Personal Support Research Articles

Artificial Intelligence in education: A comprehensive study

This comprehensive study delves into the multifaceted role of AI in education, exploring its applications, benefits, challenges, and future implications. The purpose of the study is to show how AI n education helps educators identify gaps in student knowledge and provide targeted feedback to improve learning outcomes. As a methodology, the library method and the study and review of various documents have been used in this research. The study examines the diverse range of AI technologies employed in educational settings, including intelligent tutoring systems, personalized learning platforms, educational chatbots, and virtual reality simulations. Furthermore, the study delves into the numerous benefits that AI brings to education. It highlights how AI-powered analytics and data-driven insights enable educators to gain deeper insights into student learning patterns, identify areas for improvement, and tailor instructional strategies accordingly. Additionally, AI-driven tools promote inclusivity by providing personalized support to learners with diverse needs and learning styles. Despite its transformative potential, the study also acknowledges the challenges and ethical considerations associated with integrating AI into education. Data privacy, algorithmic bias, and the digital divide are examined in detail, emphasizing the importance of responsible AI deployment and ethical guidelines. Looking ahead, the study explores the future implications of AI in education and the evolving role of educators in AI-enabled classrooms. It discusses how AI technologies will continue to evolve, offering new opportunities for collaborative learning, skill development, and lifelong education. In conclusion, this comprehensive study underscores the profound impact of AI on education and the need for thoughtful implementation strategies that prioritize equity, inclusivity, and ethical considerations. By harnessing the potential of AI, education systems can better prepare learners for the challenges and opportunities of the future.

맞춤형 학습지원을 위한 AI⋅에듀테크 기능 분석틀의 개발과 적용

This study develops a framework to analyze the functions of AI⋅Edutech within the context of personalized learning support and validates its appropriateness by applying it to actual products. A framework was developed through a literature review, refined through a computer education expert review, and contextualized by focusing on group interviews with educational technology experts and curriculum specialists. The “Framework for Personalized Learning Support Analysis” consisted of two major domains and three subdomains. Then, its appropriateness was verified by applying the framework to nine AI⋅Edutech products for domestic and international educational purposes. Insights derived from the development and application process of the framework are as follows: first, confirmation that the framework functions as a procedure for examining AI⋅Edutech features for personalized learning support; second, the ability to conduct a current status survey of AI⋅Edutech products developed to date through the framework; and third, recognition of its role in the development of additional features required to support personalized learning in school settings in the future. With the increasing interest in personalized learning and advancement of technology, AI⋅Edutech, which is experiencing rapid growth, will hopefully be balanced and practically used through an examination using this analysis framework.

Impact of Work Discipline on Organizational Performance: The Moderating Role of Organizational Culture in Pakistan

The purpose of this research is to investigate the relationship between work discipline and organizational performance, with a specific focus on the moderating role of organizational culture within Pakistan's textile industry. The study aims to understand how work discipline and organizational culture impact the performance of textile firms in this context. Data was analyzed using SPSS, employing descriptive statistics as well as factor and regression analyses. A questionnaire utilizing a Likert scale was used to gather data from the Punjab textile sector, with purposive sampling applied. While the research initially targeted 230 participants, 203 responses were ultimately analyzed. The results reveal a strong and positive correlation between work discipline, organizational culture, and organizational performance. Specifically, work discipline is positively associated with improved organizational performance. Furthermore, organizational culture is shown to positively influence performance, highlighting its role in moderating the relationship between work discipline and performance. These findings underscore the significant impact of both work discipline and organizational culture on enhancing organizational outcomes. In conclusion, organizational culture plays a critical moderating role, amplifying the positive effects of work discipline on organizational performance. Future research should explore additional factors that may influence employee performance, including managerial support, work environment, job satisfaction, and individual personality traits. It is also recommended that future studies be guided by current literature and consider aspects of organizational commitment.

Role of Community Health Nursing in Insulin Initiation for Type 2 Diabetes Patients: A Literature Review

Background: Insulin therapy is essential for managing type 2 diabetes in patients who do not achieve adequate glycemic control with oral medications. Despite its benefits, initiating insulin therapy presents numerous challenges due to psychological, physical, and systemic barriers. This study examines the critical role of community health nurses in facilitating the initiation and management of insulin therapy, addressing patient and healthcare provider barriers, and improving clinical outcomes. Methods: A comprehensive review of existing literature was conducted, focusing on the impact of community health nurses on diabetes management, particularly in insulin initiation and adherence. Results: : Community health nurses play a pivotal role in overcoming barriers to insulin therapy. They provide essential patient education, psychosocial support, and practical training in insulin administration. These efforts lead to improved glycemic control, higher rates of insulin adherence, and better patient satisfaction. Additionally, community health nurses facilitate collaborative care models, integrating with primary care teams to provide continuous and coordinated care. The involvement of community health nurses in diabetes management addresses both patient-related and systemic barriers. Their holistic approach includes personalized patient education, emotional support, and care coordination, significantly enhancing patient adherence and clinical outcomes. Conclusions: Community health nurses are integral to the successful initiation and management of insulin therapy in type 2 diabetes. Future research should focus on developing standardized training programs for community health nurses and exploring innovative care models that leverage their unique skills. Policy support is essential to recognize and expand the role of community health nurses in diabetes care.

Features of employment of persons with disabilities in the Republic of Kazakhstan

In this article the authors investigate the issue of employment of persons with disabilities in the Republic of Kazakhstan. The studied foreign experience has shown that in developed countries the government develops various state programs aimed at the development of an inclusive society. The activity of these bodies is manifested in the implementation of measures that promote effective employment of persons with disabilities. The study showed that the non-profit sector also plays an important role in the adaptation of persons with disabilities in the labor market. The article shows the analysis of the state of the labor market of persons with disabilities in the Republic of Kazakhstan for the last 5 years. The authors showed the structure of the number of persons with disabilities in the context of regions of Kazakhstan, as well as crisis and emergency statuses in the context of regions The parameters of the level of social well-being of persons with disabilities in the Republic of Kazakhstan were given. The study showed the structure of employed persons with disabilities in the context of industries, as well as the factors that negatively affect the process of employment of persons with disabilities. State support for the employment of persons with disabilities depends on many factors, including socio-cultural, economic and legislative features of a particular country. The main principles of state support for persons with disabilities include the principle of equal opportunities, the principle of individual approach, the principle of inclusion, partnership and consultation and others. The authors cited the example of state social policy of Sweden and other developed countries as an example of social policy development for our country. In addition, the article shows the state measures to promote employment for persons with disabilities.

Quality of life and death anxiety among caregivers of patients with advanced cancer: the mediating effect of trait anxious personality and the moderating effect of social support.

To explore the mediating role of trait anxious personality in the association between quality of life (QoL) and death anxiety (DA), as well as to test the moderating effect of social support in the mediation model. The Death Anxiety Scale, Quality of Life Scale, State-Trait Anxiety Scale, and Social Support Rating Scale were used to measure 588 family caregivers of advanced cancer patients. We then constructed a moderated mediation model. The presence of QoL was negatively associated with DA (β = - 0.67, p < 0.01). Trait anxious personality partially mediated the relationship between QoL and DA (indirect effect β = - 0.08, p < 0.01). Social support moderated both the antecedent and subsequent segments of the mediating paths of "QoL → trait anxious personality → DA" and the direct relationship between QoL and DA. Among caregivers with a low level of social support, the mediating effect coefficient of trait anxious personality was higher at 0.25 (95% confidence interval (CI): 0.059-0.182), in contrast to caregivers with a high level of social support, where the mediating effect coefficient of trait anxious personality was 0.11 (95% CI: 0.029-0.072). QoL is directly associated with an increased risk of DA and indirectly related to DA by increasing the risk of trait anxious personality among caregivers. Social support can moderate the mediating effect of trait anxious personality and the relationship between QoL and DA. The intervention strategy for preventing DA among caregivers who have encountered QoL reduction should focus on reducing trait anxious personality and social support.

Digitalizing Access to Care: How Self-Check-In Kiosks Shape Access to Care and Efficiency of Hospital Services

Responding to labor shortages and rising healthcare expenses, hospitals increasingly turn to self-check-in kiosks to streamline service delivery and improve patients’ experiences. The purpose of this study was to reflect on the implementation of these self-check-in kiosks in a Dutch university hospital, particularly in relation to access to care for more vulnerable patients and intended efficiency goals. We followed a technology-in-practice approach to better understand how new technologies shape care practices in relation to in/exclusion and carried out an ethnographic action study involving desk research, participatory observations, semi-structured interviews, and reflection sessions with developers and hospital staff. Data were analyzed through ethnographic content analysis. Our results show that although self-check-in kiosks work well for some patients, many people experience practical and psychosocial difficulties, especially those who go through a complex care pathway, are low-literate, experience a distance the online world, or have sensory, motor, or cognitive impairments. Kiosks are not yet attuned to these patients and typically leave little flexibility and room for negotiation and personal support in what is, for many, a foreign environment. Therefore, patients frequently seek confirmation and assistance from already downsized or busy staff. In conclusion, we find that digitalization under the banner of efficiency within a healthcare system already under pressure carries risks, as it can unintentionally generate extra (invisible) work for patients and care professionals and threaten access to and quality of care for patients most in need. A more concentrated effort on refining the digitalization of healthcare processes using an inclusive-technology-in-practice approach has the potential to contribute to fairer and more efficient care for all patients.

Educational Resilience Amidst COVID-19: Global Insights and Strategies

This research overview investigates the global impact of the COVID-19 pandemic on education, focusing on challenges encountered during the shift to online learning. Drawing insights from studies in New Zealand, Oman, Malaysia, and Germany, the overview explores diverse experiences of educators and students. The abrupt transition to online learning revealed significant challenges, as indicated by various studies. Opportunities for positive changes in education systems are emphasized, advocating for a reimagining of education through innovative practices. This literature review identifies practical and effective strategies for online education, including fostering a sense of community, providing personalized support and feedback, accommodating divers e-learner needs, and considering the learning environment and cognition. Insights from various studies underscore the importance of these practices in overcoming challenges and improving online education quality.

Towards a culture of dialogue among teachers: a qualitative research study

This qualitative study follows upon and offers further analysis into the quantitative results of previous research into the beliefs styles of teachers in the Catholic primary schools of the Archdiocese of Armagh (Ireland). With the use of focus group and interviews, the study supports the previous findings of teachers who are, by and large, engaged believers with strong faith and a positive attitude towards plural society. Faith was seen as important for those who prepare children for the sacraments but not necessary for other teachers. Quite strikingly, teachers almost exclusively identified Catholic ethos with the passing on of core values. Faith is considered a personal matter but support for ethos and the delivery of Religious Education is welcome. Critique of the 2022 instruction from the Dicastery of Culture and Education shows the importance of including teachers of every belief style in bringing about a culture of dialogue within Catholic schools.

What Should Personalised Mental Health Support Involve? Views of Young People with Lived Experience and Professionals from Eight Countries

Research demonstrates that young people value mental health support that is tailored to their needs and preferences, rather than a “one size fits all” offer, which is often not equitably accessible (National Children’s Bureau, 2021). Understanding young people’s lived experiences across different sociocultural contexts is important. The aim of this research was to conduct an international qualitative study on the views of young people with lived experience and professionals, on proposed aspects of personalised support for anxiety and/or depression. Participatory action focus groups were conducted with N = 120 young people with lived experience of anxiety and/or depression (14–24 years) and with N = 63 professionals in Brazil, India, Kenya, Pakistan, Portugal, South Africa, Turkey, and the United Kingdom. Data were analysed using the rigorous and accelerated data reduction (RADaR) technique. Overall, although some country-specific differences were found in terms of what aspects of support young people found to be most important, individual preferences were considered stronger, furthering the view that support should be personalised to the needs of the individual young person. Young people experiencing anxiety and/or depression should be able to choose for themselves which aspects of support they would prefer in their own care and support plans, with families and mental health professionals providing guidance where appropriate, rather than removing the young person from the decision-making process altogether. It should also be ensured that the aspects of personalised support can be understood by young people and professionals from different contexts, including marginalised and minoritised groups and communities.

Supporting Bereaved Family Members: A Qualitative Interview Study on the Experience of Bereavement Counselling by the Bereavement Network Lower Saxony (BNLS) in Germany for Parents Who Have Lost Children or Teenagers.

The "Trauer Netzwerk Niedersachsen" ("Bereavement Network Lower Saxony" (BNLS)) aims at supporting families after the loss of a child or teenager due to various causes. This study aims to describe the experiences of bereaved family members with the BNLS counsellors. 12 semi-structured interviews were conducted with parents who had received or were currently receiving BNLS counselling. The interviews revealed the vital role counselling played aiding individuals cope with their grief. Participants valued the bereavement support, which was often lacking in their personal support networks. Counselling assisted parents in returning to daily life and caring for loved ones. Discussing "death" and "dying" helped participants find peace with their loss. Our findings suggest that bereavement counselling should be considered an essential component of healthcare for family members dealing with the loss of a child. Additionally, there is need for awareness and publicity for both the BNLS and its bereavement counselling services.

Results of the Sukuma Ndoda ("Stand up, Man") HIV Self-Screening and Assisted Linkage to Care Project in Johannesburg: A Quasi-Experimental Pre-Post Evaluation.

HIV testing rates among South African men lag behind rates for women and national targets. Community-based HIV self-screening (HIVSS) distribution and follow-up by community health workers (CHWs) is a scalable option to increase testing coverage, diagnosis, and treatment initiation. We provided HIVSS and assisted linkage to care to men not recently tested (within the past 12 months) residing in high-HIV-burden areas of Johannesburg. CHWs distributed HIVSS in 6 clinic catchment areas. Follow-up to encourage confirmatory testing and antiretroviral therapy initiation was conducted through personal support (PS) or an automated short message service (SMS) follow-up and linkage system in 3 clinic areas each. Using a quasi-experimental pre-post design, we compared differences in the proportion of men testing in the clinic catchment areas during the HIVSS campaign (June-August 2019) to the 3 months prior (March-May 2019) and compared treatment initiations by assisted linkage strategy. Among 4793 participants accepting HIVSS, 62% had never tested. Among 3993 participants with follow-up data, 90.6% reported using their HIVSS kit. Testing coverage among men increased by 156%, from under 4% when only clinic-based HIV testing services were available to 9.5% when HIVSS and HIV testing services were available (z = -11.6; P < 0.01). Reported test use was higher for men followed through PS (99% vs. 68% in SMS); however, significantly more men reported reactive self-test results in the SMS group compared with PS (6.4% vs. 2.0%), resulting in more antiretroviral therapy initiations in the SMS group compared with PS (23 vs. 9; P < 0.01). CHW HIVSS distribution significantly increases testing among men. While PS enabled personalized follow-up, reporting differences indicate SMS is more acceptable and better aligned with expectations of privacy associated with HIVSS.

Does Social Support Play a Role in the Expression and Everyday Functioning Impact of Apathy in HIV Disease?

Clinically notable apathy occurs in approximately one-third of persons living with HIV (PLWH). Drawing from psychological theory, this cross-sectional study examined the interplay between apathy and social support in persons with (n = 143) and without (n = 61) HIV disease. Analyses were conducted using multiple regression and mediation procedures with 95th percentile bootstrap confidence intervals. Positive HIV serostatus and lower social support were associated with more frequent apathy, independent of other mood symptoms. Social support did not moderate apathy's associations with everyday functioning among PLWH, but post hoc analyses revealed that apathy mediated the relationship between social support and everyday functioning among PLWH. Stronger social support may provide a buffer against the frequency of apathy symptoms in persons with and without HIV disease. The relationship between lower social support and poorer everyday functioning in HIV might be partly explained by apathy. Longitudinal research is needed to examine the mechanisms of these relationships.

Tail Lights

How quickly time flies – Christmas and NewYear are in the rear view mirror and we arehurtling towards Easter! Phew! I wanted to learn more about Disability in(Medical) Education - so I hunted down DrBeth Dillon (MBChB 2023, co-founder andTrustee of the award winning LUNA Project),Scott Duguid (Disability Services, UoG) andProf Ines Alvarez (Dept of Education UoG,Programme Leader for the MEd in InclusiveEducation) to learn more. I have included anexcerpt of Beth’s interview for your perusal.Niall Holden (current student) has alsowritten a piece to share his experiences andknowledge on this complex topic.I found out “Disability” is a broad category:ranging from visible and physical disabilitiesto invisible ones such as long term chronichealth, mental health issues, ADHD, Autismand specific learning disabilities such asDyslexia. Dyslexia is common – affecting 10%of the population worldwide. Highfunctioning learners with (undiagnosed)dyslexia can “mask” and perform exceedinglywell academically until their “usual” supportis reduced - such as when they start life inHigher Education. Students with any disability are entitled tohelp (they are protected by law under the UKEquality Act 2010, particularly while inEducation). “Help” can range from extra timefor assessments, flexible deadlines,(“reasonable adjustments”) to individualised,personal learning support with study skills,computer software, mentoring and coachingto help adjust to life - and thrive! - atUniversity. Scott wanted me to raise awareness amongstudents that the doors to DisabilityServices are wide open. Even if you are notsure if you have a disability, fill out a formand Disability Services will get in touch,provide support if appropriate and how toprogress if not. Also, 18 March markedNeuroDiversity Week. Here is a fantasticresource to check out:https://linktr.ee/neurodiv.I am very much looking forward to see allyour “Visual Abstracts” – this is youropportunity to showcase the projects youhave been doing throughout the year, getpublished in a peer reviewed journal and thefirst 5 can even earn a little bit of money(enough for a nice meal out). The best visualabstract of the year will be selected byProfessor Matthew Walters – winninganother £100! Get your skates on and getyour abstracts in! Finally, a little plug for my fabulously exciting and fun summer elective: NavigatingUncertainty in Medicine. Fill out this form: https://forms.gle/k5ngU1D9FGyn9XCA8 andspend 4 weeks with super star doctors and moi! Until the next Taillights! Cindy.

Machine Learning for Predicting Biologic Agent Efficacy in Ulcerative Colitis: An Analysis for Generalizability and Combination with Computational Models.

Machine learning (ML) has been applied to predict the efficacy of biologic agents in ulcerative colitis (UC). ML can offer precision, personalization, efficiency, and automation. Moreover, it can improve decision support in predicting clinical outcomes. However, it faces challenges related to data quality and quantity, overfitting, generalization, and interpretability. This paper comments on two recent ML models that predict the efficacy of vedolizumab and ustekinumab in UC. Models that consider multiple pathways, multiple ethnicities, and combinations of real-world and clinical trial data are required for optimal shared decision-making and precision medicine. This paper also highlights the potential of combining ML with computational models to enhance clinical outcomes and personalized healthcare. Key Insights: (1) ML offers precision, personalization, efficiency, and decision support for predicting the efficacy of biologic agents in UC. (2) Challenging aspects in ML prediction include data quality, overfitting, and interpretability. (3) Multiple pathways, multiple ethnicities, and combinations of real-world and clinical trial data should be considered in predictive models for optimal decision-making. (4) Combining ML with computational models may improve clinical outcomes and personalized healthcare.

Capturing where the learning process takes place: A person-specific and person-centered primer

Research conducted using variable-centered methods uses data from a “group of others” to derive generalizable laws. The average is considered a “norm” where everyone is supposed to be homogeneous and to fit the average yardstick. Deviations from the average are viewed as irregularities rather than natural manifestations of individual differences. However, this homogeneity assumption is theoretically and empirically flawed, leading to inaccurate generalizations about students' behavior based on averages. Alternatively, heterogeneity is a more plausible and realistic characteristic of human functioning and behavior. In this paper, we review the limitations of variable-centered methods and introduce—with empirical examples—person-centered and person-specific methods as alternatives. Person-centered methods are designed with the foundational assumption that humans are heterogeneous, and such heterogeneity can be captured with statistical methods into patterns (or clusters). Person-specific (or idiographic) methods aim to accurately and precisely model the individual person (at the resolution of the single subject sample size). The implications of this paradigm shift are significant, with potential benefits including improved research validity, more effective interventions, and a better understanding of individual differences in learning, and, more importantly, personalization that is tethered to personalized analysis. Educational relevance statementOur study presents a primer on the importance of individual differences, heterogeneity and diversity in capturing the unique peculiarities of students. In doing so, we can offer relevant personalized support that is more equitable and individualized.

Unmet needs and harm reduction preferences of syringe services program participants: differences by co-use of illicit opioids and methamphetamine

BackgroundThe current fourth wave of the United States opioid overdose epidemic is characterized by the co-use of opioids and stimulants, including illicit opioids and methamphetamine. The co-use of these two drugs, known as “goofballing,” is associated with higher risk for several adverse outcomes, including more frequent injections, greater health risks, and higher morbidity. Considering these differences, this unique subpopulation of people who inject drugs (PWID) may also have unique unmet needs and harm reduction preferences.MethodsWe collected self-reported data from participants (N = 50) of a syringe services program (SSP), including basic needs and harm reduction preferences. Using bivariate analyses, we examined differences between SSP participants who do and do not co-use illicit opioids and methamphetamine. Co-use was defined as reporting the use of both drugs, which may or may not have been used simultaneously.ResultsIn the overall sample, the mean level of need was highest for bus passes or other transportation, a person who can help you get the services you need, medication for opioid use disorder, and a job or job training. Additionally, all participants reported being either interested or very interested in fentanyl test strips, safe consumption sites, delivery of syringe service supplies, and delivery of naloxone. Those who endorsed co-use had a greater need for food, healthcare, substance use disorder treatment, a support person to help them access needed services, and bus passes or transportation.ConclusionsUnmet needs were prevalent, and the desire for more harm reduction services was high among these PWID. Results also suggest people who co-use illicit opioids and methamphetamine may have the greatest unmet needs and desire for additional harm reduction services.

Exercise and diet support in breast and prostate cancer survivors: findings from focus groups

PurposeCancer survival is improving, making optimal management of long-term treatment-related adverse effects increasingly important. Exercise and a healthy diet are beneficial and regularly recommended in cancer survivorship guidelines; however, few cancer survivors meet these recommendations so there is a need to explore why. This study aimed to understand experiences receiving exercise and diet support among Australian breast and prostate cancer survivors during and following treatment, and to explore what support they would like to receive.MethodsAdults who completed active treatment for breast or prostate cancer were recruited via a private cancer care centre. Using a qualitative descriptive study design, participants attended in-person focus groups that were recorded, transcribed, then analysed using reflexive thematic analysis.ResultsIn total, 26 cancer survivors (15 breast, 11 prostate) participated in one of seven focus groups (4 breast, 3 prostate). Two themes were developed: 1) It was just brushed over, and 2) Wanting more. Theme 1 reports that exercise, and especially diet, were rarely discussed. If they were, it was often limited to general recommendations. Theme 2 shows that participants wanted more specific and personalised support, and information about how exercise and/or diet could benefit their cancer treatment.ConclusionDespite strong interest in receiving personalised exercise and diet support, neither are routinely provided to Western Australian breast and prostate cancer survivors. If support was provided, there was inconsistency in the level and type of support provided. These findings identify important gaps in exercise and diet support provision to cancer survivors and will inform future strategies aiming to improve cancer survivorship care.

Understanding the burden of poor mental health and wellbeing among persons affected by leprosy or Buruli ulcer in Nigeria: A community based cross-sectional study.

Skin neglected tropical diseases including leprosy and Buruli ulcer (BU)are a group of stigmatizing and disability-inducing conditions and these aspects of the diseases could lead to poor mental health. The study was designed to assess the burden of poor mental health and wellbeing among persons affected by leprosy or BU in Nigeria. A community based cross-sectional study design was employed. The study involved persons affected by leprosy or BU. Ten local government areas with the highest number of notified leprosy or BU cases between 2014 and 2018 in southern Nigeria were purposively selected. Information were obtained using Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorders-7 (GAD-7), Warwick-Edinburgh Mental Well-being Scale (WEMWBS) and OSLO Social Support Scale. Outcome measure was poor mental health/wellbeing and was determined by proportion of respondents who had depressive symptoms, anxiety disorder and poor mental wellbeing. A total of 635 persons affected by leprosy or BU participated in the study. The mean age of respondents was 43.8±17.0 years and highest proportion, 22.2% were in age group, 40-49 years. Majority of respondents, 50.7% were males. A higher proportion of respondents, 89.9% had depressive symptoms, 79.4% had anxiety disorders and 66.1% had poor mental wellbeing. Majority, 57.2% had poor mental health/wellbeing. Among the respondents, there was a strong positive correlation between depression and anxiety scores, (r = 0.772, p<0.001). There was a weak negative correlation between depression score and WEMWBS score, (r = -0.457, p<0.001); anxiety score and WEMWBS score, (r = -0.483, p<0.001). Predictors of poor mental health/wellbeing included having no formal education, (AOR = 1.9, 95%CI: 1.1-3.3), being unemployed, (AOR = 3.4, 95%CI: 2.2-5.3), being affected by leprosy, (AOR = 0.2, 95%CI: 0.1-0.4) and having poor social support, (AOR = 6.6, 95%CI: 3.7-11.8). The burden of poor mental health/wellbeing among persons affected by leprosy or BU is very high. There is need to include mental health interventions in the management of persons affected with leprosy or BU. Equally important is finding a feasible, cost-effective and sustainable approach to delivering mental health care for persons affected with leprosy or BU at the community level. Improving educational status and social support of persons affected by leprosy or BU are essential. Engaging them in productive activities will be of essence.

Проблеми адаптації внутрішньо переміщених осіб в умовах воєнного часу

Adaptation of internally displaced persons (IDPs) in wartime conditions is a complex problem that requires attention and a comprehensive approach from governments, civil society organizations and international humanitarian organizations. This abstract offers an overview of the main aspects of the problem of adaptation of IDPs during hostilities, namely socio-economic instability, psychological and psychosocial problems, access to education and medical care, and the need for social adaptation. The authors substantiated the relevance of the study of the concept "internally a displaced person" in the conditions of modern realities of Ukrainian society. The article explains the need to determine the status of so-called forced migrants – population category, new for the history of independent Ukraine. Analyzed two socio-cultural and resource. Analysis of these problems will help to develop effective strategies and support programs for IDPs in wartime conditions aimed at improving their well-being and integration into society. The article, based on available research, analyzes the psychological problems faced by Ukrainians who were forcibly displaced as a result of Russian aggression, and which hinder their viability. An integrative model of psychological support for persons who were forcibly displaced due to Russian aggression is proposed. This model is based on the possibilities of different psychological approaches, such as psychodynamic, behavioral, cognitive, humanistic and existential. Its goal is to mobilize the internal resources of the individual, achieve existential self-expression, as well as to master health-preserving psychotechniques and build resistance to the destructive influences of the surrounding environment.