Search Results (268)

The incorporation of artificial intelligence (AI) and digital technology in healthcare has revolutionized service delivery, improving diagnostic precision, patient outcomes, and operational efficacy. Nonetheless, despite considerable progress, numerous problems persist that impede the realization of full potential. Current reviews predominantly emphasize the advantages of AI in disease detection and health guidance, neglecting significant concerns such as social opposition, regulatory frameworks, and geographical discrepancies. This SLR, executed in accordance with PRISMA principles, examined 21 publications from 2020 to 2025 to assess the present condition of AI and digital technologies inside Saudi Arabia’s healthcare industry. Initially, 863 publications were obtained, from which 21 were chosen for comprehensive examination. Significant discoveries encompass the extensive utilization of telemedicine, data analytics, mobile health applications, Internet of Things, electronic health records, blockchain technology, online platforms, cloud computing, and encryption methods. These technologies augment diagnostic precision, boost patient outcomes, optimize administrative procedures, and foster preventative medicine, contributing to cost-effectiveness, environmental sustainability, and enduring service provision. Nonetheless, issues include data privacy concerns, elevated implementation expenses, opposition to change, interoperability challenge, and regulatory issues persist as substantial barriers. Subsequent investigations must concentrate on the development of culturally relevant AI algorithms, the enhancement of Arabic natural language processing, and the establishment of AI-driven mental health systems. By confronting these challenges and utilizing emerging technologies, Saudi Arabia has the potential to establish its status as a leading nation in medical services innovation, guaranteeing patient-centered, efficient, and accessible healthcare delivery. Recommendations must include augmenting data privacy and security, minimizing implementation expenses, surmounting resistance to change, enhancing interoperability, fortifying regulatory frameworks, addressing regional inequities, and investing in nascent technologies. Full article

Digital mental health resources have expanded rapidly in the wake of the COVID-19 pandemic, offering new opportunities to improve access to mental healthcare through technologies such as AI chatbots, mobile apps, and online platforms. Despite this growth, significant challenges persist, including low user retention, limited digital literacy, unclear privacy regulations, and insufficient evidence of clinical effectiveness and safety. AI chatbots, which act as virtual therapists or companions, provide counseling and personalized support, but raise concerns about user dependence, emotional outcomes, privacy, ethical risks, and bias. User experiences are mixed: while some report enhanced social health and reduced loneliness, others question the safety, crisis response, and overall reliability of these tools, particularly in unregulated settings. Vulnerable and underserved populations may face heightened risks, highlighting the need for engagement with individuals with lived experience to define safe and supportive interactions. This review critically examines the empirical and grey literature on AI chatbot use in mental healthcare, evaluating their benefits and limitations in terms of access, user engagement, risk management, and clinical integration. Key findings indicate that AI chatbots can complement traditional care and bridge service gaps. However, current evidence is constrained by short-term studies and a lack of diverse, long-term outcome data. The review underscores the importance of transparent operations, ethical governance, and hybrid care models combining technological and human oversight. Recommendations include stakeholder-driven deployment approaches, rigorous evaluation standards, and ongoing real-world validation to ensure equitable, safe, and effective use of AI chatbots in mental healthcare. Full article

Tackling poor mental health and wellbeing among healthcare workers remains a high priority for the National Health Service (NHS). This study evaluated the social value of the Coming to Our Senses mindfulness-based programme, designed to support the mental health of workers in high-stress medical environments, for NHS healthcare workers in Wales. Respondents (N = 39) to an online survey were assessed for mental health social value at baseline and one-month follow-up using the Short Warwick–Edinburgh Mental Wellbeing Scale (SWEMWBS) and the Social Value Bank (SVB). Social return on investment (SROI) ratios were calculated by dividing the change in mental health social value, health resource service use, and productivity costs by the programme delivery costs. Social value generated per respondent was £1890.05 using SWEMSWBS and £5775.97 using SVB. Cost savings in health resource and productivity were £9.41 and £79.10 per respondent, respectively. The programme delivery cost was £463.63 per respondent. Overall, including sensitivity analysis, the programme yielded a positive SROI of £2.35–£4.27:£1 using SWEMWBS or £6.82–£12.65:£1 using SVB. These findings suggest that the Coming to Our Senses programme may be effective in generating positive social value by improving self-reported mental health and wellbeing among NHS healthcare workers in Wales. Full article

Francophone populations outside Quebec were disproportionately affected by the COVID-19 crisis. Despite French being one of Canada’s official languages, access to information and services in French remains limited. This study examined Francophone families’ (FF) post-pandemic health and well-being needs (PPHW) in the Canadian Prairie provinces. An online survey assessed PPHW needs among 319 FF in Alberta (AB), Saskatchewan (SK), and Manitoba (MB). Respondents ranked PPHW needs from a predefined list; logistic regression analyzed socio-demographic influences. Divided into AB/SK and MB cohorts, sociodemographic profiles were statistically distinct for many variables, but with similarities found in gender of respondents (women: 73% in AB/SK, 79% in MB), marital status (married: 81% in AB/SK, 88% in MB), area of residence (urban: 86% in AB/SK, 81% in MB), and number of children (2 children: 49% in AB/SK, 41% in MB). Three high-priority needs were shared across provinces: (1) access to recreational, athletic, and artistic activities in French for children (variations by child gender); (2) access to French healthcare professionals (variations by education level and language difference); and (3) social activities in French for families. AB/SK respondents prioritized mental health services in French for adults and youth. MB families prioritized belonging to a Francophone community (variations by gender of children) and education services in French (variations by age of children). Understanding these common and province-specific priorities can inform policy and service planning. Full article

Background/Objectives: Parental mental health challenges are associated with parenting difficulties and child mental health issues. Parenting interventions can support families; however, parents with mental health challenges face barriers to accessing parenting support, which is not consistently offered within adult mental health settings. Embedding technology-assisted parenting programs into these settings could provide accessible, holistic support. Partners in Parenting Kids (PiP Kids) is a digital parenting program designed to prevent child anxiety and depression, yet its suitability for parents with mental health challenges and fit within mental health services remains unclear. This study aimed to co-design and adapt PiP Kids for future implementation in an Australian adult mental health service. Methods: Parents who recently sought mental health support (n = 8) and service providers (n = 7) participated in co-design workshops to explore needs and preferences for a technology-assisted parenting program and iteratively develop a prototype. Parents (n = 3) trialled the online component of the prototype and participated in qualitative interviews to assess acceptability. Results: The adapted clinician-supported program was designed to facilitate (1) parent and clinician readiness for parenting support; (2) emotional and social support for parents and clinicians; (3) practical, personalised parenting knowledge; (4) parent-led empowerment; and (5) accessible, integrated support. Prototype clinician training was developed to strengthen the clinician-support component. Parents indicated initial acceptability of the online prototype while reiterating the value of including face-to-face support. Conclusions: This study co-designed an online, clinician-supported parenting program for future embedding within adult mental health settings. The findings highlight key considerations for developing and implementing technology-assisted interventions that promote family-focused care for parents seeking mental health support. Full article

Introduction: Personality disorders are enduring, maladaptive patterns that impair social and vocational functioning. The DSM-5 Alternative Model for Personality Disorders (AMPD) distinguishes Criterion A (personality functioning: identity, self-direction, empathy, intimacy) from Criterion B (maladaptive trait domains: negative affectivity, detachment, antagonism, disinhibition, psychoticism). We frame this study within Criterion B, supporting the use of a dimensional approach that complements (rather than replaces) normative models like the Five-Factor Model (FFM) and addresses cross-cultural gaps amid Saudi Arabia’s rapid sociocultural change such as the reforms associated with Vision 2030. Given Saudi Arabia’s collectivist orientation and evolving sociocultural norms under Vision 2030, the dimensional approach of the AMPD Criterion B offers a culturally sensitive lens for capturing personality pathology beyond Western-centric diagnostic models. Aim: We aimed to examine how PID-5-BF maladaptive trait domains vary across key sociodemographic factors in Saudi adults. Subjects and Methods: This was a quantitative, cross-sectional analytical study conducted among Saudi adults using the PID-5-BF Convenience sampling was performed via the dissemination of an online survey; we aimed for 377 participants and obtained 343 completed responses (~91% of the target sample). For trait assessment, we used the PID-5-BF; analyses compared domains across sociodemographic groups. Results: Females showed a higher negative affect; participants ≤ 30 years exhibited higher psychoticism than those >40; and single individuals reported lower detachment and psychoticism than their married peers. Conclusions: Gender, age, and marital status are associated with differences in maladaptive trait expression, supporting the need for culturally tailored screening and interventions in Saudi mental health services. These findings should be interpreted with caution given the fact that WhatsApp-based convenience sampling was used, which may bias the results as the respondents were more likely to live in urban areas, be educated, and be technologically proficient. Full article

Objectives: Lifestyle behaviors such as physical activity, cognitive engagement, social interaction, diet, sleep, and vascular risk management are increasingly recognized as contributors to cognitive aging and dementia risk. Although many middle-aged and older adults express interest in maintaining brain health, less is known about their beliefs about brain-healthy behaviors or their preferences for receiving multicomponent brain health interventions. This study examined adults’ ratings of the usefulness of a wide range of lifestyle activities for brain health and their preferred formats for receiving support. Methods: A 60-item online survey was administered to compensated volunteers aged 40 years and older through a commercial provider. The questionnaire assessed perceived usefulness of lifestyle-based brain health activities and preferred intervention delivery formats. The analytic sample included 761 respondents. Descriptive statistics were computed for all ratings and differences by age group and gender were tested using MANOVA with post hoc comparisons adjusted for multiple testing. Results: Participants endorsed many lifestyle activities as helpful for brain health. Mentally stimulating activities, good sleep, stress management, and creative activities received the highest ratings, whereas strength training, meditation, language learning, and computer-based cognitive training were rated lower. Aerobic exercise and mentally stimulating activities were most frequently selected as the single most important activity. Significant effects of age, gender, and their interaction were observed, with younger men and older women generally rating activities more favorably. With respect to desire for services, over half of participants preferred receiving a cognitive assessment, and many favored online education or app-based tools. Conclusions: Middle-aged and older adults recognize a wide range of lifestyle factors as potentially beneficial for brain health and express strong interest in structured support, particularly assessments and digital resources. These findings can inform the design of flexible, multicomponent brain health interventions aligned with adults’ preferences and priorities. Full article

Introduction: This study aimed (1) to describe services involved in healthcare provision for children with special healthcare needs (CSHCN) and explore changes in the frequency of service provision reported by parents during the first wave of the COVID-19 pandemic; (2) to analyze associations between healthcare service provision and disease complexity; (3) to explore potential associations of changes in frequency of service provision with disease complexity, socioeconomic status (SES), and psychosocial factors; and (4) to generate actionable insights for building crisis-resilient care systems. Methods: A sequential series of cross-sectional online surveys at three points in time was conducted among caregivers of children with and without special healthcare needs in Germany. We analyzed data from the first survey (08/2020–10/2020). Results: Among CSHCN, reductions in treatment reached up to 88.4%. Positive associations between the reduction in treatment during the pandemic and disease complexity could be shown. There was no evidence for associations between reductions in healthcare provision, SES, and/or mental health. Structural vulnerabilities within existing care pathways for children with and without special healthcare needs could be identified. Conclusions: The findings highlight major gaps in healthcare continuity and underscore the urgent need for crisis-resilient care structures. CSHCN with more complex needs require prioritized, consistent, and structurally protected access to multidisciplinary services. The study calls for long-term investment in integrated, cross-sectoral, and family-centered healthcare frameworks to safeguard CSHCN in future public health emergencies. Full article

Dog ownership may be an effective nonpharmacological, rehabilitative approach to improve veterans’ mental health and well-being. For three functional types of dogs—service, emotional support, and companion—little is known about the demographic and health characteristics of veterans and the dog types they own. This study examined veteran demographics and health characteristics stratified by functional dog type and intensity of the relationship. A cross-sectional online survey with several reliable/valid health and well-being instruments was administered to veterans with a service, emotional support, or companion dog. A convenience sample of veterans (N = 242) with a mean age of 46.9 (SD = 13.4) participated in this study. There were 143 males, 95 females, and 2 participants with another identity. The majority were white (71%). The Army (48.3%) was the most represented branch. Significant differences were found between veteran health characteristics [suicidal ideation, PTSD, anxiety, and physical well-being based on the functional dog type owned]. Service dog owners had a significantly more intense relationship with their dog. This study provides insight into the role dogs may play in improving mental health and well-being in veterans. To prevent further disability in veterans, clinicians should consider incorporating the right functional dog type in personalized care plans. Full article

Adolescents and young adults across Europe face growing mental health challenges, yet many do not seek professional help. Online counselling chat services (OCCS) offer anonymous, accessible, and youth-friendly support, but their varied aims, formats, and resources complicate evaluation and integration into formal care systems. This study aimed to identify shared priorities for the development, evaluation, and implementation of OCCS for youth. Eight focus groups were conducted with 38 stakeholders—including researchers, counsellors, and service coordinators—from eight European countries. Through qualitative content analysis, six key thematic domains emerged: usability and engagement, service quality and effectiveness, infrastructure and integration, sustainability, ethical considerations, and future visions. Participants highlighted OCCS as valuable tools for fostering emotional safety, trust, and accessibility, while also noting persistent challenges such as limited funding, fragile infrastructure, and ethical tensions around anonymity and safeguarding. Crucially, the need for flexible evaluation frameworks that reflect service diversity and for stronger cross-model collaboration was emphasized. These findings provide a strategic foundation for advancing inclusive, sustainable, and youth-centered digital mental health support across Europe. Full article

The present systematic review aims to provide a comprehensive synthesis of evidence and practices regarding sustainable career transitions in elite sport. Following PRISMA guidelines, an extensive literature search was conducted in SPORTDiscus (EBSCOhost), PsycINFO, Scopus, Web of Science, and Google Scholar databases, resulting in 117 manuscripts, published from January 2015 to May 2025, and meeting the defined inclusion criteria. The review focused on mental health, dual-career pathways, transition readiness, and identity-related issues among elite athletes, Olympians, and Paralympians. Methodologies included qualitative, quantitative, and mixed-methods designs, with multisport and mixed-gender samples prevailing. The most commonly used instruments were semi-structured interviews and surveys. The main findings highlighted the centrality of mental health support, the role of dual-career planning, and the importance of proactive identity negotiation. Despite growing research interest, significant gaps persist in access to psychological support, structured transition planning, and dual-career strategies, with notable inconsistencies across countries and sports. The review emphasizes the necessity for integrated, multidimensional guidance, culturally sensitive psychological services, and flexible educational pathways to promote athlete well-being and sustainable post-sport careers. These insights are intended to inform the implementation of the ERASMUS+ funded PORTAL project, supporting evidence-based interventions and the development of resources such as an online platform and Real-Life Transition Officers to enhance the transition experiences of elite athletes. Full article

Background/Objectives: Engaging patients, caregivers, and community groups in health research priority-setting ensures that research agendas reflect genuine needs and enhance patient-centered care. Regions with cultural and linguistic diversity, such as South Tyrol in northern Italy, face challenges in achieving fair representation. This study aimed to identify health services research priorities in South Tyrol, a culturally and linguistically diverse region in Italy, through a bilingual participatory survey involving general practitioners (GPs) and patient and social interest organizations (PSIOs). Methods: A cross-sectional online survey (August–September 2025) was conducted among invited PSIOs (n = 64) and regional GPs (n = 290). A bilingual, self-developed questionnaire assessed organizational characteristics, priority ratings for predefined topics, experiences with research participation, and preferred participation modes. The data were analyzed descriptively. Group comparisons were performed using the Mann–Whitney U and chi-square tests with effect size calculation. Associations were examined using Spearman’s correlation. Free-text responses were thematically content-coded. Results: Ninety-five responses were analyzed, including nine general practitioners (9.5%) and 86 participants (90.5%) from patient and social interest organizations, of whom 27 (28.4%) held leadership or board positions. Across all groups, the highest-rated research priorities included children and adolescent mental health, palliative and end-of-life care, and continuity of primary care. Willingness to participate in future research was expressed by 38% of the respondents, with an additional 52% indicating conditional interest. Online surveys were the most preferred mode of participation, followed by workshops and board meetings. Conclusions: Participatory bilingual approaches are feasible in South Tyrol and highlight priorities that are highly relevant for patient-centered health services. Future initiatives should strengthen the structures for research participation, enhance GP engagement, and link identified priorities to research funding and policy action. Full article

Background: Diabetes and mental health conditions frequently co-occur, with depression and anxiety affecting up to 20–30% of people with diabetes. These comorbidities worsen glycemic control, adherence, and quality of life, yet mental health is often neglected in diabetes care. Integrating mental health services into diabetes management is recommended by international organizations to improve patient outcomes. Objectives: To systematically review the evidence on integrated mental health interventions in diabetes care, compared to usual diabetes care, in improving patient outcomes (glycemic control, mental health, adherence, quality of life). Methods: We searched PubMed/MEDLINE, Embase, PsycINFO, and Scopus (2000 through July 2024) for studies of diabetes care integrating mental health support (e.g., collaborative care, co-location, stepped care, or digital interventions). Inclusion criteria were controlled trials or cohort studies involving individuals with type 1 or type 2 diabetes receiving an integrated mental health intervention, with outcomes on glycemic control and/or mental health. Two reviewers independently screened titles/abstracts and full texts, with disagreements resolved by consensus. Data on study design, population, intervention components, and outcomes were extracted. Risk of bias was assessed using Cochrane or appropriate tools. Results: Out of records identified, 64 studies met inclusion criteria (primarily randomized controlled trials). Integrated care models consistently improved depression and anxiety outcomes and diabetes-specific distress, and yielded modest but significant reductions in glycated hemoglobin (HbA1c) compared to usual care. Many interventions also enhanced treatment adherence and self-management behaviors. For example, collaborative care trials showed greater depression remission rates and small HbA1c improvements (~0.3–0.5% absolute reduction) relative to standard care. Co-located care in diabetes clinics was associated with reduced diabetes distress, depression scores, and HbA1c over 12 months. Digital health integrations (telepsychiatry, online cognitive-behavioral therapy) improved psychological outcomes and adherence, with some reporting slight improvements in glycemic control. Integrated approaches often increased uptake of mental health services (e.g., higher referral completion rates) and showed high patient satisfaction. A subset of studies reported fewer emergency visits and hospitalizations with integrated care, and one economic analysis found collaborative care cost-effective in primary care settings. Conclusions: Integrating mental health into diabetes care leads to better mental health outcomes and modest improvements in glycemic control, without adverse effects. Heterogeneity across studies is noted, but the overall evidence supports multidisciplinary, patient-centered care models to address the psychosocial needs of people with diabetes. Healthcare systems should prioritize implementing and scaling integrated care, accompanied by provider training and policy support, to improve outcomes and bridge the persistent treatment gap. Future research should focus on long-term effectiveness, cost-effectiveness, and strategies to reach diverse populations. Full article

As Canada experiences a growing number of newcomer students with refugee backgrounds, K-12 educators face challenges to meet students’ unique academic, linguistic, and psychosocial needs. This paper examines the role of educational technology (EdTech) to bridge the resource and training gap by enhancing teacher preparedness through an accessible, inclusive, and trauma-informed digital resource. This study presents a qualitative case study methodology to analyze the interactive online manual, Supporting Teachers to Address the Mental Health of Students from War Zones. The research utilizes three data sources: feedback from 110 educators through a questionnaire, observational data from 69 students from two separate pre-service teacher cohorts, and an expert evaluation report conducted by university curriculum specialists. Findings suggest that successful EdTech for refugee-background student initiatives must be trauma-informed, strength-based, culturally responsive, and designed with usability and accessibility in mind. Furthermore, collaboration between K-12 educators, researchers, and developers is vital to ensure that there is alignment of pedagogy and technology. Full article

The COVID-19 pandemic had a marked detrimental effect on the mental health of the UK population. Parents with dependent children were deemed vulnerable but research on parental mental health in this period neglected to examine a child’s age together with the presence of social support. To inform potential mental health support strategies this study investigated whether the pandemic was associated with different levels of psychological wellbeing for parents with youngest children of varying ages, relative to socio-demographic factors and social support levels. From November 2020 to April 2021 n = 915 UK adults completed an online survey measuring self-reported symptoms of depression, anxiety and stress, satisfaction with life, social support and socio-demographic characteristics. Results provide some evidence of better psychological wellbeing for parents with younger children (aged 0 to 5 years) than older children. Overall, social support was a key factor in mitigating depression, anxiety, and stress scores for parents of dependent-aged children. Findings provide new evidence supporting Pearlin’s Stress Process Model, highlighting the importance of social support to parents under pandemic-related pressures. These findings indicate that one way of safeguarding parents vulnerable to poor mental health could be by increasing social support to parents via formal and informal support services within school communities. Full article