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3,705 Results Found

  • Feature Paper
  • Review
  • Open Access
38 Citations
6,147 Views
11 Pages

Barriers and Facilitators to Nut Consumption: A Narrative Review

  • Elizabeth P. Neale,
  • Georgie Tran and
  • Rachel C. Brown

Habitual nut intake is associated with a range of health benefits; however, population consumption data suggests that most individuals do not meet current recommendations for nut intake. The literature has highlighted a range of barriers and facilita...

  • Article
  • Open Access
11 Citations
4,132 Views
18 Pages

23 January 2023

(1) Background: Personalised medicine (PM) is an innovative way to produce better patient outcomes by using an individualised or stratified approach to disease and treatment rather than a collective approach to treating patients. PM is a major challe...

  • Article
  • Open Access
4,305 Views
12 Pages

Barriers and Facilitators of Implementing a Healthy Lifestyle Intervention at Workplaces in South Africa

  • Shivneta Singh,
  • Ashika Naicker,
  • Heleen Grobbelaar,
  • Evonne Shanita Singh,
  • Donna Spiegelman and
  • Archana Shrestha

Current evidence indicates that workplace health and wellness programmes provide numerous benefits concerning altering cardiovascular risk factor profiles. Implementing health programmes at workplaces provide an opportunity to engage adults towards p...

  • Review
  • Open Access
31 Citations
9,500 Views
13 Pages

Barriers and Facilitators to Genetic Testing for Familial Hypercholesterolemia in the United States: A Review

  • Rachele M. Hendricks-Sturrup,
  • Kathleen M. Mazor,
  • Amy C. Sturm and
  • Christine Y. Lu

Familial Hypercholesterolemia (FH) is an underdiagnosed condition in the United States (US) and globally, affecting an estimated 1/250 individuals. It is a genetic risk factor for premature cardiovascular disease and is responsible for an estimated 6...

  • Review
  • Open Access
16 Citations
5,282 Views
13 Pages

Barriers and Facilitators to the Implementation of Effective Alcohol Control Policies: A Scoping Review

  • Jintana Jankhotkaew,
  • Sally Casswell,
  • Taisia Huckle,
  • Surasak Chaiyasong and
  • Payao Phonsuk

Implementation of effective alcohol control policies is a global priority. However, at the global and national levels, implementing effective policies is still challenging, as it requires commitment from multiple stakeholders. This review provides a...

  • Article
  • Open Access
1 Citations
2,288 Views
13 Pages

Oncologist-Reported Barriers and Facilitators to Offering Cancer Clinical Trials to Their Patients

  • Brenda S. Castillo,
  • Leigh Boehmer,
  • Janelle Schrag,
  • Alexandra Howson,
  • Randall Oyer,
  • Lori Pierce,
  • Nadine J. Barrett and
  • Carmen E. Guerra

28 May 2024

NCCN guidelines indicate that cancer clinical trials (CCTs) are the best management for patients with cancer. However, only 5% of patients enroll in them. We examined oncologists’ perceived barriers and facilitators to discussing CCTs. This qua...

  • Article
  • Open Access
14 Citations
5,980 Views
21 Pages

Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals

  • Yvonne Schaffler,
  • Thomas Probst,
  • Andrea Jesser,
  • Elke Humer,
  • Christoph Pieh,
  • Peter Stippl,
  • Barbara Haid and
  • Brigitte Schigl

7 November 2022

Access to psychotherapy is still limited by various barriers, and little is known about the facilitating circumstances. This study aims to assess self-reported barriers and facilitators to psychotherapy utilisation in private practice and how these a...

  • Review
  • Open Access
6 Citations
3,830 Views
22 Pages

Ambient Assisted Living Systems (AALSs) use information and communication technologies to support care for the growing population of older adults. AALSs focus on providing multidimensional support to families, primary care facilities, and patients to...

  • Article
  • Open Access
16 Citations
13,298 Views
14 Pages

29 August 2024

Poor medication adherence is a significant public health issue, especially among the vulnerable elderly, leading to increased morbidity, mortality, and healthcare costs. This study aimed to explore, identify, and understand the barriers and facilitat...

  • Article
  • Open Access
46 Citations
12,900 Views
8 Pages

Common Perceived Barriers and Facilitators for Reducing Sedentary Behaviour among Office Workers

  • Carla F. J. Nooijen,
  • Lena V. Kallings,
  • Victoria Blom,
  • Örjan Ekblom,
  • Yvonne Forsell and
  • Maria M. Ekblom

Qualitative studies identified barriers and facilitators associated with work-related sedentary behaviour. The objective of this study was to determine common perceived barriers and facilitators among office workers, assess subgroup differences, and...

  • Article
  • Open Access
13 Citations
4,176 Views
12 Pages

Facilitators and Barriers for Young Medical Doctors Writing Their First Manuscript for Publication

  • Rie Raffing,
  • Thor Bern Jensen,
  • Sanne Larsen,
  • Lars Konge,
  • Christine Møller and
  • Hanne Tønnesen

Although scientific publication is often mandatory in medical professions, writing the first research article for publication is challenging, especially as medical curricula have only a minor focus on scientific writing. The aim was therefore to iden...

  • Article
  • Open Access
24 Citations
6,519 Views
13 Pages

8 January 2019

Objectives: To determine the facilitators and barriers influencing healthy eating behaviours among aged Chinese-Canadians with hypertension. Methods: After attending five weeks of dietary educational training (Dietary Approach to Stop Hypertension wi...

  • Article
  • Open Access
1 Citations
2,213 Views
22 Pages

Background: This study explored the experiences of adults with diverse rare diseases (RDs) and RD caregivers with barriers and facilitators to healthcare access in the United States (US), including during the early part of the COVID-19 pandemic, and...

  • Review
  • Open Access
26 Citations
5,556 Views
25 Pages

Real-World Implementation of Precision Psychiatry: A Systematic Review of Barriers and Facilitators

  • Helen Baldwin,
  • Lion Loebel-Davidsohn,
  • Dominic Oliver,
  • Gonzalo Salazar de Pablo,
  • Daniel Stahl,
  • Heleen Riper and
  • Paolo Fusar-Poli

Background: Despite significant research progress surrounding precision medicine in psychiatry, there has been little tangible impact upon real-world clinical care. Objective: To identify barriers and facilitators affecting the real-world implementat...

  • Feature Paper
  • Article
  • Open Access
10 Citations
7,038 Views
16 Pages

Barriers and Facilitators of Partner Treatment of Chlamydia: A Qualitative Investigation with Prescribers and Community Pharmacists

  • Helen Wood,
  • Caroline Hall,
  • Emma Ioppolo,
  • Renée Ioppolo,
  • Ella Scacchia,
  • Rhonda Clifford and
  • Sajni Gudka

8 February 2018

Chlamydia trachomatis is the most frequently-notified sexually transmitted infection in Australia. Effective and timely partner treatment of chlamydia is essential to reduce overall prevalence and the burden of infection. Currently in most of Austral...

  • Communication
  • Open Access
14 Citations
7,079 Views
11 Pages

The objective of the present study was to identify barriers to and facilitators of physical activity among American Indian adults living on a rural, U.S. Northern Plains reservation using the nominal group technique (NGT). NGT is a method of data gen...

  • Article
  • Open Access
2 Citations
2,664 Views
11 Pages

Barriers and Facilitators of Working with Dying Patients among Novice Nurses in Saudi Arabia

  • Turki S. Alsalamah,
  • Yasir S. Alsalamah,
  • Basmah Aldrees,
  • Thamer Alslamah,
  • Sarah M. Yousif and
  • Mirna Fawaz

11 November 2022

Novice nurses face immense challenges while they transition from being students to becoming professional nurses. Dealing with dying patients has been documented to be an immense task among professional nurses, especially for new nurses. This study ai...

  • Review
  • Open Access
12 Citations
7,704 Views
18 Pages

Barriers and Facilitators of Pharmacoeconomic Studies: A Review of Evidence from the Middle Eastern Countries

  • Abdulaziz Ibrahim Alzarea,
  • Yusra Habib Khan,
  • Abdullah Salah Alanazi,
  • Muhammad Hammad Butt,
  • Ziyad Saeed Almalki,
  • Abdullah K. AlAhmari,
  • Saud Alsahali and
  • Tauqeer Hussain Mallhi

The world is facing a continuous increase in medical costs. Due to the surge in disease prevalence, medical science is becoming more sensitive to the economic impact of medications and drug therapies. This brings about the importance of pharmacoecono...

  • Review
  • Open Access
53 Citations
19,740 Views
15 Pages

Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators—A Scoping Review

  • Han van Dijk,
  • Albère J. A. Köke,
  • Stefan Elbers,
  • Jurgen Mollema,
  • Rob J. E. M. Smeets and
  • Harriët Wittink

The use of the biopsychosocial model in primary care physiotherapy for chronic pain is far from the recommendations given in research and current guidelines. To understand why physiotherapists have difficulty implementing a biopsychosocial approach,...

  • Review
  • Open Access
48 Citations
10,852 Views
23 Pages

Barriers to and Facilitators of Cervical Cancer Screening among Women in Southeast Asia: A Systematic Review

  • Brandon Chua,
  • Viva Ma,
  • Caitlin Asjes,
  • Ashley Lim,
  • Mahsa Mohseni and
  • Hwee Lin Wee

In Southeast Asia, cervical cancer is the second most common cancer in women. Low coverage for cervical cancer screening (CCS) becomes a roadblock to disease detection and treatment. Existing reviews on CCS have limited insights into the barriers and...

  • Article
  • Open Access
2 Citations
2,401 Views
20 Pages

Support of parents with intellectual disabilities should be long-term and start as early as possible. They, however, often come only into view late. The aim of the present study was to examine the barriers and facilitators in reaching and supporting...

  • Article
  • Open Access
639 Views
20 Pages

10 November 2025

Background: Although progress has been made, substantial barriers exist in the development and implementation of pediatric palliative care (PPC) in mainland China, Hong Kong, and Taiwan. Possible explanations include the idea that cultural taboos ere...

  • Systematic Review
  • Open Access
1 Citations
4,260 Views
19 Pages

Ecosystem Barriers and Facilitators Linked to the Fear of Cancer Recurrence: An Umbrella Review

  • Benjamin Caumeil,
  • Nicolas Bazine,
  • Axel Maugendre and
  • Sarah Calvin

The fear of cancer recurrence is an important topic in the healthcare field. In general, approximately 40% of survivors experience high levels of fear of recurrence. This study aims to fill this gap by synthesizing the findings of systematic reviews...

  • Article
  • Open Access
40 Citations
9,245 Views
16 Pages

Workplace Physical Activity Barriers and Facilitators: A Qualitative Study Based on Employees Physical Activity Levels

  • Ayazullah Safi,
  • Matthew Cole,
  • Adam L. Kelly,
  • Mohammed Gulrez Zariwala and
  • Natalie C. Walker

Introduction: Lack of time, management support, insufficient facilitates, workload balance, and culture are often reported as common barriers to physical activity (PA) participation in the workplace. In comparison, identifying facilitators of PA in t...

  • Article
  • Open Access
17 Citations
4,235 Views
11 Pages

Exercise can improve health among adolescents with depression. Understanding facilitators for and barriers to maintaining exercise among adolescents with depression may increase adherence to exercise and consequently improve health. The aim was to ex...

  • Systematic Review
  • Open Access
4 Citations
6,350 Views
16 Pages

Communication Challenges for People with Chronic Aphasia: A Systematic Qualitative Review of Barriers and Facilitators in Local Services

  • Sarah-Ève Poirier,
  • Laurie-Anne Voyer,
  • Valérie Poulin,
  • Marie-Eve Lamontagne and
  • Laura Monetta

27 August 2024

Aphasia is an acquired communication disorder caused by a cerebral lesion, such as a stroke. People with aphasia can experience various difficulties that may involve speaking, listening, reading, or writing. These difficulties have multiple impacts o...

  • Review
  • Open Access
5 Citations
4,518 Views
34 Pages

Barriers and Facilitators of Physical Activity in Pregnancy and Postpartum Among Iranian Women: A Scoping Review

  • Linda E. May,
  • Sarah J. Moss,
  • Anna Szumilewicz,
  • Rita Santos-Rocha and
  • Najmeh A. Shojaeian

2 December 2024

Inactivity during pregnancy and postpartum is largely a result of women’s attitudes and misunderstandings of physical activity, especially in Iran. This scoping review critically assesses the barriers and facilitators influencing physical activ...

  • Systematic Review
  • Open Access
27 Citations
4,163 Views
12 Pages

20 April 2021

Treatment of older patients with benzodiazepines and Z-drugs (BZRA) is associated with an increased risk of side effects. However, this treatment is still used among these patients. Deprescribing can be a tool to reduce inappropriate medication. This...

  • Article
  • Open Access
1,380 Views
17 Pages

Background: Community gardens are increasingly popular in Canadian cities, serving as transformative spaces where immigrants can develop self-reliant strategies for accessing culturally familiar and healthy nutritious foods. However, numerous facilit...

  • Article
  • Open Access
29 Citations
6,419 Views
19 Pages

15 March 2021

In the context of growing concerns regarding the deterioration of the environment and the increase in social inequalities, the concept of sustainability emerged as a response of companies, in order to contribute to community goodwill. The drivers and...

  • Article
  • Open Access
2,373 Views
11 Pages

Individuals with substance abuse disorders experience trouble with the return to work or finding a stable workplace. At the same time, unemployment has negative effects on substance abuse. Work-related case management programs are often used to suppo...

  • Review
  • Open Access
9 Citations
3,148 Views
21 Pages

4 February 2025

Background: Immigrants with disabilities (IWDs) are disproportionately affected by a lack of access to healthcare services and face unique challenges compared to the general population. This qualitative meta-synthesis examines the barriers, facilitat...

  • Article
  • Open Access
994 Views
14 Pages

Towards Better Communication Accessibility for People Living with Aphasia: Identifying Barriers and Facilitators in Financial Institutions

  • Sarah Bérubé-Lalancette,
  • Monica Lavoie,
  • Annie Légaré,
  • Valérie Poulin,
  • Marie-Ève Lamontagne,
  • Joëlle Duchesne and
  • Laura Monetta

Approximately one-third of stroke survivors live with aphasia, an acquired communication disorder that significantly impacts their ability to understand, speak, read, or write. This condition often leads to social isolation and a reduced quality of l...

  • Article
  • Open Access
13 Citations
6,971 Views
15 Pages

Barriers and Facilitators for Screening Older Adults on Fall Risk in a Hospital Setting: Perspectives from Patients and Healthcare Professionals

  • Lotte M. Barmentloo,
  • Manon L. Dontje,
  • Moniek Y. Koopman,
  • Branko F. Olij,
  • Christian Oudshoorn,
  • Johan P. Mackenbach,
  • Suzanne Polinder and
  • Vicki Erasmus

We aimed to gain insight into the barriers and facilitators to fall risk screening of older adults visiting the hospital as experienced by patients and healthcare professionals, and to examine the differences between chronic- and acute-care patients....

  • Article
  • Open Access
1 Citations
1,148 Views
16 Pages

Barriers and Facilitators of Cardiac Rehabilitation in a Middle-Income Country: A Qualitative Study from China

  • Ying Zou,
  • Sarah Janus,
  • Jiamin Du,
  • Ning Qu,
  • Karel Zuidema,
  • Huibert Burger,
  • Kees Ahaus,
  • Zhigang Guo and
  • Sytse Zuidema

Background: Although effective and recommended by guidelines worldwide, Cardiac Rehabilitation (CR) remains scarce and underutilized. CR implementation has taken place in middle-income countries, but the progress is influenced by both positive and ne...

  • Article
  • Open Access
1,833 Views
11 Pages

Barriers and Facilitators to Patient Education Among Nurses in Multicultural Hospital Settings: A Cross-Sectional Study

  • Hawazen Omar Rawas,
  • Jennifer de Beer,
  • Siti Awa Abu Bakar,
  • Sarah Almutairi,
  • Nehal Jaafari,
  • Hawazen Hazzazi,
  • Asma Alzahrani,
  • Raghad Alghumuy,
  • Najwa Hadadi and
  • Sarah Alfahimi
  • + 4 authors

17 October 2025

Background: Patient education (PE) is an essential component of quality healthcare and chronic disease management. However, effective implementation often faces patient-, nurse-, and organization-related barriers. This is particularly relevant in mul...

  • Review
  • Open Access
46 Citations
28,354 Views
16 Pages

14 June 2019

Background: The aim of this review is to identify the roles and activities of nurses working with people with diabetes and to examine the facilitators and barriers in caring for such people. Methods: A systematic review was conducted. From 531 abstra...

  • Article
  • Open Access
22 Citations
7,108 Views
12 Pages

7 May 2019

Background: Weight and lifestyle management is advocated as the first-line treatment for polycystic ovary syndrome (PCOS) by evidence-based guidelines. Current literature describes both systems- and individual-related challenges that general practiti...

  • Article
  • Open Access
938 Views
12 Pages

Perceived Barriers and Facilitators in Cardiovascular Risk Management in Colombia: A Qualitative Analysis of the RE-HOPE Study

  • Jose P. Lopez-Lopez,
  • Yesica Giraldo-Castrillon,
  • Johanna Otero,
  • Claudia Torres,
  • Alvaro Castañeda-Hernandez,
  • Daniel Martinez-Bello,
  • Claudia Garcia,
  • Marianne Lopez-Cabrera and
  • Patricio Lopez-Jaramillo

Introduction: Low medication adherence and low hypertension control are a public health challenge, particularly in low- and middle-income countries (LMICs). Healthcare system- and patient-related barriers hinder the successful management of hypertens...

  • Article
  • Open Access
5 Citations
2,527 Views
14 Pages

Barriers and Facilitators to the Implementation of the Early-Onset Sepsis Calculator: A Multicenter Survey Study

  • Liesanne E. J. van Veen,
  • Bo M. van der Weijden,
  • Leti van Bodegom-Vos,
  • Jeroen Hol,
  • Douwe H. Visser,
  • Niek B. Achten and
  • Frans B. Plötz

12 October 2023

Prior studies demonstrated the neonatal early-onset sepsis (EOS) calculator’s potential in drastically reducing antibiotic prescriptions, and its international adoption is increasing rapidly. To optimize the EOS calculator’s impact, succe...

  • Review
  • Open Access
1 Citations
4,354 Views
10 Pages

Validity and Reliability of Questionnaires That Assess Barriers and Facilitators of Sedentary Behavior in the Pediatric Population: A Systematic Review

  • Guilherme Augusto Oliveira,
  • Andressa Costa Marcelino,
  • Maíra Tristão Parra,
  • Marcus Vinicius Nascimento-Ferreira and
  • Augusto César Ferreira De Moraes

We systematically reviewed the literature about the validity and reliability of barriers and facilitators of sedentary behavior questionnaires for children and adolescents, considering accelerometers as the reference method. We included studies that...

  • Article
  • Open Access
11 Citations
4,333 Views
9 Pages

Barriers and Facilitators to the Elimination of Asbestos Related Diseases—Stakeholders’ Perspectives

  • Joanne Vincenten,
  • Frank George,
  • Marco Martuzzi,
  • Peter Schröder-Bäck and
  • Elizabet Paunovic

Despite sound scientific knowledge and evidence that any exposure to asbestos fibers in all of its forms, are carcinogenic to humans, its presence, use and trade is still substantial, including in the World Health Organization (WHO) European Region....

  • Article
  • Open Access
1,654 Views
14 Pages

Exploring Communication Barriers and Facilitators in School Vaccination: A Case Study in South Eastern Sydney, Australia

  • Leigh McIndoe,
  • Alexandra Young,
  • Cassandra Vujovich-Dunn,
  • Vicky Sheppeard,
  • Stephanie Kean,
  • Michelle Dives and
  • Cristyn Davies

31 October 2024

Background/Objectives: Given the discrepancies in immunisation coverage, the goal of this study was to explore the barriers and facilitators to effective communication across the school-based vaccination program in South Eastern Sydney schools. Metho...

  • Article
  • Open Access
317 Views
17 Pages

Participants’ Perspectives on Health Impact, Barriers and Facilitators to Adherence in a Mediterranean Diet Lifestyle Trial

  • Paloma Massó Guijarro,
  • María Durán-Luque,
  • Claudia Rojas-Medina and
  • Naomi Cano-Ibáñez

24 December 2025

Background/Objectives: Interventions promoting the Mediterranean Diet (MedDiet) and healthy lifestyle behaviours are effective and cost-efficient in preventing non-communicable diseases (NCDs), yet sustaining adherence remains challenging. This study...

  • Article
  • Open Access
4 Citations
3,101 Views
15 Pages

Identifying Barriers and Facilitators for Home Reconstruction for Prevention of Chagas Disease: An Interview Study in Rural Loja Province, Ecuador

  • Benjamin R. Bates,
  • Majo Carrasco-Tenezaca,
  • Angela M. Mendez-Trivino,
  • Luis E. Mendoza,
  • Claudia Nieto-Sanchez,
  • Esteban G. Baus and
  • Mario J. Grijalva

Background: Chagas disease (CD) is a tropical parasitic disease spread by triatomine bugs, which are bugs that tend to infest precarious housing in rural and impoverished areas. Reducing exposure to the bugs, and thus the parasite they can carry, is...

  • Article
  • Open Access
8 Citations
3,533 Views
15 Pages

Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective

  • Nicole Andrejek,
  • Sabrina Hossain,
  • Nour Schoueri-Mychasiw,
  • Gul Saeed,
  • Maral Zibaman,
  • Angie K. Puerto Niño,
  • Samantha Meltzer-Brody,
  • Richard K. Silver,
  • Simone N. Vigod and
  • Daisy R. Singla

During the COVID-19 pandemic, outpatient psychotherapy transitioned to telemedicine. This study aimed to examine barriers and facilitators to resuming in-person psychotherapy with perinatal patients as the pandemic abates. We conducted focus group an...

  • Review
  • Open Access
34 Citations
10,217 Views
20 Pages

26 January 2022

Background: Children and adolescents with intellectual disabilities (ID) have low levels of physical activity (PA). Understanding factors influencing the PA participation of this population is essential to the design of effective interventions. The p...

  • Article
  • Open Access
17 Citations
4,708 Views
16 Pages

Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals

  • Celmira Laza-Vásquez,
  • María José Hernández-Leal,
  • Misericòrdia Carles-Lavila,
  • Maria José Pérez-Lacasta,
  • Inés Cruz-Esteve,
  • Montserrat Rué and
  • on behalf of the DECIDO Group

This study explored the barriers and facilitators to the implementation of a risk-based breast cancer screening program from the point of view of Spanish health professionals. A cross-sectional study with 220 Spanish health professionals was designed...

  • Article
  • Open Access
1 Citations
3,346 Views
28 Pages

Physical activity (PA)’s benefits are well established, yet many U.S. adults fail to meet PA guidelines. This is especially true for minorities facing social inequities. This study explored PA’s barriers and facilitators among urban Midwe...

  • Abstract
  • Open Access
1 Citations
1,437 Views
2 Pages

Barriers and Facilitators to Implementation of Healthy Food and Drink Policies in Public Sector Workplaces: A Systematic Literature Review

  • Magda Rosin,
  • Sally Mackay,
  • Sarah Gerritsen,
  • Lisa Te Morenga,
  • Gareth Terry and
  • Cliona Ni Mhurchu

Many countries and institutions have adopted policies to promote healthier food and drink availability in various settings, including public sector workplaces. However, studies reporting barriers and facilitators experienced by food vendors and cater...

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