Boosting mental health literacy in Chinese universities: A randomized controlled trial of intervention efficacy.

Mobile phone addiction and social anxiety among nursing students during internship: The longitudinal mediating role of physical activity and social adaptability in mental health promotion.

There is well-established evidence regarding the positive impact of mental health promotion with young people. Despite this, we know less about the implementation of youth mental health promotion (YMHP) programmes delivered at scale, in part due to a lack of published evaluations. This study used the RE-AIM framework to examine cross-cutting and diverging implementation components of three different YMHP initiatives delivered as part of a national programme, with the aim of informing future YMHP implementation and evaluation. Drawing on programme materials, this study applied framework analysis to explore similarities and differences in implementation across initiatives in schools, higher education, and community settings. The RE-AIM implementation framework was used to examine findings and data quality for reach, effectiveness, adoption, implementation, and maintenance for each initiative. Adoption was facilitated by strong relationships, reputation, and incentives, with partnerships playing an important role. Two initiatives achieved extensive reach but were less successful in expanding beyond direct participants. Implementation success depended on flexibility, teamwork, support from Removed for Peer Review staff, fidelity, and incentives. Findings relating to the effectiveness were limited by recruitment challenges and small sample sizes. There was strong satisfaction with programme content, but measurement of impact was a challenge across initiatives. Data limitations in some areas, particularly effectiveness and maintenance, highlighted challenges faced by resource-constrained organisations in self-evaluating YMHP programmes. This study provides rich insights into the complexities involved in implementation and evaluation of YMHP initiatives at scale. The findings underscore the critical importances of evaluation strategies that are workable for on-the-ground implementers, ensuring measurable and sustainable improvements in youth mental health literacy and wellbeing across diverse settings. Funding: this research was funded by the Health Service Executive (Ire).

Influence of drying temperature on the metabolites profile and potential antioxidant pathways of Passiflora edulis peel: Integrating untargeted metabolomics with network pharmacology analyses, molecular docking, and molecular dynamics simulation.

Feasibility and preliminary effects of a yoga program developed for adults with post COVID-19 condition (Breathe Easy): Pilot randomized controlled trial.

The aim of this mixed methods systematic review was to identify oral health interventions in rural areas of high-income countries and synthesise the evidence on how access is addressed. Searches were conducted in Cochrane, CINAHL, Dentistry and Oral Sciences Source, PsycINFO and PubMed, with the last search in January-February 2025. All study types published in English since 2000 were included that reported oral health interventions aimed at addressing access to dental services. The Mixed Methods Appraisal Tool was used to assess study quality. The Penchansky and Thomas model of access, with Saurman's adaptation, guided the thematic synthesis. The final dataset was 73 articles. Most authors reported small-scale interventions delivered by dental and primary health providers. Fluoride varnish application, treatments and health promotion were most reported in clinics, community settings and schools. Lack of service availability and accessibility caused by geographic distance required alternative service models, including telehealth. Free or minimal cost interventions were needed in low-income settings. Stakeholder partnerships and understanding of local context were critical. Evaluations of community acceptability and awareness were rare. There was a dearth of studies addressing the six dimensions of access, with wide variation in study quality. There is an absence of robust, well evaluated studies, with lack of homogeneity preventing meta-analysis. Rural oral health interventions should be informed by comprehensive frameworks of access, be grounded in equity, involve communities in design, development and evaluation, should reduce silos between oral and general healthcare, and should prioritise prevention. Access to high quality oral health is a fundamental human rights and equity issue for rural people.

Reference data and clustering of lifestyle-based dementia risk factor scales among older Canadian adults.

Identifying stressors and coping resources among Austrian farmers: A mixed-methods study for targeted prevention and health promotion.

• Integrated OHS-WHP interventions have limited implementation in Australia. • Large Australian workplaces appear more likely to implement OHS-WHP interventions. • This self-reported study reports on useful practical insights into intervention content and delivery. Occupational health and safety (OHS) interventions traditionally target workplace ergonomic, psychosocial, and material risks, while workplace health promotion (WHP) interventions primarily focus on health education and behaviour change. The objectives of this study were: (1) to assess the extent to which Australian workers received and participated in integrated interventions; (2) to explore how they viewed three common examples of integrated interventions. A descriptive cross-sectional study was conducted in Australia in 2024. Eligible participants were employed in Australian workplaces under any contract type and were aged ≥18 years. Descriptive statistics summarised current practices and perceptions, while inferential statistics explored associations between variables. A thematic inductive approach was employed to analyse qualitative data. Of the 394 workers, mainly from the education, health, and retail sectors, only 25% reported they received integrated interventions, and these workers showed satisfaction (median 4/5). Of the workers receiving integrated interventions, 67.1% participated in integrated interventions with a frequency of 1–4 times/year. Organisational size was significantly and positively associated with the implementation of integrated interventions. Regarding the three examples presented, participants considered them useful (median 4/5) and supported their implementation, with the intervention addressing excessive sitting/musculoskeletal pain being most frequently implemented. High-quality intervention content and human-centred delivery were identified as key success factors that should be carefully considered during intervention planning. Overall, the current picture about integrated interventions in Australia highlights the requirement for genuinely meeting worker needs around intervention delivery and content relevance and addressing worker concerns about privacy and perceived compulsion to improve uptake and effectiveness.

Diabetic foot ulcers are a chronic complications of diabetes associated with substantial morbidity, amputation risk, and reduced quality of life. Promoting the patients' capacity for independent wound care is a key component of long-term management. Although health promotion and supportive-educative nursing approaches are widely advocated in nursing, empirically informed models specifically addressing independent wound care in diabetic foot ulcer patients remain limited, particularly in low-income and middle-income countries. To develop a supportive-educative nursing model based on health promotion for independent wound care in patients with diabetic foot ulcers. A cross-sectional study was conducted during the model development phases. Twenty-two community health centers in Bandar Lampung, Indonesia. A total of 130 patients with grade 1-2 diabetic foot ulcers were recruited using purposive sampling, based on predefined inclusion and exclusion criteria. This study represents the development phase of this model. Quantitative data were collected using validated questionnaires assessing individual factors, support and facilities factors, nursing factors, supportive-educative nursing, patient commitment, and independent wound care behaviors. Structural equation modeling using partial least squares was applied to examine associations among constructs and inform model development. Individual (β = 0.399, p = 0.002), support and facilities (β = 0.227, p = 0.022), and nurse (β = 0.296, p < 0.001) factors were significantly associated with supportive-educative nursing. Supportive-educative nursing was strongly associated with patient commitment (β = 0.724, p < 0.001), which in turn was associated with independent wound care behaviors (β = 0.486, p < 0.001). Direct associations between support and facilities and nurse factors and independent wound care were not significant, consistent with an indirect pathway through supportive-educative nursing and patient commitment. This study proposes a health promotion-based supportive-educative nursing model in which patient commitment functions as a key mediating pathway linking nursing support to independent wound care. These findings provide an empirically informed framework to guide nursing practice and support future longitudinal and interventional research. The Health Research Ethics Committee of Universitas Airlangga (Ref. No. 3664-KEPK), Investment and One-Stop Integrated Services Agency (Reference number 1871/070/06354/SKP/III.16/II/2025), and Bandar Lampung City Health Agency (Reference number B/400.7.22/III.02.V/02/2025).

Associations of a behavioral and mental health score with all-cause and cause-specific mortality and life expectancy: two nationwide cohort studies from the UK and US.

This study employs geopsychiatry as an explanatory lens to situate schools within a risk–protection ecology in conflict-prone settings, with empirical testing focused on school-based mechanisms measurable through survey data. Using a cross-sectional design, we examined the associations among students’ school-based well-being, student–teacher relationship quality, perceived school psychological environment, and student–school connectedness in a sample of 310 secondary school students. Analyses included Pearson correlations and hierarchical regression with interaction tests (predictors mean-centered), controlling for age, gender, and socioeconomic status (SES). Results indicated that psychological need satisfaction (PNS), resilience (RES), and positive affect (PA) were positively associated with perceived school psychological environment (SPS), whereas negative affect (NA) was negatively associated. SPS emerged as the strongest predictor of student–school connectedness (SSC), supporting a proximal mechanism pathway centered on school bonding. At the relational level, student–teacher closeness and dependency were positively associated with SPS and SSC, whereas conflict was negatively associated. Interaction findings suggested that under less optimal relationships (high conflict/dependency), students’ daily emotions became more consequential for perceptions of school climate. Resilience appeared more relevant as a protective resource, although interaction effects on the mediator equation were generally small and evidence for moderated mediation was inconsistent. These findings underscore the importance of an integrated approach that strengthens a safe and supportive school psychological climate, improves teacher–student relationship quality, and develops students’ resilience and emotion regulation as core components of school mental health promotion in high-risk contexts.

Social cohesion is defined as the sense of belonging, solidarity and shared values within a group. Although the terms "social capital" and "social cohesion" are sometimes used interchangeably, strictly speaking the former refers to the resources embedded in social relations - such as trust and norms of cooperation - which then create social cohesion. Social cohesion has been studied as a predictor of mental health in residential communities, schools and workplaces. Taking a life-course perspective, this paper reviews the empirical evidence linking social cohesion to common mental disorders, psychosis, suicidality and substance misuse. Consistent evidence is found for a protective association between social cohesion and common mental disorders, suicidality and substance misuse. Findings are mixed for psychosis. Hypothetical pathways explaining the link between social cohesion and mental health include that: a) living in a cohesive community promotes neighborly interactions which may reduce residents' risk of becoming socially isolated; b) social cohesion buffers the deleterious effects of adversity; and c) social cohesion lowers crime and increases safety perceptions. Important gaps remain in the literature, including the need for improved measurement (greater consistency in the use of indicators to measure social cohesion, developing measures to capture bridging social capital, and enhancing the validity of multi-item instruments via application of item-response theory); the need to strengthen causal inference; and the need for participatory intervention studies that demonstrate how social cohesion can be intentionally generated, and for whom it can be beneficial. Investing in the strengthening of social cohesion represents an asset-based approach to mental health promotion. In contrast to a deficits-based approach (such as efforts targeting loneliness or social isolation), increased attention to social cohesion can be viewed as targeting an upstream driver of both social isolation and loneliness, as well as an independent determinant of population mental health.

Effect of father-involvement telephone support on breastfeeding: A multicentre randomised controlled trial.

This study presents the development of a supplementary questionnaire assessing lifestyle behaviors, psychological well-being, and contextual factors, designed to complement the World Mental Health International College Student (WMH-ICS) survey, within the Italian Health Mode On project. A preliminary questionnaire, based on a literature review and composed of brief standardized measures across 15 sections, was drafted. Its validation was conducted through a two-round electronic Delphi process involving 17 experts from Italian universities and research institutes. In the first round, the experts rated the relevance of each section and domain and suggested item revisions or additions. Feedback was synthesized and presented in the second round, during which the experts re-rated their agreement with all proposed modifications. All sections proposed in the preliminary version were retained. Experts provided 115 item-modification proposals and 10 suggestions for new sections or domains; 35 modifications (30.4%) and 3 additions (30%) were accepted. The final instrument comprises 18 sections and 64 items covering anthropometry, socio-economic status, housing, commuting, physical activity, diet, sleep, nicotine product use, social media, gaming, gambling, loneliness, hopelessness, life satisfaction, academic stress, student services, discrimination, and general well-being. A rapid e-Delphi process produced a concise, expert-validated supplement expanding the WMH-ICS survey's capacity to inform health promotion and prevention interventions.

Birth preparedness and complication readiness have the goal of reducing maternal and neonatal mortality. This concept requires pregnant women to seek health care without delay in case of obstetric complications and delivery. This study determined the practices and factors associated with birth preparedness and complication readiness among pregnant women in the Cape Coast Metropolis, Ghana. A facility-based cross-sectional design was employed among 384 participants, collecting data using a self-administered questionnaire and analyzing them using Stata (Version 16) at the 0.05 significance level and 95% CI. The practice of birth preparedness and complication readiness was 53.4%, and single pregnant women were more likely to practice birth preparedness and complication readiness (AOR=2.19; 95% CI=1.13, 3.45; p=0.020). Respondents whose husbands had completed the tertiary education level were more likely to practice birth preparedness and complication readiness (AOR=1.15; 95% CI=0.05, 1.46; p<0.001). Pregnant women who did not have enough money to cater for expenses, those who had no means of transportation to the health facility, those who did not have someone to accompany them to the health facility, those who did not receive advice from a birth attendant regarding their pregnancy, and those who did not have enough food at home to cater for the household were less likely to practice birth preparedness and complication readiness (all: p<0.05). Health promotion programs to increase the practice of birth preparedness and complication readiness should target all women, particularly those with limited social and financial support and families with no or basic education.

The effect of midwife-led education based on Pender's health promotion model (MidLed-PHPM) on the perinatal mental health of immigrant women.

Uncovering the phytochemical diversity and anti-diabetic potential of Rubus suavissimus leaf using conventional and novel extraction strategies.

Caries in primary teeth and caries in permanent teeth: association and effect modifiers.

Balancing duty and risk: Ethical dimensions of community-based one health surveillance among frontline health workers in Mombasa, Kenya