Search Results (63)

Digital interventions can increase the reach and continuity of physical activity promotion, but evidence remains fragmented across mental health and addictive behaviors. We conducted a comprehensive integrative review supported by structured searches (2015–2026) in biomedical, psychological, multidisciplinary and technology-oriented databases, complemented by backward/forward snowballing. Eligible studies included digital interventions in which physical activity (or sedentary reduction) was a core component and those that reported mental health outcomes (e.g., depression, anxiety, stress, and well-being) and/or addiction-related outcomes (e.g., craving, consumption, lapses/relapse, and treatment retention). We synthesized findings thematically by intervention typology (apps, wearables, hybrid models with human support, and adaptive approaches) and by key active ingredients (goal setting, self-monitoring, feedback, reinforcement, planning, and engagement strategies). Overall, most studies targeted mental health outcomes and used app-based multicomponent programs, sometimes complemented by wearables, with generally short follow-up and heterogeneous engagement metrics. Evidence in addictions was more context-specific and concentrated in alcohol treatment and opioid agonist therapy settings, supporting feasibility and a plausible role for physical activity as a coping strategy. Advanced personalization frameworks (EMA/EMI/JITAI) provide a clear implementation pathway but are less consistently operationalized when physical activity is the central therapeutic component. This review highlights practical design recommendations and research priorities for scalable, safe, and equity-oriented digital physical activity interventions in mental health promotion and relapse prevention. Full article

This study examines the flexural behavior of slender ultra-high-performance fiber-reinforced concrete (UHPC) beams with cross-sections intended for scalable precast production. The members are prestressed only, with no passive reinforcement. An experimental program on eighteen beams combined three cross-sectional typologies (rectangular as a reference, I-shaped, and H-shaped), three UHPC mixes with fiber contents of 130, 160, and hybrid 130 + 60 kg/m³, and two prestressing layouts (bottom-only and symmetric top-and-bottom). Prestress was indirectly controlled by evaluating effective tendon stress, with time-dependent prestress losses quantified using vibrating-wire strain gauges. Four-point bending tests provided material characterization and structural response, enabling assessment of stiffness and ultimate capacity. The results highlight the coupled influence of cross-section, fiber dosage, and prestress configuration on global response. Post-cracking residual strength in UHPC promoted stable multiple cracking, while prestressing governed deflection control. Residual equivalent flexural tensile stresses above 35 MPa at deflections over 50 mm, span/70, were achieved in I- and H-shaped sections, exceeding those of rectangular sections. Overall, the study substantiates the feasibility of lightweight, durable, prestressed UHPC members that deliver significant self-weight reductions without compromising reliability. Full article

Student well-being, encompassing mental, social, cognitive, and behavioral domains, is increasingly compromised by academic stress, social isolation, and sedentary lifestyles. Horticulture-based interventions (HBIs), involving plant-based activities, have shown potential in promoting holistic health across populations. Nevertheless, no systematic review has synthesized global evidence for its effects on students. This systematic review aimed to evaluate HBI’s impact on students’ well-being, synthesizing global evidence to inform educational and therapeutic practices. This systematic review was registered in PROSPERO (CRD420251250712). Following PRISMA guidelines, we searched PubMed, Web of Science, MEDLINE, EMBASE, and APA PsycInfo from inception to 30 June 2025. Keywords were used to search for related articles. Fifteen studies (n > 2000 students, aged 5–18 years) from South Korea (n = 8), Taiwan (n = 3), Chinese Mainland (n = 1), Hong Kong, China (n = 1), Italy (n = 1), and the United States (n = 1) were included for analysis. Results showed that HBI has the potential to enhance emotional/psychological well-being (e.g., stress reduction, mood improvement), social well-being (e.g., peer relations, social skills), cognitive and education benefits (e.g., attention, academic attitudes), and physical and overall health benefits (e.g., physical activity, quality of life). HBI may contribute to multifaceted student well-being, particularly emotional and social domains. This systematic review provides a reference for educators to integrate horticultural programs into the curriculum. Government and school policies may consider funding school gardens. Future randomized controlled trials with diverse populations are needed to address limitations like small samples and geographic bias. Full article

Background: Psychological distress, autonomic dysregulation, and unhealthy lifestyle behaviors are common after myocardial infarction (MI) and negatively affect cardiovascular outcomes. In recent years, integrative mind–body interventions, such as yoga and mindfulness-based approaches, have gained increasing attention as adjuncts to conventional cardiac rehabilitation (CR) programs. However, evidence regarding their effectiveness in post-MI populations remains fragmented. Objective: This systematic review aimed to synthesize the available evidence on the effects of yoga- and mindfulness-based interventions in patients following myocardial infarction. Methods: A systematic literature search was conducted across major electronic databases to identify randomized controlled trials and observational studies evaluating yoga- or mindfulness-based interventions in post-MI patients. Eligible studies included adult MI populations. Study selection and quality assessment were performed according to predefined criteria. Results: The 10 included studies suggest that yoga-based cardiac rehabilitation programs may provide benefits beyond standard care, particularly in terms of self-rated health, psychological well-being, and return to pre-infarction daily activities. Mindfulness-based interventions were associated with reductions in anxiety and perceived stress, improvements in blood pressure control, enhanced social support, and better health-related quality of life. Several studies also reported favorable effects on autonomic balance and stress-related physiological markers. Finally, a study reported benefits in terms of MACE (p = 0.032). However, heterogeneity in intervention protocols, outcome measures, and study designs limited direct comparisons across studies. Conclusions: Yoga and mindfulness-based interventions appear to be promising complementary strategies in post-MI care. Full article

Background/Objectives: Intimate partner abuse (IPA) is common among university students, including nursing students, and is linked to posttraumatic stress symptoms. Accessible online psychosocial interventions are needed to reduce trauma-related symptoms and support posttraumatic growth (PTG). This study examined the effects of an online psychosocial intervention grounded in social learning theory and cognitive behavioral therapy on posttraumatic stress symptoms and PTG among nursing students who experienced IPA in Türkiye. Methods: A randomized controlled trial was conducted among nursing students in Türkiye reporting IPA exposure. Participants were randomly assigned to an intervention group (n = 17) or a control group (n = 18). The intervention group received an eight-session online psychosocial program delivered individually. Assessments were conducted at pre-intervention, post-intervention, and at 1-, 3-, and 6-month follow-ups. Repeated-measures ANOVA was used, and partial eta-squared (ηp²) values were calculated. Results: The intervention group showed significant reductions in posttraumatic stress symptoms compared with the control group, with large effect sizes (p < 0.001; ηp² = 0.402–0.676). Furthermore, significant increases were observed in posttraumatic growth, indicating large and sustained effects over time (p < 0.001; ηp² = 0.515–0.773). Conclusions: The online psychosocial intervention effectively reduced posttraumatic stress symptoms and enhanced posttraumatic growth among nursing students who experienced IPA. However, results should be interpreted with caution due to the small sample size, and future studies with larger samples are warranted. Full article

Firefighters face elevated risks of alcohol misuse due to occupational stress, trauma exposure, and cultural norms within the fire service. This beta test study evaluated the feasibility, acceptability, and preliminary outcomes of From Bottle to Nozzle, a digitally delivered alcohol awareness and prevention intervention tailored for firefighters. Fifty fire service personnel were invited to participate; 46 consented and completed baseline questionnaires, and 22 completed the full program. The intervention consisted of five self-paced online modules incorporating multimedia content, quizzes, and self-assessments that addressed alcohol history, fire service culture, risk-reduction strategies, communication, and health effects. Pre- and post-intervention assessments measured changes in alcohol-related knowledge, alcohol use, motivation to reduce drinking, and usability. Reinforcement messages were delivered via text and email. Alcohol-related knowledge improved significantly post-intervention, particularly in the general and total knowledge domains. Moderate drinkers showed reductions in drinking days and AUDIT scores. Among heavy drinkers, overall consumption declined slightly, though binge-drinking episodes increased. Changes in motivation to reduce drinking were mixed. Usability ratings were high, with an 80% module completion rate and favorable feedback on program brevity and format, though navigation and video length were noted as challenges. From Bottle to Nozzle demonstrated strong feasibility and acceptability. While knowledge gains were robust, behavioral outcomes were mixed, highlighting the need for larger controlled studies with extended follow-up. Full article

Background: Adolescence is a critical developmental period marked by heightened emotional reactivity and increased exposure to stress, particularly in high-contact sports such as rugby. Maladaptive anger expression can negatively affect young athletes’ psychological well-being, behavior, and performance. Mental imagery may support emotional regulation by enabling athletes to rehearse adaptive cognitive and emotional responses. This study examined the effectiveness of a personalized mental imagery training program on imagery ability, resilience, and anger expression in adolescent rugby players and investigated whether resilience mediated the relationship between mental imagery and anger expression. Methods: A total of 120 male adolescent rugby players (mean age = 16.9 ± 2.01 years) were assigned to an experimental group (n = 62) or a time-matched educational control group (n = 58). Results: Mixed-design analyses of variance revealed significant Group × Time interactions for imagery ability, resilience, and anger expression, with medium-to-large effect sizes. Compared with the control group, the experimental group demonstrated greater improvements in imagery vividness and resilience, along with a significant reduction in maladaptive anger expression. Mediation analyses showed that resilience significantly mediated the relationship between mental imagery and anger expression, with full mediation for static imagery and partial mediation for dynamic imagery. Conclusions: Personalized mental imagery training effectively enhances emotional regulation in adolescent rugby players, primarily by strengthening resilience. Imagery-based interventions represent a feasible and effective approach to promoting adaptive emotional regulation and psychological well-being in high-contact youth sports. Full article

Despite decades of research, suicide risk factors predict outcomes at chance levels, and there is a dearth of protective factor and resilience research, which limits the utility of risk-based approaches. Further, suicide prevention interventions primarily consist of individual psychotherapies and treating individuals after suicide-related outcomes occur. Unfortunately, there is a lack of upstream suicide prevention interventions targeting known suicide risk factors and aiming to increase well-being and resilience in the U.S. Thus, we discuss these problems in the field and the U.S. health care system and provide a possible solution. We propose using low-intensity, universal, and upstream prevention interventions, such as Stress Control. Stress Control is a classroom-style, Cognitive Behavior Therapy-based program shown to reduce “risk,” stress, anxiety, and depression and boost well-being and resilience as part of a stepped-care model. Although Stress Control’s suicide prevention effectiveness has not yet been directly assessed, we discuss how it could be a promising suicide prevention strategy with additional testing. A proposed mechanism for this reduction is building resilience to common risk factors and suicide ideation via evidence-based coping skills, thereby decreasing future suicide risk. We review current limitations and discuss how upstream, scalable, universal prevention interventions can help improve psychological resilience and reduce suicidal thoughts and behaviors, lowering the U.S. suicide rate. Implications and recommendations are discussed. Full article

Background/Objectives: Type 2 diabetes (T2D) affects more than 38 million Americans and remains a leading public health challenge. Behavioral self-management is central to glycemic control but is often undermined by dysregulated and addictive-like eating behaviors. Continuous glucose monitoring (CGM) offers immediate feedback that may strengthen self-regulation, yet the psychological processes linking CGM use, food addiction (FA), and behavior change are poorly understood. This secondary mixed-methods study examined how CGM-supported group medical visits (GMVs) influence glycemic outcomes and FA symptoms in adults with diabetes. Methods: Adults with T2D participated in a 14-week GMV program integrating CGM review with education on nutrition, physical activity, sleep, stress, and intermittent fasting. Thirteen participants had paired CGM summaries and psychosocial data. Quantitative outcomes included mean glucose, glycemic variability, time-in-range (TIR), and symptoms of food addiction using the modified Yale Food Addiction Scale 2.0 (mYFAS 2.0). Qualitative data came from open-ended surveys analyzed using reflexive thematic analysis. Integration followed a convergent design, merging individual change trajectories with thematic interpretations and case vignettes. Results: Mean glucose decreased by 21 mg/dL and TIR improved by 9 percentage points. Among six participants with baseline FA symptoms, all showed reductions in self-reported mYFAS 2.0 symptom counts. Four moved from mild to no symptoms, one from moderate to no symptoms, and one from severe to no symptoms. Across the full sample, the mean change was a reduction of 1.2 in the mYFAS 2.0 symptom counts per participant. Thematic analysis identified four interrelated psychological mechanisms: enhanced awareness of food–glucose relationships, increased accountability through shared tracking, motivation via gamified self-monitoring, and relief from cognitive burden associated with dietary uncertainty. Conclusions: Integrating CGM feedback into GMVs was associated with improvements in glycemic metrics and reductions in addictive-like eating symptoms in this pilot sample. These findings position CGM as a behavioral intervention tool that complements its traditional monitoring role and highlight the value of combining real-time biofeedback with group-based support in diabetes care. Full article

Stray current-induced corrosion poses a significant risk to the durability of reinforced concrete (RC) structures in electrified transit systems. This study addresses a critical knowledge gap by experimentally and analytically investigating the compression behaviors of circular RC columns under the combined effects of stray currents, chloride intrusion, and sustained service loads. The experimental program involved testing columns constructed with normal strength concrete (NSC) and moderate strength concrete (MSC) under accelerated corrosion induced by electrical potentials of 9 V and 18 V in a 3.5% NaCl solution. A key variable was the application of a sustained axial load, equal to 60% of the ultimate capacity, to simulate realistic service conditions. The findings revealed a severe deterioration in structural performance due to the synergistic effect of mechanical loading and corrosion. NSC columns subjected to 18 V potential and sustained axial loading exhibited a decrease in ultimate load-carrying capacity of up to 46% and a ductility reduction of approximately 69% compared to reference specimens. This damage was significantly more severe than in unloaded or lower-voltage (9 V) scenarios. Furthermore, MSC specimens demonstrated a strength loss of approximately 29% under similar aggressive conditions. An analytical confinement model, adjusted to account for corrosion by reducing the reinforcement cross-section and introducing a semi-empirical parameter α to represent localized pitting, showed strong agreement with the experimental stress–strain curves. The validated model provides a practical tool for assessing the residual capacity of corroded elements, addressing a crucial need in the maintenance of electrified transportation infrastructure. Full article

Background: Overweight and obesity in childhood and adolescence represent one of the most significant public health challenges of our century. Affected children and adolescents often face psychosocial maladaptation, including low self-esteem, depressive and anxiety symptoms, and behavioral problems, many of which may persist till later in life. The aim of our study was to evaluate the impact of a multidisciplinary, personalized lifestyle intervention program on psychosocial and behavioral symptoms, assessed through standardized psychometric questionnaires, and to investigate their relation with cardiometabolic parameters in children and adolescents with overweight and obesity. Methods: In this prospective cohort study, 537 children and adolescents (6–18 years; females: 52.9%; pubertal: 43.6%) with obesity (n = 44.3%), overweight (n = 33.7%), or normal BMI (n = 22%) participated in a personalized lifestyle intervention program for one year. Clinical and laboratory evaluations, including anthropometric, cardiometabolic, and endocrinologic parameters, as well as psychosocial functioning assessed by the Child Behavior Checklist (CBCL) and Youth Self-Report (YSR), were performed at the beginning and the end of the study. Linear regression analyses identified predictors of psychometric change. Results: At initial evaluation, children and adolescents with obesity displayed a less favorable cardiometabolic profile and greater emotional/conduct difficulties compared to their overweight and normal-BMI counterparts. Following the intervention, significant improvements were observed in BMI, anthropometric and cardiometabolic parameters, as well as reductions in internalizing, externalizing, and total problem scores across multiple CBCL and YSR domains (p < 0.05). The improvements in psychosocial functioning were partly independent of BMI reduction. Linear regression analyses identified cardiometabolic and endocrine markers as significant predictors of psychometric change (p < 0.05), highlighting interactions between metabolic recovery, pubertal hormones, and stress physiology. Conclusions: A personalized, multidisciplinary lifestyle intervention program implemented for 1 year led to parallel improvements in psychosocial and cardiometabolic health in children and adolescents with overweight and obesity. Identification of specific metabolic and endocrine predictors provides novel insights into potential biological mechanisms associated with adiposity, emotional well-being, and neurodevelopment. Full article

Early Childhood Mental Health Consultation (ECMHC) promotes children’s social–emotional development and reduces challenging behaviors in early care and education (ECE) centers, yet implementation barriers increase teacher stress and reduce confidence. Scalable, efficient, and accessible approaches are needed to meet ECE center demands. This quasi-experimental match-controlled study evaluated two ECMHC programs in promoting children’s social–emotional development and improving teachers’ skills/attitudes compared to an attention control condition in 22 ECE centers in lower-resourced areas of BLINDED. We compared Jump Start (JS; traditional human consultation model), Jump Start Go (JS Go; AI-enhanced consultation model), and Healthy Caregivers–Healthy Children (HC2; obesity-prevention consultation model). Child social–emotional development, teacher workplace stress/confidence, and classroom practices were assessed at pre-and post-intervention. Children in JS and JS Go interventions demonstrated significant social–emotional gains (F = 13.55, p < 0.001), with the largest reductions in internalizing problems observed in children who received JS Go (−2.91 points; F = 9.65, p < 0.001). JS Go classrooms also showed greater improvements in prosocial behavior (F = 5.05, p = 0.012) and resiliency (F = 8.95, p < 0.001) than HC2 classrooms. Findings suggest that both traditional and AI-enhanced ECMHC approaches can promote teachers’ capacity to support children’s social–emotional development. Full article

Background/Objectives: Caring for a child with Autism Spectrum Disorder (ASD) is often associated with elevated psychological distress and reduced life satisfaction. Mindfulness-based interventions may offer substantial benefits by enhancing emotion regulation, reducing maladaptive cognitive patterns, and strengthening mindful parenting. This randomized controlled trial (RCT) examined the effectiveness of an eight-week Mindfulness-Based Cognitive Therapy (MBCT) program, enriched with mindful parenting practices, delivered to parents of children with ASD. The primary aim was to improve parental mental health, while secondary analyses explored potential indirect, parent-perceived changes in child behavior outcomes. Methods: Fifty-six parents of children with ASD were randomly assigned to an MBCT intervention group (n = 30) or a waitlist control group (n = 26). Parents completed assessments at baseline (T0), post-intervention (T1), and at one-month follow-up (T2), including the Depression Anxiety Stress Scales–21 (DASS-21), the Positive and Negative Affect Schedule (PANAS), and the Satisfaction With Life Scale (SWLS). They also rated the overall severity of their child’s behavior problems to explore indirect treatment effects. Results: All parents receiving MBCT (100%) completed the program successfully and reported high acceptability. At baseline, no significant differences were observed between groups. At T1, the MBCT group demonstrated significant reductions in depression, anxiety, and stress, alongside increases in positive affect and life satisfaction. These improvements were maintained or strengthened at T2. However, the control group showed no significant changes over time. Additionally, parents in the MBCT group reported indirect improvements in their children’s behavioral adjustment at T1 and T2. Conclusions: Findings demonstrate that MBCT constitutes an effective intervention for reducing parental psychopathology and indirectly supporting parent-perceived improvements in child behavior, emphasizing the importance of incorporating mindfulness and mindful parenting components into family-centered interventions for parents of children with ASD. Full article

Background/Objectives: Incarcerated people experience high rates of trauma, psychological distress, and social marginalization. Yoga has been introduced in prisons as a trauma-sensitive mind–body practice, yet its rehabilitative contribution remains uncertain. This systematic review aimed to synthesize evidence on the feasibility and effectiveness of yoga interventions delivered in correctional settings. Methods: Following PRISMA guidelines and a preregistered PROSPERO protocol, we searched PubMed, PsycINFO, Cochrane CENTRAL, and Scopus for peer-reviewed publications from May 2012 to November 2025. Eligible studies involved structured yoga interventions for incarcerated populations and reported psychological, behavioral, or institutional outcomes. Two reviewers independently performed screening, data extraction, and quality appraisal using the Mixed-Methods Appraisal Tool (MMAT). Results: Ten studies reported in twelve publications and involving 1815 incarcerated individuals met the inclusion criteria. Interventions included Hatha-based protocols, Krimyoga, trauma-informed approaches, and multicomponent programs. Across randomized, quasi-experimental, and pre–post designs, yoga was feasible and acceptable. Reported benefits included reduced psychological distress, negative affect, anger, and trauma-related symptoms, as well as improved mood, self-regulation, and mindfulness. Evidence specific to women and girls was limited, but the available trauma-informed and gender-responsive studies suggested potential reductions in post-traumatic stress, depression, and anxiety, alongside increases in self-compassion. One large quasi-experimental cohort found lower reincarceration rates among yoga participants, although institutional outcomes were otherwise limited. Evidence was constrained by small samples, heterogeneous intervention formats, short follow-up, and variable outcome measures. Conclusions: Yoga appears to be a promising adjunct to rehabilitation in correctional settings. However, methodological limitations prevent firm conclusions. Larger, well-controlled studies with standardized outcomes and longer follow-up are needed to clarify effectiveness and support integration into correctional health and rehabilitation policy. Full article

This study addresses the critical issue of Food Waste (FW) across the 27 European Union (EU) member states by investigating its correlation with key socio-economic and environmental factors. Utilizing panel data regression with a fixed-effects model, this research controls for inherent country-specific characteristics to isolate the influence of variables, such as GDP per capita, educational attainment, environmental taxes, and economic burden on FW levels. The analysis reveals that FW is shaped by a complex interplay of factors, where economic affluence (GDP per capita) and financial stress (housing cost overburden) both exhibit a positive and statistically significant relationship with increased FW. Conversely, higher educational attainment, particularly at the bachelor’s and master’s degree levels, is strongly associated with reduced FW, emphasizing education’s role in promoting sustainable behavior. Environmental policy variables, including environmental taxes and circular material use, are negatively correlated with waste, suggesting effective indirect reduction. Notably, government support for agriculture demonstrates a positive association with FW, potentially indicating incentives for overproduction. These findings highlight the multidimensional nature of FW in the EU, necessitating comprehensive policy responses that integrate educational initiatives, economic levers, and sustainability-oriented reforms to promote resource-efficient consumption across the continent. By clarifying these relationships, this study contributes to the literature by providing one of the few examples of cross-country, EU-wide panel analyses that jointly consider economic, educational, and policy dimensions of FW. The findings offer practical implications for policymakers, emphasizing that FW reduction requires integrated strategies: strengthening environmental taxation and circularity initiatives, aligning agricultural subsidies with sustainability goals, and expanding educational programs that cultivate food-responsible behavior. Together, these insights support the design of more targeted and evidence-based interventions to reduce FW and promote resource-efficient consumption across the EU. Full article