methodology to understand families living in adversity

Between a nightmare and a miracle: A qualitative study of patient experience during and after intensive care unit admission in pregnancy or postpartum.

Supporting families and building relationships: Evaluation of a home and sleep safety equipment scheme for impoverished communities.

Pediatric cochlear implantation is the standard of care for infants and young children with congenital bilateral severe-to-profound sensorineural hearing loss who receive limited benefits from optimally fitted hearing aids. Despite significant advances in cochlear implant (CI) device technology and surgical safety, post-implant spoken language outcomes remain highly heterogeneous, ranging from robust speech recognition and age-appropriate language to minimal benefits in sound detection with limited speech perception and language delays. This narrative review integrates findings from the literature by organizing predictors of post-implant language development into intrinsic and extrinsic factors and highlighting clinically actionable strategies to optimize interventions. Two major intrinsic constraints are (a) neurodevelopmental comorbidities (including intellectual disability and autism spectrum disorder), which limit the cognitive resources required to transform auditory input into stable phonological and lexical representations, and (b) inner ear malformations and cochlear nerve deficiency, which restrict the neural substrate available for transmitting CI-mediated auditory input to the central auditory system. These intrinsic factors are closely linked to etiologies such as genetic disorders, congenital cytomegalovirus infection, and temporal bone malformations and can be identified early through developmental profiling, imaging, electrophysiology, and genetic testing to support individualized counseling and to help determine realistic expectations. In contrast, at least four extrinsic determinants are modifiable and should be targeted systematically: (A) early intervention with verified audibility and timely implantation when auditory development fails to progress, (B) early bilateral/binaural access via bilateral CIs or optimized bimodal fitting to improve speech access in noisy environments and reduce listening effort, (C) daily communication strategies that maximize consistent spoken-language input, and (D) family and socioeconomic support that shapes the child's language and literacy ecology. An individualized profile-based approach integrating these elements offers a structured pathway to narrow outcome variability and maximize spoken language trajectories after pediatric cochlear implantation.

Physio-Cognitive Decline Syndrome (PCDS) is a clinical characterized by concurrent declines in physical and cognitive functions that precede disability. Taiwan's rapidly aging population highlights declines in physical and cognitive functions as precursors to disability, posing key challenges in geriatric care. Research shows these declines begin in early middle age and progress with age. Understanding middle-aged and older adults' experiences and coping strategies for Physio-Cognitive Decline Syndrome (PCDS) is essential for developing effective interventions. This study explored the subjective experiences and perceptions of PCDS among middle-aged and older adults to identify key themes and coping strategies in response to such declines. This qualitative study utilized purposive sampling, semi-structured face-to-face interviews with middle-aged (55-64 years) and older (≥65 years) adults to explore PCDS perceptions. Data were analyzed using content analysis. Participant experiences and perceptions formed three themes: (1) aging accelerates PCDS progression, (2) PCDS threatening daily life, and (3) adapting to changes. These findings further delineate a four-phase PCDS process: Individual Perception (recognizing decline), Life Threat (impact on daily life), Adaptation (accepting reality), and Positive Coping (implementing management strategies). Correspondingly, participants developed coping strategies to mitigate physical and cognitive decline, seek professional assessment, and strengthen support systems. Middle-aged and older adults with PCDS face physical and cognitive declines, mobility limitations, psychological stress, and social isolation. They adopt coping strategies like health maintenance, cognitive training, and social participation. Family and social support systems play a crucial role in their coping processes, while seeking professional medical assistance and engaging in community activities further enhance their confidence in managing PCDS.

Black tax – stories of familial financial support in Cape Town

Key factors of independent mobility of older adults: A data-driven approach based on a longitudinal survey in China

Adverse childhood experiences (ACEs) are associated with negative consequences for physical and mental health. ACEs are defined as harmful experiences from conception to age 18. They generate chronic toxic stress when exposed to emotional or sexual abuse or a dysfunctional home. ACEs produce "programming" on brain plasticity with immunoneuroendocrinological, cerebral, and epigenetic changes. The result is suboptimal development of physical, mental, and emotional abilities. This "programming" can be mitigated by resilience, family and social support. When faced with new stressors, psychological and physiological dysregulation will occur, exposing the individual to disease. Between the ages of 0 and 17, 55.9% have had 1 ACE, and 30.6% have had ≥2 ACEs. The consequences are aggression, drug addiction, obesity, asthma, depression/anxiety, decreased resilience, juvenile recidivism, and suicide. Pediatricians are the ones who can detect, prevent, and mitigate ACEs.

Social support, self-care agency and self-care behaviors among pregnant women in Thai Binh, Vietnam: A cross-sectional analysis.

Introduction: Schizophrenia is a complex mental health disorder characterised by variable treatment responses. Previous research has explored factors influencing patient experiences; however, the understanding of how modifiable and non-modifiable factors relate to treatment effectiveness remains limited and, at times, inconsistent. Aim: To explore how the sociodemographic and clinical factors influence illness severity, treatment outcomes, and functional adjustment in work and social domains in patients with Schizophrenia. Materials and Methods: The present cross-sectional observational study was conducted at Sree Balaji Medical College and Hospital, Chennai, India, from July 2022 to July 2023, on 74 schizophrenia patients with at least six months of follow-up. The study assessed sociodemographic factors, treatment adherence, and illness severity in relation to therapeutic outcomes and social adaptation. Data were analysed using Epi Info software version 7, applying Mann-Whitney, Chi-square, and Wilcoxon signed-rank tests, with a significance level set at p <0.05. Results: The current study included individuals diagnosed with schizophrenia spectrum disorders (mean age: 36.1 years), with balanced gender distribution. Most participants were unemployed (71.6%) and married (59.5%). A significant reduction in illness severity was observed post-intervention (p <0.001). Demographic variables such as age, sex, and marital status showed no significant differences; however, marked and severe illness was associated with lower treatment efficacy (p<0.001) and poor resilience (p=0.001). Treatment response assessed via effectiveness index and global improvement categories. Treatment effectiveness was significantly associated with factors such as employment status (p=0.028), illness severity (p<0.001), age of illness onset (p=0.021), Higher Mental Function (HMF) (p=0.002), insight (p=0.007), resilience (p=0.019), and antipsychotic dose (p=0.041). Global improvement was significantly associated with factors such as employment status (p=0.012), illness severity (p<0.001), age of illness onset (p=0.035), HMF (p=0.003), insight (p=0.037), resilience (p<0.001), and treatment adherence (p=0.023). Individuals with milder illness, better insight, preserved HMF, higher resilience scores, and active treatment adherence showed more favourable outcomes. Functional impairment was significantly greater among those with inadequate treatment response and higher illness severity, particularly affecting work, home management, leisure, and interpersonal relationships (p<0.001). Despite overall improvement, a subset of patients continued to experience residual functional limitations, highlighting the link between treatment effectiveness and real-world functioning. Conclusion: According to the present study results, higher resilience, good insight, employment and strong family support are the key factors associated with better outcomes. The study also supports the role of early intervention, sustained treatment engagement and a recovery oriented approach for better clinical and psychosocial care.

Oral diseases are affecting over 3.5 billion people globally, but they are largely preventable. Regular oral health examinations (OHEs) help detect early signs of dental and systemic diseases, yet many individuals fail to seek OHE due to factors like cost and lack of awareness. This study explores the factors influencing individuals' intention to undergo OHE using the Health Belief Model (HBM) and social support theory. A cross-sectional survey was conducted in January 2024 with 807 participants from Minhang District. Questionnaires assessed sociodemographic characteristics, health beliefs, and perceived social support. Exploratory factor analysis was conducted to evaluate the factor structure of the HBM scale, and hierarchical multiple regression was employed to identify predictors of participants' intention to undergo OHE. Sociodemographic factors such as gender, education, income, and health insurance status significantly influenced OHE intention. Perceived benefits, perceived barriers, cues to action, and family social support were key predictors. The integrated model combining HBM and social support theory effectively explained individuals' intention to undergo OHE. These findings highlight the importance of raising awareness, reducing barriers, and utilizing family support to encourage preventive oral care. In addition, government efforts should focus on incorporating OHEs into routine health examination programs to ensure institutional support for preventive care.

Mental health and psychological vulnerabilities in the context of technology-facilitated child sexual exploitation and abuse: A systematic evidence review.

Despite overwhelming evidence of the benefits of breastfeeding (BF) and its potential to decrease infant mortality, BF rates are low in many low- and middle-income countries like Ghana. We sought to assess Ghanaian mothers' BF plans and their rationale for these plans. We conducted a mixed method study via face-to-face interviews administered in 2019. We included pregnant or recently delivered maternity ward patients at a tertiary care center in Kumasi, Ghana. Semi-structured interviews were conducted to collect sociodemographic information, BF plans, and reasons for BF preferences. In accordance with World Health Organization recommendations, optimal BF was defined as 6 months of feeding an infant with breastmilk only (exclusive BF) followed by at least 18 months of feeding an infant the combination of breast milk and supplementary liquids and/or solid foods (complementary BF). Demographic characteristics of the cohort were compared by maternal BF plan using Pearson's chi-squared and t-test. Simple thematic analysis was performed to identify reasons for BF preferences. During the study period, 126 participants were enrolled. Forty-two (33.3%) participants planned to practice optimal BF. Participants who were married were more likely to have optimal BF plans than unmarried participants (OR 0.17; 95% CI 0.04, 0.53). There was no association between optimal BF plans and age, education, religion, and pre- or post-delivery status. Reasons for not practicing optimal BF included concern about the nutritional sufficiency and infants' enjoyment of breastmilk, logistical challenges of optimal BF, milk underproduction, and medical concerns for mother or baby. Only one-third of our cohort planned to practice optimal BF. Strengthening family support systems and improving patient education may increase optimal BF rates in Ghana.

Alcohol and other drug use among HIV-affected adolescents and young adults in Zambia: a qualitative study of multilevel drivers and preferences for prevention and treatment approaches

Due to an ongoing culture change, relocations from regular nursing homes to innovative living arrangements are increasing. This affects not only residents but also their family caregivers. The perspective of family caregivers regarding the relocation processes that occur within the context of culture change is understudied. Therefore, this study examines the experiences of family caregivers concerning the relocation of their relatives from a regular nursing home to an innovative living arrangement. A qualitative study, using semi-structured interviews, was performed in the Netherlands. Three nursing homes offering 24-h care that were planning a relocation from a regular nursing home to an innovative living arrangement were selected. Twenty-two family caregivers were included in the study. Interviews took place 2 weeks to a month after the relocation day. Four themes were constructed from the data: (1) Family caregivers took on an active role throughout the relocation process; (2) Family caregivers were concerned about the emotional impact of relocating on their relative; (3) Lack of communication with family caregivers during the relocation process; and (4) The challenges of implementing the culture change. This study emphasizes the need to provide practical support when preparing for the move. Emotional support, information provision and optimal communication are important to support family caregivers. Furthermore, family caregivers appear to be hesitant regarding the intended culture change. Therefore, it is important to create a sense of innovation readiness in both staff and family caregivers by informing and involving them.

This study was conducted to evaluate the effect of family planning education provided through online flashcards during the postpartum period on women's perceived barriers and attitudes. This study was conducted as a randomized controlled trial using the Solomon four-group design. The study sample consisted of 133 postpartum women who met the inclusion criteria and were recruited from the postpartum clinics (Intervention 1 = 33, Intervention 2 = 32, Control 1 = 33, Control 2 = 35). An online educational programme on contraceptive methods suitable for the breastfeeding period was delivered in the Intervention 1 and Intervention 2 groups via WhatsApp using digital flashcards. Three measurements were conducted for the Intervention 1 and Control 1 groups: a pretest before the education, a posttest immediately after the education and a follow-up posttest 1 month later. The other two groups did not undergo a pretest. The education provided through online flashcards resulted in a statistically significant change in the perceived barriers to contraceptive use and family planning attitude scores among women in the Intervention 1 group. The findings demonstrate that education delivered through online flashcards during the postpartum period positively influenced women's perceived barriers to contraceptive use and their attitudes toward family planning. These results suggest that online flashcards may serve as an effective and accessible educational tool to support family planning in the postpartum period. ClinicalTrials.gov identifier: NCT06052215.