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Effects of a culture-specificbehavior modificationprogram on glycated hemoglobin and blood pressure among adults with diabetes and hypertension:A randomized controlled trial 认领 引用 被引量:3
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作者 Patcharee Numsang Sureeporn Thanasilp Ratsiri Thato 《International Journal of Nursing Sciences》 CSCD 2025年第4期328-334,I0002,共7页
Objective:This study aimed to determine the effect of a culture-specificbehavior modificationprogram on glycated hemoglobin(HbA1c)and blood pressure among adults with diabetes and hypertension.Methods:This study was a... Objective:This study aimed to determine the effect of a culture-specificbehavior modificationprogram on glycated hemoglobin(HbA1c)and blood pressure among adults with diabetes and hypertension.Methods:This study was a single-blind randomized controlled trial design.From January to May 2024,a total of 60 patients with uncontrolled type 2 diabetes and hypertension from the primary care unit of a hospital in northeastern(Isan)Thailand were recruited.The intervention group received the usual care supplemented by a culture-specificbehavior modificationprogramm implemented through interactive classes and online web application consisting of information,motivation,and behavioral skills(diet,exercise,and medication use),the control group received the usual care.HbA1c and blood pressure measurements were collected at both baseline and at 12 weeks.Results:A total of 51 patients completed the study,the intervention group(n=26)and control group(n=25),respectively.After 12 weeks,23.1%of patients in the intervention group could maintain their HbA1c<7.0%;those with poorly controlled HbA1c decreased from 7.7%at baseline to 3.8%at 12 weeks.After 12 weeks,69.2%of intervention group participants could maintain systolic blood pressure<130 mmHg and 53.8%could keep diastolic blood pressure<80 mmHg.Analysis revealed that HbA1c,systolic and diastolic blood pressure levels in the intervention group were lower than the control group after the intervention(P<0.05).There was a statistically significantdifference a linear combination of HbA1c and blood pressure(systolic and diastolic BP levels)between time and group(P<0.05).Conclusion:These results suggest that healthcare providers can incorporate elements of this program to manage blood glucose and blood pressure effectively.Future studies should consider a longitudinal design with a larger sample size and include outcomes of lipid levels to confirmlong-term motivation. 展开更多
关键词 Behavior modification Blood pressure Glycated hemoglobin Hypertension Nursing Patients Type 2 diabetes mellitus
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Comment on Numsang et al.(2025)‘Effects of a culture-specific behavior modification program on glycated hemoglobin and blood pressure among adults with diabetes and hypertension:A randomized controlled trial’ 认领 引用
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作者 Aaron Aytona Funa Renz Alvin Emberga Gabay 《International Journal of Nursing Sciences》 CSCD 2025年第6期601-602,共2页
Dear Editor,The paper“Effects of a culture-specific behavior modification program on glycated hemoglobin and blood pressure among adults with diabetes and hypertension:A randomized controlled trial”[1]shows that an ... Dear Editor,The paper“Effects of a culture-specific behavior modification program on glycated hemoglobin and blood pressure among adults with diabetes and hypertension:A randomized controlled trial”[1]shows that an Information-Motivation-Behavioral Skills(IMB)-based,culturally tailored program combining dietary education,context-fit physical activity,and medication-adherence support via interactive classes and a mobile web app achieved significant 12-week reductions in HbA1c and blood pressure versus usual care.In practice,the cultural tailoring comprised Thai/Isan-specific diet guidance(the 6S-6O-1S limits on sugar[e.g.,“≤6 tsp sugar,≤6 tsp oil,≤1 tsp salt/day],oil/fat,and salt,alongside carbohydrate counting,glycemic index use,and label reading)and Soeng Isan dance to Mor Lam music for activity,while skills training covered correct medication use,individualized goal setting,and device-tracked self-monitoring reinforced by the app,nurses,and peers. 展开更多
关键词 blood pressure interactive classes behavior modification mobile web app culture specific randomized controlled trial shows glycated hemoglobin blood pressure dietary educationcontext fit
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Control of Fracture Behavior of Carbon Fiber/Pitch-based CarbonMatrix Composites with Microspace Modification Concept 认领 引用
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作者 Shiushichi Kimura To whom correspondence should be addressedE-mail: kyasuda@o.cc.titech.ac.jp(Departmen 《Journal of Materials Science & Technology》 SCIE EI CAS 1999年第5期393-399,共7页
Theoretical consideration was conducted on a relation between pore diameter and interfacialarea between pores and fibers when pores uniforinly distribute in C/C composites. It was shownthat bonding at the fiber/matrix... Theoretical consideration was conducted on a relation between pore diameter and interfacialarea between pores and fibers when pores uniforinly distribute in C/C composites. It was shownthat bonding at the fiber/matrix interface apparently decreased with decreasing a pore diameter,and consequently a new idea of microspace modification concept was proposed for controllingfracture behavior of C/C composites. Four types of C/C composites with various pore structureswere fabricated by hot-pressing, and their fracture behavior was investigated by three pointbending tests. The fracture behavior of the C/C composites was changed from brittle one topseudo ductile one with decreasing the pore diameter. This result supported the validity of themicrospace modification concept proposed in this paper. 展开更多
关键词 Control of Fracture Behavior of Carbon Fiber/Pitch-based CarbonMatrix Composites with Microspace Modification Concept
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Reframing endoscopic screening in upper gastrointestinal cancers:From early detection to precision primary prevention 认领 引用
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作者 Jing Shi Yun-Dong Shi Ying-Hui Chen 《World Journal of Gastrointestinal Oncology》 SCIE 2026年第6期26-34,共9页
Upper gastrointestinal(UGI)cancers remain a major global health burden,particularly in high-incidence regions.Traditionally,endoscopic screening has been positioned as a secondary prevention strategy aimed at detectin... Upper gastrointestinal(UGI)cancers remain a major global health burden,particularly in high-incidence regions.Traditionally,endoscopic screening has been positioned as a secondary prevention strategy aimed at detecting premalignant lesions and early-stage cancers.However,emerging evidence suggests that the role of endoscopic screening may extend beyond early diagnosis and into the realm of primary cancer prevention.Recent prospective data suggest that participation in UGI endoscopic screening programs may be associated with reductions in modifiable behavioral risk factors,including cigarette smoking,alcohol consumption,and unhealthy dietary habits.These findings challenge the conventional paradigm that screening solely identifies disease and instead support the concept that screening encounters may serve as critical behavioral intervention windows(i.e.,brief,clinician-delivered risk communication and counseling opportunities during and after screening).From an oncologic perspective,this raises important questions regarding how screening programs can be optimized to function as structured risk-modification platforms.This review examines the evolving concept of endoscopy as a catalyst for primary prevention,integrating behavioral science,risk stratification models,and population-based cancer control strategies.We discuss how screening-triggered health education,individualized risk communication,and integration with molecular and epidemiologic risk profiling could transform UGI cancer prevention frameworks.Furthermore,we explore the implications of redefining screening programs as multidimensional interventions rather than purely diagnostic tools.As precision oncology advances,cancer prevention must evolve accordingly.Reframing UGI endoscopic screening from a detection-centered approach to a precision prevention platform may conceptually enhance long-term cancer control,reduce population-level risk exposure,and improve cost-effectiveness in high-risk regions.Future implementation research is warranted to validate sustainable models that integrate behavioral modification into structured screening pathways. 展开更多
关键词 Upper gastrointestinal cancer Endoscopic screening Primary prevention Precision prevention Behavioral modification Risk stratification Cancer control
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Observation of the Application Effect of Behavior Reform Incentive Theory in Hospital Management 认领 引用
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作者 SHENWeigang 《外文科技期刊数据库(文摘版)医药卫生》 2022年第6期185-188,共4页
Objective: to explore the role of behavior improvement incentive in hospital management. Methods: the application of reinforcement theory, attribution theory and goal setting theory in hospital management, strengthen ... Objective: to explore the role of behavior improvement incentive in hospital management. Methods: the application of reinforcement theory, attribution theory and goal setting theory in hospital management, strengthen the theory with the punishment and reward. Results: the behavior improvement incentive theory in hospital management enhances the legal concept, develops the habit of regulations; improves the business level, enhances self-confidence; promotes the relationship between nurses and patients, and improves satisfaction. Conclusion: the application of behavioral modification incentive theory in hospital management has high reference value. 展开更多
关键词 behavior modification incentive theory hospital management application effect
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Lifestyle factors in hepatocellular carcinoma: From pathogenesis to prognosis 认领 引用
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作者 He Zhao Xiao-Wu Zhang Xiao Li 《World Journal of Clinical Oncology》 2025年第7期42-53,共12页
Hepatocellular carcinoma(HCC)represents a major global health burden,ranking third as the leading cause of cancer-related mortality worldwide.This compre-hensive review examines the substantial body of evidence linkin... Hepatocellular carcinoma(HCC)represents a major global health burden,ranking third as the leading cause of cancer-related mortality worldwide.This compre-hensive review examines the substantial body of evidence linking modifiable lifestyle factors to HCC pathogenesis and clinical outcomes.We systematically evaluate dietary components,alcohol consumption patterns,tobacco use,physical activity levels,and emerging factors including metabolic disorders,psychological stress,and sleep disturbances.These factors collectively influence hepatocarcino-genesis through diverse biological mechanisms,including genotoxic damage,metabolic dysregulation,chronic inflammatory responses,and gut microbiome-mediated pathways.The accumulated data underscore the urgent need to inte-grate lifestyle interventions into multidisciplinary HCC management. 展开更多
关键词 Hepatocellular carcinoma Lifestyle Dietary factors Physical activity Behavioral modification Pathogenesis Prognosis
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Multimodal integrated intervention for children with attentiondeficit/hyperactivity disorder 认领 引用 被引量:2
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作者 Ying-Bo Lv Wei Cheng +3 位作者 Meng-Hui Wang Xiao-Min Wang Yan-Li Hu Lan-Qiu Lv 《World Journal of Clinical Cases》 SCIE 2023年第18期4267-4276,共10页
BACKGROUND Attention-deficit/hyperactivity disorder(ADHD)is one of the most common disorders in child and adolescent psychiatry,with a prevalence of more than 5%.Despite extensive research on ADHD in the last 10 to 20... BACKGROUND Attention-deficit/hyperactivity disorder(ADHD)is one of the most common disorders in child and adolescent psychiatry,with a prevalence of more than 5%.Despite extensive research on ADHD in the last 10 to 20 years,effective treatments are still lacking.Instead,the concept of ADHD seems to have become broader and more heterogeneous.Therefore,the diagnosis and treatment of ADHD remains challenging for clinicians.AIM To investigate the effects of a multimodal integrated intervention for children with ADHD.METHODS Between March 2019 and September 2020,a total of 100 children with ADHD who were diagnosed and treated at our hospital were assessed for eligibility,two of whom revoked their consent.A case-control study was conducted in which the children were equally assigned,using a randomized number table,to either a medication group(methylphenidate hydrochloride extended-release tablets and atomoxetine hydrochloride tablets)or a multimodal integrated intervention group(medication+parent training+behavior modification+sensory integration therapy+sand tray therapy),with 49 patients in each group.The clinical endpoint was the efficacy of the different intervention modalities.RESULTS The two groups of children with ADHD had comparable patient characteristics(P>0.05).Multimodal integrated intervention resulted in a significantly higher treatment efficacy(91.84%)than medication alone(75.51%)(P<0.05).Children who received the multimodal integrated intervention showed lower scores in the Conners Parent Symptom Questionnaire and the Weiss Functional Impairment Rating Scale than those treated with medication alone(P<0.05).The Sensory Integration Scale scores of children in the multimodal integrated intervention group were higher than those of children in the medication group(P<0.05).Children who received the multimodal integrated intervention had higher compliance and family satisfaction and a lower incidence of adverse events than those treated with medication alone(P<0.05).CONCLUSION Multimodal integrated intervention effectively alleviated symptoms associated with ADHD in children.It enhanced their memory and attention with high safety and parental satisfaction,demonstrating good potential for clinical promotion. 展开更多
关键词 Attention-deficit/hyperactivity disorder Multimodal integrated intervention Medication Behavior modification Sensory integration therapy Sand tray therapy
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Study the Effectiveness of ISO 27001 to Mitigate the Cyber Security Threats in the Egyptian Downstream Oil and Gas Industry 认领 引用
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作者 Mohamed Shohoud 《Journal of Information Security》 2023年第2期152-180,共29页
As Egyptian oil and gas downstream information technology has grown digitally over the past decade, security breaches against these digitally connected systems have also increased. These cyber security threats could h... As Egyptian oil and gas downstream information technology has grown digitally over the past decade, security breaches against these digitally connected systems have also increased. These cyber security threats could have devastating effects on the operations and reputation of these companies. Preventing such cyberattacks is crucial. Especially, with the significance of the Egyptian oil and gas downstream sector to the local economy and the fact that many of these connected systems are sometimes managed remotely. This paper examines the value of the ISO 27001 standard in mitigating the effect of cyber threat and seeks to inspire decision-makers to the importance of the proactive measures to strengthen their organization’s cybersecurity posture and protect information critical assets. The study stresses the importance of improving the local educational system to bridge the gap between supply and demand for cybersecurity specialists by implementing a structured approach that emphasizes behavior modification to get a high return on investment in cybersecurity awareness. 展开更多
关键词 Downstream Cyberattack Cyber Security Mitigate Decision-Makers Proac-tive Measure Critical Assets Behavior Modification
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The Role of Bibliotherapy in Value System Formation by Undergraduates in the University of Ibadan, Nigeria 认领 引用
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作者 Oshiotse A. Owilagwe Marie-Louse Vome Mubonyin 《US-China Education Review(A)》 2011年第2X期240-250,共11页
This study investigated the role of bibliotherapy in value system formation by undergraduates in seven faculties of the University of Ibadan, Nigeria. Out of the 1,372 sampled students, 746 (54.37%) were males and 6... This study investigated the role of bibliotherapy in value system formation by undergraduates in seven faculties of the University of Ibadan, Nigeria. Out of the 1,372 sampled students, 746 (54.37%) were males and 626 (45.63%) were females. The Chi-square statistical method at the alpha level of 0.05 was used in testing four hypotheses developed for the study. The results were statistically significant. Findings indicate that bibliotherapy exerts determining influence on ,Jalue system formation by undergraduates with respect to group-, self-, society-, environment- and nation- oriented values. These findings corroborated previous studies by educators, librarians, physicians, nurses, psychologists and occupational therapists or bibliotherapists who are of the consensus that the book exerts influence on the human spirit and impacts heavily on human behavior and formation of value system. 展开更多
关键词 bibliotherapy undergraduates behavior modification value system formation
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