telesante_strategique

Telerehabilitation for visual field defects with a multisensory training: a feasibility study.

Mon, 01 Dec 2025 05:00:00 +0000

Journal of NeuroEngineering & Rehabilitation (JNER); 12/01/2025
(AN 183265607); ISSN: 17430003
CINAHL Complete

91. TELEHEALTH IN WAR: THE STATE OF GERIATRIC MENTAL HEALTH IN UKRAINE.

Thu, 02 Oct 2025 04:00:00 +0000

American Journal of Geriatric Psychiatry; 10/02/2025
(AN 186590832); ISSN: 10647481
CINAHL Complete

The clinical effectiveness in telemedicine in Trauma: A systematic review and meta-analysis.

Wed, 01 Oct 2025 04:00:00 +0000

International Journal of Medical Informatics; 10/01/2025
(AN 185685236); ISSN: 13865056
CINAHL Complete

62932 The Effectiveness of Telemedicine in Dermatology Services: A Systematic Review.

Tue, 02 Sep 2025 04:00:00 +0000

Journal of the American Academy of Dermatology; 09/02/2025
(AN 186505779); ISSN: 01909622
CINAHL Complete

The interplay between cognitive function and digital health literacy among older adults: Implications for e-health equity and accessibility.

Mon, 01 Sep 2025 04:00:00 +0000

International Journal of Medical Informatics; 09/01/2025
(AN 185364156); ISSN: 13865056
CINAHL Complete

Effect of thigh muscle strength training through telerehabilitation in volunteers with low back pain. A controlled and randomized clinical trial.

Mon, 01 Sep 2025 04:00:00 +0000

Journal of Bodywork & Movement Therapies; 09/01/2025
Low back pain (LBP) is a clinical condition with a high global incidence that significantly impacts the quality of life, including psychological, physical, and social aspects. It commonly leads to an impairment in muscle strength and activation. The aim of the study was to assess the short-term effects of thigh muscle strength training conducted via telerehabilitation and in-person in patients with self-reported LBP. The telerehabilitation and control groups completed 10 strength training sessions, five times a week. Both groups were evaluated for electromyographic parameters, maximal isometric voluntary contraction (MIVC), and the number of maximum repetitions of knee flexion-extension movements. Telerehabilitation increased the recruitment of the right rectus femoris (p < 0.05). It improved the maximum repetition capacity for the left knee extension (p < 0.01) movement and for the right and left knee flexion(p < 0.05); however, it was able to reduce the MIVC right and left knee flexion (p < 0.05). Telerehabilitation was able to increase the recruitment of the right biceps femoris muscles and maintain the recruitment of the right and left rectus femoris; improve the maximum repetition capacity for left knee extension and of both the right and left knees flexion movement. However, it could not increase the MVIC after the training period. • Therapeutic exercises using elastic bands in tele-rehabilitation are effective in enhancing knee muscle recruitment. • Tele-rehabilitation involving therapeutic exercises with elastic bands can enhance the muscular endurance. • Tele-rehabilitation has similar effects to in-person rehabilitation.
(AN 185746116); ISSN: 13608592
CINAHL Complete

Users of e-Health tools for mental health and suicide primary prevention: description of their characteristics, usage, and satisfaction in the case of StopBlues.

Fri, 15 Aug 2025 04:00:00 +0000

Journal of Affective Disorders; 08/15/2025
(AN 185199757); ISSN: 01650327
CINAHL Complete

Conceptualizing telemedicine literacy as patients' competencies in video consultations.

Sat, 02 Aug 2025 04:00:00 +0000

Patient Education & Counseling; 08/02/2025
(AN 186590539); ISSN: 07383991
CINAHL Complete

E-health intervention for co-occurring at-risk alcohol use and depressive symptoms: Reach, adherence, and two-year effects of a randomized controlled trial.

Fri, 01 Aug 2025 04:00:00 +0000

Journal of Affective Disorders; 08/01/2025
(AN 185080625); ISSN: 01650327
CINAHL Complete

Telemedicine for the Management of Neuropsychiatric Symptoms in Patients With Dementia Living in Long Term Care Facilities: Secondary and Exploratory Analyses From the DETECT Interventional Pilot Study.

Fri, 01 Aug 2025 04:00:00 +0000

American Journal of Geriatric Psychiatry; 08/01/2025
(AN 185806340); ISSN: 10647481
CINAHL Complete

Evaluation of Pharmacist-led Telehealth Medicare Annual Wellness Visits to Satisfy Quality Metrics and USPSTF Recommendations After Implementation of a Post-Visit Follow-Up Protocol.

Fri, 01 Aug 2025 04:00:00 +0000

Journal of Pharmacy Practice; 08/01/2025
Background: A Medicare Annual Wellness Visit (MAWV) serves Medicare patients by identifying and addressing gaps in preventive services and health screenings, often aligning with outpatient practice quality metrics. Objective: Evaluate an existing pharmacist-led MAWV telehealth service, determine the baseline quality metric satisfaction rate of telehealth MAWVs, and assess for improvement after implementing a post-MAWV follow-up protocol at a suburban, lower-income primary care clinic. Methods: This IRB-exempt, single-center retrospective chart review utilized the electronic health record at Christ Health Center, Birmingham, AL. From August 2020 through May 2022, 288 charts were assessed between 2 retrospective chart reviews that included patients 18 years or older with Medicare insurance and the ability to conduct a telehealth MAWV. The first chart review assessed metric and recommendation satisfaction within 12 months of the visit. The second chart review was performed after follow-up protocol implementation to assess for additional improvement within 3 months of the visit. Results: The percentage of MAWV recommendations completed groups after implementing a follow-up protocol. For the first chart review, 57.1% of the assessed Health Resources and Services Administration (HRSA), Uniform Data System (UDS) quality metrics, and Centers for Medicare and Medicaid Services (CMS)-required MAWV components were satisfied from the first chart review compared to 53.3% of satisfied quality metrics post-protocol implementation in spite of a substantially shorter follow-up timeframe. Conclusion: Telehealth MAWVs improve preventive care and quality metric satisfaction for Medicare patients. Post-visit follow-up protocols enhance satisfaction rates. Pharmacist-led MAWVs foster interprofessional collaboration and comprehensive patient care.
(AN 185787425); ISSN: 08971900
CINAHL Complete

Enhancing mental health engagement and screening protocols in ICU recovery clinics - Letter on Hussain et al...Hussain AA, Jones AC, Hosey MM, et al. Patient-psychologist telemedicine interactions in an intensive care unit recovery clinic: Qualitative sec

Fri, 01 Aug 2025 04:00:00 +0000

Intensive & Critical Care Nursing; 08/01/2025
(AN 186089407); ISSN: 09643397
CINAHL Complete

Effects of Telerehabilitation-Based Core and Scapular Stabilization Training in Young Adults With Chronic Neck Pain: A Randomized Controlled Trial.

Fri, 01 Aug 2025 04:00:00 +0000

Perceptual & Motor Skills; 08/01/2025
Although chronic neck pain (CNP) is associated with impairments in balance, the effects of muscle stabilization training are unknown. In this study, we compared the effects of core stabilization (CS) and scapular stabilization (SS) training via telerehabilitation on balance, functionality, pain, and depression in young adults with CNP. In this two-armed, randomized controlled study, we assigned 41 participants with CNP to either a CS (n = 21) or SS (n = 20) group. Both groups underwent stabilization training via telerehabilitation for eight weeks. We evaluated postural stability (PS), limits of stability (LOS), functionality (Neck Disability Index), pain (Visual Analog Scale), and depression (Beck Depression Inventory). Time × Group interactions were significant on VAS, NDI, PS overall, LOS overall, LOS forward, LOS backward, and LOS right (p <.05). Both groups showed significant improvements over time. However, the SS group demonstrated significantly greater improvements than the CS group in VAS (p <.001) and NDI (p =.001). On the other hand, the CS group showed significantly greater improvements in PS overall, as well as in various measures of LOS, including overall, forward, backward, and right (p <.05). While both groups showed significant improvements, there were notable differences between them. These findings suggest that SS training is more effective in pain management and functional improvement, while CS training has a stronger impact on balance and stability in young adults with CNP.
(AN 186281504); ISSN: 00315125
CINAHL Complete

A feasibility randomized-controlled trial of an executive functioning telerehabilitation intervention for stroke survivors.

Fri, 01 Aug 2025 04:00:00 +0000

Brain Injury; 08/01/2025
Background: Executive dysfunction affects most stroke survivors, limiting their ability to adapt post-stroke. Despite clinical guidelines recommending executive functioning rehabilitation, robust evidence for interventions is lacking. Aims: This study assessed the feasibility and acceptability of an executive functioning telerehabilitation intervention for stroke survivors. It examined recruitment and retention rates, adherence, completion of outcome measures, intervention usability, and participant experience. Preliminary changes in executive functioning, self-efficacy, and wellbeing were explored to inform the design of a future efficacy trial. Methods: A feasibility randomized-controlled trial was conducted with 19 adult stroke survivors randomized to receive either an executive functioning telerehabilitation intervention or stroke psychoeducation. Interventions were two 30-minute videos with accompanying homework delivered asynchronously over two weeks. Outcome measures validated in stroke populations assessed executive functioning, wellbeing, and self-efficacy at baseline, post-intervention, and one-month follow-up. Feedback was collected on usability and acceptability. Results: Recruitment and drop-out rates were acceptable. Participants indicated that both interventions were acceptable, relevant, useful, and easy to engage with, though some found the homework tasks challenging. Conclusion: The executive functioning and psychoeducation interventions are feasible and acceptable for research. A larger RCT is needed to evaluate efficacy, retaining multiple recruitment sources, including public healthcare services, for representative samples. ClinicalTrials Registration: NCT05461937.
(AN 186372997); ISSN: 02699052
CINAHL Complete

Factors Associated With Cancer Patients' Preferences for Telemedicine or In-Person Palliative Care.

Fri, 01 Aug 2025 04:00:00 +0000

Journal of Pain & Symptom Management; 08/01/2025
(AN 186451770); ISSN: 08853924
CINAHL Complete

The impact of policy and technology infrastructure on telehealth utilization.

Fri, 01 Aug 2025 04:00:00 +0000

Health Services Management Research; 08/01/2025
The COVID-19 outbreak resulted in an unprecedented surge in telehealth utilization. However, the effects of policy enactment on utilization remain understudied in the literature. Our research examines the impact of policy mandates relating to federal incentive programs on telehealth utilization across states during the pandemic by considering technology infrastructure, such as broadband penetration and equipment possession. This study also considers the impact of political orientation and control factors, including income attributes, on telehealth utilization. Considering telehealth utilization in the Medicare program as a test case, this study employed the partial least square and structural equation model to analyze data from the Centers for Medicare & Medicaid Services, the American Community Survey, and the Microsoft Airband Project to draw inferences. Our study finds that telehealth legislation, broadband penetration, political orientation, and control factors have a direct significant impact on telehealth utilization, whereas incentive programs and equipment possession have an indirect impact through broadband penetration.
(AN 186462613); ISSN: 09514848
CINAHL Complete

Telerehabilitation for functional neurological disorders: A scoping review.

Fri, 01 Aug 2025 04:00:00 +0000

Journal of Psychosomatic Research; 08/01/2025
(AN 186501413); ISSN: 00223999
CINAHL Complete

Corrigendum to "Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study" [Int. Emerg. Nurs. 81 (2025) 101622].

Fri, 01 Aug 2025 04:00:00 +0000

International Emergency Nursing; 08/01/2025
(AN 186532034); ISSN: 1755599X
CINAHL Complete

Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study.

Fri, 01 Aug 2025 04:00:00 +0000

International Emergency Nursing; 08/01/2025
• Asymptomatic hypertension is prevalent in ED, yet adherence to BP reassessment and outpatient referral remains limited. • TRIO 1.0 successfully demonstrated feasibility and acceptability as a nurse-led telehealth intervention connecting ED patients with PCPs. • High patient engagement was observed at 2- and 4-week follow-ups, reinforcing feasibility. • Strong PCP follow-up adherence post-discharge further supports intervention feasibility. • Both groups showed decreased BP at six months; however, patients remained hypertensive, underscoring the need for sustained intervention.
(AN 186532030); ISSN: 1755599X
CINAHL Complete

Demographic forecast modelling using SSA-XGBoost for smart population management based on multi-sources data

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Wang J.,Ma S.,Lv Q.,Li Q.

Database Source: Embase Weekly Updates

Journal Title: PLOS ONE

Article Title: Demographic forecast modelling using SSA-XGBoost for smart population management based on multi-sources data

Year: 2025

Issue: 6 June

Volume: 20

Abstract: Population prediction could provide effective data support for social and economic planning and decision-making, especially for the sub-national population forecasting accurately. In addition to realizing efficient smart population management, this research focuses primarily on the combination model for forecasting demographic data based on machine learning. As to the higher error of population forecasts due to high population density and mobility, a dynamic monitoring method based on mobile communication big data such as mobile phone signals is proposed, combined with more structurally stable traditional statistical data, it forms a multi-source dataset that possesses both accuracy and real-time characteristics. In the study, the Extreme Gradient Boosting tree (XGBoost) model is used to identify the base model to create a reliable predictive model for population dynamic monitoring. The sparrow search algorithm (SSA) is investigated to obtain more reasonable parameters of XGBoost to improve forecast accuracy. The combination model is verified based on the data of the 6th and 7th national population census and mobile phone signal data in Hebei Province, obtained the predicted data for mortality and migration, categorized by age and gender, for the following year. Subsequently, the research compared the performance of different metaheuristic algorithms and various gradient-boosting machine-learning models on the dataset. The SSA-XGBoost model demonstrates a better prediction performance in the demographic data forecast with better R2 0.9984 and a lower mean absolute error of 0.0002 and a mean squared error of 6.9184. The results of the comparative experiments and cross-validation show that the proposed predictive model can effectively forecast the demographic data for sub-national regions to realize smart population management. Copyright © 2025 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Identifying Congenital Heart Disease in the Newborn Nursery

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Suthar D.,Oster M.E.

Database Source: Embase Weekly Updates

Journal Title: Pediatric Clinics of North America

Article Title: Identifying Congenital Heart Disease in the Newborn Nursery

Year: 2025

Issue: 4

Volume: 72

Abstract:

End-stage kidney disease patients during the current Gaza war: challenges and outcomes of care

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: AlDadah J.,AbuMusameh R.R.,Salem D.A.,Al Habil B.,El-Ijla R.,Aqlain N.A.,Hjela R.,Helles A.,Jouda H.

Database Source: Embase Weekly Updates

Journal Title: BMC Nephrology

Article Title: End-stage kidney disease patients during the current Gaza war: challenges and outcomes of care

Year: 2025

Issue: 1

Volume: 26

Abstract: Background: This study aims to investigate the challenges and complications faced by End-Stage kidney Disease (ESKD) patients undergoing dialysis during the Gaza conflict. Method(s): A cross-sectional study was conducted on 105 ESKD patients undergoing dialysis. Data were collected through a customized, interviewer-administered questionnaire at a single center, Al Aqsa Hospital in central Gaza (from October to November 2024). Statistical analysis was performed using SPSS software. Result(s): The mean age of participants was 49.9 years. 47.6% were male, resided in Deir Al Balah, lived in tents, and were displaced. Additionally, most patients faced difficulties accessing hospitals (70.5%), while 94.3% were unaffected by war-related injuries. Regarding dialysis, 73.3% of participants initially received three dialysis sessions per week, but this decreased to 68.6%. In terms of challenges, 81% reported damage to dialysis machines, 91.4% were affected by electricity cuts, 63.8% experienced gaps in dialysis due to displacement, and 33.3% cited a shortage of medical staff. With respect to diet and medications, 43.8% reported adherence, 54.3% faced difficulties obtaining their medications, 49.5% had lost their prior medical records, and 80% carried a list of their current medications. The most frequently reported complications included intradialytic hypotension (61.9%), hospitalization during dialysis (52.4%), and weight loss (70.5%). Our analysis revealed a statistically significant association between interruptions in dialysis therapy and hospitalization rates (p < 0.001). Additionally, displaced patients had a significantly higher loss of medical records compared to non-displaced patients (p = 0.014). A significant difference was also observed in dialysis session length changes in relation to hospitalization (p = 0.018). Logistic regression showed that patients with comorbidities were 2.5 times more likely to develop complications. However, this result wasn't statistically significant (p = 0.058). Conclusion(s): This study highlights the challenges faced by ESKD patients during the Gaza conflict and their associated complications. International support is crucial to protecting ESKD patients in conflict zones. Telemedicine and patient education may help mitigate complications. Further studies are needed to improve the care of ESKD patients in conflict-affected areas. Copyright © The Author(s) 2025.

Screening of Glaucoma in High-Risk Minority Populations

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Nassiri N.,Wilson M.R.

Database Source: Embase Weekly Updates

Journal Title: Journal of Glaucoma

Article Title: Screening of Glaucoma in High-Risk Minority Populations

Year: 2025

Issue: 7

Volume: 34

Abstract: Precis: This chapter reviews the current recommendations on screening for open angle glaucoma in Black and Hispanic populations. Strategies for increasing case-finding and decreasing cost, with emphasis on evolving technologies, are presented. Purpose(s): To address the current recommendations on primary open angle glaucoma screening in high-risk minority populations and to discuss potential strategies to improve the screening of glaucoma in these populations. Method(s): A literature review was performed by searching PubMed, EMBASE, and Google Scholar. All English-language papers that resulted from the search terms from January 1980 to October 2023 were reviewed. Result(s): In the next few decades, the societal burden of glaucoma will increase because of the demographic shift to an older and more diverse US population, including Black and Hispanic populations, which have been shown to have a higher prevalence of the disease. The current (2022) conclusion of the US Preventive Services Task Force is that the evidence to assess the balance of benefits and harms of screening for glaucoma in adults is insufficient to recommend widespread screening. The Preferred Practice Pattern guideline similarly states that screening for glaucoma in the general population is not cost-effective. However, the guidelines state that screening is more useful and cost-effective when it is targeted at populations at high risk for glaucoma, such as older adults, those with a family history of glaucoma, and Black and Hispanic individuals. Strategies for improving the effectiveness of glaucoma screening must increase case finding and decrease cost. New screening technologies, such as telemedicine and artificial intelligence, are expanding access for underserved populations. Conclusion(s): There is still no clear consensus on the effectiveness of glaucoma screening for the general population. However, glaucoma screening may be useful and cost-effective when it is targeted at populations at high risk for glaucoma, particularly using emerging technologies that improve access and case-finding. Copyright © 2025 Wolters Kluwer Health, Inc.

Enhancing Surgical Precision: A Systematic Review of Wearable Medical Devices for Assisted Surgery

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Sakly H.,Guetari R.,Kraiem N.,Alasbali N.A.,Al Agarni A.

Database Source: Embase Weekly Updates

Journal Title: Journal of Medical Systems

Article Title: Enhancing Surgical Precision: A Systematic Review of Wearable Medical Devices for Assisted Surgery

Year: 2025

Issue: 1

Volume: 49

Abstract: The integration of wearable medical devices into surgical practice has transformed the field, enabling enhanced precision, informed decision-making, and improved patient outcomes. These devices, which include biosensors and augmented reality (AR) headsets, continuously collect and provide real-time data to support surgeons during complex procedures. A key advancement in this domain is the incorporation of artificial intelligence (AI), which enables these devices to analyze large datasets, generate predictive insights, and adapt to changing clinical scenarios, thus assisting in surgical decision-making. AI-driven analytics, combined with wearable technology, optimize surgical performance by detecting potential complications early and allowing for dynamic adjustments to surgical plans. However, widespread adoption faces challenges, including data privacy concerns, device interoperability issues, and regulatory compliance requirements. This paper presents a comprehensive review of wearable medical devices in surgery, examining their applications, limitations, and transformative role of AI in advancing surgical care. Additionally, the paper discusses strategies to overcome barriers, supporting the integration of these technologies into future surgical practices. Copyright © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2025.

Cardiovascular health knowledge, attitude and practice among school-going adolescents and the availability of digital prerequisites for health education in Bhaktapur, Nepal

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Shakya D.,Ng N.,Oli N.,Vaidya A.,Krettek A.

Database Source: Embase Weekly Updates

Journal Title: PLOS ONE

Article Title: Cardiovascular health knowledge, attitude and practice among school-going adolescents and the availability of digital prerequisites for health education in Bhaktapur, Nepal

Year: 2025

Issue: 6 June

Volume: 20

Abstract: Background In Nepal, the proportion of annual deaths from cardiovascular disease (CVD) increased from 12% in 1990 to 22% in 2021. Although CVD manifests in adulthood, exposure to risk factors begins early in life. In Nepal, a high prevalence of risk factors combined with limited knowledge about cardiovascular health warrants a life course approach. One strategy could be a digitalized health education targeted at adolescents to prevent future CVDs. Methods We conducted a cross-sectional survey to assess adolescents' knowledge, attitude and practice (KAP) regarding cardiovascular health and explored possibilities for digital education. In total, 649 adolescents in grades 8-10 from two public and seven private schools in a semi-urban community of Nepal were surveyed. A self-administered questionnaire assessed KAP, digital prerequisites such as mobile phone use and internet availability at home, and gaming behaviors. Quantile regression was performed to assess the relationship among the variables. Results The median scores were 69.1% (Interquartile range/IQR 63.1%-74.4%) for knowledge about cardiovascular health, 77.9% (73.3%-82.3%) for attitude and 76.7% (72.2%-81.1%) for practice. Quantile regression showed that the knowledge score for grade 9 adolescents was 4.2 percentage point (pp) higher (p<0.001) and grade 10 adolescents was 4.0pp higher (p < 0.001) than those in grade 8. Knowledge was 4.9pp higher (p < 0.001) for private than for public school adolescents. Attitude scores were 2.0pp higher (p = 0.001) for girls than for boys and 1.7pp higher (p = 0.008) for private than for public school adolescents. For practice, boys scored 2.2pp higher (p < 0.001) than girls and private school adolescents scored 2.5pp higher (p < 0.001) than public. Furthermore, 98.6% of adolescents had smartphone access, 91.5% had internet access and 68.0% played mobile games. Conclusion Adolescents have lower knowledge than attitude and practice regarding cardiovascular health. This combined with high digital access provides opportunities for digital health education, especially in public schools. Copyright © 2025 Shakya et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Response to "Beyond single sessions: Reflections on pain education and EIH heterogeneity in knee osteoarthritis"

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Ram A.,Thom J.M.,Gibbs M.T.,Booth J.,Jones M.D.

Database Source: Embase Weekly Updates

Journal Title: Musculoskeletal Science and Practice

Article Title: Response to "Beyond single sessions: Reflections on pain education and EIH heterogeneity in knee osteoarthritis"

Year: 2025

Issue:

Volume: 78

Abstract:

Improving the time-efficiency of initial mental health assessment (triaging) using an online assessment tool followed by a clinical interview via phone: a randomised controlled trial

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Fernando I.,Gupta R.,Simpson K.,Szwec S.,Carey M.,Conrad A.,Heard T.,Lampe L.

Database Source: Embase Weekly Updates

Journal Title: BMC Psychiatry

Article Title: Improving the time-efficiency of initial mental health assessment (triaging) using an online assessment tool followed by a clinical interview via phone: a randomised controlled trial

Year: 2025

Issue: 1

Volume: 25

Abstract: Background: The need for time-efficient and accessible mental health assessment is a priority in the face of high demand, limited resources and a progressive increase in the percentage of adults experiencing high or very high levels of psychological distress. Although there is broader supportive evidence for using online assessment as a potential solution, there is relatively little evidence from randomised controlled trials. Objective(s): To investigate whether patient online self-reported clinical information can save clinician time in subsequent mental health assessment via phone. Method(s): Patients referred to a public mental health service by general practitioners via fax during business hours between February 2020 and June 2022 were randomly allocated to either the intervention (self-reporting of clinical information followed by clinician assessment by phone) or control (clinician phone assessment as usual) arm. The time to complete the assessment (call duration) was the primary outcome measure. Result(s): Out of 758 referrals assessed for eligibility, 377 (49.34%) entered the study and were randomised. Out of 184 referrals allocated to the intervention arm, the assessment was completed in 125, but only 81 were included in the analysis, mostly due to failure of clinicians to follow the protocol (completing the assessment without using self-reported data, likely due to inexperience with the novel process). Of 193 referrals allocated to the control arm, 135 completed the assessment and were included in the analysis. Average assessment completion time in the control arm was 25.19 min (standard deviation (SD) of 11.5 min) and 20.76 min (SD 7.49 min) in the intervention arm respectively, with a mean difference of 4.43 min (17.59% time reduction). When a mixed effects linear model was used to adjust for potential seasonal effect and correlation of outcome within clinicians, a statistically significant reduction of 3.29 min (P = 0.016, 95% CI (5.85, 0.73)) was still demonstrated by using online assessment. Conclusion(s): The use of online self-report clinical assessment by patients can save time to complete subsequent clinician assessment. Greater time-saving can be expected with better integration of this tool in workflow and increased clinician familiarity with using online self-reported data. Trial registration: (registered retrospectively) Registry: Australian and New Zealand Clinical Trial Registry (ACTRN). Registration number: anzctr.org.au ACTRN12624001293550. Date of registration: 24/10/2024. Copyright © Crown 2025.

Cultural adaptation of a digital therapeutic for insomnia for Spanish-speaking Hispanic adults in the United States: a qualitative study

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Alcantara C.,Giorgio Cosenzo L.,Diaz S.V.,Arias D.,Schwartz J.E.,Kronish I.M.,Moise N.

Database Source: Embase Weekly Updates

Journal Title: The Lancet Regional Health - Americas

Article Title: Cultural adaptation of a digital therapeutic for insomnia for Spanish-speaking Hispanic adults in the United States: a qualitative study

Year: 2025

Issue:

Volume: 48

Abstract: Background: Digital therapeutics represent an innovative and scalable means for addressing inequities in access to behavioural healthcare. However, the adaptation of digital health technologies for minoritised communities to promote equitable uptake remains elusive, and the procedures and outcomes are often not systematically detailed. Our aim was to describe the equity-centred, theory-informed process we undertook to culturally adapt, for Spanish-speaking Hispanic adults, the first Food and Drug Administration authorized, self-guided, prescription digital therapeutic for insomnia. Method(s): We used an integrated four-stage model of cultural adaptation to guide the process and a cultural adaptation taxonomy of common elements to report findings. A bilingual (Spanish/English) community advisory board provided critical input. In Stages 1-3, ten focus groups and 13 individual interviews were conducted to obtain feedback on cultural adaptations and digital components. In Stage 4, a pilot study was undertaken to assess usability of the adaptations. Qualitative data were analysed using thematic content analysis and coded by type of adaptation. Finding(s): 53 Hispanic adults with chronic insomnia were invited to participate in all stages; Mean age = 53.6 years (SD = 11.4), 64.2% women, 49% less than college, and 62.3% reported low technological confidence. Cultural adaptations were made in each taxonomy component (83 total); the adapted program had high usability (System Usability Scale = 95/100). Surface-level adaptations (34.9% of changes made based on observable characteristics), which included changes to the characters (storylines, images), activities, and content to reflect the within-Hispanic group heterogeneity. Deep-level adaptations (65.1% of changes made based on sociocultural factors) included the integration of sociocultural values (familismo) and environment/burdens (stressors, social determinants, immigrant status) into the intervention content, and more in-App guidance/instruction to facilitate navigation for low health and digital literacy. Interpretation(s): We produced a digital therapeutic for insomnia for Hispanic adults across the digital literacy spectrum with high acceptability, usability, and potential to confer clinical benefits. Funding(s): This project was supported by AHRQ HS024274 and a Provost Grant from Columbia University. Copyright © 2025 The Authors

The Role of Communication in Managing Chronic Lower Limb Wounds

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Costa D.,Serra R.

Database Source: Embase Weekly Updates

Journal Title: Journal of Multidisciplinary Healthcare

Article Title: The Role of Communication in Managing Chronic Lower Limb Wounds

Year: 2025

Issue:

Volume: 18

Abstract: Chronic wounds of the lower limbs present a significant global healthcare challenge, requiring interdisciplinary management and patient adherence to treatment protocols. Effective communication plays a pivotal role in ensuring optimal outcomes, fostering patient engagement, and promoting interdisciplinary collaboration. This review article explores the role of communication in managing chronic wounds of the lower limbs, highlighting its impact on patient education, adherence, early detection, emotional support, and healthcare coordination. It synthesizes the most updated literature on the subject, identifying best practices and potential areas for improvement. The review also examines technological advancements in communication, such as telemedicine and mobile health applications, that facilitate wound care management. Additionally, challenges and potential solutions related to communication barriers are discussed. This comprehensive analysis provides insights into communication strategies that can be implemented globally to enhance wound care outcomes. Further, it explores the role of culture, socioeconomic factors, and health literacy in shaping effective communication strategies. Finally, ethical and policy implications are addressed, offering a holistic understanding of the broader impact of communication on chronic wound management. Effective communication is not only essential in clinical settings but also within public health frameworks, influencing health literacy campaigns, wound prevention strategies, and patient advocacy efforts. The integration of culturally competent communication practices, consideration of social determinants of health, and the use of artificial intelligence in patient-provider interactions further shape the effectiveness of communication in chronic wound care. This review provides a foundation for future research on how evolving communication methodologies can further enhance patient outcomes and reduce disparities in wound care management worldwide. Copyright © 2025 Costa and Serra.

Restoration of Severe Tooth Wear: Converting the Splint Jaw Position Into Definitive Restorations

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Aini T.,Guth J.-F.,Seidel K.,Gorl S.,Graf T.

Database Source: Embase Weekly Updates

Journal Title: Journal of Esthetic and Restorative Dentistry

Article Title: Restoration of Severe Tooth Wear: Converting the Splint Jaw Position Into Definitive Restorations

Year: 2025

Issue: 8

Volume: 37

Abstract: Objective: Loss of the vertical dimension of occlusion is observed in patients with severe tooth wear and often requires comprehensive prosthodontic treatment. A critical challenge is ensuring the precise transfer of the initially established jaw relationships to the definitive restorations. This study aimed to describe several approaches for simplifying the implementation of pretherapy into final restorations. Clinical Considerations: In the initial phase, structured treatment planning is essential to minimize potential sources of error. Prior to the placement of definitive dentures, a preliminary test phase using occlusal splints or long-term provisional restorations is crucial for achieving optimal predictability of treatment outcomes. Noninvasive therapy with splints is generally employed as the first step following a diagnostic mock-up. Subsequently, a test phase involving long-term temporaries may be implemented to comprehensively evaluate functional, esthetic, and phonetic parameters. Consequently, the application of long-term temporaries facilitates the accurate clinical transfer of the validated bite position to the definitive restorations. Conclusion(s): Multiple treatment approaches can be viewed as module components that can be combined to tailor therapy according to the complexity and needs of the patient. This strategy enables the most predictable outcome in terms of function and esthetics, while ensuring safe transfer of vertical and horizontal bite relationships and preserving tooth structure. Clinical Significance: Implementing the newly developed and tested occlusal relationship into definitive restorations requires thorough diagnostics, a structured and preferably noninvasive pretreatment approach, and a reliable method for transferring the tested bite relationship. Copyright © 2025 The Author(s). Journal of Esthetic and Restorative Dentistry published by Wiley Periodicals LLC.

Enablers and Barriers of Telemedicine in Indonesia: A Systematic Review

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Anandari D.,Kurniawan A.,Gamelia E.

Database Source: Embase Weekly Updates

Journal Title: Public Health Nursing

Article Title: Enablers and Barriers of Telemedicine in Indonesia: A Systematic Review

Year: 2025

Issue: 4

Volume: 42

Abstract: Objective: Health-seeking behavior related to the utilization of health services has experienced exceptionally noteworthy changes after the COVID-19 pandemic. That is telemedicine, which has become more commonplace amid lockdowns. The pandemic status has ended today, but since telemedicine utilization has numerous benefits, the innovation must stay accessible. This systematic review aimed to describe telemedicine utilization and which factors could become enablers and barriers. Design(s): The literature search for the review was conducted in November 2024. The articles reviewed were published in 2019-2024 and selected from Science Direct, Springer, ProQuest, and EBSCOhost databases. Result(s): The articles were research articles and used qualitative methods. Based on search results, screening process, and review articles, we describe enabling factors and barriers of telemedicine utilization through users' (patients) and providers' (health practitioners) points of view. We also define infrastructures, such as smart city development, that contribute to the development of telemedicine. Conclusion(s): Future research into people's perception of telemedicine, developing telemedicine technology, and finding alternatives to getting electricity and internet connection with a low budget will promote telemedicine utilization. Copyright © 2025 Wiley Periodicals LLC.

Supporting self-management with an internet intervention for low back pain in primary care: a RCT (SupportBack 2)

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Geraghty A.W.A.,Becque T.,Roberts L.C.,Hill J.,Foster N.E.,Yardley L.,Stuart B.,Turner D.A.,Griffiths G.,Webley F.,Durcan L.,Morgan A.,Hughes S.,Bathers S.,Butler-Walley S.,Wathall S.,Mansell G.,White M.,Davies F.,Little P.

Database Source: Embase Weekly Updates

Journal Title: Health Technology Assessment

Article Title: Supporting self-management with an internet intervention for low back pain in primary care: a RCT (SupportBack 2)

Year: 2025

Issue: 7

Volume: 29

Abstract: Background: Low back pain is highlys prevalent and a leading cause of disability. Internet-delivered interventions may provide rapid and scalable support for behavioural self-management. There is a need to determine the effectiveness of highly accessible, internet-delivered support for self-management of low back pain. Objective(s): To determine the clinical and cost-effectiveness of an accessible internet intervention, with and without physiotherapist telephone support, on low back pain-related disability. Design(s): A multicentre, pragmatic, three parallel-arm randomised controlled trial with parallel economic evaluation. Setting(s): Participants were recruited from 179 United Kingdom primary care practices. Participant(s): Participants had current low back pain without indicators of serious spinal pathology. Intervention(s): Participants were block randomised by a computer algorithm (stratified by severity and centre) to one of three trial arms: (1) usual care, (2) usual care + internet intervention and (3) usual care + internet intervention + telephone support. 'SupportBack' was an accessible internet intervention. A physiotherapist telephone support protocol was integrated with the internet programme, creating a combined intervention with three brief calls from a physiotherapist. Outcome(s): The primary outcome was low back pain-related disability over 12 months using the Roland-Morris Disability Questionnaire with measures at 6 weeks, 3, 6 and 12 months. Analyses used repeated measures over 12 months, were by intention to treat and used 97.5% confidence intervals. The economic evaluation estimated costs and effects from the National Health Service perspective. A cost-utility study was conducted using quality-adjusted life-years estimated from the EuroQol-5 Dimensions, five-level version. A cost-effectiveness study estimated cost per point improvement in the Roland-Morris Disability Questionnaire. Costs were estimated using data from general practice patient records. Researchers involved in data collection and statistical analysis were blind to group allocation. Result(s): Eight hundred and twenty-five participants were randomised (274 to usual primary care, 275 to usual care + internet intervention and 276 to the physiotherapist-supported arm). Follow-up rates were 83% at 6 weeks, 72% at 3 months, 70% at 6 months and 79% at 12 months. For the primary analysis, 736 participants were analysed (249 usual care, 245 internet intervention, 242 telephone support). There was a small reduction in the Roland- Morris Disability Questionnaire over 12 months compared to usual care following the internet intervention without physiotherapist support (adjusted mean difference of -0.5, 97.5% confidence interval -1.2 to 0.2; p = 0.085) and the internet intervention with physiotherapist support (-0.6, 97.5% confidence interval -1.2 to 0.1; p = 0.048). These differences were not statistically significant at the level of 0.025. There were no related serious adverse events. Base-case results indicated that both interventions could be considered cost-effective compared to usual care at a value of a quality-adjusted life-year of 20,000; however, the SupportBack group dominated usual care, being both more effective and less costly. Conclusion(s): The internet intervention, with or without physiotherapist telephone support, did not significantly reduce low back pain-related disability across 12 months, compared to usual primary care. The interventions were safe and likely to be cost-effective. Balancing clinical effectiveness, cost-effectiveness, accessibility and safety findings will be necessary when considering the use of these interventions in practice. Copyright © 2025 Geraghty et al.

Access to digital media and devices among adolescents in sub-Saharan Africa: A multicountry, school-based survey

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Wang D.,Shinde S.,Drysdale R.,Vandormael A.,Tadesse A.W.,Sherfi H.,Tinkasimile A.,Mwanyika-Sando M.,Moshabela M.,Barnighausen T.,Sharma D.,Fawzi W.W.

Database Source: Embase Weekly Updates

Journal Title: Maternal and Child Nutrition

Article Title: Access to digital media and devices among adolescents in sub-Saharan Africa: A multicountry, school-based survey

Year: 2025

Issue: S1

Volume: 21

Abstract: Digital technologies provide unprecedented opportunities for health and nutrition interventions among adolescents. The use of digital media and devices among young adolescents across diverse settings in sub-Saharan Africa is unclear. This cross-sectional study aimed to assess the use of digital media and devices and the socioeconomic determinants of use among young adolescents in Burkina Faso, Ethiopia, South Africa, Sudan and Tanzania. The study included 4981 adolescents aged 10-15 from public schools selected by multistage sampling. Access to various digital media and devices was self-reported by adolescents. Logistic regression models were used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between sociodemographic characteristics and access to digital media and devices. Approximately 40% of the adolescents in Burkina Faso and South Africa, 36% in Sudan, 13% in Ethiopia and 3% in Tanzania owned mobile phones. Compared with boys, girls had a lower ownership of mobile phones (odds ratio [OR] = 0.79; 95% confidence interval [CI]: 0.68, 0.92; p = 0.002), computers (OR = 0.83; 95% CI: 0.70, 0.99; p = 0.04) and social media accounts (OR = 0.68; 95% CI: 0.56, 0.83; p < 0.001). Higher maternal education and greater household wealth were positively associated with access to digital media and devices. While digital media and devices are promising platforms for interventions in some settings due to relatively high levels of access, their utility in delivering health and nutrition interventions to adolescents in these contexts should be further examined. Copyright © 2022 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

Validating self-administration as an agile modality for high-frequency diet quality data collection

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Manners R.,Herforth A.W.,Delfine M.,Hesen R.,Nkubito D.,den Berg K.B.-V.,Matsiko E.,Niyibituronsa M.,Uyar B.T.M.,Talsma E.F.

Database Source: Embase Weekly Updates

Journal Title: PLOS ONE

Article Title: Validating self-administration as an agile modality for high-frequency diet quality data collection

Year: 2025

Issue: 6 June

Volume: 20

Abstract: Data collection of diet quality is important to estimate global dietary transitions affecting public health. Mobile-phone based tools can provide a low-cost and rapidly deployable modality to complement enumerator-collected data. This study validated self-administration of the Diet Quality Questionnaire using mobile phones, comparing accuracy against enumerator administration, measuring both against an observed benchmark. Quantitative dietary intake data were gathered from 308 participants in northwest Rwanda, using a weighed food record. Intake data were used to calculated 'observed' responses to the questionnaire, half the participants responding to enumerators, and the other half using a mobile-administered version of the questionnaire. After filtering for low quality data, agreement in observed and reported responses, for all questionnaire questions, were statistically compared. Agreement rates (observed-reported) of self-administered and enumerated responses were high (91% vs 95%, p = 0.05), respectively. Agreement was significantly lower for the mobile-administered modality among older and lower income respondents (by about 5 percentage points), with no significant differences by gender or time of response. Mobile-administration cost approximately USD 0.70 per response, versus the marginal cost of USD 0.79 for the enumerator-administered. Our results confirm self-administered reporting by mobile-phone as a valid, low-cost method for collecting dietary data, with only marginal (yet significant for some subgroups) differences in agreement rates, compared to enumerated data. Data collection by mobile phone represents an agile complement to enumerated collection, administrable in the absence of existing survey platforms; and provides a useful option for high-frequency data collection to monitor dietary dynamics in target sub-populations. Copyright © 2025 Manners et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Navigating the Second Victim Experience in Gastrointestinal Endoscopy and Colonoscopy

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Bharadwaj H.R.,Ali S.H.,Gaur A.,Fuad M.,Bone M.,Mohamed Ahmed K.A.H.,Dahiya D.S.

Database Source: Embase Weekly Updates

Journal Title: JGH Open

Article Title: Navigating the Second Victim Experience in Gastrointestinal Endoscopy and Colonoscopy

Year: 2025

Issue: 7

Volume: 9

Abstract:

Evaluation of the Peer-Supported E-Health Module Implemented for University Students to Develop Healthy Lifestyle Behaviors

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Hendekci A.,Koc F.

Database Source: Embase Weekly Updates

Journal Title: Public Health Nursing

Article Title: Evaluation of the Peer-Supported E-Health Module Implemented for University Students to Develop Healthy Lifestyle Behaviors

Year: 2025

Issue: 4

Volume: 42

Abstract: Objective: The aim of this study was to evaluate the peer-supported e-health module implemented for university students to gain healthy lifestyle behaviors. Design(s): The study was planned in a quasi-experimental research design. The study participants were 81 university students. The peer-supported e-health module was applied to all students in the sample. The "Introductory Information Form," "Healthy Lifestyle Behaviors Scale II," and "Peer Mentoring Assessing Scale" were used as data collection instruments. Data analysis was performed using SPSS 22.00. Descriptive statistics, percentage and frequency distributions, the one-way repeated measures ANOVA, and Wilks' Lambda test were used in the study. Result(s): Of the students who participated in the study, 91.4% had not received training similar to the e-health module, and 82.7% had not received peer-supported training previously. The total scores of the Healthy Lifestyle Behaviors Scale II were 127.06 +/- 18.48 at the pre-test and 149.69 +/- 20.85 at the post-test, and there was a significant difference between the scores (p < 0.001). The e-health module increased students' scores by 56.7% with a significant and greater effect (eta2 = 0.567). The total score of the scale on assessing peer mentoring of the students after the module was 56.79 +/- 10.45. Conclusion(s): It was observed that the peer supported e-health module supported students' healthy lifestyle behaviors and was an effective module. To raise awareness about sustainable health approaches, it is recommended to increase similar training programs in which students are more involved in the process. Copyright © 2025 The Author(s). Public Health Nursing published by Wiley Periodicals LLC.

The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Yang S.-G.,Wang W.-F.,Tung Y.-C.,Huang S.-C.,Chang M.-C.,Huang L.-C.,Yang Y.-H.,Jhang K.-M.

Database Source: Embase Weekly Updates

Journal Title: Frontiers in Medicine

Article Title: The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study

Year: 2025

Issue:

Volume: 12

Abstract: Objectives: This study aimed to evaluate the effectiveness of a 16-week video-based multiple training modality (MTM) program for dementia patients in Community Service Centers for Dementia (CSCDs) in Taiwan. Design(s): Cluster Randomized controlled trial. Setting(s): A total of 16 CSCDs across four counties in Taiwan. Participant(s): A total of 207 dementia patients and their caregivers, randomly clustered and assigned to an intervention group or a control group. Intervention(s): The intervention group received a 16-week video-based MTM program including dynamic physical exercises and creative activities. The control group continued with regular activities at the CSCDs. Measurements: Outcomes measured were behavioral and psychological symptoms of dementia (BPSD) using the Neuropsychiatric Inventory Questionnaire (NPI-Q), caregiver burden using the Zarit's Burden Interview (ZBI), and caregiver depression using the Center for Epidemiologic Studies Depression Scale (CES-D). These were assessed at baseline and post-intervention. Result(s): The intervention group showed a significant reduction in appetite/eating distress compared to the control group (change in NPI scores: -0.2 vs. 0, p=0.026). While there was a trend toward reduced caregiver burden, the results were not statistically significant (change in ZBI scores: -3.1 vs. -1.2, p=0.306). No significant changes were observed in overall BPSD severity or caregiver depression. Conclusion(s): The video-based MTM program showed potential in improving specific neuropsychological symptoms, especially appetite/eating distress, in dementia patients. The program's ease of implementation suggests it could be expanded across CSCDs in Taiwan, with a recommendation for refinement to better support caregivers. Copyright © 2025 Yang, Wang, Tung, Huang, Chang, Huang, Yang and Jhang.

The effect of workload on primary care doctors on referral rates and prescription patterns: evidence from English NHS

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Pilvar H.,Watt T.

Database Source: Embase Weekly Updates

Journal Title: European Journal of Health Economics

Article Title: The effect of workload on primary care doctors on referral rates and prescription patterns: evidence from English NHS

Year: 2025

Issue: 5

Volume: 26

Abstract: This paper investigates the impact of workload pressure on primary care outcomes using a unique dataset from English general practices. Leveraging the absence of General Practitioner (GP) colleagues as an instrumental variable, we find that increased workload leads to an increase in prescription rates of antibiotics as well as in the share of assessment referrals. On the other hand, the quantity and frequency of psychotropics decreases. When there is an absence, workload is intensified mostly on GP partners, and the mode of consultation shifts toward remote interactions as a response to higher workload pressure. The effects are more pronounced for patients above 65 years-old and those in Short-staffed practices. Our study sheds light on the intricate relationship between workload pressure and patient care decisions in primary care settings. Copyright © The Author(s) 2024.

Acceptability and implementation of a comprehensive digital diabetes self-management platform (MyWay Diabetes): a qualitative protocol

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Hawkes R.E.,Ashpole D.,Baxter M.S.,Bickerton A.,Osei-Kwasi H.,Rutter M.K.,Taylor D.,Wake D.J.,Willis T.,Brooks J.

Database Source: Embase Weekly Updates

Journal Title: BMJ Open

Article Title: Acceptability and implementation of a comprehensive digital diabetes self-management platform (MyWay Diabetes): a qualitative protocol

Year: 2025

Issue: 6

Volume: 15

Abstract: Introduction Diabetes is one of the most common long-term health conditions worldwide, placing a huge economic burden on health services. Diabetes self-management education and support programmes can support people with diabetes to manage their condition; however, uptake of face-to-face services remains low. Digital self-management tools are becoming increasingly available. MyWay Diabetes is a digital platform that offers a comprehensive self-management and education programme accessible through a mobile app and website and allows patients to access their personal healthcare records. Following successful implementation in Scotland, MyWay Diabetes is now being rolled out in three geographical areas in England. We plan to undertake three qualitative studies, as part of a larger mixed-methods research programme, to assess whether MyWay Diabetes is acceptable across diverse patient groups and healthcare professionals and gather views of patients who do not currently use the digital service. Methods and analysis We will conduct three online focus group studies. (1) One focus group with healthcare professionals (n=6-10) to understand their perceptions of implementing MyWay Diabetes in their local regions. (2) Up to four focus groups with existing users of MyWay Diabetes (n=24-40) across the three geographical areas in England to explore their acceptability of the platform. (3) Up to three focus groups with people living with diabetes who do not currently use MyWay Diabetes (n=18-30). Data will be collected using online videoconferencing and analysed thematically using template analysis. Ethics and dissemination Ethical approval was granted by South Central - Berkshire Research Ethics Committee (ref: 25/SC/0125) and The University of Manchester Proportionate Research Ethics Committee (ref: 2025-23064-42006). Study results will be disseminated through peer-reviewed journals, conference presentations, MyWay Digital Health platforms and national bodies. The evidence from this broader mixed-methods evaluation will inform decisions for platform improvement and regional and national commissioning across the National Health Service in England. Copyright © 2025 Author(s).

Interventions to Reduce Health Care Utilization for Non-English Language Preference Patients After Tonsillectomy

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Lind M.,Moss K.,Javens T.,Jatana K.

Database Source: Embase Weekly Updates

Journal Title: Otolaryngology - Head and Neck Surgery (United States)

Article Title: Interventions to Reduce Health Care Utilization for Non-English Language Preference Patients After Tonsillectomy

Year: 2025

Issue: 1

Volume: 173

Abstract: Objective: Compared with those of English language preference (ELP), patients of non-English language preference (NELP) are at increased risk of postoperative complications and health care utilization. A series of interventions were initiated to reduce utilization and improve post-tonsillectomy outcomes for NELP patients. Method(s): This quality improvement (QI) study was performed at a tertiary pediatric hospital. Data collection began in 2019 and interventions, including improving translated postoperative education materials, pain medication tracking charts, direct access to interpreters, consistent tonsillectomy technique, and routine postoperative nurse phone call for education, were initiated by December 2020. Postintervention data were collected through July 2024. The primary outcome measured was return to the emergency department (ED) or urgent care (UC) with same-day discharge within 30 days post-tonsillectomy. Additional data collected included demographics, language spoken, reason for surgery, and reason for return. Result(s): Between January 2019 and July 2024, a total of 14,007 patients underwent tonsillectomy: 12,830 (91.6%) ELP and 1177 (8.4%) NELP. After interventions, there was a 70.2% reduction (7.73% in 2019 to 2.30% in 2024) in NELP patients who were seen and discharged same day. In 2019, NELP patients were seen significantly more often (P =.016). In 2023, there was not a statistically significant difference between the two groups (ELP = 1.28%; NELP = 2.30%, P =.55). Discussion(s): In our patient population, a set of thoughtful interventions for NELP patients/caregivers reduced minor, potentially unnecessary, nonoperative returns to the ED/UC. Implications for Practice: Implementation may reduce complications, improve the postoperative experience for NELP patients, and reduce overall health care costs. Copyright © 2025 American Academy of Otolaryngology-Head and Neck Surgery Foundation.

Exploring Stakeholders' Perceptions of Using Digital Health Technologies to Improve the Conservative Treatment of Adolescent Idiopathic Scoliosis: Qualitative Study

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Sykorova K.,Mathew A.,Pavel N.,Gazerani P.,Saidi T.,Bakke Johnsen M.,Lystad J.U.,Bull H.,Floystad Kvammen M.,He H.-G.,Jacoby J.,Pikkarainen M.

Database Source: Embase Weekly Updates

Journal Title: Journal of Medical Internet Research

Article Title: Exploring Stakeholders' Perceptions of Using Digital Health Technologies to Improve the Conservative Treatment of Adolescent Idiopathic Scoliosis: Qualitative Study

Year: 2025

Issue:

Volume: 27

Abstract: Background: Adolescent idiopathic scoliosis (AIS) affects 2%-3% of adolescents, with conservative treatments like bracing and physiotherapeutic scoliosis-specific exercises (PSSEs) recommended for mild to moderate cases. However, patient compliance with these treatments is often low. Digital tools, including smartphone apps and web applications, offer capabilities such as spinal curvature monitoring, remote consultation, and reduction of health care professionals' workload. These tools may also enhance adherence by increasing motivation and providing real-time feedback, which can be particularly beneficial for patients struggling with brace discomfort or self-esteem concerns. Despite these potential benefits, research remains limited on how digital health technologies can specifically enhance conservative AIS treatment and improve patient outcomes. Objective(s): This study aimed to explore the perspectives of multiple stakeholders, including patients, caregivers, and health care providers, on using digital health technologies to improve AIS treatment adherence and outcomes. Method(s): This qualitative research study was conducted in Norway and included 17 participants (1 medical doctor, 2 physiotherapists, 8 patients, 4 family caregivers, and 2 IT specialists). The study adhered to Norwegian regulations. After approval from authorities and approval of the study protocol, patients were recruited through the Norwegian Spine and Back Pain Organization. A portion of the sample was recruited through direct communication from one of the researchers. After obtaining written informed consent from all participants, 5 focus group interviews were conducted between April and June 2023. Data were transcribed, translated, and analyzed using a content analysis approach, with findings reviewed by 2 independent researchers for validation. Result(s): The content analysis revealed four key themes: (1) AIS-specific education and information, (2) psychosocial support for patients with AIS and community connection, (3) health care communication and access, and (4) treatment adherence to AIS and gamification. Participants highlighted the need for accessible, adolescent-friendly, and multilingual education on AIS; digital platforms for peer support; improved remote communication with health care providers; and gamification elements tailored to AIS challenges (eg, brace compliance tracking, avatar customization for self-expression, and real-time exercise feedback). Conclusion(s): Key findings highlighted the need for accessible information, peer support, and better communication with health care providers, with gamification enhancing treatment adherence. The findings of this study show the potential of digital health technologies in AIS management through fostering accessible information, peer support, and improved communication with health care providers. Customized gamification features may further enhance adherence, offering actionable insights for clinical practice and future research Copyright ©Kamila Sykorova, Anna Mathew, Nenad Pavel, Parisa Gazerani, Trust Saidi, Marianne Bakke Johnsen, June Ullevoldsaeter Lystad, Helen Bull, Mette Floystad Kvammen, Hong-Gu He, Julia Jacoby, Minna Pikkarainen.

A 12-Week Strict Low FODMAP Diet Reduces the Severity Levels of Fatigue, Depression, Anxiety, and Inattention in Patients with Irritable Bowel Syndrome

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Bjorkevoll S.M.G.,Randulff Hillestad E.M.,Lied G.A.,Teige E.S.,Steinsvik E.K.,Berentsen B.,Lundervold A.J.

Database Source: Embase Weekly Updates

Journal Title: Current Developments in Nutrition

Article Title: A 12-Week Strict Low FODMAP Diet Reduces the Severity Levels of Fatigue, Depression, Anxiety, and Inattention in Patients with Irritable Bowel Syndrome

Year: 2025

Issue: 7

Volume: 9

Abstract: Background: The low FODMAP diet (LFD) has been shown to alleviate gastrointestinal symptoms in patients with irritable bowel syndrome (IBS). However, the impact of the LFD on coexisting symptoms of fatigue, anxiety, depression, and cognitive functions remains unclear. Objective(s): This study aims to investigate the effects of a 12-wk strict LFD on symptoms of fatigue, depression, anxiety, and inattention in patients with moderate-to-severe IBS-D (diarrhea-predominant), and IBS-M (mixed diarrhea and constipation). Method(s): Participants with IBS were included in an open-label, single-center, 12-wk dietary intervention conducted at Haukeland University Hospital in Bergen, Norway. They followed a strict LFD guided by a registered dietitian and completed questionnaires assessing fatigue [Chalder Fatigue Scale (CFQ-11)] and anxiety and depression [Hospital Anxiety and Depression Scale (HADS)] and performed a test of attention [the third edition of the Connors' continuous performance test (CPT-3)] at baseline and 12-wk follow-up. Data were analyzed using Wilcoxon signed-rank tests to evaluate changes from baseline to post intervention. Result(s): Thirty-six participants completed the intervention. Statistically significant reductions were observed in symptoms of fatigue (CFQ-11, P < 0.013) and symptoms of anxiety (HADS-A, P < 0.006). Most of the patients were defined as noncases of fatigue and anxiety following the intervention. Performance on the CPT-3 revealed improvements in measures of inattention. Conclusion(s): A 12-wk strict LFD intervention significantly alleviated coexisting symptoms of fatigue, anxiety, and depression, and improved performance on a psychometric test of attention. These findings suggest that dietary management plays a crucial role in improving both physical and mental health in patients with IBS. This study was registered at clinical trial as NCT04296552 (https://clinicaltrials.gov/study/NCT04296552?term=NCT04296552&rank=1). Copyright © 2025 The Author(s)

Effectiveness of Digital Health Interventions to Enhance Continuity of Care in Patients with Pulmonary Tuberculosis: A Systematic Review of Randomized Controlled Trials

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Miladi Q.N.,Pahria T.,Pramukti I.

Database Source: Embase Weekly Updates

Journal Title: Patient Preference and Adherence

Article Title: Effectiveness of Digital Health Interventions to Enhance Continuity of Care in Patients with Pulmonary Tuberculosis: A Systematic Review of Randomized Controlled Trials

Year: 2025

Issue:

Volume: 19

Abstract: Background: Pulmonary tuberculosis (TB) remains a global health concern with high morbidity and mortality rates. Despite being curable with proper treatment, challenges in ensuring continuity of care persist, particularly in resource-limited settings. Digital health interventions (DHI) offer a potential solution to improve treatment adherence and continuity of care among TB patients. Purpose(s): This study aimed to systematically review how DHIs contribute to improved continuity of care, particularly in terms of medication adherence, clinical outcomes, and patient satisfaction. Method(s): A systematic review was conducted using PRISMA guidelines. Relevant studies were identified from five significant databases, including PubMed, Scopus, Taylor and Francis, EBSCO-host, and ScienceDirect, up to November 2024 and one search engine was Google Scholar. The keywords used were "pulmonary tuberculosis OR tbc OR tb AND mobile health applications OR mhealth OR mobile apps OR telehealth AND continuity of care OR patient compliance OR patient adherence OR adherence behaviour. Inclusion criteria focused on RCTs evaluating DHIs for adult TB patients. Data were extracted and analyzed thematically to assess intervention effectiveness on medication adherence and clinical outcomes. Result(s): A total of 17.380 patients from 21 studies TB patients were included. Interventions were classified into two categories: reminder-based (eg, SMS, phone calls, electronic medicine boxes with audio/visual alerts) and remote monitoring-based (eg, MERM, mobile applications, digital sensors, and VDOT). Compared to standard care, DHIs significantly improved medication adherence, treatment success rates, and patient satisfaction. Several studies also reported reduced time and cost burdens for patients. Conclusion(s): DHIs improve continuity of care among TB patients by increasing medication adherence and clinical outcomes. However, the effectiveness varies across different intervention types and settings, emphasizing the need for tailored strategies and integration into existing health systems. Copyright © 2025 Miladi et al.

Prevention Needs and Target Behavior Preferences in an App-Based Addiction Prevention Program for German Vocational School Students: Cluster Randomized Controlled Trial

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Guertler D.,Kraft E.,Blasing D.,Mohring A.,Meyer C.,Schmidt H.,Rehbein F.,Neumann M.,Dreissigacker A.,Bischof A.,Bischof G.,Surig S.,Hohls L.,Wurm S.,Borgwardt S.,Haug S.,Rumpf H.-J.

Database Source: Embase Weekly Updates

Journal Title: JMIR mHealth and uHealth

Article Title: Prevention Needs and Target Behavior Preferences in an App-Based Addiction Prevention Program for German Vocational School Students: Cluster Randomized Controlled Trial

Year: 2025

Issue:

Volume: 13

Abstract: BACKGROUND: Vocational school students exhibit a high prevalence of addictive behaviors. Mobile phone-based prevention programs targeting multiple addictive behaviors and promoting life skills are promising. Tailoring intervention content to participants' preferences, such as allowing them to choose behavior modules, may increase engagement and efficacy. There is limited understanding of how personal characteristics relate to module choices. OBJECTIVE(S): This study examined the prevention needs of German vocational school students as well as their prevention preferences through self-determined module choice in the multibehavior app-based addiction prevention program ready4life. METHOD(S): A 2-arm cluster randomized controlled trial recruited German vocational school students aged >=16 years. Among 376 classes from 35 schools, ready4life was introduced during a school lesson. Students were invited to download the ready4life app and completed an anonymous screening with individualized risk and competence feedback in the form of a traffic light system. Informed consent was provided by 2568 students. Intervention classes received individual app-based coaching with weekly chat contacts with a conversational agent over 4 months. They could choose 2 of 6 modules: alcohol, tobacco, cannabis, social media and gaming, stress, and social competencies. Control group classes received a link to health behavior information and could access coaching after 12 months. RESULT(S): Prevention need was high. For 86.2% (2213/2568), >=2 risks were reported based on yellow or red traffic light feedback. Within the intervention group, stress (818/1236, 66.2%) and social media and gaming (625/1236, 50.6%) were the most chosen topics, followed by alcohol (360/1236, 29.1%), social competencies (306/1236, 24.8%), tobacco (232/1236, 18.8%), and cannabis (131/1236, 10.6%). Module choices closely aligned with received traffic light feedback among those with 1 or 2 risks. Multilevel regression models showed that women were significantly more likely to choose the stress module (odds ratio [OR] 2.38, 95% CI 1.69-3.33; P<.001); men preferred social media and gaming (OR 0.52, 95% CI 0.40-0.69; P<.001), alcohol (OR 0.50, 95% CI 0.37-0.67; P<.001), and cannabis (OR 0.37, 95% CI 0.21-0.63; P<.001) when holding age, educational track, and prevention need for the corresponding behavior constant. Younger students were significantly more likely to choose the cannabis module (OR 0.81, 95% CI 0.74-0.90; P<.001). Educational track also influenced module choice (eg, those with a lower educational level were more likely to choose alcohol and cannabis, suggesting a positive equity impact). Students' prevention needs significantly influenced choice of the module (eg, higher alcohol consumption increased the likelihood of choosing the alcohol module; OR 1.31, 95% CI 1.20-1.43; P<.001). CONCLUSION(S): Our study confirms vocational school students' high prevention needs regarding addictive behaviors. Students' module choices were highly congruent to their demonstrated needs, with most students being interested in the stress module. Module choice also differed by age, gender, and educational track. TRIAL REGISTRATION: German Clinical Trials Register DRKS00022328; https://drks.de/search/en/trial/DRKS00022328. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1024/0939-5911/a000811. Copyright ©Diana Guertler, Elaine Kraft, Dominic Blasing, Anne Mohring, Christian Meyer, Hannah Schmidt, Florian Rehbein, Merten Neumann, Arne Dreisigacker, Anja Bischof, Gallus Bischof, Svenja Surig, Lisa Hohls, Susanne Wurm, Stefan Borgwardt, Severin Haug, Hans-Jurgen Rumpf. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org), 24.06.2025.

Novel rehabilitation technologies in pediatric rehabilitation: knowledge towards translation

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Gefen N.,Mazer B.,Krasovsky T.,Weiss P.L.

Database Source: Embase Weekly Updates

Journal Title: Disability and rehabilitation. Assistive technology

Article Title: Novel rehabilitation technologies in pediatric rehabilitation: knowledge towards translation

Year: 2025

Issue: 5

Volume: 20

Abstract: PURPOSE: Knowledge translation (KT) refers to the process of applying the most promising research outcomes into practice to ensure that new discoveries and innovations improve healthcare accessibility, effectiveness, and accountability. The objective of this perspective paper is to discuss and illustrate via examples how the KT process can be implemented in an era of rapid advancement in rehabilitation technologies that have the potential to significantly impact pediatric healthcare. METHOD(S): Using Graham et al.'s (2006) Knowledge-to-Action cycle, which includes the knowledge creation funnel and the action cycle, we illustrate its application in implementing novel technologies into clinical practice and informing healthcare policy changes. We explore three successful applications of technology research: powered mobility, head support systems, and telerehabilitation. Additionally, we examine less clinically mature technologies such as brain-computer interfaces and robotic assistive devices, which are hindered by cost, robustness, and ease-of-use issues. CONCLUSION(S): The paper concludes by discussing how technology acceptance and usage in clinical settings are influenced by various barriers and facilitators at different stakeholder levels, including clients, families, clinicians, management, researchers, developers, and society. Recommendations include focusing on early and ongoing design partnerships, transitioning from research to real-life implementation, and identifying optimal timing for clinical adoption of new technologies.

Novel Electroactive Therapeutic Platforms for Cardiac Arrhythmia Management

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Yang J.,Li L.,Hu Y.,Li Z.,Hua W.

Database Source: Embase Weekly Updates

Journal Title: Advanced science (Weinheim, Baden-Wurttemberg, Germany)

Article Title: Novel Electroactive Therapeutic Platforms for Cardiac Arrhythmia Management

Year: 2025

Issue: 24

Volume: 12

Abstract: Electroactive platforms have gained significant attention for their ability to convert various types of energy into electrical signals, offering promising applications in diverse biomedical fields. In cardiovascular care, these platforms are increasingly valued for their innovative solutions in managing cardiac functions and disorders. By regulating electrical activity in the heart, electroactive platforms offer novel methods for managing abnormal heart rhythms. This review explores the latest advancements in electroactive systems, categorizing them based on their energy sources and mechanisms, such as self-powered and conductive systems. It also highlights their applications in arrhythmia management, including monitoring, intervention, pacing, and repairing. Finally, the challenges, limitations, and future opportunities for clinical translation of these technologies are discussed. Copyright © 2025 The Author(s). Advanced Science published by Wiley-VCH GmbH.

Minimally invasive treatment and short-term outcomes of a caudal mediastinal paraesophageal abscess (CMPA) in two dogs

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Biehl K.,Williams R.W.,Scheuermann L.,Vilaplana Grosso F.R.,Case J.B.

Database Source: Embase Weekly Updates

Journal Title: Veterinary Surgery

Article Title: Minimally invasive treatment and short-term outcomes of a caudal mediastinal paraesophageal abscess (CMPA) in two dogs

Year: 2025

Issue:

Volume:

Abstract: Objective: To describe the presentation, diagnostic findings, surgical treatment via video-assisted thoracic surgery (VATS), and short-term outcomes of two dogs with caudal mediastinal paraesophageal abscesses (CMPA). Animals: Two client-owned dogs. Study design: Retrospective case series. Method(s): Two dogs presented for surgical treatment of a CMPA diagnosed on computed tomography. Both patients underwent thoracoscopic treatment in which the abscess was opened, debrided, and lavaged with a combination of sharp dissection and use of a vessel-sealing device. One patient required partial conversion from total thoracoscopic treatment to a thoracoscopic-assisted approach due to limited visualization of the caudal mediastinum. Result(s): Both dogs recovered uneventfully from surgery and were discharged 3 and 4 days postoperatively. Case 1 was re-evaluated with their primary veterinarian 7 days postoperatively and was reported to be doing very well. Case 2 returned 69 days postoperatively for examination and thoracic radiographs. Physical examination was unremarkable and thoracic radiography identified mildly increased soft tissue opacity in the region of the esophagus. Telephone follow-up with both owners 7 months postoperatively revealed return to normal activity, and normal breathing. Conclusion(s): VATS appeared to be a feasible surgical approach for treatment of CMPA in dogs. Surgical intervention resolved clinical signs and resulted in a successful outcome in both cases. Copyright © 2025 American College of Veterinary Surgeons.

Cultural Adaptation of an mHealth Intervention for Diabetes Self-Management: An Ecological Validity Model Approach

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Nguyen A.,Eschiti V.,Nagykaldi Z.,Bui T.C.,Nguyen U.-S.,Nguyen T.,Nguyen A.P.,Tow J.,Dwyer K.

Database Source: Embase Weekly Updates

Journal Title: Journal of transcultural nursing : official journal of the Transcultural Nursing Society

Article Title: Cultural Adaptation of an mHealth Intervention for Diabetes Self-Management: An Ecological Validity Model Approach

Year: 2025

Issue: 4

Volume: 36

Abstract: INTRODUCTION: It is essential to adapt mobile health (mHealth) interventions to cultural contexts of target populations to enhance acceptance and effectiveness. This paper describes the translation and cultural adaptation process of an mHealth intervention to educate and support diabetes self-management among U.S. Vietnamese. METHODOLOGY: Eight essential dimensions of the Ecological Validity Model (EVM) guided the adaptation and emphasized culturally appropriate educational content and social contexts. RESULT(S): By applying the EVM framework, cultural norms, values, and preferences of U.S. Vietnamese were aligned with the intervention. DISCUSSION(S): Through a systematic process employing the EVM, it was demonstrated that an mHealth intervention was culturally adapted among U.S. Vietnamese for diabetes self-management. Further research is needed to determine if this process is effective for other chronic conditions or other U.S. Asian groups. The EVM may serve as a valuable framework for transcultural nurses to adapt mHealth interventions for research, practice, and education.

The stressed heart: Validity evidence supporting mobile heart rate variability applications to detect psychological stress in healthcare learners

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: LeBlanc V.R.,Mastoras G.,Hicks C.,MacGregor P.,O'Rielly C.,Petrosoniak A.,Tavares W.

Database Source: Embase Weekly Updates

Journal Title: Medical education

Article Title: The stressed heart: Validity evidence supporting mobile heart rate variability applications to detect psychological stress in healthcare learners

Year: 2025

Issue: 7

Volume: 59

Abstract: PURPOSE: The stress experienced by healthcare learners and practitioners can impact learning, delivery of care, and mental health. Heightened awareness regarding this impact of stress has sparked the growing use of mobile health technologies for real-time tracking of stress in health professions education. The purpose of this study was to evaluate what can accurately be interpreted by the scores generated by mobile technology, regarding psychological stress levels in medical learners. METHOD(S): In a quasi-experimental within-subjects design, 10 Emergency Medicine residents experienced two rest periods and two stress-inducing simulation scenarios. Heart rate variability (HRV) parameters produced by a mobile HRV application were compared to a reference standard analysis software, and with traditional stress measures (salivary cortisol and self-report measures) using Pearson correlation coefficients. To determine whether HRV parameters from the mobile application differentiate between rest & psychological stress conditions, a Multivariate Analysis of Variance (MANOVA), with condition (rest, stress) as the independent variable, was calculated for the HRV, cortisol and self-report measures. RESULT(S): The mobile application's time-domain HRV parameters correlate strongly with the reference software (r values: 0.93 to 0.99, all p < 0.01), salivary cortisol levels (r = -0.54 to -63, all p <. 0.01) and self-reported stress (r = -0.46 to -0.49, all p < 0.01). These time-domain HRV parameters also accurately differentiated between rest and stress periods (eta2 = 0.43-0.70, all p < 0.01). In contrast, the frequency-domain parameter (LF/HF) of the mobile application showed weaker associations with the reference software (r = 0.10, p = 0.58) and other measures of stress (r = 0.11 to -0.16, NS), and did not differentiate between rest and stress periods (eta2 = 0.07, p = 0.25). CONCLUSION(S): This study provides some validity evidence for the use of a subset of time-domain HRV metrics, captured through a mobile application, for the detection of psychological stress responses in simulated clinical settings. The results also highlight the heterogeneity in HRV metrics produced by various programs. Despite the promise of mobile technologies for the detection of stress in learners and health professionals, further validity research is needed to support their use to detect stress in the health professions. Copyright © 2025 The Author(s). Medical Education published by Association for the Study of Medical Education and John Wiley & Sons Ltd.

A Randomized Controlled Trial of a Virtually Delivered Group Parent Training for Parents of Children with ADHD During an Intensive Summer Treatment Program

Tue, 15 Jul 2025 08:30:54 +0000

Author Names: Piscitello J.,Leon D.,Ramos M.C.,Robertson E.L.,Altszuler A.R.,Pelham W.E.

Database Source: Embase Weekly Updates

Journal Title: Evidence-Based Practice in Child and Adolescent Mental Health

Article Title: A Randomized Controlled Trial of a Virtually Delivered Group Parent Training for Parents of Children with ADHD During an Intensive Summer Treatment Program

Year: 2025

Issue: 2

Volume: 10

Abstract: Background: Behavioral Parent Training (BPT) is a widely implemented evidence-based treatment for youth with Attention-Deficit/Hyperactivity Disorder (ADHD) and related behavioral problems. During the COVID-19 pandemic, BPT was rapidly scaled for remote delivery via video conferencing platforms to enhance reach and engagement among families in need. Objective(s): The purpose of the present study was to conduct a randomized controlled trial of a remotely delivered group-based BPT implemented in tandem with the Summer Treatment Program (STP) during the summer of 2021, the first year our clinic returned to in-person services following initial pandemic-related lockdowns. Method(s): Children ranged in age from 6 to 12 years (M = 8.23, SD = 1.51) and were primarily male (93%) and Hispanic/Latine (74.4%). Families were randomly assigned to either receive the virtually delivered BPT during the summer (N = 23) or to a wait-list control group (N = 20), who received virtually delivered BPT in the fall. Result(s): All families reported significant improvements in ADHD symptoms, related impairments, negative parenting behaviors, and knowledge of effective parenting skills from pre- to post-STP. Parents in the BPT group demonstrated additional improvements in managing difficult home situations. Conclusion(s): Results of the study suggest that participating in BPT alongside the STP produces unique benefits for families above the standard behavioral treatment. Additionally, this study demonstrates the feasibility and utility of virtual group-based BPT to reduce burden associated with in-person services while providing evidence-based care in an inclusive manner. Copyright © 2024 Society of Clinical Child and Adolescent Psychology.