Well-being Of People Research Articles

What Impact Does the Diagnosis of Mild Cognitive Impairment Have on the Wellbeing, Everyday Behavior, and Healthcare Utilization of People and Their Carers? A Systematic Review.

Dementia is a major cause of disability and dependency globally. Mild cognitive impairment (MCI) is considered an early indicator of developing dementia. There are growing efforts to detect and diagnose MCI earlier; consequently, we need to understand the perspectives of individuals and carers regarding the implications of an MCI diagnosis. To systematically review qualitative literature to understand the impact of a MCI diagnosis on both the individual and their carers, focusing on wellbeing, everyday behaviors, and healthcare utilization. Key search terms were input into five databases. Studies were included if they were peer-reviewed qualitative research published in English that obtained perspectives of community-dwellers with MCI or carers and focused on either their wellbeing, everyday behaviors and/or healthcare utilization. The protocol was pre-registered on PROSPERO (CRD42021291995). Data was synthesized narratively. Key findings from 15 eligible articles highlighted the negative impact of an MCI diagnosis on the wellbeing of both individuals and carers, due to stigma and limited understanding regarding diagnosis/prognosis. Changes in everyday behavior varied, particularly regarding motivation to engage with physical activity, hobbies and social opportunities. Both individuals and carers were sometimes dissatisfied with healthcare services; ineffective communication during clinical consolations highlighted as a reason for lack of trust in clinicians. Results indicate that an MCI diagnosis impacts both people with MCI and their carers across key facets of life. There is a critical need to effectively communicate the diagnosis and prognosis of MCI to support wellbeing and everyday activities and ensure trust in healthcare services.

Effects of human–wildlife conflict on local people's livelihoods and wildlife conservation in and around Alitash National Park, northwest Ethiopia

Human–wildlife conflict has become one of the fundamental aspects of wildlife management. It threatens both wildlife and human welfare. People have injured, abused, and killed wildlife in response to perceived and/or actual damage from wildlife. Such negative interactions are common in adjacent protected areas (PAs) where people and wildlife share the same resources. However, the local contexts of the conflict around the most newly established PAs remain unaddressed. Thus, the aim of this study was to assess the effects of human–wildlife conflict on local people's livelihoods and wildlife conservation in and around Alitash National Park, Ethiopia. The data were collected by interviewing 198 households from 11 villages and conducting 3 focus group discussions and 12 key informant interviews. The survey questions were designed to understand the occurrence of wildlife damage, species involved, losses incurred, and local people's perception and reaction. The results revealed that 59.6% of the surveyed households encountered at least a single type of wildlife‐caused damage. Crop damage was the most prevalent, encountered by more than half (54%) of the households, of which 34.4 and 19.6% lost at most 25 and 75% of their crop fields, respectively. Common warthog, African porcupines, and common baboon were the top‐ranked wildlife species involved in crop‐raiding. The livestock loss from 2016 to 2020 was 287.89 tropical livestock units, which were shared by 47.5% of the respondents. Human attacks were rare, although 18 attacks by lion, spotted hyena, and leopard were reported by the study participants. The responses of the victims were negative and full of resentment to the wildlife. This undermines conservation efforts and the socio‐economic welfare of the local people. Thus, providing alternative livelihood opportunities and creating a context‐based conservation scheme along with continuous conservation education would help to reduce the negative effect of human–wildlife conflict on both wildlife and people.

Effect of automated insulin delivery systems on person-reported outcomes in people with diabetes: a systematic review and meta-analysis

Conclusive evidence on the benefits of automated insulin delivery (AID) systems on person-reported outcomes (PROs) is missing. In this systematic review and meta-analysis, four databases (PubMed, PsycINFO, Cochrane, and GoogleScholar) were searched from inception up to August 7th, 2024. All types of studies were included if studies reported on PROs in people with diabetes using an AID system. All types of control groups in randomised controlled trials (RCT) were included. Summary data were extracted by three reviewers. Main outcomes focused on diabetes distress, fear of hypoglycaemia and quality of life. Meta-analyses were conducted for RCTs and observational studies separately. When five or more studies could be pooled, random-effects meta-analysis was used, otherwise common-effects meta-analysis was used. Risk of bias was evaluated with Cochrane tools. This study was registered with PROSPERO, CRD42022352502. A total of 62 studies (n=9253) were included reporting on 45 different questionnaires. Twenty-seven studies were RCTs and 25 were observational studies. RCT meta-analyses showed reduced diabetes distress (standardised mean difference [95% CI]:-0.159 [-0.309,-0.010], I2=23.0%), reduced fear of hypoglycaemia (-0.339 [-0.566,-0.111], I2=42.6%), and improved hypoglycaemia unawareness (-0.231 [-0.424,-0.037], I2=0.0%), quality of life in adults (0.347 [0.134, 0.560], I2=0.0%) and children/adolescents (0.249 [0.050, 0.448], I2=0.0%). Observational meta-analyses corroborated improvements in diabetes distress (-0.217 [-0.403,-0.031], I2=68.5%), fear of hypoglycaemia (-0.445 [-0.540,-0.349], I2=0.0%), hypoglycaemia unawareness (-0.212 [-0.419,-0.004], I2=0.0%), and showed improved sleep quality (-0.158 [-0.255,-0.061], I2=0.0%). We found low to moderate effect sizes indicating that AID therapy is associated with reduced burden and improved well-being in people with diabetes. Evidence comes from both RCTs and observational studies. However, for some PROs only a limited number of studies could be pooled with a large heterogeneity in questionnaires used. More research is needed with a more uniformed assessment of PROs to demonstrate the added value of AID therapy on psychosocial outcomes. None.

Associations between well-being and nature-based recreation: A cross-sectional study among adults in the United States, Brazil, and Spain

Growing evidence suggests that engagement in nature-based recreation can improve people's well-being. However, there is a lack of information regarding which specific nature-based recreation activities are related to specific well-being indicators. We conducted a cross-sectional study to explore how different types of nature-based recreation (i.e., any nature-based activities, forest-based activities, gardening, nature-based adventure activities) relate to five indicators of well-being on the WHO-5 index among American (n = 606), Brazilian (n = 448), and Spanish (n = 438) adults. Americans and Brazilians who reported engaging in nature-based recreation at least monthly in the last 12 months, or weekly during a typical week, were more likely to feel cheerful, relaxed, vigorous, rested after waking up, and interested in life than those who did not engage that frequently. Results in these two countries were similar across all five indicators of well-being and types of nature-based activity, except for gardening, where we observed slightly weaker correlations. In Spain, the correlation between nature-based recreation and well-being tended to be null or even negative, highlighting some variability in these relationships across countries. Further cross-country experimental work is needed to support these findings and identify the relative efficacy of specific nature-based interventions for enhancing human well-being around the world.

Effectiveness of Mindfulness-Based Interventions with Respect to Psychological and Biomedical Outcomes in Young People with Type 1 Diabetes: A Systematic Review.

Type 1 diabetes is a chronic disease especially affecting young people. Mindfulness-based psychological interventions might reduce emotional symptoms post-diagnosis, but the evidence is limited. This systematic review aimed to evaluate the effectiveness of mindfulness interventions on psychological well-being and biomedical variables in young people with type 1 diabetes. A systematic review of trials was conducted that involved a bibliographic search in electronic databases (Web of Science, MEDLINE, SciELO, Scopus, PsycINFO, and Cochrane Library) considering studies published between 2013 and 2024. A total of 434 records were identified, of which 252 underwent selection according to title and abstract, leaving 32 that were evaluated for eligibility and 7 included in this review. From Google Scholar, six more studies were identified and evaluated, and two were selected. Finally, nine studies were subjected to full reading and a detailed analysis of the inclusion criteria. A total of 66.6% of the studies were evaluated as having a methodological quality of moderate or optimal, but the samples analysed tended to be small, and only two articles carried out short-term follow-up evaluations. Mindfulness-based interventions, upon reviewing the preliminary results, may be posited as a viable strategy to enhance psychological (anxiety, diabetes distress, perceived stress, depression, self-efficacy, psychological well-being, and quality of life) and biomedical outcomes (glycaemic control, blood glucose levels, and diastolic blood pressure) for type 1 diabetes in young people. Although promising, further research is required to improve the quality, methodology, and design of studies.

Exploring the links between type and content of virtual background use during videoconferencing and videoconference fatigue.

The popularity of remote working in recent years has led to a rise in the use of videoconferencing tools. However, these communication tools have also given rise to a phenomenon known as videoconference fatigue (VF). Using the limited capacity model of motivated mediated message processing and impression management theory as the theoretical framework, this study explores how different types and content of virtual backgrounds in videoconferencing influence people's VF and well-being. A survey of 610 users of videoconferencing tools revealed significant variations in the content and type of virtual backgrounds used during videoconferences. Our findings highlight three main points: first, there is a significant relationship between the use of virtual backgrounds and VF; second, pairwise comparisons showed that the type of virtual background significantly influences the amount of VF experienced by users; third, the content of virtual backgrounds also significantly impacts the level of VF experienced by users. These results suggest that careful selection of virtual backgrounds can mitigate VF and improve user well-being. Theoretical and practical implications are discussed.

STATISTICAL RESEARCH ON THE CORRELATION BETWEEN BMI AND GLYCOSYRED HEMOGLOBIN IN PATIENTS WITH DIABETES

Diabetes is a significant global challenge to the health and well-being of people, families and countries. The main objectives of this research are: to statistically determine the correlation between BMI and the value of glycated hemoglobin (HbA1c) and to analyze the eating habits and lifestyle of the 109 subjects who were included in this study. The research was conducted in the period from 01.06.2023-30.06.2023. by the Faculty of Food Technology and Nutrition at the University of Tetovo and VT Diet Club - Bitola. The data from the 109 respondents (35 men and 74 women) aged from 5 to 81 years. were collected by an online questionnaire. Information about minors was obtained from their parents - guardians. The following statistical methods were used: Pearson's correlation coefficient and relative numbers. 68% of the respondents suffer from diabetes type 2, and 32% of the respondents suffer from diabetes type 1. Most of the patients with diabetes (29.4%) are aged 45-54 years. The value of the correlation coefficient r = 0.04 indicates that there is a very weak correlation between BMI and the value of glycated hemoglobin. This means that the value of glycated hemoglobin is influenced by other factors such as: diet, physical activity, use of therapy with oral antidiabetics and/or insulin, etc. 41.3% of respondents are overweight (BMI = 25-29.9 kg/m2), and the same percentage of respondents are obese (BMI = 30 and more kg/m2). Crucial negative food habits practiced by the respondents are: 69% of the respondents indicated that they have 3-4 meals a day (diabetics should have 3 main meals and 2 snacks) and the same % of respondents indicated that they consume food with a high glycemic index. From this study, it can be concluded that a healthy and balanced diet and physical activity are crucial for leveling glycemia in diabetics, as well as for the prevention of complications caused by diabetes.

Latent classes of adolescent health behaviour, social covariates and mental wellbeing: a longitudinal birth cohort study

BackgroundAdolescent mental wellbeing has been declining in the United Kingdom for over a decade. Expansion of services to support the mental wellbeing of young people is a public health priority and a core component of the National Health Service’s Long-Term Plan. In this paper, we leverage secondary analysis of a very large longitudinal dataset (#BeeWell) to generate insights regarding different patterns of health behaviour, their covariates, and consequences for mental wellbeing one year later.MethodsA Latent Class Analysis was conducted using data on physical activity, sleep, and eating habits collected in 2021 from 18,478 Year 8 pupils from Greater Manchester (United Kingdom) to (1) identify distinct latent classes of adolescent health behaviour; (2) establish factors likely to be associated with latent class membership; and (3) determine whether latent class membership contributes to variance in self-reported mental wellbeing one year later.ResultsA three-class solution was identified as an excellent fit to the data, discriminating between: the Wellness Weary (n = 2,717; 15%); the Balanced Bunch (n = 7,377; 40%); and the Green and Dream Team (n = 8,384; 45%). Several factors significantly influenced class membership. Most notably, socio-economic disadvantage and social media use were linked with less favourable health behaviour patterns, whilst cisgender heterosexual girls were likely to endorse healthier patterns. After adjusting for covariates, the Green and Dream Team reported significantly greater mental wellbeing than the Balanced Bunch one year later. However, there was no difference between the Balanced Bunch and the Wellness Weary, signalling that health behaviours may support mental wellbeing, but only among the healthiest young people.ConclusionsBeyond advancements in fundamental understanding, our findings yield significant translation opportunities through their use and application in health, education, and allied professional settings designed to support young people.

A socio-ecological approach to investigate the perception of green walls in cities: A comparative analysis of case studies in Turin and Lisbon

New urban greening practices are increasingly adopted to contrast and mitigate critical issues of urban areas. These strategies involve nature-inspired solutions to increase sustainability and restore natural processes in cities. In this framework, green walls play a pivotal role to reintroduce nature and provide both environmental and socio-cultural benefits in high densely cities. Despite green walls contribute to increase the aesthetic value of buildings and people's consideration of the area, methodologies to effectively assess their social benefits are still lacking.This study proposes a place-based approach to investigate the Restorative capacity of two outdoor green walls: a modular living walls system covering two facades of a public university building in Turin (Italy) and a plastic planter boxes based living wall located in an inner courtyard of a cultural centre in Lisbon (Portugal). Firstly, the two living walls were characterised through direct observation considering technical, spatial, and social aspects that influence the fruition and the biophilic perception of these public spaces. Then, a self-rating questionnaire based on the Perceived Restorativeness Scale model was given on-site to participants to investigate the influence of green walls on people's cognitive perception and well-being. The novel Green Wall Perceived Restorativeness Scale consists of 17 items that evaluate individuals' perceptions of green walls, emphasising their attractiveness, integrative role in the environment and contribution to the overall appeal and comfort of space. Similar results between sites suggest that common features such as development at maximum building height, symmetrical disposition, element repetition and plant variety are drivers of citizens perception of green walls. Outcomes support the recognised link between citizens aesthetic appreciation of green walls and their perceived sense of comfort and mental relief, related to the Being away factor. The spontaneous social gathering and citizens resting near both green walls creates evidence of the attractiveness of this nature-based solution as a landmark in the urban environment. These conclusions demonstrate the pivotal role of urban biophilic design to combine natural and artificial elements in architectural and landscape design creating an opportunity to increase the use of green walls to contribute to citizens well-being in urban settings.

Temporary Setback or Lasting Challenge? The Impact of Transient and Persistent Functional Disability on Later-Life Well-Being.

Although most people spend the last years of their life with health limitations, these do not arise at the same time point for everyone or have the same consequences for our well-being. The aim of this study is to investigate how well-being trajectories evolve after the onset of functional disability, comparing affective, cognitive, and eudemonic dimensions, while also assessing how they are influenced by temporary functional disability, distinguishing between persistent and transient cases. We reordered longitudinal panel data from Waves 4 to 8 of the Survey of Health, Ageing and Retirement in Europe, from more than 3,500 Europeans to align on the transition from no limitation to at least 1 limitation in activities of daily living. We used linear spline growth models separately for each of the 3 well-being measures used (EURO-D, CASP, life satisfaction) to examine trajectories. We observed a substantial decline in all 3 well-being measures at functional disability onset, with life satisfaction less affected (standardized mean differences = -0.11) than quality of life (-0.23) and depression (-0.27). Short-term disability on average led to a return to the initial well-being level within, whereas long-term disability led to a pronounced decline during the transition with much less adaptation. Our findings highlight the significant impact that functional disability can have on well-being, revealing distinct patterns across various dimensions. Persistent disability often marks a crucial stage in the well-being of older people, whereas transient cases are characterized by a subsequent return to previous levels of well-being.

Impact of coach education on coaching effectiveness in youth sport: A systematic review and meta-analysis

Sport plays a crucial role in the health and wellbeing of young people. While positive outcomes from sports participation are often assumed, studies show that these depend significantly on coaches’ attitudes and behaviors, which shape the sporting environment and influence participants’ experiences and outcomes. This study provides a systematic review with meta-analysis of various coach education program interventions (CEPIs), aiming to answer the question: How do CEPIs impact coaching effectiveness compared to standard coaching practices without such programs? Analyzing a total of 45 studies ( N = 180,658), this systematic review is divided into a narrative section followed by a meta-analysis. Positive effects of CEPIs were observed in 78% of the studies, seen in coaches’ knowledge gain, attitude shifts, and behavioral changes, as well as in athletes’ physical and psychological outcomes, both within and outside of sport. Overall, a significant moderate to large effect of CEPIs on coaching effectiveness ( g = 0.47, k = 264, 95% CI [0.36, 0.59]) was noted. Specifically, a large overall effect on coach outcomes ( g = 0.73, k = 71, 95% CI [0.47, 1.00]) and a moderate to large overall effect on athlete outcomes ( g = 0.38, k = 193, 95% CI [0.28, 0.47]) were observed. These findings generally support the positive impact of CEPIs on coaching effectiveness across the reviewed studies. However, the effects varied in magnitude, scalability, and sustainability for coaches and athletes. The discussion focuses on insights derived from CEPIs and future improvement strategies.

Increasing Oncology Nurse Cultural Knowledge, Sensitivity, and Humility in Caring for the Native Hawai'ian and Pacific Islander Population.

Stress affects people's physiologic and mental well-being. Compounded stress from natural disasters, intergenerational trauma, stigma, and mistrust of the dominant society may lead to illness and potential oncologic disorde.

Empowering Archipelago Regional Laws: A Legal Analysis of Their Role in Promoting Equal Development and Enhancing the Well-being of People in Indonesia

The Unitary State of the Republic of Indonesia is an archipelagic state characterized by the Archipelago with territories whose boundaries and rights are stipulated by law with the presence of the Archipelago Regional Bill, accessibility to fulfilling basic needs, such as good education and health, as well as productivity of small islands, coastal investment, and economic independence of coastal communities can be realized. The Bill on the Archipelago Region is considered to be able to assist the region in efforts to alleviate poverty and equalize social justice for all Indonesian people who live in archipelagic areas also as a legal design to answer various problems in the archipelago: poverty, inequality, and underdevelopment of national development. The importance of Indonesia having an Archipelagic Regional Law is to develop maritime potential, can accelerate infrastructure development and equitable distribution of development in realizing the welfare of the Indonesian people are Adequate protection of their rights and the surrounding environment,Overcoming resource conflicts,Economic and social development, Overcome environmental damage, Improving understanding of the importance of managing islands, Resolving and anticipating regional disparities in the archipelago, to formulate Local Own Revenue

Differences in LGBTQ young people’s mental health, wellbeing, and community involvement by residential location

ABSTRACT Residential location can significantly impact the mental health, wellbeing, and community involvement of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) young people. While research has explored geographical differences in LGBTQ adult wellbeing, limited knowledge exists regarding LGBTQ young people’s experiences. Using a large Australian cross-sectional survey of 6,620 LGBTQ individuals aged 14–21, this study examined the associations between residential location and wellbeing outcomes. Findings revealed that LGBTQ young people in rural and remote areas reported higher levels of psychological distress. Cisgender young people in rural areas experienced more verbal and physical harassment, while those in inner-suburban areas faced increased sexual harassment. Participants were also particularly vulnerable to experiencing homelessness when living in regional towns and rural and remote areas. Trans young people were more likely to attend LGBTQ events in inner-suburban areas. These results emphasize the need for policy changes to foster diversity and inclusion in rural areas, along with targeted support services to enhance the mental health and wellbeing of LGBTQ young people. Understanding the unique experiences of LGBTQ young people across different residential locations is vital, calling for tailored interventions and support in all settings.

It's not all that bad: associations among pain characteristics and sexual well-being in people living with chronic pain.

Individuals experiencing chronic pain often report adverse effects on their sexual functioning. However, other important aspects of sexual well-being (SWB), such as sexual distress and sexual self-esteem, have received little attention. This is an important omission because a SWB involves more than just good sexual function. Similarly, past research has not examined how chronic pain characteristics affect the different aspects of SWB. The goal of this cross-sectional study was to examine the SWB of individuals living with chronic pain and to examine the extent to which SWB is associated with different chronic pain characteristics. A total of 310 individuals (28.1% men, 70.6% women, 1.3% transgender men) with ages between 21 and 50 (M = 31.96, SD = 6.13) who were in a romantic relationship and with self-reported chronic pain for three months or longer completed an online survey. The following indicators of SWB were included in the study: frequency of genital sexual activity, sexual satisfaction, sexual self-esteem, sexual desire, sexual function, genital pain, and sexual distress. The results show that most individuals with chronic pain maintain an active and satisfying sexual life and feel positive about themselves as a sexual partner. Slightly more than a fourth reported experiencing at least one sexual functioning difficulty and almost three-fourths of them found those difficulties sexually distressing. A first canonical correlation showed that more negative pain characteristics were associated with poorer SWB. The second canonical correlation showed that greater perceived partner support can offset the negative relationship between pain and some aspects of SWB. These findings show that individuals living with chronic pain can experience positive SWB. Furthermore, the buffering effect of partner support suggests it is important to involve romantic partners in interventions aimed at improving the SWB of people living with chronic pain. The study examined a large number of indicators of SWB using a sample of individuals with different types of chronic pain. Limitations include potential self-selection bias and a sample that was predominantly white and highly educated. The results paint a more positive picture of the SWB of individuals living with pain and show that individuals living with chronic pain can experience positive SWB. These findings can help for researchers, educators, and clinicians about how to conceptualize, understand, and improve the SWB of individuals living with chronic pain.

Effect of long-term care insurance on medical expenditure and health status: National cohort study

BackgroundLong-term care insurance (LTCI) was implemented in China to solve the elderly care problems caused by the aging population. It is crucial to evaluate the effectiveness of LTCI implementation from the perspective of value-based healthcare.ObjectiveThis study aimed to investigate the impact of LTCI on medical care expenditure and health status in China.MethodsWe used staggered difference-in-differences (DID) analysis to analyze the effect of LTCI policy on medical expenditure and health status based on China Health and Retirement Longitudinal Study data from 2011 to 2018.ResultsOur findings confirmed the positive contribution of LTCI policies to medical expenditures and health status. We found that the implementation of LTCI significantly reduced inpatient and outpatient expenditure, scores of self-report of health, and CESD scores by 26.3%, 12.3%, 0.103, and 0.538, respectively. It also decreased ADL scores, but the decrease was not significant. The impact of LTCI on reducing inpatient expenditure was greater for individuals aged between 65 and 80 and those residing in urban areas and eastern cities. In terms of outpatient costs, the effect of LTCI was more pronounced among median and high-income people and people living in central and eastern cities. The impact of LTCI on self-report of health is stronger for rural populations, individuals under 80, and those in central and eastern cities. For ADL scores, LTCI affected those aged 65–80 the most. About the CESD scores, LTCI had a greater impact on rural populations, people aged 45–65, median income groups, and those in eastern cities.ConclusionsOur study underscored LTCI’s effectiveness in curbing medical expenditures and enhancing health status, offering valuable insights for future LTCI development in China and beyond. Accelerating the development of LTCI is conducive to improving the quality of life of the disabled elderly, enhancing the well-being of people’s livelihoods, and realizing the goal of value-based healthcare.

Strengthening wellbeing in schools after COVID-19: a pilot evaluation of an awareness based intervention for children and young people

ABSTRACT A National Wellbeing Project was developed following Covid-19 to promote wellbeing in children and young people (CYP). Two 8-week, awareness-based interventions, Breath-Body–Mind (BBM) and Creative Mindfulness (CM), were delivered by external facilitators over an 8-week period in primary and post-primary schools across 5 sites in the Republic of Ireland. A convergent mixed methods evaluation was conducted. Teachers completed the Emotional Regulation Checklist for CYP before and immediately post intervention. Focus groups and interviews were conducted with 40 CYP, 13 school staff and 6 programme staff. Linear mixed modelling showed a main effect of intervention on teacher reported (n = 172) emotional regulation and dysregulation in children; post-hoc test showed significant changes amongst those who engaged in BBM only. Stakeholders highlighted positive experiences of programme participation and intervention benefits, including new coping skills and improved regulation in classroom settings. Capacity building benefits for teachers and schools were also identified. The qualitative findings shed light on facilitators and challenges to programme success. Mental health challenges in CYP have increased post-Covid-19. The findings point to the potential utility of brief wellbeing-focused supports in promoting regulation and wellbeing in CYP, although further research is required. Factors influencing the success of school-based wellbeing interventions are discussed.

Effects of the Natural Environment on the Subjective and Psychological Well-Being of Older People in the Community in China

As people age, their activity radius gradually narrows, leading to increased interaction with the community environment. The natural environment (NE) within the community may influence the subjective and psychological well-being (SPWB) of older people (i.e., air quality, noise, green space, and blue space). To enhance the NE and promote the SPWB of older people, this study explored the effect of the community NE on the SPWB of older people. A questionnaire survey involving 180 older people from three communities was collected, alongside observations and measurements of the NE within the community. Finally, a NE-SPWB model was established, indicating that smell (air), ambient noise, green space areas, water landscapes, and smell (water) all positively influenced the SPWB of older people. Based on these findings, recommendations were proposed to enhance community environmental conditions, such as improving water landscapes and green spaces, to further enhance the well-being of older people.

The relationship between perceived stress, spiritual well-being and alexithymia in people with epilepsy: A path analysis

AimThe present study was performed to investigate the associations among perceived stress, spiritual well-being, and alexithymia in people with epilepsy. MethodThe study was performed with 140 patients diagnosed with epilepsy in the neurology clinic of a training and research hospital between May and December 2022. Personal Information Form, Perceived Stress Scale (PSS-14), Spiritual Well-Being Scale (FACIT Sp-12), and Toronto Alexithymia Scale (TAS-20) were used to collect the data. Descriptive statistical methods, simple and multiple regression analyses, and path analysis were used to analyze the data. ResultsThe mean scores of the patients were 25.51±9.42 for PSS-14, 29.77±8.33 for FACIT Sp-12, and 56.55±16.87 for TAS-20. Concerning direct effects, a negative association was found between perceived stress and spiritual well-being, a positive association between perceived stress and alexithymia, and a negative association between spiritual well-being and alexithymia. The confirmed mediating effect was the role of spiritual well-being in the association between perceived stress and alexithymia. Perceived stress explained 28 % of spiritual well-being. In addition, the model explained 34 % of alexithymia in total. ConclusionPerceived stress levels of people with epilepsy were low, while alexithymia and spiritual well-being levels were found to be moderate. It was found that as the stress levels perceived by people with epilepsy increased, alexithymia levels also increased. It was also found that the negative impact of perceived stress on alexithymia was reduced through spiritual well-being. The study shows how important spiritual well-being is in decreasing the negative impacts of perceived stress on alexithymia in people with epilepsy.

Heritage Education and Livelihood Satisfaction in Indian Rural Communities: Towards Sustainable Development

Indian rural tourism is expanding as visitors discover more about the rich heritage, customs and lifestyles of rural host communities. The study is performed on a randomly selected sample of 874 persons residing in rural parts of South India. To analyze the effects of the suggested model that aims to assess the livelihood satisfaction of rural people by examining the repercussions of heritage education on their quality of life, Structural equation modelling (SEM) is employed. The results of the SEM demonstrate that factors affecting quality of life are essential in promoting livelihood satisfaction among people living in rural areas. Additionally, it is discovered that heritage education is also found to moderate the association between quality-of-life aspects and livelihood satisfaction of rural host communities. The findings reveal that rural tourism planners must go beyond methods to accomplish tourism and community development by offering Sustainable Development Goals (SDGs) by improving the livelihood satisfaction of rural host communities through heritage education. Heritage education shows the customs and authenticity of rural host communities by improving the model. The study also sheds light on implications towards the well-being of rural people through heritage education.