Counseling Program Research Articles

Spousal Postpartum Social Support and Association with Sexual Function and Sexual Quality of Life among Breastfeeding Women

Background: The present study investigated the relationship between spousal support during postpartum period and the sexual function and sexual quality of life among lactating women. Methods: A cross-sectional study was carried out from October to March 2021 comprising 301 breastfeeding women referred to comprehensive health centers in Qazvin, Iran. The sampling method was performed in two stages. First, via cluster sampling, ten comprehensive health centers were randomly selected. Then based on the list of lactating mothers, 31 mothers in each center were randomly selected and invited to complete the survey. The survey included three psychometric instruments (i.e., Postpartum Partner Support Scale [PPSS], Female Sexual Function Index [FSFI] and Sexual Quality of Life-Female version [SQOL-F]) as well as a reproductive and demographic information questionnaire. The findings were analyzed using univariable and multivariable regression models at a significance level of p<0.05. Results: The participants had a mean age of 30.33 years and a mean length of marriage of 7.99 years. A total of 219 women were exclusively breastfeeding (72.8%), and 82 used a combination of breastfeeding and formula milk to feed their infants (27.2%). The mean (standard deviation) scores in the postpartum period were 61.34 out of 80 (SD=11.41) on the PPSS, 86.52 out of 108 (SD=19.68) on the SQOL-F, and 22.78 out of 36 (SD=6.20) on the FSFI. Based on adjusted multivariable regression models, spousal support in the postpartum period was a significant predictor of sexual quality of life (β=0.39, p<0.001) but not a significant predictor of sexual function. Sexual quality of life was a significant predictor of sexual function (β=0.44, p<0.001). Conclusion: Given the importance of spousal support during the postpartum period in relation to sexual quality of life and sexual function, designing and implementing counseling programs based on the role of spousal support during postpartum sexual life would be helpful.

A university-based counseling program for perpetrators of family violence in Greece: initial evidence

Abstract Penal mediation is defined in Greek Law 3500/2006 and aims at repairing the harm caused to the victim of family violence and rebuild family relationships. Mediation process starts upon victims’ unreserved consent and perpetrators’ willingness to stop further acts of violence, attend a counseling program and restore any harm/damage caused to the victim. Then the prosecutor ceases the case for 3 years and refers the perpetrator to counseling. If any of the previous conditions are violated during this period the criminal procedure continues at the stage before mediation. A university lab in Crete, Greece (LaHeRS, HMU) offers one of the few in Greece perpetrators’ behavior change programs in collaboration with the Prosecutor’s Office. LaHeRS counseling program consists of a minimum of 24 sessions per offender based on an individual or group approach. Emphasis is placed on perceptions of power and control, anger management, trauma management, emotional expression, and social/communication skills. Each perpetrator is offered 2 sessions (intake/violence documentation and assessment of individual/couples’ needs), 2-3 sessions for psychiatric and risk assessment, 12-15 individual or group counseling sessions (combined with couples’ sessions, as necessary), 2-4 individual social support sessions. Sessions are conducted by trained psychologists and social workers. The current presentation reports on the Intimate partner violence (IPV) cases referred between February 2022 and December 2023. A total of 70 IPV cases attended the program (male n = 65; mean age 43.4; Greek n = 56; urban residence n = 49; children average=1.92). Physical violence was reported in 54 cases and verbal aggression in 43 cases. Four perpetrators had mental health problems and 6 were identified with some form of drug and alcohol misuse. Lack of communication and emotional skills, lack of parent emotional support, gender roles stereotypes and patriarchal attitudes were common among perpetrators. Key messages • It is important for perpetrators’ programs to address the underlying causes of criminal behavior to promote positive changes in perpetrators’ lives. • Effective penal mediation programs require collaboration and partnership between justice agencies, academia and community organizations.

Automated digital counselling promotes therapeutic change in mental health in patients with chronic heart failure or chronic kidney disease: ODYSSEE-vCHAT study

Abstract Background The efficacy of digital programs to improve the management of chronic heart failure (CHF) and chronic kidney disease (CKD) is not established. Building on related studies in digital health, behavioural counselling, and social support, we evaluated whether an automated digital counselling program with social network support (ODYSSEE-vCHAT) could improve mental health and health-related quality of life in patients with CHF or CKD. Purpose The primary objective was to examine whether engagement with ODYSSEE-vCHAT was associated with a minimal clinically important difference for improvement in the Mental Component Summary (MCS) of the SF-36 at end-of-study. Secondary outcomes included: ENRICHD Social Support Index (ESSI), Patient Health Questionnaire for Depression (PHQ-9) Godin-Shephard Leisure Time Physical Activity Scale (GSLTPAQ), and an index of the frequency to which patients engaged in goal-directed activities for living well (EUROIA). Methods ODYSSEE-vCHAT was a multi-centre, single group, open label study with assessments at baseline and end-of-study (approximately 11 months). Inclusion criteria were: ≥18 years of age, diagnosis of CHF (reduced ejection fraction (EF) ≤ 40%, mid-range EF, 41-49%, or preserved EF ≥ 50%); or CKD diagnosis (>10% risk for dialysis using the 4-variable, 2-year Kidney Failure Risk Equation, or on dialysis). Exclusion was based on inability to participate due to co-morbidities. The digital counselling protocol taught self-care skills to improve mental health, quality of life, and adherence to medications, exercise, diet, and smoke-free living (Figure 1). Patient engagement with ODYSSEE-vCHAT was defined as Not Engaged (0 logon minutes) vs. Engaged (> 0 logon minutes). The primary outcome was a minimal clinically important difference for MCS change: ΔMCS ≥ 3.8 or MCS ≥ 65 at baseline and study endpoint. It was assessed using multivariable binary logistic regression, controlling for exposure to COVID-19 and health literacy. Secondary outcomes were assessed using multivariable linear regression analyses with the same covariates. Results 215 patients were enrolled. There were 7 deaths and 34 withdrew. In our sample of 174 patients, mean age = 54.4 years (95% Confidence Interval, CI, 25, 81), gender identity as women, n = 68 (39%), ethno-racial group other than White, n = 83, (48%), primary diagnosis, CHF, n = 68 (39%), and CKD, n = 106 (61%). Duration of enrolment to end-of-study: median = 352 days, (95% CI, 159, 496). Engagement with ODYSSEE was associated with therapeutic change on the MCS (for both CHF and CKD patients, and CHF patients alone), GSLTPAQ, and EUROIA, but not the PHQ9 or ESSI (Figure 2). Conclusions Automated digital counselling with social network support promotes improvement in indices of mental health for patients with CHF and CKD. These findings support a follow-up randomized controlled trial.Figure 1.ODYSSEE-vCHAT Study ProtocolFiFigure 2.ODYSSEE-vCHAT Study Outcomes

Automated digital counselling with social network support for chronic heart failure fails to improve health status but promotes health-related quality of life: ODYSSEE-vCHAT pilot trial

Abstract Background Automated digital counselling programs have the potential to provide a scalable, complementary behavioural intervention to improve clinical outcomes for chronic heart failure (CHF). Purpose The primary hypothesis for this pilot trial was that automated digital counseling with social network support (ODYSSEE-vCHAT) vs. Usual Care would decrease the incidence of all-cause re-hospitalization or ED visits. Secondary outcomes included: minimal clinically important difference for improvement on the Kansas City Cardiomyopathy Questionnaire-Overall Summary (KCCQ-OS), and improvement on ENRICHD Social Support Index (ESSI), Patient Health Questionnaire for Depression (PHQ-9) Godin-Shephard Leisure Time Physical Activity Scale (GSLTPAQ), and Self-Efficacy in Managing Chronic Disease (SEMCD6). Methods This 2-arm, parallel group, single-blind pilot trial randomized patients to ODYSSEE-vCHAT vs. Usual Care. Patients were ≥18 years of age with CHF (reduced ejection fraction [HFrEF] < 40%, mid-range [HFmrEF] 40-49%, or preserved [HFpEF] ≥ 50%). Exclusion was based on inability to participate due to co-morbidities. All-cause hospitalization or ED visit were assessed digitally by hospital administrative data. Questionnaires were administered at baseline and end-of-study (approximately 8 months). The digital counselling protocol aimed to improve CHF self-care, HRQL, and adherence to medications, exercise, diet, and smoke-free living (Figure 1). The primary outcome was assessed using multivariable binary logistic regression. Secondary outcomes were assessed using multivariable linear regression analyses with ethno-racial group as a covariate. Results 61 patients were randomized: ODYSSEE-vCHAT, n = 30 (49%), vs. Usual Care, n = 31 (51%). There were 2 deaths, 3 withdrawals, and 12 patients failed to complete secondary outcome assessments. Sample characteristics included mean age = 59 years (95% Confidence Interval, CI, 30, 76), gender identity as women, n = 23 (38%), ethno-racial group other than White, n = 17, (28%) and CHF with HFrEF, n = 47 (77%), HFmrEF, n = 8 (13%), and HFpEF, n = 4 (7%). Duration of enrollment to trial endpoint: mean = 247 days, (95% CI, 75, 382). Figure 2 indicates that ODYSSEE-vCHAT was not associated with lower incidence of all-cause hospitalization/ED visit: composite index events for Usual Care, n = 8 (28%), ODYSSEE-vCHAT, n = 7 (23%). However, ODYSSEE-vCHAT was associated with greater prevalence of KCCQ-OS change (≥ 5 points), and greater improvement in self-efficacy (SEMCD6) for managing CHF. There was a statistical trend to decreased prevalence of depression. Social support was inversely associated with ODYSSEE-vCHAT. No benefit was observed for physical activity (Figure 2). Conclusions Automated digital counselling with social network support promotes improvement in HRQL indices, but not health status. Findings for this pilot trial support a follow-up phase 2 randomized controlled trial.Digital Counselling ProtocolODYSSEE-vCHAT Outcomes

The effect of Mobile-Assisted training and counseling on nurses' ventrogluteal injections application of nursing: A mixed method study.

Nurses often administer intramuscular (IM) injections. However, they do not use the ventrogluteal (VG) site, although it is highly recommended. This study investigated whether a mobile-assisted training and counseling program (intervention) encouraged nurses to use the VG site to administer IM injections. This study adopted a pretest-posttest interventional design with no control group and employed a mixed research design. The sample consisted of 105 nurses from a public hospital in a metropolitan city in Turkey. Quantitative data were collected using a descriptive characteristics form and a Ventrogluteal Site Information Form (VSIF). Qualitative data were collected using a semi-structured interview form. First, participants took a pretest and then watched an animation about VG injections on their mobile devices. Afterward, they were provided with counseling and then administered a posttest. Sixteen participants were interviewed after the posttest. Participants had a significantly higher mean posttest VSIF score (17.50 + 3.23) than the pretest score (12.73 + 5.40) (p < 0.05). They stated that the intervention helped them reinforce what they already knew and encouraged them to use the VG site to administer IM injections. They also noted that it boosted their confidence and helped them experience less anxiety. The results showed that the intervention helped participants learn more about IM injections into the VG site. Therefore, hospitals should provide nurses with mobile-assisted training and counseling programs to encourage them to use the VG site to administer IM injections.

Exploring the effectiveness of the Career Guidance and Counseling Program on the perceived readiness for the job market: a lived experience among nursing students

BackgroundThe current workforce demands that nursing graduates possess the necessary skills and knowledge to perform in complex clinical and professional environments. Career guidance can potentially improve students’ job readiness by increasing their confidence in career pursuits, simplifying career decisions, and helping them address decision-making challenges.MethodsThis phenomenological study aimed to explore nursing students and interns’ perspectives on the effectiveness of the Career Guidance and Counseling Program (CGCP) and its impact on their readiness for the job market through their lived experiences while participating in the program. Data were collected through in-depth semi-structured interviews with a purposive sample of 28 Saudi university students and continued until data saturation was reached. Thematic analysis was used for the data analysis.ResultsSeven themes emerged: personal experiences with the CGCP, the program’s importance, effectiveness, benefits, strengths, and weaknesses, and recommendations for improvement. Overall, participants expressed gratitude for the CGCP and believed that it would positively impact their future career success. They also felt that the program provided them opportunities to share ideas, information, and concerns, thereby improving their career decision-making and adaptability.ConclusionThe results show that CGCP positively affected participants’ lives by providing support, guidance, and resources for informed career decision-making, developing essential career-related skills, and navigating career transitions. These findings have practical implications for nursing colleges implementing similar programs for better integration into the curriculum and for the continuity of such vital programs to help students. Future studies should explore this topic in different colleges and specialties.

The role and value of counsellors in the treatment journeys of people with tuberculosis and their families: Qualitative insights from the South Fly District of Papua New Guinea.

Combined education and counselling can contribute to person-centred care for tuberculosis (TB), improving uptake, adherence, and outcomes of treatment for TB disease and TB infection. Though strongly recommended by the World Health Organization for all people diagnosed with TB, education and counselling is not widely implemented in TB programs around the world. In 2016, a pilot TB education and counselling program, delivered by trained professionals and peers, was initiated to support people on TB treatment in the South Fly District of Papua New Guinea. This article reports on select findings from a qualitative study that examined the socio-cultural dimensions of TB, including treatment support such as education and counselling, in the South Fly District. An assessment on data collected during 128 semi-structured in-depth interviews of the role of counsellors on TB treatment journeys revealed strong participant support for the counsellors and the services they delivered, with particular emphasis on the emotional support provided to address fears and concerns related to TB diagnosis and treatment, and to support treatment adherence; valuable attributes of counsellors; their role as intermediaries between patients and health workers; their provision of biomedical knowledge of TB transmission and disease; and their assistance in addressing stigma and discrimination from family and community. Participants also noted how tackling the socio-structural issues that drive TB transmission in people's homes and communities were beyond the remit of counsellors' work. TB education and counselling should be an essential part of all TB services to provide support and encouragement for people to continue treatment to completion.

예비상담자인 상담심리 전공 학부생을 위한 그릿 향상 프로그램 개발 및 효과성 검증

Objectives The purpose of this study was to develop a grit improvement program and verify its effectiveness to help prospective counselors increase their mental strength to flexibly respond to various stresses they may experience in the process of building their capabilities as counselors. Methods The grit improvement program was developed according to the ADDIE model development procedure and its validity was confirmed by two relevant experts. The grit improvement program was operated for a total of 6 sessions (12 sessions), each time lasting 2 hours (100 minutes). A grit measurement tool was used to confirm the direct effectiveness of the program, and a resilience measurement tool was used to confirm the indirect effectiveness. The Mann-Whitney U test was performed to verify the homogeneity of the experimental group and the control group. The Wilcoxen Matched Pairs Signed-Rank test was performed to compare the pre- and post-score changes of the experimental group and the control group. For comparison between groups, the Wilcoxen Matched Pairs Signed-Rank test was performed. Analysis was performed using the Mann-Whitney U test. Results As a result of analyzing the effectiveness of the grit improvement program for prospective counselors, the post-average for both grit and resilience increased statistically significantly compared to the pre-average. Through this, it can be seen that the grit improvement program has a positive effect on the grit and resilience of prospective counselors. Conclusions The grit strengthening program will help prospective counselors control the various stresses they may experience during the difficult training process and reach their goal of becoming a professional counselor. Furthermore, it will help them achieve their goal without giving in to bigger challenges in life. It will help you have the strength to do it.

노인복지시설종사자의 감정노동과 돌봄서비스 질의 관계에서 직무스트레스의 매개효과

Objectives This study seeks to verify the effect of job stress on the impact of emotional labor of workers at elderly welfare facilities on the quality of care services. Through this, the purpose was to provide basic data for the development and intervention of education and counseling programs to reduce emotional labor and job stress that affect the quality of care services. Methods For this purpose, 94 workers at elderly welfare facilities in the Daegu area were selected as research subjects and data were collected. The collected data were subjected to reliability analysis, frequency analysis, descriptive statistical analysis, and correlation analysis using SPSS 23 0. Regression analysis and Sobel Test were conducted to verify the mediation effect. Results First, the average of emotional labor was 3.004 out of 5, the average of care service quality was 3.898 out of 5, and the average of job stress was 2.667 out of 5. Second, emotional labor was found to have a significant negative effect on the quality of care services and a positive effect on job stress, and job stress was found to have a negative effect on the quality of care services. Third, job stress was found to mediate the relationship between emotional labor and quality of care services. Conclusions This study proved that job stress is an important mediating factor in the relationship between the emotional labor of elderly welfare facility workers and the quality of care services. By verifying the major variables that affect the quality of care services for workers at elderly welfare facilities, we provided implications for the development of education and counseling programs to reduce emotional labor and job stress that can increase the quality of care services.

초등학생의 자기자비 증진을 위한 집단상담 프로그램 개발 및 효과 검증

Objectives This study was to develop a group counseling program to promote self-compassion for elementary school students. Methods According to a single-purpose experimental design, a total of 16 people, 8 in the experimental group (EG) and 8 in the control group (CG), were recruited from 3rd to 4th grade elementary schools in J Island. A pre-test was conducted on them to measure self-compassion scale. For the EG, a post-test was conducted after a total of 6 sessions of 40 minutes, twice a week. For the CG, no action was taken while the experimental group was operating, and a post-test was conducted simultaneously with the EG. Results The homogeneity between the two groups was verified in the pretest. The post-test between the two groups showed that the experimental group's level of self-compassion was statistically significantly higher. Conclusions The group counseling program to promote self-compassion in this study focused on sensory play and experiential activities that take into account the developmental characteristics of elementary school students. This program was differentiated from previous studies by composing the program using various materials such as humanistic images, meditation music, and videos appropriate to the topic of each session, and the effect of promoting self-compassion in elementary school students was verified. The results of this study are expected to contribute to providing a basis for research and group counseling program development to promote self-compassion in elementary school students.

어린이집 교사의 의사소통능력향상을 위한 TCIT기반 집단상담 프로그램 개발

Objectives The purpose of this study is to develop a group counseling program based on Teacher-Child Interaction Therapy (TCIT) to enhance the communication skills of early childhood daycare center teachers and to verify its effectiveness. Methods The needs of 215 early childhood daycare center teachers nationwide were surveyed, and the program was designed based on the ADDIE model. The designed program was applied to the experimental group, and its effects were analyzed by comparing it with a comparison group and a control group using the Communication Ability Scale (Fritz et al., 1999). Quantitative analysis was conducted using SPSS 27.0, and qualitative analysis was performed using session feedback reports, comprehensive feedback reports, and participants’ application logs from the experimental and comparison groups. Results For the development of the program, directions for the design, as well as the purpose and objectives of the program, were established. Subsequently, session-specific activity goals, content, and operation strategies were designed. The final program was completed through an expert validation process. When the final program was applied to the experimental group, the overall scores and sub-factor scores of the communication scale for the experimental group were significantly higher than those of the comparison group and the control group. In particular, qualitative analysis revealed that the sub-factors of memory, concentration, comprehension and interpretation, response, and analysis and evaluation improved among participants in the experimental group. Conclusions This study developed and applied a TCIT-based group counseling program, verifying its effectiveness in enhancing the communication skills of ealry childhood daycare center teachers. By demonstrating greater effectiveness compared to a comparison program (TA), the study highlights the potential applicability of this program in practical settings. Given the notable lack of effective programs aimed at improving the communication skills of preschool teachers, this study significantly increases the potential for future utilization of the developed program.

The Implementation of Parental Obligations in the Fulfillment of Children’s Rights: A Case Study in Banjaran Godang Village Based on the Compilation of Islamic Law and the Child Protection Law

This research aims to examine the implementation of parental obligations in Banjaran Godang Village in fulfilling children’s rights, specifically the right to education, play, and growth and development, based on the Compilation of Islamic Law and the Child Protection Law. This study adopts a combined approach, namely qualitative with the field research method and normative, by analyzing data qualitatively to describe the problem and answer the research objectives. The results showed that implementing parental obligation in fulfilling children’s rights in Banjaran Godang Village is not fully aligned with the Compilation of Islamic Law and Child Protection Law. There is a misunderstanding among parents who consider formal education merely Sunnah and prioritize trading and farming skills, based on their interpretation of the life of the Prophet Muhammad SAW in his childhood. As a result, children’s rights to play, grow, and develop are neglected. Therefore, it is recommended that the Banjaran Godang Village Government develop a comprehensive and sustainable counseling and outreach program regarding children’s rights and parental obligations. This program should involve religious leaders to correct misunderstandings about formal education in Islam, experts in the field of child protection to provide a comprehensive understanding of children’s rights, and related institutions to optimize program implementation.

Attachment Anxiety, Marital Adjustment and Psycho-Social Support of Love and Arranged Marriages Among Meranao Women

This study aims to explore the level of attachment anxiety, marital adjustment, pyscho-social support of love and arranged marriages among Meranao women specifically, it sought to answer the following questions: 1.What is the demographic profile of the respondents in love marriage and arranged marriages in terms of present age, age at the time of marriage, family monthly income, number of children and sibling rank? 2. What is the level of attachment related anxiety, the marital adjustment of the respondents in love and arranged marriages among the following aspects psychological, social, emotional and spiritual? 3. What are the marital adjustment of the respondents in love and arranged marriages when classified as social, physical, financial and spiritual? 4. What is the level of marital quality of the respondents in love and arranged marriages on the following aspects; commitment, trust and mutual interaction? 5. What are the forms of marital support of the respondents in love and arrange marriages receive in terms of psychological, confidant, affective and social support? 6. How do love marriages differ from arranged marriages along the following along the following aspects; level of attachment anxiety, marital adjustment, level of marital quality and marital support? 7. What marriage counseling program has been developed on the basis of the findings of the study. This study was conducted at Tuca, Pindolonan and Dawayan, Marawi City with the total number of 327 married Meranao women, with a breakdown of 132 for love marriage and 195 for arranged marriage. The researcher utilized the descriptive–correlation design. Part of study was done through describing the demographic profile of the respondents and personal profile in terms of age, gender, socio economic status, educational attainment, monthly income and occupation. Their perceptions on their marriage particularly on attachment anxiety, marital adjustment, marital quality and marital support were also given descriptions. On the other hand, these two important variables were then correlated so as to establish a conclusion that a wife’s profile can affect her perception on her marriage life.

National Trends in the Prevalence of Self-Perceived Overweight Among Adolescents Between 2005 and 2022: Nationwide Representative Study.

Despite several studies on self-evaluation of health and body shape, existing research on the risk factors of self-perceived overweight is insufficient, especially during the COVID-19 pandemic. This study aims to identify the risk factors affecting self-perceived overweight and examine how the prevalence of self-perceived overweight has changed before and during the COVID-19 pandemic. Specifically, we analyzed the impact of altered lifestyles due to COVID-19 on this phenomenon. The data used in the study were obtained from middle and high school students who participated in the Korean Youth Risk Behavior Web-based Survey (N=1,189,586). This survey was a 2-stage stratified cluster sampling survey representative of South Korean adolescents. We grouped the survey results by year and estimated the slope in the prevalence of self-perceived overweight before and during the pandemic using weighted linear regression, as well as the prevalence tendencies of self-perceived overweight according to various risk factors. We used prevalence ratios to identify the risk factors for self-perceived overweight. In addition, we conducted comparisons of risk factors in different periods to identify their associations with the COVID-19 pandemic. The prevalence of self-perceived overweight was much higher than BMI-based overweight among 1,189,586 middle and high school participants (grade 7-12) from 2005 to 2022 (female participants: n=577,102, 48.51%). From 2005 to 2019 (prepandemic), the prevalence of self-perceived overweight increased (β=2.80, 95% CI 2.70-2.90), but from 2020 to 2022 (pandemic) it decreased (β=-0.53, 95% CI -0.74 to -0.33). During the pandemic, individuals with higher levels of stress or lower household economic status exhibited a more substantial decrease in the rate of self-perceived overweight. The prevalence of self-perceived overweight tended to be higher among individuals with poor academic performance, lower economic status, poorer subjective health, and a higher stress level. Our nationwide study, conducted over 18 years, indicated that self-perceived overweight decreased during the COVID-19 period while identifying low academic performance and economic status as risk factors. These findings suggest the need for policies and facilities to address serious dieting and body dissatisfaction resulting from self-perceived overweight by developing counseling programs for adolescents with risk factors such as lower school performance and economic status.

The Correlation Between Homesickness and Academic Achievement in Mathematics: Implications for Psychological Well-Being of Secondary School Students

This study examined the correlation between homesickness and academic achievement in mathematics among secondary school students, focusing on its implications for psychological well-being. A correlational research design was employed, involving a sample of 50 secondary school students from Awka South Local Government Area, Anambra State. Data were collected using Scale for Psychological Impact of Homesickness (SPIH) and the Mathematics Achievement Scale (MAS). Validity was ensured through expert consultations and Principal Component Analysis. Reliability was established with Kuder-Richardson formula 21 (K-R21) and Cronbach’s Alpha, yielding α = 0.89 for SPIH and α = 0.86 for MAS. Data were analyzed using SPSS, including non-parametric tests and normality assessments. The Spearman's rho correlation analysis revealed a significant, albeit weak, negative relationship between homesickness and academic achievement, indicating that higher levels of homesickness are associated with lower mathematics performance. Further analysis using the Mann-Whitney U test highlighted significant differences in homesickness levels and academic achievement between boarder and non-boarder students. These findings underscore the importance of addressing emotional challenges in educational settings. The study advocates for the implementation of comprehensive support systems, including counseling and resilience-building programs, to mitigate the impact of homesickness on academic performance. The results emphasize the need for schools to foster supportive environments that enhance students' psychological well-being and academic success. Future research should explore additional factors influencing this relationship to develop targeted interventions..

Effectiveness of Prenatal Counseling program on Childbirth Fear and Self-efficacy among Primigravidas

Effectiveness of Prenatal Counseling program on Childbirth Fear and Self-efficacy among Primigravidas

Mediating effect of bicultural acceptability among multicultural adolescents in the relationship between depression and life satisfaction

AimThis descriptive study examines the mediating and moderating effects of an attitude of bicultural acceptance on the relationship between depression and life satisfaction among multicultural adolescents in South Korea. MethodThis study analyzes 2018 data provided by the National Youth Policy Institute using the R statistics 4.1.1. program. Descriptive statistics were assessed, and frequency analysis and regression analysis were employed. ResultsBicultural acceptance attitude has a moderating effect and a partial mediating effect on the relationship between depression and life satisfaction. DiscussionMulticultural education and multicultural counseling programs should be directed by policy and provided continuously in schools and local communities to enhance an understanding of multiculturalism and the acceptance of dual cultures.

The role of pulmonary rehabilitation in improving lung functions in patients with ankylosing spondylitis

Background Ankylosing spondylitis (AS) is a chronic inflammatory disease characterized by axial and peripheral entheseal inflammation and new bone production(1). The development of syndesmophytes, enthesophytes, and spinal fusion along the course of the disease is linked to chronic pain, functional impairment, and disability(2). Fibrosis of the upper lobes of the lungs (interstitial lung disease) and chest wall abnormalities are two of the emerging forms of pulmonary involvement in AS. (3). Pulmonary rehabilitation is a multifaceted program of education, counselling, breathing exercises, and other modalities that can increase the patient’s independence and ease of functioning(4). Aim To estimate the role of pulmonary rehabilitation in enhancing lung function in AS individuals in relation to disease activity, clinical, and functional parameters. Patients and methods This study was an interventional study: single-arm group (prospective randomized clinical study). Thirty people (30) participated in that study from those presented to Physical Medicine, Rheumatology and Rehabilitation inpatient and outpatient clinic at Ain Shams University hospitals, diagnosed as radiographic axial spondyloarthropathy (SPA) from 02/2022 to 12/2022. All patients underwent pulmonary rehabilitation program and were exposed to a detailed history, clinical, and pulmonary function testing. Disease activity was evaluated by Ankylosing Spondylitis Disease Activity Score C-reactive protein (ASDAS-CRP), Valuation of function by using Bath Ankylosing Spondylitis Functional index (BASFI), 6-Minute walk test (6MWT), the Modified Borg Dyspnoea Scale (MBS), and Timed Up and Go (TUG) test. All function and clinical scores were done at baseline and repeated after completing pulmonary rehabilitation program. Result The mean age of patients was 36.57 ± 7.83 years (23–45 years), with a median disease duration of (5 (3–9) years). In total, there were 19 out of the studied patients with restrictive pattern. With comparison between pre- and postintervention of pulmonary rehabilitation, there was a significant statistical difference in all, disease activity (ASDAS and BASFI) and functional (MBS, TUG, and 6MWT) parameters (P &lt;0.001), except for occiput to the wall. Regarding pulmonary function tests, including forced vital capacity (FVC), expiratory volume in one second (FEV1), and peaked expiratory flow (PEF), there was a statistically significant change at baseline and at the end of exercise (P &lt;0.001). Conclusion Improved respiratory function and disease activity and overall functional activity are possible outcomes of pulmonary rehabilitation programs in combination with other rehabilitation interventions.

A 12-week Supervised Physical Activity And Behavioural Counselling Program On Prostate Cancer Survivor's Sexual Health

A 12-week Supervised Physical Activity And Behavioural Counselling Program On Prostate Cancer Survivor's Sexual Health

Design and feasibility of a personalized lifestyle counseling program in post-covid-19 patients: A proof-of-concept study

Design and feasibility of a personalized lifestyle counseling program in post-covid-19 patients: A proof-of-concept study