Need For Services Research Articles

Acute Care Use Among Patients With Multiple Chronic Conditions Receiving Care From Nurse Practitioner Practices in Health Professional Shortage Areas.

Patients with multiple chronic conditions often have many care plans, polypharmacy, and unrelieved symptoms that contribute to high emergency department and hospital use. High-quality primary care delivered in practices that employ nurse practitioners can help prevent the need for such acute care services. However, such practices located in primary care health professional shortage areas face challenges caring for these patients because of higher workloads and fewer resources. We examined differences in hospitalization and emergency department use among patients with multiple chronic conditions who receive care from practices that employ nurse practitioners in health professional shortage areas compared to practices that employ nurse practitioners in non-health professional shortage areas. We performed an analysis of Medicare claims, merged with Health Resources and Services Administration data on health professional shortage area status in five states. Our sample included 394,424 community-dwelling Medicare beneficiaries aged ≥65 years, with at least two of 15 common chronic conditions who received care in 779 practices that employ nurse practitioners. We used logistic regression to assess the relationship between health professional shortage area status and emergency department visits or hospitalizations. We found a higher likelihood of emergency department visits among patients in health professional shortage areas compared to those in non-health professional shortage areas and no difference in the likelihood of hospitalization. Emergency department use differences exist among older adults with multiple chronic conditions receiving care in practices that employ nurse practitioners in health professional shortage areas, compared to those in non-health professional shortage areas. To address this disparity, the health professional shortage area program should invest in recruiting and retaining nurse practitioners to health professional shortage areas to ease workforce shortages.

Super app on demand: Exploring the impact of service synergy on willingness to use a new service

People prefer managing diverse activities within a “Super App,” driving the need for additional services to monopolize users’ time continually. In advancing this emerging theme, we present a model integrating synergy and brand extension theories to deepen the understanding, from the user’s perspective, of how an established super app (LINE) influences the launch of a new service (LINE Shopping). Focusing on their unique synergy, a phenomenon absent in single-purpose apps, we introduce the novel concept of expected service synergy. We establish five enabler-synergy linkages and one synergy-use linkage, empirically supporting all the hypotheses with survey data from 814 LINE users. Finally, enablers associated with LINE (perceived external prestige and brand competence), LINE Shopping (complementarity and compatibility), and their relationship (perceived fit) significantly contribute to expected service synergy. This synergy is crucial in motivating users’ willingness to utilize LINE Shopping. Our findings offer actionable guidelines for super app practitioners and researchers.

Physical, Sexual, and Intimate Partner Violence Among Transgender and Gender-Diverse Individuals

Transgender and gender-diverse (TGD) communities experience disproportionate levels of violence, yet due to limitations in measuring TGD identity, few state-representative estimates are available. To assess gender identity differences in experiences of violence among adults. Cross-sectional data from the 2023 California Violence Experiences (CalVEX) survey, weighted to provide state-representative estimates, was used to assess associations between gender identity and past-year experiences of violence among adults 18 years and older. Data were analyzed from June to December 2023. Gender identity (cisgender women, cisgender men, transgender women, transgender men, and nonbinary individuals). Experience of physical violence (including physical abuse and threat or use of a weapon), sexual violence (verbal sexual harassment, homophobic or transphobic slurs, cyber and physically aggressive sexual harassment, and forced sex), and intimate partner violence (IPV; emotional, physical, or sexual violence) using age-adjusted logistic regression. In total 3560 individuals (weighted cumulative response rate, 5%) completed the 2023 CalVEX survey, with 1978 cisgender women, 1431 cisgender men, 35 transgender women, 52 transgender men, and 64 nonbinary respondents (mean [SD] age, 47.1 [17.5] years; 635 [17%] were Asian, 839 [37%] were Hispanic, and 1159 [37%] were White). Past-year physical violence was reported by 22 transgender men (43%), 9 transgender women (24%), and 9 nonbinary respondents (14%). Past-year sexual violence was reported by 23 transgender men (42%), 11 transgender women (14%), and 31 nonbinary respondents (56%). Compared with cisgender women, transgender women and transgender men had greater risk of past-year physical violence (any form) (transgender women adjusted incidence rate ratio [AIRR], 6.7; 95% CI, 2.5-18.2; transgender men AIRR, 9.7; 95% CI, 5.3-17.7), as well as past-year IPV (any form) (transgender women AIRR, 3.2; 95% CI, 1.3-8.0; transgender men AIRR, 6.7; 95% CI, 4.0-11.3). Relative to cisgender women, transgender men (AIRR, 3.0; 95% CI, 1.7-5.1) and nonbinary respondents (AIRR, 3.3; 95% CI, 2.1-5.2) had greater risk of past-year sexual violence (any form). In this survey study of adults in California, results showed that TGD individuals, especially transgender men, are at higher risk of experiencing all forms of violence relative to cisgender women. Results highlight the need for gender-affirming violence prevention and intervention services as well as policies that protect TGD individuals from discriminatory violence.

A Graph Reinforcement Learning-Based Handover Strategy for Low Earth Orbit Satellites under Power Grid Scenarios

Amidst the escalating need for stable power supplies and high-quality communication services in remote regions globally, due to challenges associated with deploying a conventional power communication infrastructure and its susceptibility to natural disasters, LEO satellite networks present a promising solution for broad geographical coverage and the provision of stable and high-speed communication services in remote regions. Given the necessity for frequent handovers to maintain service continuity, due to the high mobility of LEO satellites, a primary technical challenge confronting LEO satellite networks lies in efficiently managing the handover process between satellites, to guarantee the continuity and quality of communication services, particularly for power services. Thus, there is a critical need to explore satellite handover optimization algorithms. This paper presents a handover optimization scheme that integrates deep reinforcement learning (DRL) and graph neural networks (GNN) to dynamically optimize the satellite handover process and adapt to the time-varying satellite network environment. DRL models can effectively detect changes in the topology of satellite handover graphs across different time periods by leveraging the powerful representational capabilities of GNNs to make optimal handover decisions. Simulation experiments confirm that the handover strategy based on the fusion of message-passing neural network and deep Q-network algorithm (MPNN-DQN) outperforms traditional handover mechanisms and DRL-based strategies in reducing handover frequency, lowering communication latency, and achieving network load balancing. Integrating DRL and GNN into the satellite handover mechanism enhances the communication continuity and reliability of power systems in remote areas, while also offering a new direction for the design and optimization of future power system communication networks. This research contributes to the advancement of sophisticated satellite communication architectures that facilitate high-speed and reliable internet access in remote regions worldwide.

The EORTC QLQ43 and FACT H&N questionnaires of quality of life at 1 and 5years after treatment and dental care in head and neck cancer patients: a pilot study.

This study aimed to examine health-related quality of life (HRQoL) in head and neck cancer patients at 1 and 5years after successful treatment of their tumors, and to explore the usefulness of 2 instruments for assessing the need of dental care services. This cross-sectional pilot study included 20 adult patients with head and neck cancer who completed the Functional Assessment of Cancer Therapy-Head and Neck (FACT H&N) Symptom Index and the European Organization for Research and Treatment of Cancer Quality of Life Head and Neck Module (EORTC QLQ-H&N43) after 1 and 5years of treatment. Mean (standard deviation, SD) scores of the FACT H&N Symptom Index were higher (better HRQoL) at 5years than at 1year (24.1 [4.4] vs. 21.1 [6.4]; p = 0.236). Only three of the ten items of FACT H&N (swallow, pain in mouth/throat or neck, and solid foods) evaluated oral health. In the EORTC QLQ-H&N43 questionnaire, scores were lower at 5years (better HRQoL) in almost all multi- and single-item symptoms. This questionnaire includes four multi-item scales (pain in the mouth, social eating, swallowing, and problems with teeth) measuring dental and orthodontic needs. HRQoL in patients with head and neck cancer improved with the length of follow-up. The EORTC QLQ-H&N43 has more items addressing oral health compared to the FACT H&N Symptom Index and may be more adequate to assess the need of dental therapy in clinical practice.

Aspek Hukum Pengaruh Transformasi Digital Terhadap Praktik Telemedicine Di Indonesia

Health is a basic human need that continues to increase along with the progress of the times. Technological advances and lifestyle changes have led to a variety of new diseases, increasing the need for health services. Indonesia, with the fourth largest population in the world (272,229,372 people) and 10.14% of the population poor in 2021, faces significant health challenges. The COVID-19 pandemic has exacerbated the situation by limiting access to health services. Barriers to access, unequal distribution of services, and a shortage of doctors hinder efforts to realize the welfare of citizens as mandated by the 1945 Constitution. However, advances in information and communication technology have brought significant benefits in the health sector. Information technology has had a major impact on health and medicine, enabling the rapid, efficient, and accurate dissemination of information. One important development is the practice of telemedicine, which offers innovative solutions in health care.

Prospects using chat bots as a tool for training middle-level specialists

The subject of the research is the use of artificial intelligence in the educational process. The relevance is due to the need to introduce new technologies in order to improve the quality of training of mid-level specialists. Novelty and practical significance: the introduction of artificial intelligence helps to optimize the practical training of students.Purpose of the research — to identify the attitude of teachers and students of the Medical College of Railway Transport to the use of artificial intelligence in the field of education.Modern realities provide for the use of e-learning and distance technologies in education. The need for tools and services to convey knowledge via the Internet has increased with the transition of education to an online format. It is known the students spend a lot of time in messengers. An educational chatbot can become a powerful tool for online learning. This format makes learning more effective. One of the main advantages of introducing and using chatbots in education is the automation of processes in which both students and teachers, administrators, and employers participate.Practical significance — a chat bot was created in the Medical College of Railway Transport in order to test the use of artificial intelligence in organizing practical training on the social network “VKontakte” in the community of MK ZhT, confirmed by “State Services”. A chat bot answers the most common questions of students, providing round-the-clock information support.

NFS-29. DEVELOPMENTAL SCREENING AND MONITORING IN NEUROFIBROMATOSIS-1

Abstract BACKGROUND Pilot data showed developmental screening at Neurofibromatosis-1 (NF1) appointments is feasible to identify those needing neuropsychology or other referrals. Outcomes for this larger sample, many re-screened and/or seen for a neuropsychology visit, allow us to describe evolving clinical management. METHODS Screenings are offered annually (ages 2-17) at NF1 clinic appointments by the psychosocial team. Forty-eight early childhood patients (ages 2-5) were screened (54% male, 66.7% White,) while 35 were ineligible (e.g., recent neuropsychology visit) or experienced logistical barriers to screening. These groups did not differ in race/ethnicity, sex, glioma status, or childhood opportunity index. Parents completed well-validated measures including the PEDS: Developmental Milestones – Assessment Level (PEDS:DM), Modified Checklist for Autism in Toddlers, and/or an ADHD Rating for preschoolers. RESULTS On initial screens, 73.9% showed a delay of 25% or more on at least one PEDS:DM domain. Measures often aligned with clinical impressions (81.3%); however, when findings were contextualized with record review, there were false positives (8.3%) and negatives (10.4%). Screening identified emerging concerns in attention, fine-motor, and academic skills. Nearly half (47.9%) of patients had services at the time of screening, and new/modified recommendations were offered for 70.8%. One third were referred to our Education Coordinator or Social Worker for educational advocacy, support through Early Intervention/school evaluation, or outpatient referrals. Twenty-two (45.8%) were referred to Neuropsychology and 18 have now been seen (consultation, targeted testing, or comprehensive evaluation) to confirm or rule-out neurodevelopmental diagnoses (e.g., autism, ADHD, language or global delay) and further guide educational or intervention management. Follow-up screens (N = 21) have monitored developmental progress, previously subclinical symptoms rising to a significant level, and need for re-evaluation or additional services. CONCLUSIONS Multipronged systematic screening results in referrals for diagnostic clarity, guides transition from Early Intervention to school services, and supports dynamic management of changing concerns.

Interventions to promote mental health in the Occupied Palestinian Territories and Palestinian refugees: A scoping review.

The long history of the Palestinian-Israeli conflict has resulted in a public and mental health crisis. Despite the significant mental health burdens facing the Palestinian population in the Occupied Palestinian Territories (OPT) and refugee camps, this issue remains comprehensively unexplored. This scoping review identified mental health interventions and assessed their effectiveness among populations in the OPT and Palestinian refugee camps, while addressing delivery challenges. A scoping review was conducted using 14 databases to include relevant studies published through March 2024 using PRISMA guidelines for scoping reviews. Analyzing 31 intervention studies meeting the inclusion/exclusion criteria, revealed varied outcomes in interventions targeting post-traumatic stress disorder, depression, and overall mental well-being. While some interventions showed potential, others had limited effectiveness, underscoring the complexity of mental health needs in conflict zones. Gender- and risk-specific effectiveness was observed, emphasizing the need for tailored approaches. Challenges like low attendance rates and systemic barriers hindered intervention success. The profound impact of war on children stresses the urgency for targeted interventions. Empowerment and community connectedness are vital for resilience, along with the importance of family and community involvement and research that balances the need for strong evaluation designs with the need for ongoing mental health services. Advocacy for systemic changes is crucial to implement the complex sustainable interventions necessary to assure mental health in any population. This review highlights the importance of holistic, contextually relevant approaches for mental health intervention in OPT and refugee camps, emphasizing rigorous evaluations and community-driven approaches.

Digital Phenotyping of Geriatric Depression Using a Community-Based Digital Mental Health Monitoring Platform for Socially Vulnerable Older Adults and Their Community Caregivers: 6-Week Living Lab Single-Arm Pilot Study.

Despite the increasing need for digital services to support geriatric mental health, the development and implementation of digital mental health care systems for older adults have been hindered by a lack of studies involving socially vulnerable older adult users and their caregivers in natural living environments. This study aims to determine whether digital sensing data on heart rate variability, sleep quality, and physical activity can predict same-day or next-day depressive symptoms among socially vulnerable older adults in their everyday living environments. In addition, this study tested the feasibility of a digital mental health monitoring platform designed to inform older adult users and their community caregivers about day-to-day changes in the health status of older adults. A single-arm, nonrandomized living lab pilot study was conducted with socially vulnerable older adults (n=25), their community caregivers (n=16), and a managerial social worker over a 6-week period during and after the COVID-19 pandemic. Depressive symptoms were assessed daily using the 9-item Patient Health Questionnaire via scripted verbal conversations with a mobile chatbot. Digital biomarkers for depression, including heart rate variability, sleep, and physical activity, were measured using a wearable sensor (Fitbit Sense) that was worn continuously, except during charging times. Daily individualized feedback, using traffic signal signs, on the health status of older adult users regarding stress, sleep, physical activity, and health emergency status was displayed on a mobile app for the users and on a web application for their community caregivers. Multilevel modeling was used to examine whether the digital biomarkers predicted same-day or next-day depressive symptoms. Study staff conducted pre- and postsurveys in person at the homes of older adult users to monitor changes in depressive symptoms, sleep quality, and system usability. Among the 31 older adult participants, 25 provided data for the living lab and 24 provided data for the pre-post test analysis. The multilevel modeling results showed that increases in daily sleep fragmentation (P=.003) and sleep efficiency (P=.001) compared with one's average were associated with an increased risk of daily depressive symptoms in older adults. The pre-post test results indicated improvements in depressive symptoms (P=.048) and sleep quality (P=.02), but not in the system usability (P=.18). The findings suggest that wearable sensors assessing sleep quality may be utilized to predict daily fluctuations in depressive symptoms among socially vulnerable older adults. The results also imply that receiving individualized health feedback and sharing it with community caregivers may help improve the mental health of older adults. However, additional in-person training may be necessary to enhance usability. ClinicalTrials.gov NCT06270121; https://clinicaltrials.gov/study/NCT06270121.

The challenges and needs of male victims of intimate partner violence in Nigeria: what victims and professionals say

ABSTRACT Historically, interventions have focused on female victims due to intimate partner violence (IPV) disproportionate occurrence. Consequently, male victims face significant challenges and unmet needs due to lack of tailored interventions. In under-resourced countries like Nigeria, where male victimization is under-researched and under-documented, the situation is even worse. Using the grounded theory methodology, this study examined the needs and challenges of male victims from the perspective of victims, and professionals who served as key informants. Data were collected using semi-structured interviews from 35 male victims aged ≥18 across 12 states in the southern region of Nigeria, and four professionals were interviewed based on their availability. Data were analysed using content analysis based on category development of the grounded theory method. The challenges and needs identified include balance in the law, need for mental health services, creating a safe space, communal involvement, and victims need to speak up. They were all discussed around an overarching theme of masculinity and societal stereotypes. Re-examination of the existing laws as they apply to male victims, enlightenment campaigns, establishment of tailored institutions or rebranding of existing institution, and creation of support groups were recommended.

We are all Sentenced: The Lived Experience of Mothers With an Adult Incarcerated Daughter

The vast majority of research on the impact of familial incarceration focuses on its effect on children, even though one in eight adults in the United States has had a child in prison. While some studies have examined the lived experiences of mothers with an incarcerated adult son, no research has explored the effect of an adult daughter’s incarceration on their mother. Using in-depth interviews with four mothers who have adult daughters in prison, this study finds that these mothers were significantly affected by their daughter’s incarceration. They experience painful emotions, face significant barriers and challenges, and highlight the pressing need for mental health services. Along with other prior works, our findings can be used to inform policy and clinical recommendations for those working with and advocating for incarcerated populations and their impacted loved ones.

Factors Influencing Adoption of Technical Advice from Agricultural Extension Services: Evidence from a Field Survey in Western Uttar Pradesh, India

This article examines the key drivers of farmers’ adoption of technical advice and their preferred providers of agricultural extension services. Based on a primary survey conducted in western Uttar Pradesh, India, the data from 272 sample households were analysed using a binary logistic regression model. The findings suggest that farmers’ decisions to adopt technical advice are influenced positively by farm size, household size, average hours spent on farms, training and awareness of the extension scheme. The positive relationship between farm size and technical advice adoption demonstrates the need for extension services to reconsider their strategies for reaching out to more marginal and small farmers, who account for over 85 per cent of agricultural households, by incorporating their priorities into their outreach programmes. Non-government extension sources are found to be important for access but not for the adoption of technical advice. However, in both commercial and public extension services, a lack of faith in extension services is the fundamental cause of the relatively low adoption rate. The low preference of information and communications technology-based extension services underlines that physical forms of extension services are far more important in developing countries like India. JEL Code: Q16

Determinan Audit Fee (Studi pada Perusahaan Manufaktur yang terdaftar di BEI Tahun 2018-2020)

This study aims to identify the determinants of audit fees in real estate companies listed on the Indonesia Stock Exchange (IDX) for the period 2018-2020. Using a quantitative approach and linear regression analysis on secondary data from annual financial reports, it was found that among the four independent variables examined—going concern, corporate governance, company size, and audit firm size—only company size has a significant effect on audit fees. Company size influences audit fees due to greater operational complexity, audit risk, and the need for additional services. These findings support Agency Theory and have practical implications for large company management to manage risk and complexity to control audit costs, as well as for auditors and policymakers to consider company size when setting audit fees and formulating regulations.

Healthy Living Movement Assistance to Maintain Dental and Oral Health in Children: A Community Service at SD Negeri 15 Fafanlap, South Misool District, Raja Ampat Regency, Southwest Papua, Indonesia

Optimal dental and oral health is an important aspect in children's growth and development. However, in remote areas such as South Misool, Raja Ampat, access to dental health information and services is still limited. This encourages the need for community service to increase awareness and practice of maintaining dental and oral health in children. This community service was carried out at SD Negeri 15 Fafanlap involving 120 students in grades 1-6. The methods used include: (1) interactive education about dental and oral health, (2) demonstration and training on correct tooth brushing practices, (3) distribution of free brushes and toothpaste, (4) simple dental examinations, and (5) monitoring periodically for 6 months. After the intervention, there was a significant increase in students' knowledge about dental and oral health. The ability to brush teeth properly also increases rapidly, as indicated by a reduction in dental plaque. In addition, positive behavioral changes occurred with increased frequency of tooth brushing and use of fluoride toothpaste. This community service succeeded in increasing awareness, knowledge and practice of maintaining oral health among children at SD Negeri 15 Fafanlap. It is hoped that the continuation of the program and replication in other areas will have a wider impact on the dental and oral health of Indonesian children.

Epidemiology of Faecal Incontinence for People with Dementia Living in the Community in New Zealand: A Retrospective Cohort Study Using interRAI Home Care Assessment Data

Plain Language SummaryDementia is the largest single contributor to disability and need for care among older adults. Dementia is accompanied by a progressive decline in cognitive abilities that interferes with the performance of activities of daily living, including toileting. Caregivers rate the independent use of the toilet as the most important activity that they would like the person living with dementia to retain. Faecal incontinence affects the quality of life, causes caregiver strain and is often likely to contribute to moving the person with dementia into a care home. However, there are currently no robust estimates of how many people with dementia living in the community (not in a care home) also experience faecal incontinence. Using a national dataset (interRAI-HC) from New Zealand, we demonstrate that during 1 year (August 2020 to July 31, 2021) 26.7% of people living with dementia faced the additional challenge of faecal incontinence. Over a 5‐year period (August 2016 to July 2021) the risk of developing faecal incontinence for people living with dementia was 1.7 times greater than the risk for people without dementia. Our study demonstrates that faecal incontinence affects a significant proposal of older people with dementia who are living in the community in New Zealand. Globally, more than 35 countries collect the same data as used in this study. We argue, that this could be used internationally, to better understand the level of community, health and clinical services that are required to support people with dementia and their caregivers to manage faecal incontinence.

A critical need for the concept of matrescence in perinatal psychiatry.

The concept of matrescence, akin to adolescence but for mothers, has gained increasing attention in perinatal psychiatry, marking a paradigm shift towards understanding the holistic development of mothers. Matrescence encompasses the myriad psychological, social, cultural, and existential changes which occur as women transition into motherhood. Despite advances in maternal mental health, a bias towards pathologizing maternal experiences persists in research and practice. This commentary advocates for the integration of matrescence into perinatal psychiatry, drawing from the work of Dana Raphael and contemporary scholarship. Matrescence offers a strengths-based framework that acknowledges both the challenges and opportunities of motherhood, emphasizing the normative aspects of a mother's self-development. By adopting matrescence terminology and nosology, clinicians and researchers can enhance traditional psychiatric classifications. Additionally, matrescence underscores the importance of considering ecological systems and historical factors in maternal well-being, highlighting the need for comprehensive and compassionate healthcare services. Embracing matrescence as a fundamental concept in perinatal psychiatry holds promise for improving maternal mental health outcomes and promoting the flourishing of mothers worldwide.

Exploring LGBT2Q+ Intracategorical Factors in Mental Health Service Utilization: Differences in Gender Modalities, Sexual Orientations, and Ethnoracial Groups in Canada.

LGBT2Q+ (lesbian, gay, bisexual, transgender, Two-Spirit, queer, plus) Canadians face minority stressors that lead to higher mental health inequalities such as worse self-reported mental health and increased risk of mental health issues when compared to their heterosexual/straight and cisgender counterparts. However, there are within-group (intracategorical) differences within a community as large as LGBT2Q+ peoples. Guided by the Andersen Model of Healthcare Utilization, we sought to explore intracategorical differences in LGBT2Q+ Canadian predisposing, enabling, and need factors in mental health service utilization within the past year. Using data from the 2020 LGBT2Q+ Health Survey (N = 1542), modified Poisson logistic regression found that more polysexual respondents and trans/gender-diverse respondents were more likely to have utilized mental health services within the past year than their gay, lesbian, and cis male counterparts. As well, compared to White respondents, Indigenous respondents were more likely to have utilized mental health services, while other racialized respondents were associated with less utilization. Backwards elimination of Andersen model of healthcare utilization factors predicting mental health service utilization retained two predisposing factors (ethnoracial groups and gender modality) and two need factors (self-reporting living with a mood disorder and self-reporting living with an anxiety disorder). Results suggest that polysexual, trans and gender-diverse, and racialized LGBT2Q+ peoples have an increased need for mental health services due to increased specific minority stressors that cisgender, White, monosexual peoples do not face. Implications for healthcare providers are discussed on how to improve service provision to LGBT2Q+ peoples.

The role of financial support in preventing the need for child protection services: a mixed method study on the effects and pathways of additional income support

ABSTRACT Previous studies show that household economic insecurity is associated with poor child health and an increased risk of child maltreatment. Therefore, it can be assumed that family financial support can also prevent the need for child protection services. This study asks: What is the association of families’ poverty and granted additional income support with the need for child protection services, and through which pathways does this effect arise? The research is mixed method, and based on Finnish municipality-specific statistical data in 2019 (Sotkanet Indicator Bank, 294 municipalities) and interviews with Finnish social workers (N = 23). Linear regression analysis and qualitative methods were employed. The study shows that poverty has a positive association with the need for child protection services, but on the other hand, additional income support buffers this effect. The research has also revealed pathways through which additional income support prevents the need for child protection services. Through the interviews, pathways of immediate material help, alleviating economic stress and supporting parenting, as well as strengthening social inclusion were identified. Furthermore, the importance of social work and its cooperation practices emerged in the study.

Perspectives on dementia care self-learning platform: A focus group study of family and professional caregivers

ObjectiveTo compare perspectives of family and professional caregivers regarding an online self-learning platform. MethodsFamily and professional caregivers were interviewed separately. A thematic analysis was conducted with 12 family caregivers and 13 professional caregivers of people living with dementia in Macao using six semi-structured focus group interviews. ResultsFamily and professional caregivers had different perspectives regarding the application of online learning program Four main themes emerged from the focus groups, including similarities and differences, namely 1) Need for services; 2) Accessibility to services; 3) Barriers to online learning; 4) Adjustments to the platform. ConclusionsThe psychological assurance offered by an online learning program is imperative to the well-being of family caregivers. By identifying the gap between the needs and abilities of family caregivers and those imagined by professional caregivers, it allows for the development of support programs and interventions tailored to meet the specific needs of family caregivers.