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Search Results (2,017)

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Keywords = information satisfaction

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27 pages, 830 KiB  
Systematic Review
What Pushes University Professors to Burnout? A Systematic Review of Sociodemographic and Psychosocial Determinants
by Henry Cadena-Povea, Marco Hernández-Martínez, Gabriela Bastidas-Amador and Hugo Torres-Andrade
Int. J. Environ. Res. Public Health 2025, 22(8), 1214; https://doi.org/10.3390/ijerph22081214 (registering DOI) - 1 Aug 2025
Viewed by 74
Abstract
Burnout syndrome is a growing concern in higher education, affecting the psychological well-being and performance of university professors. This systematic review presents a narrative synthesis of findings from quantitative studies on sociodemographic and psychosocial determinants of academic burnout. Following PRISMA 2020 guidelines, sixty [...] Read more.
Burnout syndrome is a growing concern in higher education, affecting the psychological well-being and performance of university professors. This systematic review presents a narrative synthesis of findings from quantitative studies on sociodemographic and psychosocial determinants of academic burnout. Following PRISMA 2020 guidelines, sixty peer-reviewed articles published between Jan 2019 and May 2024 were selected from Scopus and Web of Science. Inclusion criteria required validated psychometric instruments and exclusive focus on university faculty. Methodological quality was assessed using the Newcastle-Ottawa Scale and CASP checklist. Data from approximately 43,639 academic staff were analyzed. Key risk factors identified include excessive workload, lack of institutional support, and workplace conflict. In contrast, collegial support, participative leadership, and job satisfaction functioned as protective elements. Variables such as age, gender, academic rank, and employment stability significantly influenced burnout vulnerability. While general patterns were observed across studies, differences in design and sampling require caution in generalization. The evidence supports the implementation of integrated strategies encompassing mental health programs, workload regulation, participatory governance, and culturally responsive approaches. These findings inform the development of institutional policies aimed at preventing burnout and fostering academic well-being. Future research should adopt longitudinal and cross-cultural designs to further explore burnout trajectories and support educational reform. Full article
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33 pages, 870 KiB  
Article
Decarbonizing Urban Transport: Policies and Challenges in Bucharest
by Adina-Petruța Pavel and Adina-Roxana Munteanu
Future Transp. 2025, 5(3), 99; https://doi.org/10.3390/futuretransp5030099 (registering DOI) - 1 Aug 2025
Viewed by 74
Abstract
Urban transport is a key driver of greenhouse gas emissions in Europe, making its decarbonization essential to achieving EU climate neutrality targets. This study examines how European strategies, such as the Green Deal, the Sustainable and Smart Mobility Strategy, and the Fit for [...] Read more.
Urban transport is a key driver of greenhouse gas emissions in Europe, making its decarbonization essential to achieving EU climate neutrality targets. This study examines how European strategies, such as the Green Deal, the Sustainable and Smart Mobility Strategy, and the Fit for 55 package, are reflected in Romania’s transport policies, with a focus on implementation challenges and urban outcomes in Bucharest. By combining policy analysis, stakeholder mapping, and comparative mobility indicators, the paper critically assesses Bucharest’s current reliance on private vehicles, underperforming public transport satisfaction, and limited progress on active mobility. The study develops a context-sensitive reform framework for the Romanian capital, grounded in transferable lessons from Western and Central European cities. It emphasizes coordinated metropolitan governance, public trust-building, phased car-restraint measures, and investment alignment as key levers. Rather than merely cataloguing policy intentions, the paper offers practical recommendations informed by systemic governance barriers and public attitudes. The findings will contribute to academic debates on urban mobility transitions in post-socialist cities and provide actionable insights for policymakers seeking to operationalize EU decarbonization goals at the metropolitan scale. Full article
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26 pages, 504 KiB  
Article
Exploring the Role of Social Protection in UK Asylum-Seeker Wellbeing Using Human Scale Development Theory
by Michelle James and Rachel Forrester-Jones
Soc. Sci. 2025, 14(8), 474; https://doi.org/10.3390/socsci14080474 - 30 Jul 2025
Viewed by 292
Abstract
This article utilises Max-Neef’s Human Scale Development (HSD) framework (1991) to answer two research questions: what impact does government and community-based social protection (SP) have on UK asylum-seeker wellbeing; how are interactions with all forms of SP, both as giver and receiver, supporting [...] Read more.
This article utilises Max-Neef’s Human Scale Development (HSD) framework (1991) to answer two research questions: what impact does government and community-based social protection (SP) have on UK asylum-seeker wellbeing; how are interactions with all forms of SP, both as giver and receiver, supporting or harming the satisfaction of asylum-seekers’ fundamental human needs at this time? The research study utilised a mixed-methods, collaborative, case study design situated within a refugee and asylum-seeker (RAS) support charity in Southwest England. Methods included peer-led Qualitative Impact Protocol interviews, Photovoice, surveys, and staff interviews. Data were subjected to an inductive, bottom-up process on Causal Map software (version 2, Causal Map Ltd., 39 Apsley Rd., Bath BA1 3LP, UK) and the analysis used the HSD framework. We found eight over-arching themes. The four main needs-violators/destroyers of asylum-seeker wellbeing were dehumanisation, unfreedoms, enforced ignorance, and (re)traumatisation, and the four main needs-satisfiers were common humanity, autonomy and resistance, exerting agency through knowledge exchange, and healing. Five policy and practice-focused bridging satisfiers are recommended to help move individual and collective experience from a negative to a positive state in the research population. Policy and practice should be transparent and evidence-based, efficient and equitable, supportive of participation and productivity, trauma-informed, and multi-agency. Full article
(This article belongs to the Section International Migration)
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21 pages, 552 KiB  
Review
Informed Consent in Perinatal Care: Challenges and Best Practices in Obstetric and Midwifery-Led Models
by Eriketi Kokkosi, Sofoklis Stavros, Efthalia Moustakli, Saraswathi Vedam, Anastasios Potiris, Despoina Mavrogianni, Nikolaos Antonakopoulos, Periklis Panagopoulos, Peter Drakakis, Kleanthi Gourounti, Maria Iliadou and Angeliki Sarella
Nurs. Rep. 2025, 15(8), 273; https://doi.org/10.3390/nursrep15080273 - 29 Jul 2025
Viewed by 250
Abstract
Respectful maternity care involves privacy, dignity, and informed choice within the process of delivery as stipulated by the World Health Organization (WHO). Informed consent is a cornerstone of patient-centered care, representing not just a formal document, but an ongoing ethical and clinical process [...] Read more.
Respectful maternity care involves privacy, dignity, and informed choice within the process of delivery as stipulated by the World Health Organization (WHO). Informed consent is a cornerstone of patient-centered care, representing not just a formal document, but an ongoing ethical and clinical process through which women are offered objective, understandable information to support autonomous, informed decision-making. This narrative review critically examines the literature on informed consent in maternity care, with particular attention to both obstetric-led and midwifery-led models of care. In addition to identifying institutional, cultural, and systemic obstacles to its successful implementation, the review examines the definition and application of informed consent in perinatal settings and evaluates its effects on women’s autonomy and satisfaction with care. Important conclusions emphasize that improving women’s experiences and minimizing needless interventions require active decision-making participation, a positive provider–patient relationship, and ongoing support from medical professionals. However, significant gaps persist between legal mandates and actual practice due to provider attitudes, systemic constraints, and sociocultural influences. Women’s experiences of consent can be more effectively understood through the use of instruments such as the Mothers’ Respect (MOR) Index and the Mothers’ Autonomy in Decision Making (MADM) Scale. To promote genuinely informed and considerate maternity care, this review emphasizes the necessity of legislative reform and improved provider education in order to close the gap between policy and practice. Full article
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25 pages, 3868 KiB  
Article
From Research to Design: Enhancing Mental Well-Being Through Quality Public Green Spaces in Beirut
by Mariam Raad, Georgio Kallas, Falah Assadi, Nina Zeidan, Victoria Dawalibi and Alessio Russo
Land 2025, 14(8), 1558; https://doi.org/10.3390/land14081558 - 29 Jul 2025
Viewed by 174
Abstract
The global rise in urban-related health issues poses significant challenges to public health, particularly in cities facing socio-economic crises. In Lebanon, 70% of the population is experiencing financial hardship, and healthcare costs have surged by 172%, exacerbating the strain on medical services. Given [...] Read more.
The global rise in urban-related health issues poses significant challenges to public health, particularly in cities facing socio-economic crises. In Lebanon, 70% of the population is experiencing financial hardship, and healthcare costs have surged by 172%, exacerbating the strain on medical services. Given these conditions, improving the quality and accessibility of green spaces offers a promising avenue for alleviating mental health issues in urban areas. This study investigates the psychological impact of nine urban public spaces in Beirut through a comprehensive survey methodology, involving 297 participants (locals and tourists) who rated these spaces using Likert-scale measures. The findings reveal location-specific barriers, with Saanayeh Park rated highest in quality and Martyr’s Square rated lowest. The analysis identifies facility quality as the most significant factor influencing space quality, contributing 73.6% to the overall assessment, while activity factors have a lesser impact. The study further highlights a moderate positive association (Spearman’s rho = 0.30) between public space quality and mental well-being in Beirut. This study employs a hybrid methodology combining Research for Design (RfD) and Research Through Designing (RTD). Empirical data informed spatial strategies, while iterative design served as a tool for generating context-specific knowledge. Design enhancements—such as sensory plantings, shading systems, and social nodes—aim to improve well-being through better public space quality. The proposed interventions support mental health, life satisfaction, climate resilience, and urban inclusivity. The findings offer actionable insights for cities facing public health and spatial equity challenges in crisis contexts. Full article
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18 pages, 275 KiB  
Article
Exploration of Client Experiences of Veterinary Care for Companion Animals (Dogs and Cats) and the Impact of Trauma-Informed Care on Client Outcomes
by Vanessa I. Rohlf, Nadia Manfrenuzzi, Neelofar Rehman and Pauleen C. Bennett
Vet. Sci. 2025, 12(8), 709; https://doi.org/10.3390/vetsci12080709 - 28 Jul 2025
Viewed by 330
Abstract
Trauma-informed care (TIC) is an increasingly implemented approach in human services, but little research documents implementation within veterinary services. This study explored emotional experiences of veterinary clients and the perceived emotions/behaviors of their pets, studied experiences of TIC, and ascertained the extent to [...] Read more.
Trauma-informed care (TIC) is an increasingly implemented approach in human services, but little research documents implementation within veterinary services. This study explored emotional experiences of veterinary clients and the perceived emotions/behaviors of their pets, studied experiences of TIC, and ascertained the extent to which experiences of TIC predicted client outcomes. Clients (N = 274) were surveyed about their experiences of veterinary care. Clients documented positive and negative emotional experiences, with negative emotions associated with more serious presenting issues. TIC was experienced during veterinary visits. Principal component analyses found that TIC fell into the following five factors: (1) transparent and client-centered communication; (2) client supports and strengths; (3) emotional safety and empowerment; (4) physical safety and comfort; (5) informed consent. Hierarchical regressions revealed that, after controlling for reason for the visit, client-reported emotions and pet emotions/behaviors, 53.9% and 56.3% of the variance in client satisfaction and client disappointment was accounted for by TIC practices, respectively. The results show that although the outcomes for pets receiving veterinary care might not always be positive, which can lead to negative emotional experiences for clients, these can be ameliorated and lead to positive client outcomes through utilizing TIC. Full article
21 pages, 309 KiB  
Article
Italian Consumer Willingness to Pay for Agri-Food Sustainable Certification Labels: The Role of Sociodemographic Factors
by Francesca Gagliardi, Leonardo Brogi, Gianni Betti, Angelo Riccaboni and Cristiana Tozzi
Sustainability 2025, 17(15), 6792; https://doi.org/10.3390/su17156792 - 25 Jul 2025
Viewed by 200
Abstract
Studying consumers’ willingness to pay (WTP) for sustainable certification labels and preferences in consumption is a relevant issue for policymakers. Several studies have revealed a positive WTP a premium price for many certified products. The aim of this paper is to assess an [...] Read more.
Studying consumers’ willingness to pay (WTP) for sustainable certification labels and preferences in consumption is a relevant issue for policymakers. Several studies have revealed a positive WTP a premium price for many certified products. The aim of this paper is to assess an overview of Italian consumers’ WTP for eight different sustainable certification labels and to collect information about their consumption preferences and perceptions in consumption. Participants were selected by stratified simple random sampling, using regional distribution, gender, and age as stratification criteria, to obtain a representative sample of n = 3600. Eight ordered logit models were estimated to understand how consumer sociodemographic characteristics influence the price premium. The results show important differences in WTP among different certification labels; a higher WTP emerged for ethical certifications than for environmentally focused labels. Younger individuals; women; and those with higher education, income and life satisfaction, as well as consumers in southern regions, were significantly more willing to pay premiums for certified products. However, a key finding for policymakers is that the stated price premium consumers are willing to pay falls significantly short of the actual higher costs of these products in supermarkets. Furthermore, insights into consumer perceptions and preferences revealed that quality and origin are perceived as key price drivers, while method of production holds less importance. It also emerged that consumers primarily seek a balance between quality and price, with only a small segment prioritizing certified products. Full article
(This article belongs to the Special Issue Sustainability of Local Agri-Food Systems)
39 pages, 3221 KiB  
Article
Balancing Multi-Source Heterogeneous User Requirement Information in Complex Product Design
by Cengjuan Wu, Tianlu Zhu, Yajun Li, Zhizheng Zhang and Tianyu Wu
Symmetry 2025, 17(8), 1192; https://doi.org/10.3390/sym17081192 - 25 Jul 2025
Viewed by 168
Abstract
User requirements are the core driving force behind the iterative development of complex products. Their comprehensive collection, accurate interpretation, and effective integration directly affect design outcomes. However, current practices often depend heavily on single-source data and designer intuition, resulting in incomplete, biased, and [...] Read more.
User requirements are the core driving force behind the iterative development of complex products. Their comprehensive collection, accurate interpretation, and effective integration directly affect design outcomes. However, current practices often depend heavily on single-source data and designer intuition, resulting in incomplete, biased, and fragile design decisions. Moreover, multi-source heterogeneous user requirements often exhibit inherent asymmetry and imbalance in both structure and contribution. To address these issues, this study proposes a symmetric and balanced optimization method for multi-source heterogeneous user requirements in complex product design. Multiple acquisition and analysis approaches are integrated to mitigate the limitations of single-source data by fusing complementary information and enabling balanced decision-making. Firstly, unstructured text data from online reviews are used to extract initial user requirements, and a topic analysis method is applied for modeling and clustering. Secondly, user interviews are analyzed using a fuzzy satisfaction analysis, while eye-tracking experiments capture physiological behavior to support correlation analysis between internal preferences and external behavior. Finally, a cooperative game-based model is introduced to optimize conflicts among data sources, ensuring fairness in decision-making. The method was validated using a case study of oxygen concentrators. The findings demonstrate improvements in both decision robustness and requirement representation. Full article
(This article belongs to the Section Engineering and Materials)
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19 pages, 894 KiB  
Article
Minimum Spatial Housing Requirements for Human Flourishing
by Karl T. Ulrich
Buildings 2025, 15(15), 2623; https://doi.org/10.3390/buildings15152623 - 24 Jul 2025
Viewed by 328
Abstract
This study defines evidence-based minimum internal floor areas required to support long-term residential use across different household types. It addresses the following question: what is the smallest viable floor area that supports sustained occupancy without persistent stress, conflict, or turnover? An integrative review [...] Read more.
This study defines evidence-based minimum internal floor areas required to support long-term residential use across different household types. It addresses the following question: what is the smallest viable floor area that supports sustained occupancy without persistent stress, conflict, or turnover? An integrative review method was employed, drawing from behavioural studies in environmental psychology, international regulatory standards, and real-world market data. The analysis focuses on essential domestic functions including sleep, hygiene, food preparation, storage, social interaction, and work. Quantitative findings from tenancy surveys, post-occupancy research, and market performance data indicate that residential units below 30 square metres for single occupants and 45 square metres for couples are consistently associated with reduced satisfaction and shorter tenancies. Regulatory minimums across diverse jurisdictions tend to converge near these same thresholds. The study proposes technical minimums of 30, 45, and 60 square metres for one-, two-, and three-person households, respectively. These values reflect functional lower bounds rather than ideal or aspirational sizes and are intended to inform performance-based housing standards. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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19 pages, 1450 KiB  
Article
Large Language Model-Based Topic-Level Sentiment Analysis for E-Grocery Consumer Reviews
by Julizar Isya Pandu Wangsa, Yudhistira Jinawi Agung, Safira Raissa Rahmi, Hendri Murfi, Nora Hariadi, Siti Nurrohmah, Yudi Satria and Choiru Za’in
Big Data Cogn. Comput. 2025, 9(8), 194; https://doi.org/10.3390/bdcc9080194 - 23 Jul 2025
Viewed by 309
Abstract
Customer sentiment analysis plays a pivotal role in the digital economy by offering comprehensive insights that inform strategic business decisions, optimize digital marketing initiatives, and improve overall customer satisfaction. We propose a large language model-based topic-level sentiment analysis framework. We employ a BERT-based [...] Read more.
Customer sentiment analysis plays a pivotal role in the digital economy by offering comprehensive insights that inform strategic business decisions, optimize digital marketing initiatives, and improve overall customer satisfaction. We propose a large language model-based topic-level sentiment analysis framework. We employ a BERT-based model to generate contextualized vector representations of the documents, and then clustering algorithms are automatically applied to group documents into topics. Once the topics are formed, a GPT model is used to perform sentiment classification on the content related to each topic. The simulations show the effectiveness of this approach, where selecting appropriate clustering techniques yields more semantically coherent topics. Furthermore, topic-level sentiment polarization shows that 31.7% of all negative sentiment concentrates on the shopping experience, despite an overall positive sentiment trend. Full article
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20 pages, 713 KiB  
Article
Problem-Based Learning as a Strategy for Teaching Physics in Technical–Professional Higher Education: A Case Study in Chile
by Graciela Muñoz Alvarez, Ileana M. Greca and Irene Arriassecq
Educ. Sci. 2025, 15(8), 941; https://doi.org/10.3390/educsci15080941 - 23 Jul 2025
Viewed by 306
Abstract
This study examines the implementation of problem-based learning in the teaching of physics within the context of technical–professional higher education in Chile. The research aimed to evaluate meaningful learning, competency development, and student satisfaction. The study involved 122 first-year students enrolled in technical [...] Read more.
This study examines the implementation of problem-based learning in the teaching of physics within the context of technical–professional higher education in Chile. The research aimed to evaluate meaningful learning, competency development, and student satisfaction. The study involved 122 first-year students enrolled in technical programmes related to the field of mechanics. The findings revealed significant improvements in both conceptual and propositional learning, as well as in the development of technical competencies such as problem-solving, information selection, and teamwork. Additionally, high levels of student satisfaction were observed, indicating that problem-based learning not only enhances learning but also fosters greater engagement and motivation among students. These results highlight the potential of problem-based learning to transform the teaching of physics in technical–professional higher education settings, aligning academic content with practical applications and providing students with relevant and high-quality education. Full article
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19 pages, 1065 KiB  
Article
Emotion Socialization Under One Roof: How Parental Response Patterns Shape Adolescent Emotional Well-Being
by Huiyuan Gao, Yue Guan, Wenyue Pei, Yuhan Gao, Jiayue Mao, Suqun Liao and Can Zeng
Behav. Sci. 2025, 15(8), 999; https://doi.org/10.3390/bs15080999 - 22 Jul 2025
Viewed by 257
Abstract
(1) Background: This study used latent profile analysis (LPA) to investigate family patterns of paternal and maternal responses to adolescents’ discrete emotions (happiness, sadness, and anger) and examined the relationship between these profiles and demographic factors, as well as adolescents’ emotion adjustment (emotion [...] Read more.
(1) Background: This study used latent profile analysis (LPA) to investigate family patterns of paternal and maternal responses to adolescents’ discrete emotions (happiness, sadness, and anger) and examined the relationship between these profiles and demographic factors, as well as adolescents’ emotion adjustment (emotion regulation and depressive symptoms). (2) Methods: A sample of 666 adolescents reported parental responses and their emotional adjustment; their mothers provided family information. (3) Results: (a) The LPA identified four profiles for adolescent happiness, including high enhancing but low dampening and neglect from both parents (Consistent Supportive); low enhancing but high dampening and neglect from both parents (Consistent Unsupportive); low to moderate scores on each response from both parents (Consistent Disengaging); and high maternal dampening and neglect but relatively low scores on the paternal response (Inconsistent). There were two profiles for sadness (Consistent Supportive, Consistent Unsupportive) and three for anger (Consistent Supportive, Consistent Unsupportive, Consistent Disengaging). (b) Parents with boys, higher incomes, better education, and greater marital satisfaction were likely to be classified into the Consistent Supportive profile across emotions. (c) When adolescents perceived their parents with the Consistent Supportive profile, they would show the best emotional adjustment; while for parents with the Inconsistent profile (for happiness) and the Consistent Unsupportive profile, the adolescents had the poorest outcome. Interestingly, adolescents who perceived their parents as fitting the Consistent Disengaging profile (especially for anger) exhibited comparatively less adverse adjustment. (4) Implications: A person-centered approach highlights different patterns of emotion socialization, underscores the importance of fostering parental cooperation and supportive responses to adolescents’ happiness, and suggests that joint disengagement from anger may promote healthier emotional development. Full article
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28 pages, 3894 KiB  
Review
Where Business Meets Location Intelligence: A Bibliometric Analysis of Geomarketing Research in Retail
by Cristiana Tudor, Aura Girlovan and Cosmin-Alin Botoroga
ISPRS Int. J. Geo-Inf. 2025, 14(8), 282; https://doi.org/10.3390/ijgi14080282 - 22 Jul 2025
Viewed by 446
Abstract
We live in an era where digitalization and omnichannel strategies significantly transform retail landscapes, and accurate spatial analytics from Geographic Information Systems (GIS) can deliver substantial competitive benefits. Nonetheless, despite evident practical advantages for specific targeting strategies and operational efficiency, the degree of [...] Read more.
We live in an era where digitalization and omnichannel strategies significantly transform retail landscapes, and accurate spatial analytics from Geographic Information Systems (GIS) can deliver substantial competitive benefits. Nonetheless, despite evident practical advantages for specific targeting strategies and operational efficiency, the degree of GIS integration into academic marketing literature remains ambiguous. Clarifying this uncertainty is beneficial for advancing theoretical understanding and ensuring retail strategies fully leverage robust, data-driven spatial intelligence. To examine the intellectual development of the field, co-occurrence analysis, topic mapping, and citation structure visualization were performed on 4952 peer-reviewed articles using the Bibliometrix R package (version 4.3.3) within R software (version 4.4.1). The results demonstrate that although GIS-based methods have been effectively incorporated into fields like site selection and spatial segmentation, traditional marketing research has not yet entirely adopted them. One of the study’s key findings is the distinction between “author keywords” and “keywords plus,” where researchers concentrate on novel topics like omnichannel retail, artificial intelligence, and logistics. However, “Keywords plus” still refers to more traditional terms such as pricing, customer satisfaction, and consumer behavior. This discrepancy presents a misalignment between current research trends and indexed classification practices. Although the mainstream retail research lacks terminology connected to geomarketing, a theme evolution analysis reveals a growing focus on technology-driven and sustainability-related concepts associated with the Retail 4.0 and 5.0 paradigms. These findings underscore a conceptual and structural deficiency in the literature and indicate the necessity for enhanced integration of GIS and spatial decision support systems (SDSS) in retail marketing. Full article
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21 pages, 383 KiB  
Article
Mapping the Unmet Informational Needs of Young Portuguese Female Cancer Survivors: Psychometric Validation of a Multidimensional Scale
by Luana Almeida, Ana Bártolo, Sara Monteiro, Isabel S. Silva, Ana Conde, Alexandra M. Araújo, Luiz Lourenço and Isabel M. Santos
Healthcare 2025, 13(14), 1757; https://doi.org/10.3390/healthcare13141757 - 20 Jul 2025
Viewed by 352
Abstract
Background/Objectives: Young female cancer survivors often face specific informational needs related to the physical and emotional effects of cancer and its impact on life plans, particularly fertility and parenthood. However, few tools are tailored to assess these needs during this critical life stage. [...] Read more.
Background/Objectives: Young female cancer survivors often face specific informational needs related to the physical and emotional effects of cancer and its impact on life plans, particularly fertility and parenthood. However, few tools are tailored to assess these needs during this critical life stage. This study aimed to (i) validate a multidimensional measure—the Satisfaction with Information Provided to Young Oncology Patients Scale (SIPYF-CPS)—to assess the specific informational needs of young adult female cancer survivors; and (ii) explore preferences regarding the provision of information and counseling. Methods: A total of 124 women (M[age] = 38.18; SD = 5.49; range 21–45), 76.6% diagnosed with breast cancer, participated in the study. Psychometric analyses included exploratory factor analysis and correlation coefficients to assess reliability and construct validity. Convergent validity was evaluated through standardized measures of anxiety, reproductive concerns, and quality of life. Results: A final 22-item measure demonstrated strong reliability and validity, capturing four factors: (i) Disease-Related Information, (ii) Symptoms and Functional Limitations, (iii) Implications for Fertility and Parenthood, and (iv) Support Services. Participants expressed low satisfaction with information on fertility preservation, sexual health, and support services. Lower satisfaction was moderately associated with higher anxiety and depression while positively related to quality of life. Most participants preferred phased, face-to-face communication throughout the illness trajectory. Conclusions: The SIPYF-CPS is a valid, multidimensional tool that captures the complex and evolving informational needs of young female cancer survivors. Its clinical use may promote earlier, personalized, and emotionally responsive communication—supporting psychological well-being, informed decision-making, and long-term survivorship care. Full article
(This article belongs to the Special Issue Multidisciplinary Approaches in Cancer Healthcare)
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16 pages, 330 KiB  
Article
The Role of Age in Shaping Cognitive, Physical, and Psychosocial Outcomes in Hemodialysis Patients: A Cross-Sectional Study
by Leszek Sułkowski, Andrzej Matyja and Maciej Matyja
Medicina 2025, 61(7), 1295; https://doi.org/10.3390/medicina61071295 - 18 Jul 2025
Viewed by 250
Abstract
Background and Objectives: Chronic kidney disease frequently progresses to end-stage renal disease, requiring dialysis, which imposes significant physical, psychological, and social burdens. Age is a key factor influencing symptom experience and quality of life in dialysis patients, yet findings on its impact remain [...] Read more.
Background and Objectives: Chronic kidney disease frequently progresses to end-stage renal disease, requiring dialysis, which imposes significant physical, psychological, and social burdens. Age is a key factor influencing symptom experience and quality of life in dialysis patients, yet findings on its impact remain mixed. This study aimed to examine how age relates to a broad range of health domains—including fatigue, pain, cognition, mental health, sexual satisfaction, bowel control, visual impairment, social support, and quality of life—among hemodialysis patients. Materials and Methods: A cross-sectional study was conducted at a single dialysis center in Poland, involving 79 adult patients undergoing maintenance hemodialysis. Standardized, validated psychometric instruments were used, including the Modified Fatigue Impact Scale (MFIS), Perceived Deficits Questionnaire (PDQ), Pain Effects Scale (PES), Mental Health Inventory (MHI), Modified Social Support Survey (MSSS), Sexual Satisfaction Scale (SSS), Bowel Control Scale (BWCS), Impact of Visual Impairment Scale (IVIS), and WHOQOL-BREF for quality of life. Spearman’s or Pearson’s correlation coefficients were used to evaluate relationships between age and scale scores. Full and abbreviated versions of scales were also compared. Results: Age showed moderate positive correlations with fatigue (ρ = 0.44–0.53), cognitive deficits (ρ = 0.37–0.45), pain (r = 0.41), bowel control issues (ρ = 0.32), and visual impairment (ρ = 0.37), all statistically significant (p < 0.01). No significant associations were observed between age and mental health (MHI), perceived social support (MSSS), or quality of life (WHOQOL-BREF). Abbreviated versions of the scales showed strong correlations with their full versions (ρ > 0.9). Conclusions: While age is linked to increased symptom burden in select domains such as cognition, fatigue, and pain, it does not significantly affect mental health, perceived social support, or overall quality of life in hemodialysis patients. These findings support the use of age-sensitive, multidimensional assessments to inform individualized care strategies. Full article
(This article belongs to the Section Urology & Nephrology)
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