Strong Communication Research Articles

The Role of Communication in The Personality Development Process of Primary Schoolchildren

At the early school age, the child's personality is formating. Here the development of his/ her effective communication skills plays a huge role. Future success in educational and work activities depends on how easily s/he will be able to communicate and establish contact with the people around. It is known that a child may have communication difficulties when s/he starts going to school. The factors of society creation, features of personality development in a particular social setting, the socio-psychological nature of communication, and the mechanisms of reflection and interaction are all related to the genesis of communication challenges. Primary schoolchildren with strong communication skills possess a sophisticated set of conscious communicative acts that enable them to apply their knowledge creatively in order to build and sustain meaningful relationships with adults and their peers. It is assumed that in the initial period of educational activity, low development of communication skills is observed among primary schoolchildren, which creates the need for the implementation of a special psycho-pedagogical intervention program aimed at developing effective communication skills among them.

Evaluation of Vulnerabilities for the Spread of Carbapenem Resistant Organisms at Five Hospitals in India

Background: The 2022 WHO global survey on infection prevention and control (IPC) exposes significant gaps in IPC in the WHO Southeast Asia region. A better understanding of IPC vulnerabilities will inform improvement initiatives. We describe an evaluation of IPC practices known to prevent and contain carbapenem-resistant organisms (CROs) at hospitals participating in the United States Centers for Disease Control Global Action in Healthcare Network –Antimicrobial Resistance in India. Prior hospital evaluations suggest resistance to carbapenems among gram-negative isolates is up to 45%. Methods: We conducted a mixed methods evaluation including cross-sectional surveys, semi-structured interviews, and site observations at five hospitals (one government, two private tertiary care, and two private teaching) located in three cities. The number of hospital beds ranged from 362 to 2,011. Hospital and IPC program characteristics, and CRO prevention and containment activities were examined virtually. Site observations focused on hand hygiene, environmental cleaning, personal protective equipment (PPE), CRO containment practices and use of water for patient care. Results: All sites had IPC programs with established policies and qualified IPC staff. The IPC nurse-to-bed ratio ranged from 1:73 to 1:432 (mean, 1:209). Due to the integral role of microbiology staff in IPC at these hospitals, the two departments had strong communication channels associated with CRO identification. Screening for CRO colonization, if done, targeted patients from outside hospitals. Three of the five hospitals routinely implemented contact precautions for patients with identified CROs, displayed isolation signage at the bedside, and provided adequate PPE at point-of-use; however, all sites reported barriers to effective isolation and/or cohorting patients with CROs. Timely communication of CROs to clinical staff varied and no sites effectively relayed CRO status upon patient discharge to another facility. IPC teams identified gaps in environmental cleaning procedures and practices related to medical devices and equipment. All sites used alternatives to tap water for clinical care and sink etiquette was evident. Each IPC team performed audits of patient isolation and hand hygiene practices. Despite the considerable proportion of IPC resources dedicated to daily education and feedback in clinical areas, the IPC teams reported that improvement was often difficult to achieve. Conclusion: Given the high burden of CROs and limited IPC resources, detailed knowledge of IPC opportunities for improvement will help hospitals target novel interventions for CRO prevention and containment. Further investigation of colonization rates and effective performance improvement methods in these settings is needed.Disclosure: Patricia Simner: Research Contracts: BD Diagnostics, OpGen Inc., Qiagen Sciences Inc, T2 Diagnostics, Accelerate Diagnostics; Research Collaborators:Ares Genetics, CosmosID, IDbyDNA, Illumina; Consulting: OpGen Inc., BD Diagnostics, Shionogi Inc., GeneCapture, Qiagen Sciences Inc, Entasis, Day Zero Diagnostics, Next Gen Diagnostics

Healthcare Communication Experiences of Hispanic Caregivers of Childhood Cancer Survivors.

Interpersonal communication is a crucial component of the cancer experience that can contribute to managing cancer care and improving cancer survivors' and caregivers' quality of life. Cultural and contextual factors may impact Hispanic childhood cancer survivor (CCS) and parent caregiver relationships and communication. This study sought to describe the healthcare communication experiences of Hispanic parents with CCS, families, and medical providers. We conducted 15 semi-structured interviews with Hispanic caregivers from a safety-net hospital in Los Angeles County. Interviews were conducted in English and Spanish, audio-recorded and professionally transcribed, and analyzed using a thematic approach. Caregivers shared the importance and impact of medical communication when exploring the "first big talk" of the diagnosis, uncertainty about treatment, navigating multiple providers, therapeutic communication (i.e., providing emotional reassurance), and current and lingering effects of cancer. All caregivers shared "good communication" experiences, while others shared various barriers to communication, including a lack of understanding of the cancer diagnosis and caregiver experience, psychological challenges impacting communication, cultural and language differences, physical factors that limit communication, and young age of child impacting communication with caregivers. Our findings suggest that a strong interpersonal communication skill set for clinicians can contribute to managing cancer care and improving caregivers' psychological adjustment.

Secure data communication in WSN using Prairie Indica optimization

PurposeSecurity is the major issue that motivates multiple scholars to discover security solutions apart from the advantages of wireless sensor networks (WSN) such as strong compatibility, flexible communication and low cost. However, there exist a few challenges, such as the complexity of choosing the expected cluster, communication overhead, routing selection and the energy level that affects the entire communication. The ultimate aim of the research is to secure data communication in WSN using prairie indica optimization.Design/methodology/approachInitially, the network simulator sets up clusters of sensor nodes. The simulator then selects the Cluster Head and optimizes routing using an advanced Prairie Indica Optimization algorithm to find the most efficient communication paths. Sensor nodes collect data, which is securely transmitted to the base station. By applying prairie indica optimization to WSNs, optimize key aspects of data communication, including secure routing and encryption, to protect sensitive information from potential threats.FindingsThe Prairie Indica Optimization, as proposed, achieves impressive results for networks comprising 50 nodes, with delay, energy and throughput values of 77.39 ms, 21.68 J and 22.59 bps. In the case of 100-node networks, the achieved values are 80.95 ms, 27.74 J and 22.03 bps, significantly surpassing the performance of current techniques. These outcomes underscore the substantial improvements brought about by the Prairie Indica Optimization in enhancing WSN data communication.Originality/valueIn this research, the Prairie Indica Optimization is designed to enhance the security of data communication within WSN.

A Positive Start: Backing a Horse Using Positive Reinforcement

Abstract This case study delves into the transformative approach of starting a horse under saddle using a positive reinforcement technique (clicker training). Grounded in the ethos of respect, trust, and cooperation, this methodology emphasises fostering a strong bond and effective communication between horse and handler. The presented case study aims to showcase practical demonstrations highlighting the theory and application of positive reinforcement in initiating the riding training of a young pony. Throughout this case study, we will explore the foundational principles of positive reinforcement in horse training, emphasising empathy and a holistic understanding of the horse’s perspective. It will detail the step-by-step process of introducing the saddle, bridle, and mounting, employing clicker training and shaping techniques. Practical demonstrations will illustrate the gradual introduction of equipment, the use of clicker training for reinforcing desired behaviours, and the shaping of responses to riding cues. Through these demonstrations, the case study seeks to exemplify how positive reinforcement techniques can establish a willing and confident young horse, laying the groundwork for a harmonious and trusting relationship between horse and rider. Information © The Author 2024

Effect of Educational Leadership Practices on Education Quality in Secondary Schools in South Sudan

This study examines the effect of educational leadership practices on the education quality of secondary schools in South Sudan. A mixed-methods approach, combining qualitative and quantitative research methods, was employed to gather data from 350 students through questionnaires and interviews. The results of the regression analysis revealed a significant positive relationship between educational leadership practices and education quality. Specifically, strong communication skills, an effective decision-making style, instructional leadership, and a positive school climate and culture on the part of the educational leadership were associated with higher levels of education quality. The study underscores the importance of educational leaders prioritizing the development and enhancement of their leadership practices to support education quality for student success. Recommendations include providing targeted training and professional development opportunities for leaders to improve their leadership skills and creating a supportive and collaborative school environment that values effective educational leadership practices. By investing in educational leadership development and ensuring they have the necessary skills and resources, all stakeholders can help improve education quality for the best academic outcomes for students in South Sudan. The findings of this study contribute valuable insights for educational institutions and policymakers aiming to enhance education quality through effective educational leadership practices.

The Effect of Linguistic Landscape in Project-Based Learning on Students'Vocabulary Mastery: A Pre-Experimental Study

Based on the 21st century there are 6 skills of students that need to be developed such as: Critical thinking, Creativity, Collaboration, Communication, Culture/Citizenship, and Character education/connectivity. To achieve proficiency in a language, it is crucial to develop strong communication skills. For young learners, a good starting point is to focus on memorizing vocabulary, since this will enhance their fluency in speaking. Teaching vocabulary to young learners is challenging, though, as the teacher must utilize an effective teaching method that accommodates the needs of each student. This study focused on the effect of linguistic landscape in project-based learning on students’ vocabulary mastery. This study was conducted at SD Negeri 1 Banjar Jawa, the method used by the researcher was pre-experimental with pre-test and post-test as the instruments to collect the data. The result of this study demonstrated that using the linguistic landscape in project-based learning has a major impact on students' vocabulary mastery. Based on the findings of the pre-and post-tests, students' post-test scores increased significantly after their treatment. Students in class V.B. enthusiastically engaged in the project-based learning process, following its phases and ending in the creation of a linguistic landscape as a final product over the course of six meetings.

Prevalence of subthreshold depression and its related factors in Chinese college students: A cross-sectional study

ObjectiveTo investigate the prevalence of subthreshold depression among Chinese college students and to explore the related factors. MethodsThe research subjects were Chinese college students participating in the “2022 Psychology and Behavior Investigation of Chinese Residents (PBICR-2022)". Data on respondents' general characteristics, quality of life, perceived pressure, family communication, perceived social support, self-efficacy, and depression status were gathered. To investigate the association between each variable and the risk of subthreshold depression, statistical analyses, including chi-square tests and rank sum tests were conducted. Furthermore, a binary stepwise logistic regression was employed to establish the regression model of the factors related to subthreshold depression among Chinese college students. ResultsA prevalence of subthreshold depression of about 39.7 % was found among the 8934 respondents. Logistic regression analysis revealed that respondents who are female, have chronic diseases, are in debt, experience significant impacts from epidemic control policies, have lower self-assessed quality of life, experience challenges in family communication, perceive lower social support, have lower self-efficacy, and feel higher perceived pressure are more likely to develop subthreshold depression compared to the control group. (P < 0.05). ConclusionThe prevalence rate of subthreshold depression among Chinese college students was found to be approximately 40 %. Female college students suffering from chronic diseases, with households in debt, greatly impacted by epidemic control policies, and experiencing high perceived stress, may be at risk for subthreshold depression among Chinese college students. On the other hand, strong family communication, perceived social support, and self-efficacy were identified as potential protective factors. In order to facilitate timely screening, diagnosis, and treatment of subthreshold depression in Chinese college students, it is crucial for the government, local communities, colleges, and families to prioritize the mental health of college students and implement targeted measures accordingly.

Advanced Tactical Helmet for Military Use

Abstract: Advanced features on a tactical helmet designed for military use. Soldiers in today's military operations must have improved situational awareness, strong communication skills, and superior protection when fighting. A new generation of tactical helmets with enhanced features is required because the standard helmets now in use do not adequately fulfil these criteria. To improve army performance and survivability The helmet has several extra features in addition to its extensive ESP32 CAM for real-time data visualization, communication systems for seamless inter-squad communication, and improved ballistic protection materials. Among these characteristics include the incorporation of a helmet camera's First-Person-View (FPV) live video feed into a base station, along with the base station's face detection capabilities for enhanced identification. SolidWorks was used in the design process to produce a unique 3D-printed helmet, while ESP32 and ESP8266 were used to power a custom mainboard that effectively controlled the helmet's functions. this creative solution aims to significantly improve military operations, increase survivability, and ensure the safety of soldiers on the battlefield.

An immersive virtual reality communication skills training for dietitians: A feasibility study

ObjectiveThe training of dietitians emphasizes the development of strong communication skills. Immersive virtual reality (IVR) has been successfully employed for various healthcare scenarios; however, it is yet understudied in dietetics education. Therefore, we conducted a feasibility study to investigate the usefulness of IVR for the purpose of communication skills training. MethodsWe designed a multi-user virtual hospital environment that enabled the training of professional conversations between dietitians and patients. Divided into groups of three, 30 dietetics students participated in a role-play task. Taking a qualitative approach to inquiry, we evaluated how participants assessed the benefits and limitations of the IVR training. ResultsParticipants appreciated the authenticity of the training environment and mentioned various advantages of IVR (e.g., sense of privacy, better focus on conversation) over traditional modes of instruction. On the other side, participants frequently mentioned that the lack of avatars' facial expressions might present an obstacle for effective communication skills training. ConclusionIVR enables authentic communication skills trainings for dietitians. Special consideration should be given to providing ample social cues during training. InnovationThe study demonstrates that the promising results from other healthcare professions regarding the usefulness of IVR training also apply to dietetics.

An assessment of barriers and facilitators of near-peer coaching on surgical clerkships: a mixed-methods study from resident’s perspective

PurposeWe implemented a near-peer (resident–student) coaching intervention in 2021–2022 to improve clerkship students’ health system science (HSS) learning and application. This study thus sought to identify implementation barriers and potential facilitators of an effective HSS near-peer coaching program for clerkship students from the resident coach’s perspective at a single tertiary-care institution.MethodsA mixed-methods study design was employed. Thirty surgical residents volunteered to serve as HSS coaches for rotating third-year medical students during the 2021–2022 academic year. Coaches were asked to complete an exit survey, and a subset was purposefully sampled to complete semi-structured interviews. Transcripts were coded and analyzed with a framework method to identify emergent themes indicative of the barriers and facilitators of effective implementation of this near-peer HSS coaching program.ResultsA total of 20/30 (67%) resident coaches completed the survey and 50% of these residents (n = 10/20) completed an interview. Coaches facilitated multiple meetings (ranging from 1 to more than 5 times) with their assigned students over the course of the 3-month surgical rotations. Most coaches who deemed themselves successful in coaching reported early prioritization of setting individualized clerkship goals. Rapport building and strong communication were also important factors identified in facilitating effective near-peer cognitive coaching relationships.ConclusionsOur study suggests that, from residents’ perspective, effective near-peer coaching by residents on surgical clerkships requires special emphasis on early goal setting, as well as training and development of coaches in skills, such as feedback delivery, and rapport building to encourage strong resident–student coaching relationships that cater to the individualized needs of the learner.

Communications and Data Science for the Success of Vehicle-to-Grid Technologies: Current State and Future Trends

Vehicle-to-grid (V2G) technology has emerged as a promising solution for enhancing the integration of electric vehicles (EVs) into the electric grid, offering benefits, such as distributed energy resource (DER) integration, grid stability support, and peak demand management, among others, as well as environmental advantages. This study provides a comprehensive review of V2G systems, with a specific focus on the role of the communication, as they have been identified as key enablers, as well as the challenges that V2G must face. It begins by introducing the fundamentals of V2G systems, including their architecture, operation, and a description of the benefits for different sectors. It then delves into the communication technologies and protocols in V2G systems, highlighting the key requirements in achieving reliable and efficient communication between EVs and the different agents involved. A comprehensive review of communication standards is described, as well as the main communication technologies, which are evaluated in terms of their suitability for V2G applications. Furthermore, the study discusses the challenges and environmental implications of V2G technology, emphasizing the importance of addressing strong and reliable communications to maximize its potential benefits. Finally, future research directions and potential solutions for overcoming challenges in V2G systems are outlined, offering useful insights for researchers, policymakers, and administrations as well as related industry stakeholders.

Impact of Relational Coordination on Job Satisfaction and Willingness to Stay: A Cross-Sectional Survey of Healthcare Professionals in South Tyrol, Italy.

Job satisfaction and willingness to stay are critical for workforce stability in a challenging healthcare environment. This study examined how relational coordination, a key factor in teamwork and communication, influences outcomes among healthcare professionals in a bilingual, culturally mixed region of Italy. This cross-sectional survey included general practitioners, hospital physicians, nurses, and administrators from the South Tyrol Health Service, using the 'Relational Coordination Survey' and additional measures of job satisfaction and willingness to stay. The analytical methods used included descriptive statistics, correlations, and regression analyses. This study applied path analysis, including mediation and moderation techniques, to investigate the roles of relational coordination and job satisfaction in influencing the willingness to stay. It employs Conditional Process Analysis with the PROCESS macro in SPSS, focusing on models for moderated mediation analysis. The results indicated a critical influence of relational coordination on both job satisfaction and willingness to stay among the 525 healthcare professionals. Job satisfaction varied by health district and years of service, with midcareer professionals being the least satisfied. The findings highlight the central role of relational coordination in job satisfaction and willingness to stay and confirm that low job satisfaction increases turnover intentions. Relational coordination directly enhanced job satisfaction and willingness to stay, while also serving as a mediating factor that amplifies the impact of job satisfaction on retention intentions. This study reinforces the need for strong teamwork and communication to stabilize the healthcare workforce. Targeted interventions aimed at improving relational coordination could significantly enhance job satisfaction and retention among healthcare professionals, particularly in culturally diverse settings such as South Tyrol.

ЭТИКА ПРОФЕССИОНАЛЬНОГО ОБЩЕНИЯ ВРАЧА-СТОМАТОЛОГА И ФОРМИРОВАНИЕ КОММУНИКАТИВНЫХ КОМПЕТЕНЦИЙ

The article discusses the formation of professional communication skills among dentists. Providing medical, especially dental, care is associated with a high level of emotional stress for patients. Fears and anxiety about medical interventions often hinder patients from seeking care, thereby reducing the overall dental health of the population. Psychological and emotional comfort during patient visits often plays a crucial role in choosing a healthcare provider and facility. Furthermore, strong communication skills significantly increase patient compliance and improve the quality of medical care provided. Based on literary data, the article examines the problematic aspects of communication between healthcare providers and patients and analyzes the structure of effective professional communication aimed at ensuring comfortable dental treatment.

‘Take Back Control’: The implications of Brexit uncertainty on investor perception of ESG reputational events

AbstractThis study examines the impact of Brexit on investor reactions to Environmental, Social and Governance (ESG) events in UK companies. Post‐Brexit, investors show reduced sensitivity to ESG incidents, suggesting relaxed corporate accountability for ESG disasters. We observe varied investor responses to different ESG events, with most having less financial influence after Brexit. This research informs regulators, stakeholders and policymakers in the post‐Brexit era, emphasising the need for strong ESG regulations and communication in influencing investor behaviour. It contributes to understanding the relationship between regulatory changes, corporate reputation and investor reactions post‐Brexit.

Patient-centered communication’s association with trust, satisfaction, and perception of electronic health records use among newly diagnosed patients with cancer

IntroductionThe diagnosis of cancer creates immediate psychosocial distress for patients. New cancer patients are required to make important decisions about their treatment. Thus, it is essential to investigate their communication needs. This study examines the association between patient-centered communication and newly diagnosed cancer patients’ trust in their healthcare providers, satisfaction with the care visits, and perception of technology use during the visits.MethodsWe collected data from the Hackensack Meridian Health between February 2021 and May 2022. One hundred thirty-five participants were included in the study.ResultsThe findings captured the significant effect of patient-centered communication on the trust in doctors and satisfaction with care services. However, no association was noticed with the perception of EHR use among this population.DiscussionIn the first visits after cancer diagnosis, patients need to build strong communication with their doctors to build trust in them. Future studies should focus on testing the hypotheses longitudinally to validate the findings in other phases of the cancer care continuum.

IT Strategic Alignment Maturity and Business Performance for the Banking Industry in Kenya

This study explored the connection between IT Strategic Alignment Maturity and the financial performance of Kenyan commercial banks. Using the SAMM framework, six alignment maturity criteria (governance, communications, value, partnership, technology scope, and skills) were evaluated. Quantitative correlation analysis was conducted with data from CIOs representing 70% of the Kenyan banking market (all Tier One banks). Findings revealed a significant positive link between IT-business alignment and profitability. The study suggests that banks seeking increased return on assets (ROA) should prioritize the development of robust strategic alignment maturity. Business-IT alignment (BITA) is a dynamic, ongoing process essential for organizational success (Luftman, 1996). Successful alignment requires strong management support, clear prioritization, and effective communication across all levels of the organization (Luftman, 1997). To navigate the complexities of a rapidly changing business environment, companies must consistently evaluate their IT investments and strategies (Luftman, Papp and Brier, 1999). A well-aligned IT function acts as a catalyst, driving innovation, competitiveness, and improved decision-making across the enterprise (Luftman, Papp, and Brier, 1995). However, alignment is challenging and requires collaboration between IT and other business units (Luftman, Lewis, and Oldach, 1993). When IT strategy and governance effectively support overarching business goals, organizations can transform their operations and unlock new levels of success (Haes and Grembergen, 2016).

A Comprehensive Approach to Graduate Education in the Biomedical Sciences

There are roughly 130 biomedical sciences-related PhD training programs in the U.S. with about half of the graduates remaining in academia post-graduation. Biomedical sciences PhD programs emphasize rigorous training in research to prepare students to enter academia but may lack training in other areas that contribute to career success. Trainees face many challenges in graduate school, including meeting the basic scientific knowledge and research milestones, developing strong communication skills, and enriching their skillset through professional and career development opportunities to best position themselves for future success. To accomplish all of this while maintaining a healthy sense of self can be daunting. The Graduate School (TGS) at Augusta University (AU) aims to facilitate ground-breaking research alongside outstanding education by providing a holistic and comprehensive graduate experience. TGS is currently undergoing review and revision of three of the four arms of graduate education: academics, research, student well-being, and professional development. We use data collected from an external review and 52 currently enrolled and previously graduated (within 3 years) biomedical sciences PhD students to identify opportunities for improving the first-year core curriculum at AU. In response, TGS developed a first-year core curriculum committee tasked with reviewing, revising, and addressing gaps in the first-year core curriculum. Furthermore, TGS has developed and launched GradWell, a health and wellness initiative, and has also partnered with external collaborators to offer strategic professional development opportunities to biomedical sciences students, prioritizing holistic growth to enhance the student experience. Continuous programmatic evaluation related to curriculum, student well-being, and professional development is critical to ensure programs are meeting the evolving needs of students while incorporating innovative pedagogy to maximize training opportunities and the development of well-rounded research scientists. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Kemampuan komunikasi matematis siswa dikaji dari kemampuan spasial matematis di SMP

This research illustrates that mathematical communication skills are considered the most needed abilities currently supported by other mathematical abilities, one of which is mathematical spatial abilities. This research aims to characterize the communication and mathematical visualization abilities of students at Nurul Islam Middle School, Sungai Kakap, Kubu Raya. Mixed methods, combining quantitative and qualitative techniques, were used in this research. Data was collected through interviews with 23 class VIII A students and analysis of their tests. The results show that the majority of students have moderate to low mathematical and spatial communication skills. Students' effective ability to convey understanding of mathematical concepts and mathematical spatial competence in flat shapes is among the lowest. This research reveals a relationship between strong mathematical communication skills and high spatial abilities, and vice versa.

Impact of sociodemographic factors, stress, and communication on health-related quality of life in survivors of pediatric cancer.

While most research has largely focused on medical risks associated with reduced health-related quality of life (HRQOL) in survivors, sociodemographic and family factors may also play a role. Thus, we longitudinally examined sociodemographic factors and family factors associated with survivor HRQOL, including adolescent's cancer-specific stress, mother's general stress, and mother-adolescent communication. Mothers (N=80) and survivors (ages 10-23, N=50) were assessed 5years following initial diagnosis. Mothers completed measures regarding sociodemographic background adolescent's cancer-specific stress, mother's general stress, mother-adolescent communication, and adolescent HRQOL. Survivors also reported on their own HRQOL. Two hierarchical multiple regressions examined predictors of (a) mother's report of adolescent HRQOL, and (b) survivor's self-report of HRQOL. The final model predicting mother-reported adolescent HRQOL was significant, F(5,74)=21.18, p<.001, and explained 59% of the variance in HRQoL. Significant predictors included adolescent stress (β=-.37, p<.001), mothers' stress (β=-.42, p<.001), and communication (β=.19, p=.03). The final model predicting survivor-reported HRQOL was also significant, F(5,44)=5.16, p<.01 and explained 24% of the variance in HRQOL. Significant predictors included adolescent stress (β=-.37, p=.01) and communication (β=-.31, p=.04). Sociodemographic factors were not a significant predictor of HRQOL in any model. Family stress and communication offer potential points of intervention to improve HRQOL of pediatric cancer survivors from mother and survivor perspectives. While additional research is needed, healthcare professionals should encourage stress management and strong mother-child communication to enhance survivors' long-term HRQOL. Such interventions may be complimentary to efforts targeting the known sociodemographic factors that often affect health.