412 results match your criteria: "Institute of Community Health[Affiliation]"

This study used a cross-sectional design to investigate the mediating role of a health-promoting lifestyle on mobile health technology acceptance and cognitive function. A total of 219 older adults, age 65 years or older, with diagnosed chronic diseases, were recruited from a northern Taiwan community. Participants completed questionnaires including demographic characteristics, the Senior Technology Acceptance Scale, the Health Promoting Lifestyle Profile Scale, and the Montreal Cognitive Assessment.

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Aim: To explore hoarding scenarios in older adults with dementia, document management strategies and assess caregiver challenges in these scenarios.

Design: This study employed interpretative phenomenological analysis to guide data collection and analysis.

Methods: Purposive sampling recruited 20 caregivers of older adults with dementia from long-term care facilities and community elderly centres in Taiwan.

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Background: The development of an electronic health literacy scale for the population with serious mental illness (SMI) is needed due to individuals' characteristics.

Aim: Develop a graphic-based perceived electronic health literacy scale for SMI (GP-eHLS-SMI).

Design: A cross-section study.

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Introduction: We designed the Informed Health Choices (IHC) secondary school intervention and evaluated whether it improves students' ability to assess the trustworthiness of claims about treatment effects in Uganda. We conducted a process evaluation alongside a randomized trial to identify factors that may affect the implementation, fidelity, and scaling up of the intervention in Uganda. We also explored the potential adverse and beneficial effects of the intervention.

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Introduction: We evaluated the Informed Health Choices secondary school intervention to help students in Kenya think critically about health choices. We conducted this process evaluation to explore if the intervention was implemented as planned, identify factors that facilitated or hindered implementation, potential benefits of the intervention, and how to scale up the intervention beyond the trial.

Methods: This was a mixed methods process evaluation nested in a cluster-randomized trial of the Informed Health Choices intervention.

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Introduction: We evaluated the Informed Health Choices secondary school intervention in a cluster randomized trial in Rwanda. The intervention was effective in helping students to think critically about health. In parallel to the trial, we conducted a process evaluation to assess factors affecting the implementation, impacts, and scale-up of the intervention.

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Background: Public health professionals are crucial in implementing health-promoting climate change adaptation and mitigation measures, yet climate education is inconsistently integrated into public health curricula worldwide. We aimed to assess the proportion of institutions that provided public health degrees with climate and health education, the annual number of students trained in climate and health, and the extent to which students had climate and health knowledge during 2023-24.

Methods: From Nov 1, 2023, to March 15, 2024, our online survey quantified climate and health education in public health schools that provide degrees across all WHO regions.

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Misconceptions of and cultural differences in aging influence older adults' medical decision-making self-efficacy and engagement in advance care planning (ACP). This study aims to investigate the association between current medical decision-making participation self-efficacy and ACP engagement among older individuals receiving home-based medical care (HBMC) in Taiwan. Baseline data analysis of a nationwide cohort study.

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Background: Weight control behaviors are commonly observed among adolescents and emerging adults. However, the high prevalence of overweight and obesity in both these age groups remains an imperative health concern. Adolescents and emerging adults represent the most vulnerable groups facing the health burden of obesity.

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Schools of public health as a cornerstone for pandemic preparedness and response: the Africa COVID-19 experience.

Global Health

November 2024

Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.

Background: The Coronavirus disease (COVID-19) pandemic caused significant morbidity and mortality in Africa, in addition to other socio-economic consequences. Across the continent, Schools of Public Health (SPHs) played several roles in supporting national, regional, and global response to the pandemic. Following a published and grey literature search, this paper reviews and analyses the contribution of SPHs in Africa during the COVID-19 pandemic.

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Effectiveness of abdominal massage on chronic constipation in adults: A systematic review and meta-analysis.

Int J Nurs Stud

January 2025

Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University, Yang-Ming Campus, Taipei, Taiwan. Electronic address:

Background: Chronic constipation is a common distressing symptom. Abdominal massage is a safe, noninvasive, and comfortable intervention. However, it is rarely used in formal clinical practice as its' effectiveness for chronic constipation remains unclear.

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Article Synopsis
  • Critical thinking about health choices is important for students to make informed decisions and avoid misinformation; this study evaluates a school-based intervention aimed at enhancing critical thinking in adolescents.
  • Conducted in Kenya, Rwanda, and Uganda, the intervention involved teacher training and digital resources, focusing on key health concepts, and included over 11,000 students across 244 schools.
  • After one year, results showed that students in the intervention schools had better test scores compared to baseline, with a significant improvement in passing rates, though retention decreased over time.
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Aims: To evaluate the psychometric properties of the Chinese version of the Vulvovaginal Symptoms Questionnaire for assessing vulvovaginal symptoms and symptom-related influences in women with breast cancer.

Design: A methodological study.

Methods: Women with breast cancer (n = 202) were recruited from the outpatient department of a hospital.

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Article Synopsis
  • Explicit end-of-life discussions are rare in Confucian-influenced Asian societies, making culturally sensitive advance care planning challenging, especially with the important role of families in decision-making.
  • A Delphi study involving 115 multidisciplinary experts from five Asian regions aimed to create a consensus definition of advance care planning and provide practical recommendations for a patient-centered and family-based approach.
  • The proposed definition emphasizes identifying personal values and preferences for future medical care while engaging family and healthcare providers, with high agreement on various recommendations that can inform practices, education, and policies for culturally relevant care in Asia.
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[Application of Artificial Intelligence Models in Nursing Research].

Hu Li Za Zhi

October 2024

PhD, RN, Assistant Professor, Institute of Clinical Nursing, National Yang Ming Chiao Tung University, Taiwan, ROC.

Article Synopsis
  • - Recent advancements in artificial intelligence, especially machine learning, are improving medical services, disease prediction, and healthcare innovation, though its use in nursing has been limited so far.
  • - The paper covers types of machine learning, common models like neural networks and natural language processing, and compares these approaches with traditional statistics, noting both benefits and limitations.
  • - The authors advocate for interdisciplinary collaboration between IT and nursing to enhance knowledge sharing, critically evaluate analytical methods, and ensure continual improvement in the research process, aiming to maximize AI's potential in nursing.
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Background: Learning to thinking critically about health information and choices can protect people from unnecessary suffering, harm, and resource waste. Earlier work revealed that children can learn these skills, but printing costs and curricula compatibility remain important barriers to school implementation. We aimed to develop a set of digital learning resources for students to think critically about health that were suitable for use in Kenyan, Rwandan, and Ugandan secondary schools.

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Article Synopsis
  • The study aims to explore the experiences of mothers caring for school-age children with Pompe disease through semi-structured interviews with ten mothers, focusing on personal narratives and caregiving dynamics.
  • Five key themes emerged from the mothers’ experiences, including strong parenting beliefs, prioritizing their children's needs, the importance of peer relationships, integrating various forms of support and treatment, and navigating life's challenges.
  • The findings underline the complexity of their caregiving roles and suggest that healthcare professionals should better understand these experiences to provide more effective psychological support and foster greater awareness in society.
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Background: Type 2 diabetes is a chronic disease with a significant medical burden. eHealth care integrates medicine and technology to enhance the outcomes of such patients; however, adequate eHealth literacy (eHL) is necessary for that to happen. Fostering eHL is crucial for patients with diabetes to engage with eHealth care and receive quality care and timely support.

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Purpose: Parenting resilience is essential for the well-being and development of children with chronic illnesses. Given the importance of parenting resilience in this context, this study explored the nature of parenting resilience among mothers caring for adolescents with congenital heart disease (CHD).

Design And Methods: We adopted Husserl's phenomenological approach and conducted semistructured in-depth interviews.

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Objectives: Disparities exist in the length and quality of survival from melanoma. This study evaluated, in a Texas cohort, patient factors associated with melanoma survival and examined if newer immune-oncologic agents extend survival compared with conventional therapies.

Methods: A retrospective analysis of patients diagnosed with metastatic melanoma from 2011 to 2018 in the Texas Cancer Registry database.

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Purpose: This study aimed to translate the Fear of Falling Avoidance Behavior Questionnaire (FFABQ) into Traditional Chinese (FFABQ-TC) and to evaluate the psychometric properties of FFABQ-TC in Taiwanese adults.

Methods: We translated and culturally adapted the FFABQ into Traditional Chinese, ensuring linguistic accuracy and cultural relevance. A total of 230 Taiwanese community-dwelling adults participated in the study.

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IVF and risk of Type 1 diabetes mellitus: a population-based nested case-control study.

Hum Reprod

August 2024

Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan.

Study Question: Is the mode of conception (natural, subfertility and non-IVF, and IVF) associated with the risk of Type 1 diabetes mellitus among offspring?

Summary Answer: The risk of Type 1 diabetes in offspring does not differ among natural, subfertility and non-IVF, and IVF conceptions.

What Is Known Already: Evidence has shown that children born through IVF have an increased risk of impaired metabolic function.

Study Design, Size, Duration: A population-based, nested case-control study was carried out, including 769 children with and 3110 children without Type 1 diabetes mellitus within the prospective cohort of 2 228 073 eligible parent-child triads between 1 January 2004 and 31 December 2017.

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Globally, there has been little growth in vaccination coverage, with countries in the Horn of Africa having the lowest vaccination rates. This study investigated factors associated with vaccination status among children under five years old in Somaliland. The 2020 Somaliland Demographic and Health Survey surveyed women aged 15-49 years from randomly selected households.

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Exploring the challenges of taiwanese nurses in the COVID-19 post-pandemic era.

J Formos Med Assoc

November 2024

Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan. Electronic address:

Article Synopsis
  • The study investigates the challenges nurses face in clinical settings post-COVID-19, revealing significant resignation rates and an overlooked area in healthcare.
  • Through focus group discussions with 33 nurses, key themes emerged: the 'Invisibility of Nurses' and the 'Moral Duty of Nursing Practice,' showcasing the tensions nurses experience in their roles.
  • The research calls for policy changes to better recognize and support the nursing profession, highlighting the need for improved working conditions and fair compensation to enhance nurse retention and care quality.
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As populations age, average life expectancy increases and the complexity of diseases rises, leading to nursing care and healthcare systems facing severe challenges related to inadequate resources. Artificial intelligence (AI), including elements such as investigation, integration, learning, prediction, and decision-making, holds significant potential for application in clinical care not only to enhance care quality but also to help guide the future direction of healthcare. AI applications are already being increasingly utilized to improve the quality of clinical care and to streamline workflows.

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