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Aims: To examine and describe feedback after participation in a novel eating disorder prevention program for young women with type 1 diabetes (Diabetes Body Project) in a multinational randomised controlled trial.
Methods: Written feedback from participants (N = 109) and facilitators (N = 19) at four sites (Europe and US) was analysed using descriptive, manifest content analysis. Open-ended questions included motivation for participation, most/less valuable aspects of the program and suggestions for improvement.
Results: "Community" was the most important motivator and most valued aspect, reported by one-third of participants. When asked about less valued aspects of the program, participants and facilitators most frequently reported "none/not sure/everything was valuable" and "nothing" respectively. Suggestions to improve the program common for participants and facilitators were "more creative exercises", specific for participants after "none" was "limit homework/obligations" and specific for facilitators was "more flexibility to move away from the script". The three most frequently perceived barriers for participation reported by participants and facilitators were "requiring personal vulnerability", "time and energy constraints" and the "group setting".
Conclusions: Participants and facilitators expressed overall high satisfaction with the program, specifically the value of T1D community. Additionally, they suggested incorporating more creative exercises. Future research should aim at widespread implementation and addressing barriers to participation.
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http://dx.doi.org/10.1111/dme.70108 | DOI Listing |
Nurs Ethics
September 2025
BackgroundNurse leaders play a vital role in fostering a health-promoting work environment. Despite the increasing recognition of the importance of their roles, studies focusing specifically on the actions they employ to foster such environments remain limited.Research aimThe aim of this study is to explore and enhance understanding of the actions nurse leaders employ to develop a health-promoting work environment.
View Article and Find Full Text PDFJMIR Pediatr Parent
September 2025
Division of Prevention Science, Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Background: Alone time with health care providers is critical for adolescents, and several professional organizations recommend it. Alone time with providers promotes better utilization of health services, empowers adolescents to manage their health, and facilitates discussions on sensitive issues. However, only 40% of adolescents have private conversations with clinicians during visits.
View Article and Find Full Text PDFNeurology
October 2025
Montreal Neurological Institute-Hospital, McGill University, Montreal, Canada.
Background And Objectives: Years before diagnosis of Parkinson disease (PD), dementia with Lewy bodies (DLB), or multiple system atrophy (MSA), mild prodromal manifestations can be detected. Longitudinal follow-up of people with prodromal synucleinopathy, particularly idiopathic/isolated REM sleep behavior disorder (iRBD), enables in-depth clinical phenotyping of early disease, which could facilitate stratification for clinical trials, provide the definition of appropriate end points, or predict phenoconversion more precisely. The aim of this study was to update and expand on previous studies assessing clinical evolution from iRBD to clinically diagnosed disease, up to 14 years before diagnosis.
View Article and Find Full Text PDFRev Esc Enferm USP
September 2025
Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
Objective: To identify pregnant women with urinary tract infections who are being monitored at a primary health care unit and their knowledge about antibiotics, as well as facilitating and challenging factors perceived by nurses that influence care, with a focus on antimicrobial resistance.
Method: Exploratory, descriptive study with a quantitative approach, involving pregnant women with urinary tract infections undergoing antibiotic treatment at a municipal health unit in São Paulo and nurses working at the same location. Data were obtained from computerized systems, medical records, and interviews, and were synthesized and analyzed using Microsoft Excel and Stata software.
JAMA Netw Open
September 2025
Department of Urology, Center for Health Outcomes Research and Dissemination, University of Washington, Seattle.
Importance: Black individuals have a twofold higher rate of prostate cancer death in the US compared with the average population with prostate cancer. Few guidelines support race-conscious screening practices among at-risk Black individuals.
Objective: To examine structural factors that facilitate or impede access to prostate cancer screening among Black individuals in the US.