Search Results (165)

Background: Human health is closely interconnected to our ecosystem. Several studies found evidence that nature-based interventions improve mental health. Very recently, these approaches have started including mindfulness practices. Nature-based mindfulness interventions (NBMIs) combine contemplative practices with exposure to natural environments and are increasingly recognised as promising tools for supporting mental health and resilience within a One Health perspective, fostering physio-psychological wellbeing whilst promoting nature awareness and a sense of connection with our planet—“biofilia”, as defined by American biologist Edward Wilson. Given the growing psychological impacts of climate-related stressors, NBMIs may offer particular value for regions with high climate-risk and ecological vulnerability. Methods: A narrative literature review was conducted following established principles for high-quality non-systematic reviews. A non-systematic but structured search of PubMed, Scopus, Web of Science and Cochrane Library (January 2018–November 2025), complemented by grey literature, identified studies involving adolescents and adults participating in interventions integrating mindfulness practices with natural environments. Extracted data included study context, participant characteristics, intervention type, mental health and resilience outcomes. Results: Across heterogeneous designs, NBMIs consistently reduced stress, anxiety, depressive symptoms and rumination, while improving sleep, vitality, attention and self-regulation. Most studies reported enhanced nature connectedness—an important mediator of wellbeing and pro-environmental behaviour. Programmes delivered to disaster-affected populations showed reductions in distress. Conclusions: NBMIs are feasible, low-cost and adaptable interventions with dual benefits for mental health and ecological awareness. They offer promising One Health-aligned strategies for strengthening psychological resilience in climate-vulnerable regions, warranting further research and context-specific adaptation. Full article

Background/Objectives: Communication decline is a hallmark of dementia, yet speech-language outcomes remain marginal in much of the virtual reality (VR) dementia literature. This evidence review synthesises empirical work on how VR has been used to support, train, or assess communication in dementia, positioning VR as a communication platform rather than only a cognitive tool. Methods: A structured search (2000–2025) across CINAHL, PubMed, PsycINFO, Scopus, and Web of Science was supplemented by reference list checking. Eleven empirical studies met eligibility criteria, spanning immersive and non-immersive VR used with people living with dementia, and VR-based communication training for caregivers, care staff, and clinicians. Findings were synthesised thematically through an explicit communication lens. Results: Evidence most consistently supports VR as a scaffold for communicative engagement and participation. Immersive and shared VR experiences commonly elicited increased verbal involvement, shared attention, and interactional responsiveness during or immediately after sessions, particularly when content was socially meaningful and appropriately paced. A second strand of work uses VR simulation to train communication partners, with participants reporting high acceptability and perceived improvements in confidence and strategy use, although behavioural transfer to real-world care is rarely measured. Assessment-oriented studies and stakeholder perspectives highlight VR’s potential to elicit functional behaviour in context and to complement clinic-based assessment, but communication validity is typically inferred rather than operationalised using standardised measures. Conclusions: VR shows early promise for dementia communication care, especially as an adjunct that structures interaction, supports participation, and scales communication training. Progress now depends on communication-specific intervention design, agreed outcome metrics capturing discourse and functional participation, and implementation studies addressing accessibility, cultural-linguistic diversity, and transfer to everyday care. Full article

Food safety is a major global public health concern and a key contributor to the burden of foodborne diseases. This scoping review examined the knowledge, attitudes, and practices (KAP) related to food safety among urban consumers in low- and lower-middle-income countries (LLMICs). A systematic search was conducted across seven electronic databases: Medline (PubMed), Web of Science (Social Science Citation Index), Embase (Ovid), Global Health (Ovid), PsycINFO (Ovid), Econlit (EBSCOhost), and Scopus to identify studies published in English between 2000 and 2025. Data extraction and quality appraisal were conducted independently by two reviewers, and findings were synthesized in a narrative analysis. Twenty-six studies from 14 LLMICs met the inclusion criteria. Of the 25 studies assessing knowledge and awareness, the majority reported that consumers had some understanding of food safety, although 10 (40%) highlighted limited awareness. Fifteen studies examined practices, with several noting appropriate behaviours; however, nine (56.2%) reported poor practices. Seven studies assessed attitudes, with most reflecting positive perceptions, while one (16.7%) identified negative views. Only four studies examined the full KAP triad. Across studies, factors such as age, education, gender, marital status, training, employment status, income, field of study, and residential status were found to influence food safety KAP. Overall, the evidence suggests that while consumers in urban LLMIC settings generally demonstrate some knowledge and positive attitudes towards food safety, there remain significant gaps in practices that could compromise public health. Future research should prioritise underrepresented regions, employ more rigorous study designs, and incorporate longitudinal and qualitative approaches to gain deeper insights and inform targeted interventions. Full article

This study explores health and care workers’ perceptions of the longer-term influence of a rapidly developed digital support package designed to promote psychological wellbeing during the COVID-19 pandemic. A qualitative design was used, involving semi-structured interviews with 20 health and care professionals, including frontline clinicians and senior leaders, who had used and disseminated a theory-informed digital wellbeing package, accessed globally by 82,425 users within its first year. Interviews conducted in 2025 examined participants’ accounts of perceived effects at individual, professional, and organisational levels. Data were analysed using reflexive thematic analysis informed by public mental health, organisational resilience, and implementation science perspectives. Four themes were identified: enhanced psychological wellbeing and coping; changes to professional practice and fatigue management; reframing resilience as a collective and organisational responsibility; and the sustainability and ongoing relevance of the resource beyond the pandemic. Participants described experiences such as reduced stress and anxiety, improved sleep and emotional regulation, sustained use of cognitive–behavioural strategies, and perceived improvements in functioning at work. Some participants also reported that the resource informed their thinking about leadership, psychological safety, and wellbeing practices, and described its continued relevance five years post-release. These qualitative findings illustrate how the digital wellbeing intervention was experienced by participants and how they interpreted its relevance over time. The study suggests that digitally delivered, theory-informed resources may have perceived value for individual capacity building, professional practice, and organisational approaches to resilience within health systems facing ongoing structural pressures. Full article

Background/Objectives: Alcohol and tobacco use in adolescence are major public health concerns that shape long-term health trajectories and undermine healthy behaviour development. Schools are key settings for health promotion, offering structured environments to foster self-regulation, social skills, and protective behaviours. This scoping review mapped recent school-based educational strategies designed to prevent alcohol and tobacco use among adolescents and to examine whether the included studies reported any involvement of school nurses. Methods: Review followed Arksey and O’Malley’s framework and adhered to JBI guidance and PRISMA-ScR. Searches were conducted in PubMed and Web of Science (2019–2024) to identify school-based educational interventions targeting alcohol and/or tobacco use among primary or secondary school children. The primary search targeted prevention strategies, complemented by nursing-related terms to identify nurse involvement. A standardised charting form captured study characteristics, intervention formats, theoretical foundations, implementation factors, and any reported participation of health professionals. Data extraction was performed independently by two reviewers. Results: Eleven studies met the inclusion criteria. Most were randomised controlled trials (81.8%). Educational strategies included online (45.5%), hybrid (27.3%), and face-to-face (27.3%) formats. Programs focused on social skills, self-regulation, harm reduction, or resilience. Digital formats were cost-effective but showed challenges in engagement and sustained participation, while face-to-face or hybrid approaches offered relational support but were vulnerable to implementation drift. No study reported nurse involvement. Conclusions: School-based prevention strategies can contribute to healthier behaviours related to substance use by reinforcing socioemotional competencies and reducing early exposure to substances. However, persistent barriers such as low engagement, inconsistent delivery, and the absence of health professionals limit their impact. The role of school nurses could be considered in future school-based prevention programmes. Full article

Mycoplasmas colonise bovine respiratory mucosal surfaces as commensal organisms, yet certain species may contribute to bovine respiratory disease complex (BRDC) when host and environmental conditions favour pathogenic expression. Clinical outcome is context-dependent, with species ranging from assumed true commensals (M. arginini, M. bovirhinis) to pathobionts (M. bovis) and less frequently reported species (M. alkalescens, M. canadense) and an opportunist (M. dispar). The absence of a synthesis applying a commensal–pathogen continuum framework to bovine respiratory mycoplasmas while jointly evaluating carriage, vaccine performance, and diagnostic interpretability represents a key gap. The objective of this paper is to evaluate available evidence on vaccination, diagnostics, and control of bovine respiratory mycoplasmas within a commensal–pathogen continuum framework. The preparation of this paper followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 and synthesis without meta-analysis (SWiM) guidelines. PubMed, Scopus, and Web of Science were searched through 12 December 2025. Of 6119 records identified, 212 studies met predefined Population, Intervention, Comparator, Outcome, Study design (PICOS) criteria and were classified into four domains: carriage and prevalence (n = 73), diagnostic performance (n = 71), pathogenesis and immune evasion (n = 53), and vaccine efficacy (n = 15). Risk of bias was assessed using domain-appropriate tools. Evidence certainty was evaluated using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework. M. bovis dominated the literature (199/212; 93.9%), reflecting concentrated research investment, with M. dispar (22; 10.4%), M. bovirhinis (19; 9.0%), M. arginini (4; 1.9%), M. canadense (1; 0.5%), and M. alkalescens (1; 0.5%) also well documented. M. bovirhinis and M. arginini were consistently recovered from clinically healthy cattle, supporting their classification as true commensals. M. bovis exhibited pathobiont behaviour. Nasopharyngeal carriage was reported in 18–58% of healthy cattle and progressed to clinical disease (estimated 15–40%) in a context-dependent manner. Whole-cell bacterins demonstrated inconsistent efficacy, whereas virulence-factor vaccines showed more consistently positive outcomes. Future vaccines targeting conserved virulence-associated antigens and designed to elicit mucosal immunity may provide higher levels and more consistent protection than conventional whole-cell bacterin formulations. The majority of diagnostic studies detected mycoplasma presence without distinguishing colonisation from causation. Bovine respiratory mycoplasma species occupy distinct positions on the commensal–pathogen continuum, with direct implications for vaccine design, diagnostic interpretation, and disease control. Integrated control combining syndrome-aligned diagnostics and targeted vaccination was the approach most consistently supported by the available evidence. Full article

Background: Healthy dietary behaviours are essential for maintaining health, functional independence, and quality of life in later life. Family members are a key source of social support for community-dwelling older adults, yet the ways in which family support shapes older adults’ dietary behaviours, particularly among those who retain autonomy, remain insufficiently synthesized. Therefore, this review aims to map how family support influences dietary behaviours among community-dwelling older adults by examining the forms, roles, and contextual influences of family support within a Social Support Theory framework. Methods: Following Joanna Briggs Institute guidance and PRISMA-ScR reporting standards, we conducted a scoping review of empirical studies published in English or Chinese. Searches were conducted across PubMed, CINAHL, PsycINFO, Web of Science, and Scopus from inception to 2025. Quantitative and qualitative evidence was synthesised using a convergent–segregated mixed-methods approach. Qualitative findings were deductively mapped to instrumental, informational, emotional, and esteem support domains. Results: Nineteen studies were included. Quantitative evidence indicated that family support, particularly shared meal preparation, joint dietary adherence, and autonomy-supportive encouragement, was generally associated with better diet quality, dietary adherence, and nutritional outcomes. Qualitative findings showed that the influence of family support depended on relationship dynamics and contextual factors, including communication patterns, autonomy negotiation, shared responsibility, and cultural expectations. Conclusions: Family support plays a multifaceted and context-dependent role in shaping dietary behaviours among community-dwelling older adults. These findings can inform the development of family-inclusive strategies and interventions that promote healthy dietary behaviours while respecting older adults’ autonomy and relational contexts. Full article

This study examines whether moral identity, perceived environmental responsibility, and locus of control predict green consumption behaviour among young consumers. Adopting a quantitative approach, the study follows an explanatory research design grounded in the positivist paradigm. Primary data were collected through a self-administered questionnaire delivered to respondents aged 18–35 years. Descriptive statistics were analysed using the Statistical Package for the Social Sciences (SPSS) version 30, while inferential analysis was conducted using Structural Equation Modelling (SEM) via SmartPLS 4. The findings suggest that moral identity and perceived responsibility for environmental damage are significant predictors of green consumption among youth. In contrast, locus of control shows a weak, statistically insignificant association with green consumption behaviour. After controlling for demographic variables, including gender, age, race, education, occupation, and income, the results indicate that only education level and race make significant contributions to the model. Notably, the effect of moral identity becomes insignificant once demographic factors are considered, while locus of control remains insignificant. However, perceived environmental responsibility not only retains its significance but also demonstrates a strengthened effect on green consumption behaviour. These findings highlight the persistence of the attitude–behaviour gap in sustainable consumption among young consumers, particularly in rural contexts. The study contributes to the literature by extending the Theory of Planned Behaviour through the incorporation of moral and psychological constructs within a rural African setting. Practically, the study offers insights for policymakers, educators, and marketers, emphasising the importance of environmental education, moral reinforcement, and targeted behavioural interventions to enhance youth participation in sustainable consumption practices. Full article

Cardiac telerehabilitation has become a promising alternative to traditional programmes for preventing acute coronary syndrome (ACS) in the secondary phase. However, current implementations are still reactive and standardised, lacking personalisation and flexibility in clinical settings. By integrating artificial intelligence (AI), it may be possible to overcome these limitations and provide intelligent, scalable, and patient-centred care. Methods: We conducted a structured literature review across PubMed, Scopus, the Cochrane Library, and Web of Science, targeting English-language studies published from January 2015 to May 2025. Inclusion criteria included adult populations with a history of ACS or high cardiovascular risk, assessing interventions based on AI, telerehabilitation, or their combination. Studies are needed to report clinical, functional, behavioural, or technological outcomes. A thematic narrative synthesis was utilised. Results: AI-enhanced telerehabilitation demonstrates potential advantages over conventional digital care in selected domains, including adaptive risk prediction, personalised exercise modulation, and adherence support. Several systems report real-time adjustment of exercise protocols, early dropout detection, and predictive analytics for rehospitalisation. AI integration may also contribute to personalised behavioural feedback and psychosocial monitoring. Nevertheless, the overall level of evidence remains preliminary and heterogeneous, with most AI-based interventions evaluated in pilot, feasibility, or modelling studies rather than large-scale randomized trials. Conclusions: The integration of AI into telerehabilitation represents a promising evolution in post-ACS care, shifting from predominantly reactive monitoring toward more adaptive and data-driven support models. While early-phase studies suggest feasibility and potential clinical benefit, robust multicentre randomized controlled trials and cost-effectiveness analyses are required before definitive conclusions regarding superiority or widespread implementation can be drawn. Full article

Yam (Dioscorea rotundata) is a major staple crop in West Africa and plays a central role in regional food security, rural livelihoods, and cultural identity. Its wide ecological adaptation, diverse maturity periods, and in-ground storage capacity make yams critical to seasonal food availability and resilience of smallholder farming systems. Despite its importance, existing yam research has largely emphasized biophysical and agronomic dimensions, with limited integration of the socio-cultural and ecological factors that shape yam-based food systems. This review addresses this gap by synthesizing interdisciplinary knowledge on yam food ecology, focusing on how socio-cultural values, beliefs, behaviours, and interactions influence production, utilization, and sustainability of yam systems. We examine the roles of culture, politics, power relations, gender dynamics, and community organization in structuring yam production and consumption across the West African yam belt. The review further explores the long-standing human–yam relationship and the implications of eroding traditional knowledge for future food system resilience. By adopting a systems and ecological perspective that integrates life and social sciences, this review provides a framework to inform sustainable yam crop improvement, value chain development, and inclusive policy interventions, thereby supporting long-term food security and rural development in West Africa. Full article

Background: Pelvic floor muscle dysfunction (PFD) is common during pregnancy. To counteract pregnancy-associated PFD, women require sufficient knowledge and structured guidance on correct pelvic floor muscle (PFM) contraction to improve PFM perception and functional control. Identifying pregnant women who are unable to perform correct PFM contraction despite structured teaching may allow early referral for rehabilitative measures. Objective: At measurement stage 1, this study aims to investigate the influence of structured PFM teaching on pregnant women’s ability to perform targeted PFM contraction (tPFMC-A), assess PFM strength, and describe possible early PFD symptoms. Material and Methods: “pelviTrust” is a two-arm randomized, controlled longitudinal study and has been conducted in the Department of Midwifery Science, University of Tuebingen since February 2023. The study sample comprised 221 healthy pregnant women with singleton pregnancy at 18–22 weeks of gestation. The intervention group (IG; n = 113) (69 nulliparous, 40 primiparous and four biparous) completed the validated German Pelvic Floor Questionnaire for Pregnant and Postpartum Women (GPFQppw) and received individualized midwife-led teaching on PFM anatomy, functional activation and PFM-friendly behaviour, followed by visual inspection and vaginal palpation. Objective-targeted PFMC ability (tPFMC-A) and PFM strength (modified Oxford Scale) were compared with self-assessed ability. The control group (n = 101) (61 nulliparous, 38 primiparous, and two biparous) receives routine prenatal and postnatal care and completes the GPFQppw. The present analysis focuses exclusively on the IG at T1. Results: At T1, 88% of the 113 women in the IG believed they could contract their PFM, but only 68% demonstrated a correct tPFMC-A on visual inspection. Following structured teaching with individualized feedback, 97% achieved correct PFM contraction while 2.7% still had deficits. The median PFM strength was three on the modified Oxford Scale (interquartile range: 3–4). Stress urinary incontinence and flatulence were the most frequently reported symptoms. Primiparous and multiparous women reported urinary incontinence and descensus symptoms more often than nulliparous women (p < 0.001). Conclusions: At the first prenatal assessment, pregnant women often overestimate their ability to contract their PFM correctly. A structured, midwife-led PFM teaching improves objectively assessed PFM contraction ability and may be integrated into routine antenatal care to support PFM health in pregnant women. Full article

Environmental Health Practitioners (EHPs) play a critical regulatory role within municipal health services, yet their occupational health and safety (OHS) risks remain poorly characterised in the literature. This narrative review synthesises evidence on the physical, biological, chemical, ergonomic, and psychosocial hazards encountered by EHPs during routine municipal inspection and enforcement activities. A structured literature search across major databases was conducted, and findings were synthesised using a risk characterisation framework to examine hazard types, exposure pathways, and associated health outcomes. The review demonstrates that EHPs are exposed to simultaneous and interacting hazards through multiple routes, including inhalation, dermal contact, ingestion, traumatic incidents, and psychosocial strain. Where available, quantitative indicators of exposure magnitude from inspection-relevant environments were identified, highlighting both potential risk severity and significant gaps in direct exposure measurement. Importantly, the findings indicate that occupational risks faced by EHPs are largely systemic, shaped by organisational constraints, resource limitations, enforcement contexts, and broader governance conditions rather than isolated individual behaviours. This review contributes to safety science by providing an integrated conceptual model of EHP occupational exposure pathways and by highlighting the need for system-level OHS interventions within municipal health services. Strengthening PPE provision, organisational support, and exposure monitoring is essential to improving EHPs safety and the effectiveness of environmental health regulation. Full article

Background: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, motor hyperactivity and verbal and cognitive impulsivity. Impairments in executive functions (EFs), in particular working memory, monitoring and organization of daily life, are frequently observed in children diagnosed with ADHD, and are reflected in behavioural, social-emotional and learning difficulties. The development and use of technologies such as virtual reality (VR), augmented reality (AR) and mixed reality (MR) for ADHD have increased in recent years, using a variety of tools to support including PC, video games, wearable devices and tangible interfaces. Objectives: To systematically map the current state of research on the use of AR, VR and MR technologies to assess and/or enhance EFs in children with ADHD. To evaluate the effects on their quality of life and on families’ and caregivers’ burden reduction. To explore the interventions’ clinical validity. Methods: A scoping review according to PRISMA-ScR guidelines was conducted. A systematic search was carried out in the Scopus and Web of Science databases for studies published between 2015 and 2025. Empirical studies published in English that examined children with ADHD aged <13 years were included. AR-, VR-, or MR-based interventions focused on EF were considered. For each study, the following features were recorded: year and country of publication, design, objectives, EFs considered, technology and hardware used, main results, and limitations. Results: Twenty studies were identified. The most frequently addressed functional domains were sustained and selective visual attention, working memory, and inhibition. Assessment interventions primarily involved the use of a head-mounted display (HMD) in conjunction with the Continuous Performance Test (CPT). Training interventions included immersive VR, serious video games, VR with motor or dual-task training, and MR. The results suggest that VR can enhance cognitive performance and sustained attention; however, longitudinal studies are required to evaluate its long-term effectiveness and integrate emotional skills. Conclusions: The use of these technologies is a promising strategy for the assessment and training of EFs in children with ADHD. These tools provide positive, inclusive feedback and motivating tasks. Nevertheless, larger sample studies and longitudinal follow-ups to confirm the suitability and effectiveness of the technology-based programs are warranted. Full article

Background: Experiential avoidance (EA) refers to the tendency to evade or suppress unpleasant internal experiences, such as distressing thoughts, emotions, or bodily sensations. Increasing evidence indicates that EA plays a central role in the onset and maintenance of addictive behaviours. Objective: To synthesise quantitative evidence on the association between experiential avoidance (EA), operationalised as psychological inflexibility, and psychoactive substance use (PSU) outcomes, including substance use frequency/quantity, craving, dependence severity, relapse/abstinence, and treatment response, and to characterise putative pathways (EA as predictor/mediator) and correlates (e.g., affect regulation and trauma-related factors). Methods: A systematic search was conducted in SCOPUS, Web of Science, PubMed, and APA PsycNet, following PRISMA 2020 guidelines. Eligible studies included experimental and observational designs, clinical and non-clinical populations, and publications from January 2000 to January 2026 in English or Spanish. Primary outcomes were PSU behaviour and severity (frequency/quantity, craving, dependence symptoms, relapse/abstinence) and treatment outcomes; secondary outcomes included emotional and behavioural correlates linked to EA. Results: Across studies, higher levels of EA were consistently associated with greater substance use—particularly alcohol, tobacco, cannabis, and other illicit drugs. EA frequently mediated the relationships between emotional dysregulation, trauma exposure, and addictive behaviour. Elevated EA was also linked to impulsivity, psychiatric comorbidity, and poorer treatment adherence and outcomes. Interventions explicitly targeting EA—most notably Acceptance and Commitment Therapy (ACT)—showed promising effects in reducing avoidance and substance use. Conclusions: Experiential avoidance emerges as a transdiagnostic process underlying vulnerability to, and persistence of, substance use disorders. Integrating third-wave behavioural interventions that promote psychological flexibility may enhance the efficacy of addiction treatment. Future research should explore these mechanisms in culturally diverse and under-represented contexts. Full article

Birds of the Anthropocene have to adapt to changing and often very unfavourable conditions, among them habitat fragmentation or outright habitat loss. Many organisations worldwide are deeply committed to stemming the tide of extinctions of native species and maintaining biodiversity. The question is how far scientists and practitioners are willing to go to achieve conservation goals in situations that are not entirely resolved, are contradictory, or involve dubious claims about alleged causative agents. The noisy miner, Manorina melanocephala, has been painted as such a causative agent in the decline of small woodland birds. The noisy miner is a highly successful, flexible, and socially complex small native Australian honeyeater (woodland bird). As will be shown in a new data analysis, the noisy miner also ranks highly in cognitive abilities. Despite its status as a native species, a protracted campaign against the species has led to government policies permitting its culling in New South Wales due to its alleged ‘overabundance’ and ‘harmful’ impact on small woodland birds. As a consequence, noisy miners can now be shot legally and have been culled in their thousands in the last decade. Allegedly, these actions have been taken for conservation purposes. This paper raises significant doubts about the claims against this species, and the methods and ethics of how a native species can become the sole bearer of the ills of the Anthropocene. This paper exposes bias or misinterpreted evidence and shows how myth-making is possible in modern science and how language can purposefully mislead the public via characterisations of avian behaviour. In essence, this paper is a case study of ethical issues in science: about the degree and type of intervention, and how far we are willing to go in the name of conservation, particularly when based on spurious or contradictory evidence and at the cost of native animals. Full article