Health-related Literature Research Articles

Centering Racial Health Equity in Systematic Reviews Paper 3: A Systematic Review of Definitions For "Racial Health Equity" and Related Terms within Health Related Articles

To systematically evaluate definitions of "racial health equity" and related terms within health-related academic literature. We systematically evaluated definitions of racial health equity and related terms within health-related academic articles. Articles published in English were included, and no date restrictions were imposed. We found 20 original articles containing relevant definitions out of 1816 retrieved articles, thirteen of which were published from 2020-2023. Themes used in the definitions varied, with racism (n= 12) and quality of healthcare (n= 10) being the most common. Additional themes, including social hierarchy or marginalization, discrimination, justice, unmet social needs, and historical events were used by some definitions. Eleven of the included manuscripts defined race as a social construct. This study depicts racial health equity as an emerging concept with limited consensus on racism, quality of health, and social determinants of health as important underlying frameworks. To center equity efforts and actions under a workable and shared vision, we recommend continued discussions regarding underlying meanings of racial health equity concepts and propose establishing a definition that promotes unity across health fields and prevents ambiguity.

Occupational therapy for individuals with chronic kidney disease undergoing renal rehabilitation: A literature review

Chronic kidney disease is a life-changing condition affecting 10% of the global population, leading to significant health challenges in a person’s daily life. It is considered a worldwide health crisis due to its increasing prevalence in the general population and the development of complicated clinical symptoms if left untreated. Hemodialysis is a treatment procedure that helps substitute renal function, which is vital for the individual's health. Most health-related scientific literature focuses on understanding the underlying mechanisms of the disease, advancing hemodialysis treatment, and minimizing adverse side effects. Meanwhile, another scientific direction aims to evaluate the functioning and quality of life of these individuals, who can, in some cases, become extremely debilitated. People with chronic kidney disease undergoing hemodialysis often experience a significant disruption in their ability and efficiency to perform meaningful tasks and established routines independently. Occupational therapy can help empower individuals with chronic kidney disease undergoing hemodialysis, enabling life participation while minimizing the burden and health-related consequences of the disease.

Patient-related decisional regret: An evolutionary concept analysis.

Health-related decision-making is a complex process given the variability of treatment options, conflicting treatment plans, time constraints and variable outcomes. This complexity may result in patients experiencing decisional regret following decision-making. Nonetheless, literature on decisional regret in the healthcare context indicates inconsistent characterization and operationalization of this concept. To conceptually define the phenomenon of decisional regret and synthesize the state of science on patients' experiences with decisional regret. A concept analysis. Rodgers' evolutionary method guided the conceptualization of this review. An interdisciplinary literature search was conducted from 2003 until 2023 using five databases, PubMed, CINAHL, Embase, PsycINFO and Web of Science. The search informed how the concept manifested across health-related literature. We used PRISMA-ScR checklist to guide the reporting of this review. Based on the analysis of 25 included articles, a conceptual definition of decisional regret was proposed. Three defining attributes underscored the negative cognitive-emotional nature of this concept, post-decisional experience relating to the decision-making process, treatment option and/or treatment outcome and an immediate or delayed occurrence. Antecedents preceding decisional regret comprised initial psychological or emotional status, sociodemographic determinants, impaired decision-making process, role regret, conflicting treatment plans and adverse treatment outcomes. Consequences of this concept included positive and negative outcomes influencing quality of life, health expectations, patient-provider relationship and healthcare experience appraisal. A conceptual model was developed to summarize the concept's characteristics. The current knowledge on decisional regret is expected to evolve with further exploration of this concept, particularly for the temporal dimension of regret experience. This review identified research, clinical and policy gaps informing our nursing recommendations for the concept's evolution. This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.

Mental health in paediatric and adult myositis-related diseases: current state of research, interventions, and future steps from the MIHRA Psychological Impact Scientific Working Group.

Psychological and emotional well-being are critical aspects of overall health for individuals with chronic rheumatologic conditions. Mental health-related literature, however, predominantly focuses on systemic lupus erythematosus or rheumatoid arthritis, with limited emphasis on idiopathic inflammatory myopathies (IIMs). High proportions of those with juvenile myositis report psychological distress at levels warranting mental health referral. Adults with dermatomyositis diagnosed with depression or anxiety do not receive adequate mental health care. Mental health symptoms in those with IIMs are associated with worse health-related quality of life, medication adherence, and disease outcomes. Despite demonstrated high rates of mental health burden, access to mental health care remains severely lacking.Data related to mental health burden is limited by small sample size, limited generalisability, variable methods of assessment, and inconsistent diagnosis codes to define mental health conditions. Additional research is needed to validate current screening tools in myositis populations. Other relevant measurable factors include disease severity, non-health- and health-related trauma exposure, loneliness, isolation, loss of control, sleep difficulties, fatigue, pain, self-esteem, body image, sexual health, and health inequities. Studiesare needed investigating the efficacy of therapeutic and pharmacologic interventions among patients with myositis who experience depression and anxiety. Currently, knowledge and resources are limited around mental health burden and potential intervention for those living with IIMs. The Myositis International Health & Research Collaborative Alliance (MIHRA) Psychological Impact Scientific Working Group offers a preliminary road map to characterise and prioritise the work ahead to understand baseline mental health burden and compare avenues for intervention.

Making Sense of Schizoposting: A Schizoanalysis of Alt-Right Internet Platforms.

Online radicalization has gained considerable attention in the media and in academia. Much attention has shifted to so-called "homegrown terrorists." Mental health concerns of those who display signs of online radicalization are identified as a potential contributing factor to this process. Although it seems both tempting to attribute mental health concerns, attempts to "make sense" of schizoposting (a bizarre and often violent form of online engagement) via conventional "clinical" analysis prove insufficient. This article offers a critical analysis of an extremely disturbing (online) phenomenon through the radical poststructuralist scholarship of late French philosophers, Deleuze and Guattari. Given that schizoposting and those individuals who engage in this behavior have yet to receive any attention in the nursing and health-related literature, it is critical that future research aims to better understand this population, such that appropriate interventions may be proposed.

Automated data analysis of unstructured grey literature in health research: A mapping review.

The amount of grey literature and 'softer' intelligence from social media or websites is vast. Given the long lead-times of producing high-quality peer-reviewed health information, this is causing a demand for new ways to provide prompt input for secondary research. To our knowledge, this is the first review of automated data extraction methods or tools for health-related grey literature and soft data, with a focus on (semi)automating horizon scans, health technology assessments (HTA), evidence maps, or other literature reviews. We searched six databases to cover both health- and computer-science literature. After deduplication, 10% of the search results were screened by two reviewers, the remainder was single-screened up to an estimated 95% sensitivity; screening was stopped early after screening an additional 1000 results with no new includes. All full texts were retrieved, screened, and extracted by a single reviewer and 10% were checked in duplicate. We included 84 papers covering automation for health-related social media, internet fora, news, patents, government agencies and charities, or trial registers. From each paper, we extracted data about important functionalities for users of the tool or method; information about the level of support and reliability; and about practical challenges and research gaps. Poor availability of code, data, and usable tools leads to low transparency regarding performance and duplication of work. Financial implications, scalability, integration into downstream workflows, and meaningful evaluations should be carefully planned before starting to develop a tool, given the vast amounts of data and opportunities those tools offer to expedite research.

Importance of Being Aware of Postpartum Depression: Mini Review

Postpartum depression (PPD) is a mental health concern. Postpartum depression can develop during pregnancy, or after giving birth to up to one year. Postpartum depression can be a challenge for the mom involved and often it is misdiagnosed. Postpartum depression can be a bigger challenge if the mom is single or has other factors such as lacking a support system. A review of nursing and health related literature was conducted to explore postpartum depression. The three themes that emerged from the literature are: risks, interventions, and screening. Findings from the initial literature review reveal that a lack of knowledge exists in nursing and patient care practice regarding postpartum depression. The purpose of this rapid review was to promote understanding of factors influencing postpartum.

Defining Misinformation and Related Terms in Health-Related Literature: Scoping Review.

Misinformation poses a serious challenge to clinical and policy decision-making in the health field. The COVID-19 pandemic amplified interest in misinformation and related terms and witnessed a proliferation of definitions. We aim to assess the definitions of misinformation and related terms used in health-related literature. We conducted a scoping review of systematic reviews by searching Ovid MEDLINE, Embase, Cochrane, and Epistemonikos databases for articles published within the last 5 years up till March 2023. Eligible studies were systematic reviews that stated misinformation or related terms as part of their objectives, conducted a systematic search of at least one database, and reported at least 1 definition for misinformation or related terms. We extracted definitions for the terms misinformation, disinformation, fake news, infodemic, and malinformation. Within each definition, we identified concepts and mapped them across misinformation-related terms. We included 41 eligible systematic reviews, out of which 32 (78%) reviews addressed the topic of public health emergencies (including the COVID-19 pandemic) and contained 75 definitions for misinformation and related terms. The definitions consisted of 20 for misinformation, 19 for disinformation, 10 for fake news, 24 for infodemic, and 2 for malinformation. "False/inaccurate/incorrect" was mentioned in 15 of 20 definitions of misinformation, 13 of 19 definitions of disinformation, 5 of 10 definitions of fake news, 6 of 24 definitions of infodemic, and 0 of 2 definitions of malinformation. Infodemic had 19 of 24 definitions addressing "information overload" and malinformation had 2 of 2 definitions with "accurate" and 1 definition "used in the wrong context." Out of all the definitions, 56 (75%) were referenced from other sources. While the definitions of misinformation and related terms in the health field had inconstancies and variability, they were largely consistent. Inconstancies related to the intentionality in misinformation definitions (7 definitions mention "unintentional," while 5 definitions have "intentional"). They also related to the content of infodemic (9 definitions mention "valid and invalid info," while 6 definitions have "false/inaccurate/incorrect"). The inclusion of concepts such as "intentional" may be difficult to operationalize as it is difficult to ascertain one's intentions. This scoping review has the strength of using a systematic method for retrieving articles but does not cover all definitions in the extant literature outside the field of health. This scoping review of the health literature identified several definitions for misinformation and related terms, which showed variability and included concepts that are difficult to operationalize. Health practitioners need to exert caution before labeling a piece of information as misinformation or any other related term and only do so after ascertaining accurateness and sometimes intentionality. Additional efforts are needed to allow future consensus around clear and operational definitions.

Discovering new pathways toward integration between health and sustainable development goals with natural language processing and network science

BackgroundResearch on health and sustainable development is growing at a pace such that conventional literature review methods appear increasingly unable to synthesize all relevant evidence. This paper employs a novel combination of natural language processing (NLP) and network science techniques to address this problem and to answer two questions: (1) how is health thematically interconnected with the Sustainable Development Goals (SDGs) in global science? (2) What specific themes have emerged in research at the intersection between SDG 3 (“Good health and well-being”) and other sustainability goals?MethodsAfter a descriptive analysis of the integration between SDGs in twenty years of global science (2001–2020) as indexed by dimensions.ai, we analyze abstracts of articles that are simultaneously relevant to SDG 3 and at least one other SDG (N = 27,928). We use the top2vec algorithm to discover topics in this corpus and measure semantic closeness between these topics. We then use network science methods to describe the network of substantive relationships between the topics and identify ‘zipper themes’, actionable domains of research and policy to co-advance health and other sustainability goals simultaneously.ResultsWe observe a clear increase in scientific research integrating SDG 3 and other SDGs since 2001, both in absolute and relative terms, especially on topics relevant to interconnections between health and SDGs 2 (“Zero hunger”), 4 (“Quality education”), and 11 (“Sustainable cities and communities”). We distill a network of 197 topics from literature on health and sustainable development, with 19 distinct network communities – areas of growing integration with potential to further bridge health and sustainability science and policy. Literature focused explicitly on the SDGs is highly central in this network, while topical overlaps between SDG 3 and the environmental SDGs (12–15) are under-developed.ConclusionOur analysis demonstrates the feasibility and promise of NLP and network science for synthesizing large amounts of health-related scientific literature and for suggesting novel research and policy domains to co-advance multiple SDGs. Many of the ‘zipper themes’ identified by our method resonate with the One Health perspective that human, animal, and plant health are closely interdependent. This and similar perspectives will help meet the challenge of ‘rewiring’ sustainability research to co-advance goals in health and sustainability.

Social Media in Stroke Career Development.

Social Media in Stroke Career Development.

Citation tracking for systematic literature searching: A scoping review.

Citation tracking (CT) collects references with citation relationships to pertinent references that are already known. This scoping review maps the benefit of and the tools and terminology used for CT in health-related systematic literature searching. We included methodological studies on evidence retrieval by CT in health-related literature searching without restrictions on study design, language, or publication date. We searched MEDLINE/Ovid, Web of Science Core Collection, CINAHL/EBSCOhost, LLISFT/EBSCOhost, LISTA/EBSCOhost, conducted web searching via Google Scholar, backward/forward CT of included studies and pertinent reviews, and contacting of experts. Two reviewers independently assessed eligibility. Data extraction and analysis were performed by one reviewer and checked by another. We screened 11,861 references and included 47 studies published between 1985 and 2021. Most studies (96%) assessed the benefit of CT either as supplementary or primary/stand-alone search method. Added value of CT for evidence retrieval was found by 96% of them. Science Citation Index and Social Sciences Citation Index were the most common citation indexes used. Application of multiple citation indexes in parallel, co-citing or co-cited references, CT iterations, or software tools was rare. CT terminology was heterogeneous and frequently ambiguous. The use of CT showed an added value in most of the identified studies; however, the benefit of CT in health-related systematic literature searching likely depends on multiple factors that could not be assessed with certainty. Application, terminology, and reporting are heterogeneous. Based on our results, we plan a Delphi study to develop recommendations for the use and reporting of CT.

Health information communication technology evaluation frameworks for pharmacist prescribing: A systematic scoping review.

Information communication technology (ICT) is instrumental in pharmacists' current practice and emerging roles. One such role is prescribing, which requires the use of clinical guidelines and documentation of decision-making, commonly via ICT. Development and refinement of ICT should be guided by evaluation frameworks that describe or measure features of ICT and its implementation. In the context of pharmacist prescribing, these evaluation frameworks should be specific to health stakeholders and the pharmacy setting. To identify ICT evaluation frameworks from health-related literature and review frameworks relevant to the development, implementation, and evaluation of pharmacist prescribing. A database search of CINAHL, Cochrane Library, EMBASE, Medline (Ovid), ProQuest, Scopus, Web of Science and grey literature was conducted, using combinations of keywords relating to 'ICT', 'utilization', 'usability', and 'evaluation framework'. Abstracts and titles were screened according to inclusion criteria. Identified evaluation frameworks were critiqued for relevance to pharmacy practice. Twenty-two articles were identified, describing the development or application of 20 evaluation frameworks. None of the frameworks was developed specifically for pharmacy practice. The Technology Acceptance Model (TAM), describing use behavior, behavior intention, perceived usefulness, and perceived ease of use, was the most widely utilized framework. The Information System Success (ISS) and Human-Organization and Technology Fit (HOT-fit) are notable evaluation frameworks that address user and organizational influences in health ICT utility, and factors of both can address the limitation of TAM. The findings call for development of an agile evaluation framework for the system under review; however, this can prove difficult due to the heterogenicity and complexity of the healthcare system, particularly contemporary pharmacy practice. While the TAM appears useful to evaluate user attitudes and intentions towards ICT, its relevance to ICT in contemporary community pharmacy practice requires exploration.

A dataset for plain language adaptation of biomedical abstracts

Though exponentially growing health-related literature has been made available to a broad audience online, the language of scientific articles can be difficult for the general public to understand. Therefore, adapting this expert-level language into plain language versions is necessary for the public to reliably comprehend the vast health-related literature. Deep Learning algorithms for automatic adaptation are a possible solution; however, gold standard datasets are needed for proper evaluation. Proposed datasets thus far consist of either pairs of comparable professional- and general public-facing documents or pairs of semantically similar sentences mined from such documents. This leads to a trade-off between imperfect alignments and small test sets. To address this issue, we created the Plain Language Adaptation of Biomedical s dataset. This dataset is the first manually adapted dataset that is both document- and sentence-aligned. The dataset contains 750 adapted abstracts, totaling 7643 sentence pairs. Along with describing the dataset, we benchmark automatic adaptation on the dataset with state-of-the-art Deep Learning approaches, setting baselines for future research.

What the Literature on Medicine, Nursing, Public Health, Midwifery, and Dentistry Reveals: An Overview of the Rapidly Approaching Metaverse

What is being done in the metaverse literature in a variety of health-related fields, including Medicine, Nursing, Public Health, Midwifery, and Dentistry, and what topics are explored in this literature? In this study, a content analysis of the studies linked with the term metaverse in all health-related literature is presented. The studies were carried out on the documents accessed in Web of Science and Scopus searches made with the words "Metaverse" and "metaverse" on 06/05/2022. For 312 papers, data was retrieved from the Scopus bibliometric database, and for 240 publications, data was retrieved from the Web of Science data source. In the field of health, there haven't been many direct studies on metaverse technology. This is because metaverse technology is made up of many different technologies that work together and are always getting better. Some of these technologies are augmented reality, social networks, virtual reality, blockchain technology, artificial intelligence, and avatar. The study also tells field researchers about metaverse studies that are important in the health sector and about changes in the literature as a whole. According to the research areas, the documents found had to do with the field of health, and only the researches in the field of health were evaluated. It is interesting to think about how metaverse technology will change scientific research, health services, and health-related processes. The study looks at the current state of the literature on metaverse technology, as well as the future of the field and what it can do. Virtual reality or augmented reality applications have defined themselves as augmented reality under the metaverse. These applications are most useful in critical situations in the health sector and in processes that are hard and must be done by trial and error. In addition to the tremendous advances in technologies (blockchain, computer vision, haptic devices, sensors, computer networks) with which metaverse technology is associated in recent years, the mechanical resolution of the sense of touch in the Nobel Peace Prize in physiology and medicine received in 2021 can be seen as one of the field's critical milestones. The growth of the field and past experiences show that many real-world applications can be moved to the metaverse universe in the future. One of the fields that will be affected the most by this interaction is health care.

Empowerment in the Healthcare Context: Concept Analysis

The concept of empowerment is broad and is frequently viewed as a way to give more power to the powerless in numerous aspects of life. However, the empowerment of patients seeking health care has received less attention. Consequently, this article aims to examine how the notion of empowerment is defined in the scientific literature pertaining to healthcare. This concept analysis was conducted utilizing the eight-step Walker and Avant approach (2014). The data resources used in the analysis were obtained from health-related literature retrieved from the CINAHL, PUBMED, and PsycINFO online databases. Four distinguishing characteristics, including Mutually beneficial connections, Knowledge and skills, Self-determination and shared decision making, and Sharing of social power, were retrieved from the analysis. This concept analysis demonstrated to both patients and medical practitioners the optimal method for initiating the therapeutic relationship. Empowerment can facilitate health professionals' practice and increase patients' and consumers' confidence and happiness with health services. Additional analysis can be conducted to get a fresh understanding of the concept, contributing to the body of health-related information.

Applying ‘cultural humility’ to occupational therapy practice: a scoping review protocol

IntroductionCultural humility is becoming increasingly important in healthcare delivery. Recognition of power imbalances between clients and healthcare providers is critical to enhancing cross-cultural interactions in healthcare delivery. While cultural humility...

Maternal caring ability with the preterm infant: A Rogerian concept analysis.

To analyze the concept of maternal caring ability for a preterm infant to develop an operational definition. Each year, many newborns are born preterm and admitted to the neonatal intensive care unit (NICU). Although their mothers are prepared for discharge home by the staff, it is difficult to identify an operational definition of their maternal caring ability for the preterm infant. Concept analysis. Searches used PubMed, as the primary health-related literature, ProQuest, Science Direct, CINHAL, web of science, Scopus, and Google Scholar. Keywords caring ability, mother, andpreterm infant were used to analyze the development of the concept from 1965 to 2020. Rogers' and Knafl's evolutionary approach has been used to explain the concept of maternal caring ability for the preterm infant. The combined searches yielded 23,291 documents published in English. After the screening process, 43 documents were selected. The Graneheim and Lundman analysis method was used to identify the themes related to the attributes of maternal caring ability. Findings showed the caring ability to have four antecedents (maternal characteristics, support systems, infant characteristics, and the illness severity), four attributes (knowledge and skill in neonatal care, self-efficacy, sensitivity, responsibility, and problem-solving), and three consequences (parental adjustment, improving infant growth and development, and improving parent-infant relationships). The caring ability of the mother of a preterm infant is grounded in an adequate knowledge of caregiving needs of a preterm infant, high caregiving skills, a sense of self-efficacy, problem-solving, sensitivity, and responsibility.

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Abstract Introduction: The literature on the health aspects of Ramadan fasting (RF) is widely spread in many journals. Materials and Methods: This is a narrative review of data obtained from the PubMed database (National Library of Medicine, Bethesda, Maryland, United States). We used the search term “Ramadan fasting,” and relevant records were examined. The publications are narrated thematically. Results: The publications spanned fundamental, clinical, professional, cultural, and advocacy facets. The publications crossed conventional disciplinary lines and geographical locations and appeared in journals with different access systems. The contents are presented under the themes that emerged depending on the retrieved literature. This year basic coverage included changes in physiology and nutrition during Ramadan. However, the clinical issues included a wide range of topics. These included the impact of RF on nonalcoholic fatty liver disease and adjustments needed in endocrine replacement therapy for hypothyroidism and adrenal insufficiency. Coverage also included chronic kidney disease. The impact on maternal health, fetal well-being, and long-term effects of RF exposures were addressed in several studies. Studies in cardiovascular medicine focused on blood pressure and cardiovascular risk factors. Sports medicine and athletes' well-being received somewhat prominent coverage. The impact on renal function, particularly in patients with chronic kidney disease, was investigated by a few authors. Several groups addressed the eyes' structure and function, neurological conditions, especially headache disorders, and hematological and oncological conditions. Finally, the impact of RF on several aspects of mental health and well-being was addressed by various groups. Conclusions: Health aspects of RF received a sustained academic interest with a broad spectrum in 2021. This narration provides an overview of the year's scholarly health-related literature on various aspects of health and disease. It should help researchers and clinicians catch up quickly with the health concerns during Ramadan.

A simultaneous concept analysis of resilience, coping, posttraumatic growth, and thriving.

Research has shifted in recent decades from a focus on negative effects of adversity, trauma, and stress to protective factors and positive outcomes. Resilience and related concepts (coping, posttraumatic growth, thriving, and preparedness) reflect this shift. However, the current state of literature reflects conceptualization challenges in relation to these terms, which blur their differentiation. We aim to examine how resilience and related terms are conceptualized in health-related literature. We used a simultaneous concept analysis to independently explore and further inform the conceptual development of resilience, coping, PTG, and thriving. We searched PsycINFO and PubMed for literature between 1999 and 2019 for each of our concepts. For each of these concepts, we propose a definition, antecedents, attributes, an example, consequences, and related concepts. Next, we concurrently examined the concepts, compared and contrasted findings across them, and clarified similarities as well as differences between them. Many concepts' definitions lack specificity, clear boundaries, and consistency across the literature. Resilience literature fails to differentiate between attributes and antecedents of resilience. There was overlap regarding conceptualization between resilience and coping, and resilience and thriving. Several concepts' definitional literature diverged between a return to baseline functioning and surpassing baseline.

Managing the Built Environment for Health Promotion and Disease Prevention With Maharishi Vastu Architecture: A Review.

Background and objectivesThe evolution of healthcare from 18th-century reductionism to 21st-century postgenomic holism has been described in terms of systems medicine, and the impact of the built environment on human health is the focus of investigation and development, leading to the new specialty of evidence-based, therapeutic architecture. The traditional system of Vāstu architecture—a design paradigm for buildings which is proposed to promote mental and physical health—has been applied and studied in the West in the last 20 years, and features elements absent from other approaches. This review critically evaluates the theory and research of a well-developed, standardized form of Vāstu—Maharishi Vastu® architecture (MVA). MVA’s principles include development of the architect’s consciousness, universal recommendations for building orientation, siting, and dimensions; placement of key functions; and occupants’ head direction when sleeping or performing tasks. The effects of isolated Vāstu elements included in MVA are presented. However, the full value of MVA, documented as a systematic, globally applicable practice, is in the effect of its complete package, and thus this review of MVA includes evaluating the experience of living and working in MVA buildings.MethodsThe published medical and health-related literature was systematically surveyed for research on factors related to isolated principles applied in MVA as well as on the complete system.ResultsPublished research suggests that incorporating MVA principles into buildings correlates with significant improvements in occupants’ physical and mental health and quality of life: better sleep, greater happiness of children, and the experience of heightened sense of security and reduced stress. The frequency of burglaries, a social determinant of health, also correlates. Potential neurophysiological mechanisms are described.ConclusionsFindings suggest that MVA offers an actionable approach for managing a key social determinant of health by using architectural design as preventive medicine and in public health.