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Articles 1501 - 1530 of 6436
Full-Text Articles in Entire DC Network
Connecting Care Chains And Care Diamonds: The Elderly Care Skills Regime In Singapore, Yasmin Y. Ortiga, Kellyn Wee, Brenda S. A. Yeoh
Connecting Care Chains And Care Diamonds: The Elderly Care Skills Regime In Singapore, Yasmin Y. Ortiga, Kellyn Wee, Brenda S. A. Yeoh
Research Collection School of Social Sciences
Research on the globalization of care work often faces the persistent challenge of building meaningful connections between the movement of care labour at a global scale and place-based frameworks of care access and delivery. In addressing this gap in this article, we propose to take a closer look at how the care-migration nexus produces 'ideal' care workers through a skills regime. Based on the case of elderly care in Singapore, in this article, we demonstrate how state institutions and private agencies attempts to fill local labour needs by producing care workers among both Singapore citizens and migrant women. This leads …
Black Effect: Black Students' Experiences In Cacrep Master's Programs At Hbcus, Angelia M. Lomax
Black Effect: Black Students' Experiences In Cacrep Master's Programs At Hbcus, Angelia M. Lomax
Doctoral Dissertations and Projects
African American students’ experiences in graduate programs at predominately White institutions (PWIs) have been explored in previous research. Said experiences were described using the following constructs: underrepresentation, invisibility, isolation, lack of support, and silence. There is minimal research that focuses on Black students’ experiences at Historically Black Colleges and Universities (HBCUs), where the environment was reported to be welcoming, nurturing, and supportive. This study adds to the literature by exploring the lived experiences of African American students in CACREP-accredited master’s counseling programs at HBCUs, with critical race theory (CRT) as the theoretical framework. After being identified as eligible based on …
"I Understand, Honey": Perceived Spousal Empathy's Moderating Influence On The Links Between Depression And Marital Satisfaction And Marital Satisfaction And Physical Health, F. Javier Celestino
"I Understand, Honey": Perceived Spousal Empathy's Moderating Influence On The Links Between Depression And Marital Satisfaction And Marital Satisfaction And Physical Health, F. Javier Celestino
Theses and Dissertations
An adapted version of the Vulnerability-Stress-Adaptation model was used as a theoretical guide for this study, which proposes that adaptive processes exist and can moderate relationships between enduring vulnerabilities and different outcomes. Relationships of interest include the negative link between depression and marital satisfaction and the positive link between marital satisfaction and physical health. An adaptive process of interest is empathy, due to its well-researched positive impact on mental, relational, and physical health. This study examined whether perceived spousal empathy (i.e., the empathy perceived by one spouse coming from their spouse) had any moderating effects on the previously mentioned links. …
Clinical Geography: A Proposal To Embrace Space, Place And Wellbeing Through Person-Centered Practice, Jessica M. Finlay, Graham D. Rowles
Clinical Geography: A Proposal To Embrace Space, Place And Wellbeing Through Person-Centered Practice, Jessica M. Finlay, Graham D. Rowles
Graduate Center for Gerontology Faculty Publications
This essay envisions how geography can operationalize nuanced understandings of space and place to enrich the lives of individuals across the lifespan. We propose a focused integration of geography into person-centered practice: a clinical geography dedicated to working directly with people to promote optimal physical and mental health outcomes and wellbeing. Our proposal integrates spatial modifications to facilitate access and utility, behavioral interventions to maximize effectiveness in using space, and therapeutic engagement to nurture a deeper sense of ‘being in place’ that enhances wellbeing and quality of life. This focus is timely given societal instability and precariousness resulting from incongruous …
Physical Health And Delinquency, Katy Hancock
Physical Health And Delinquency, Katy Hancock
Faculty & Staff Research and Creative Activity
While physical health can impact a variety of outcomes, little research has looked at health and delinquency. Through a lens of GST, this study examines whether health moderates the relationships between strain and delinquency and drug use. Data from the 2011 NSDUH were analyzed; results indicated that, for certain strains, very good and excellent health predicted lower risks of committing some types of delinquency and poor/fair health predicted the higher risk. For youth in “no parent” homes in very good health and from some youth with chronic illness, however, the risk of delinquency increased. The overall results dictate the expansion …
Assistive And Interactive Technology Use, Comfort, And Interest In Caregiver And Older Adult Populations, Sarah Hubner, Akankshya Chataut, Marcia Shade, Ann Fruhling, Natalie Manley, Meaghan Walls, Julie Blaskewicz Boron
Assistive And Interactive Technology Use, Comfort, And Interest In Caregiver And Older Adult Populations, Sarah Hubner, Akankshya Chataut, Marcia Shade, Ann Fruhling, Natalie Manley, Meaghan Walls, Julie Blaskewicz Boron
UNO Student Research and Creative Activity Fair
Remaining community-dwelling is a goal for most aging adults; however, this may necessitate assistance from caregivers. To reduce burden and improve adult autonomy, recent technological advancements have provided various supports. These advancements may improve quality of life (QOL) while also enhancing psychological/physical well-being for adults and caregivers. To investigate relationships between technology, QOL, and caregiver burden, needs assessments with focus groups were utilized. Four older adult and two caregiver focus groups were conducted. Within older adult groups, participants were aged 64-83 years (M=73.1,SD=5.3); the sample was 50% female and 90% white. For caregiver groups, participants were aged 31-73 years (M=57.8,SD=13.2); …
Examining Assistive And Interactive Technology Needs Of Older Adults, Joshua Idachaba, Julie Blaskewicz Boron, Sarah Hubner, Marcia Shade, Natalie Manley, Meaghan Walls, Ann Fruhling
Examining Assistive And Interactive Technology Needs Of Older Adults, Joshua Idachaba, Julie Blaskewicz Boron, Sarah Hubner, Marcia Shade, Natalie Manley, Meaghan Walls, Ann Fruhling
UNO Student Research and Creative Activity Fair
Most older adults have expressed a desire to age in place. Advances in medicine and technology have helped improve the feasibility to fulfill this desire. Assistive and interactive technologies (AITs), which assist with at least one activity of daily living (ADL) or instrumental activity of daily living (IADL), may be key in supporting independent living, improving the user’s quality of life, and reducing caregiver burden. This study aimed to investigate the technology needs and preferences of older adults and how demographics, IADL/ADL function, and quality of life relate to these needs and preferences.
Older adults, mostly in Nebraska, were recruited …
Effects Of Social Networks And Caregiver Characteristics On Loneliness In Caregivers To Older Adults With Chronic Conditions, Hayley A. Fouche, Janelle N. Beadle Dr.
Effects Of Social Networks And Caregiver Characteristics On Loneliness In Caregivers To Older Adults With Chronic Conditions, Hayley A. Fouche, Janelle N. Beadle Dr.
UNO Student Research and Creative Activity Fair
Caregivers to older adults with chronic conditions may experience physical and mental health issues, such as depression and loneliness, due to the stressful nature of providing daily care. Loneliness levels also may be affected by caregiving characteristics (e.g., time spent on caregiving per week), as well as differing levels of social support. Yet, few studies have specifically examined the relationship between loneliness, caregiving characteristics and social support in caregivers to older adults with chronic conditions. Understanding the risk factors for loneliness among caregivers may provide insights into ways to improve caregiver well-being. This study aims to investigate differences in loneliness …
Family Caregiving During The Covid-19 Pandemic, Sharon Milberger, Christina Marsack-Topelewski, Elizabeth Janks, Preethy S. Samuel
Family Caregiving During The Covid-19 Pandemic, Sharon Milberger, Christina Marsack-Topelewski, Elizabeth Janks, Preethy S. Samuel
Developmental Disabilities Network Journal
Background: The Coronavirus Disease-2019 (COVID-19) pandemic has taken a disproportionate toll on people with intellectual and developmental disabilities (I/DD) as well as their family caregivers. This is especially true for older family caregivers, many of whom assume dual or compound caregiving roles, and provide care as they undergo their own aging experiences. This research brief presents findings from family caregivers of adults with I/DD to better understand how the COVID-19 pandemic has affected their lives. Method: Thirty family caregivers from across the state participated in a one-hour special COVID-19 virtual discussion group. All participant identifiers were deleted from a …
Person-Centered Practice As Anchor And Beacon: Pandemic Wisdom From The Ncapps Community, Connor Bailey, Martha Barbone, Lydia X.Z. Brown, Alixe Bonardi, Bevin Croft, Marian Frattarola-Saulino, Karyn Harvey, Miso Kwak, Kelly Lang, Nicole Leblanc, Michelle C. Reynolds, Carole Starr
Person-Centered Practice As Anchor And Beacon: Pandemic Wisdom From The Ncapps Community, Connor Bailey, Martha Barbone, Lydia X.Z. Brown, Alixe Bonardi, Bevin Croft, Marian Frattarola-Saulino, Karyn Harvey, Miso Kwak, Kelly Lang, Nicole Leblanc, Michelle C. Reynolds, Carole Starr
Developmental Disabilities Network Journal
Objective: This article summarizes the individual, systemic, and collective challenges and opportunities presented by the COVID-19 pandemic, based on 16 videos solicited by the National Center on Advancing Person-Centered Practices and Systems (NCAPPS) and submitted by NCAPPS collaborators during the first six months of the pandemic.
Method: Informed by participatory action approaches and content analysis, we describe common themes in a series of 16 videos solicited by NCAPPS from subject matter experts with professional and lived experience of disability and human services systems.
Results: The team organized the findings to identify both specific factors within each of the levels and …
Transport-Related Social Exclusion In East Baton Rouge Parish, Andrew Dietz
Transport-Related Social Exclusion In East Baton Rouge Parish, Andrew Dietz
LSU Master's Theses
Transportation systems are powerful tools, capable of entrenching existing inequalities or facilitating the pursuit of a more equitable society (Wellman, 2015). This is particularly true for urban areas that are plagued by sprawl, congestion, and racialized poverty like East Baton Rouge Parish. Transport-related social exclusion (TRSE) provides a framework for understand the relationship between access to transportation (or lack thereof, known as transport disadvantage) and individuals’ ability to participate in the economic, social, cultural, and political aspects of life (Kamruzzaman, Yigitcanlar, Yang, & Mohamed, 2016) Transport-related social exclusion is associated with numerous negative outcomes including poor mental and physical health, …
Health Disparities Faced By Racial/Ethnic Groups Amid The Covid-19 Pandemic: Social Factors Contributing To The Physical Health Of Minorities, Prajita Chauhan
Health Disparities Faced By Racial/Ethnic Groups Amid The Covid-19 Pandemic: Social Factors Contributing To The Physical Health Of Minorities, Prajita Chauhan
ENG 101 Library Research Scholarship Recipients' Papers
2021 ENG 101 Library Research Scholarship Recipient
The main purpose of this literature review is to understand the social factors that impact the physical health of racial/ethnic groups in the United States. Studies investigating the health disparities among racial and ethnic groups show that these particular minority populations are disadvantaged in other aspects of life, such as social factors, which ultimately affect their ability to access and utilize healthcare in the United States.
Spartan Daily, March 18, 2021, San Jose State University, School Of Journalism And Mass Communications
Spartan Daily, March 18, 2021, San Jose State University, School Of Journalism And Mass Communications
Spartan Daily, 2021
Volume 156, Issue 22
Creatine And Cognitive Functioning: What Is The Role Of Exercise Frequency?, Jonathan B. Banks, Jose Antonio, Amanda S. Holtzman, Mykola Marang, Catherine Weber, Alexsandra Alvarez-Beaton, Aysha Patel, Jaime Tartar
Creatine And Cognitive Functioning: What Is The Role Of Exercise Frequency?, Jonathan B. Banks, Jose Antonio, Amanda S. Holtzman, Mykola Marang, Catherine Weber, Alexsandra Alvarez-Beaton, Aysha Patel, Jaime Tartar
Journal for Sports Neuroscience
Creatine consumption appears to have a positive impact on cognitive function in different populations but the effects of creatine in a young, healthy population are mixed. Additionally, exercise appears to benefit cognitive processes in young and older adults. The present study explored the ways in which exercise frequency may moderate the effect of creatine consumption on working memory, sustained attention, mind wandering, and speed of processing, in a young, healthy, adult population. Forty-two individuals were randomly assigned to a creatine condition (n = 20) or a control condition (n = 22). For each session, participants completed the Symmetry …
Family-Based Caregiving: Does Lumping Asian Americans Together Do More Harm Than Good?, Suryadewi E. Nugraheni, Julia F. Hastings
Family-Based Caregiving: Does Lumping Asian Americans Together Do More Harm Than Good?, Suryadewi E. Nugraheni, Julia F. Hastings
Journal of Social, Behavioral, and Health Sciences
Asian American family caregivers have gained increased attention due to the need to provide life-sustaining aid at home given the rising numbers of older adults. This article reflects upon caregiving-related research studies that have overlooked the circumstances Asian American caregivers bring to the home-care context. Policies written to address community needs tend to omit the social circumstances many Asian American caregivers must face when trying to take advantage of programs and services. For example, the eligibility requirements fail to recognize distinctive cultural values embedded within the caregiving processes. Further, most Asian American data is aggregated. Aggregating data by ethnicity limits …
A Person-Centered Care Model’S Effectiveness For Older Adults With Dementia: A Systematic Review And Meta-Analysis, Karen Goeschel
A Person-Centered Care Model’S Effectiveness For Older Adults With Dementia: A Systematic Review And Meta-Analysis, Karen Goeschel
Honors Program: Senior Projects (Public)
I evaluated the effectiveness of person-centered care interventions for older adults with dementia. Quality of life and agitation levels were used as primary outcomes for the effectiveness of the intervention. Electronic databases were searched for studies which satisfied the inclusion principles and did not satisfy exclusion principles. Cluster-randomized trials and non-randomized control trials which compared person-centered care approaches to usual care were included. I performed two random-effects meta-analyses. Six studies with 1,384 patients were included. For older adults with dementia, person-centered care had no significant impact on quality-of-life improvement (SMD = -0.116, p = 0.206) or agitation reduction (SMD = …
Alumni Voices, Lawrence Burnley, Daria-Yvonne Graham, Merida Allen, Angela Heath, Darius Beckham, Lisa Rich-Milan, Marcus Smith
Alumni Voices, Lawrence Burnley, Daria-Yvonne Graham, Merida Allen, Angela Heath, Darius Beckham, Lisa Rich-Milan, Marcus Smith
Proceedings: 2021 Global Voices on the University of Dayton Campus
Session was facilitated by Dr. Lawrence Burnley and moderated by Dr. Daria Graham ’92 ’01 ’18, associate vice president for student affairs and dean of students at California State University, San Bernardino. Panelists included Angela Heath ’78 ’80; Darius Beckham ’19; Lisa Rich-Milan ’85; and Dr. Marcus Smith ’08 ’10.
These proceedings are available free for download but also available for purchase in print for $6 plus tax and shipping.
New York State’S Counties Have Different Trends In Population Aging, Nader Mehri
New York State’S Counties Have Different Trends In Population Aging, Nader Mehri
Population Health Research Brief Series
The percentage of the population age 60+ is growing faster in NY than in the U.S. overall.
Stroke: Identifying Symptoms And Acting Fast To Save Lives And Prevent Permanent Disabilities, Mary E. Helander, Bernard Appiah, Miriam Mutambudzi
Stroke: Identifying Symptoms And Acting Fast To Save Lives And Prevent Permanent Disabilities, Mary E. Helander, Bernard Appiah, Miriam Mutambudzi
Population Health Research Brief Series
Stroke is the 5th leading cause of death in the United States. Strokes and their long-term effects are preventable. Recognizing the symptoms of stroke and acting quickly can prevent death and minimize long-term disabilities. Family members and bystanders have an important role to play. This issue brief describes stroke symptoms and prevention guidelines, summarizes the information 9-1-1 callers should be prepared to provide when someone is having a stroke, and discusses the importance of acting quickly to save lives and long-term damage.
Using Ambiguous Loss To Address Perceived Control During The Covid-19 Pandemic, Rosemary A. Leone
Using Ambiguous Loss To Address Perceived Control During The Covid-19 Pandemic, Rosemary A. Leone
Counseling and Family Therapy Scholarship Review
The concepts of ambiguous loss and perceived control will be used to explore ways to embrace the unknown during COVID-19. By defining COVID-19 as an ambiguous loss, effective therapeutic interventions emerge that can guide clinicians in creating lasting change amidst widespread uncertainty. Four ambiguous loss interventions will be proposed to alleviate the distress of living in fearful semi-isolation for an unknown period of time. In paradoxically embracing uncertainty, clients can create new hope in the context of a global pandemic. New hope is the ideal outcome when coping with ambiguous loss. In literature on ambiguous loss, the concept of new …
Occupational Therapy’S Role In Addressing Sexuality And Intimacy For Individuals With Progressive Neuromuscular Disorders, Lindsay N. Richards
Occupational Therapy’S Role In Addressing Sexuality And Intimacy For Individuals With Progressive Neuromuscular Disorders, Lindsay N. Richards
Student Capstone Papers
Individuals with progressive neuromuscular disorders (PND); specifically, Parkinson’s disease (PD), Multiple Sclerosis (MS), Huntington’s Disease (HD), and Amyotrophic Lateral Sclerosis (ALS) often face physical, psychological, and social challenges related to sex and intimacy. Occupational therapy (OT) practitioners are experts in activity analysis and are equipped with unique knowledge of performance skills and client factors to address deficits in occupational performance.
Though there is literature presenting the effects of PND on sexual occupations, a gap exists as it relates to qualitative data from the perspective of the individual and their partners. A mixed-methods survey was conducted examining the lived experience of …
Addressing Social Isolation And Loneliness In Older Adults: A Person-Centered Approach, Samantha K. Koyama
Addressing Social Isolation And Loneliness In Older Adults: A Person-Centered Approach, Samantha K. Koyama
Social Sciences
The older adult population in the US is drastically increasing, but the country is not adequately prepared to handle all of the growing needs that come with this demographic change. A large reason for this being the general population’s lack of understanding of the various experiences that older adults go through. This paper aims to provide a thorough review of existing literature on the subject of social isolation and loneliness, especially as it pertains to the older adult experience. I also highlight the role the COVID-19 pandemic has played in exacerbating such issues. I discuss the difference between social isolation …
Aging In The 100 Largest Metropolitan Areas: How Do Older Adults Fare?, Jan Mutchler, Yang Li
Aging In The 100 Largest Metropolitan Areas: How Do Older Adults Fare?, Jan Mutchler, Yang Li
Center for Social and Demographic Research on Aging Publications
New estimates from the 2020 Elder Index show that living expenses are high in metropolitan areas across the U.S., and many older singles and couples lack the resources needed to get by in their communities. Focusing on the 100 largest metropolitan areas, we compare the 2020 Elder Index to household incomes among adults aged 65 years or older living in one- and two-person households. Based on this comparison, we find that in each of the 100 largest metro areas, at least 37% of older singles are at risk of being unable to afford basic needs and age in their own …
Income Inequality And Opioid Prescribing Rates: Exploring Rural/Urban Differences In Pathways Via Residential Stability And Social Isolation, Tse-Chuan Yang, Seulki Kim, Carla Shoff
Income Inequality And Opioid Prescribing Rates: Exploring Rural/Urban Differences In Pathways Via Residential Stability And Social Isolation, Tse-Chuan Yang, Seulki Kim, Carla Shoff
Department of Sociology: Faculty Publications
While opioid prescribing rates have drawn researchers’ attention, little is known about the mechanisms through which income inequality affects opioid prescribing rates and even less focuses on whether there is a rural/urban difference in mediating pathways. Applying mediation analysis techniques to a unique ZIP code–level dataset from several sources maintained by the Centers for Medicare and Medicaid Services, we explicitly examine two mechanisms through residential stability and social isolation by rural/urban status and find that (1) income inequality is not directly related to opioid prescribing rates, but it exerts its influence on opioid prescribing via poor residential stability and elevated …
Research Productivity On Human Migration In The Himalayan Region During 1947-2019: A Bibliometric Study, Suchetan Kumar, Dr. Manoj Joshi, Md Safiqur Rahaman, Mrs. Khadeeja, M. N. Ansari, Dr. Karnika Shah
Research Productivity On Human Migration In The Himalayan Region During 1947-2019: A Bibliometric Study, Suchetan Kumar, Dr. Manoj Joshi, Md Safiqur Rahaman, Mrs. Khadeeja, M. N. Ansari, Dr. Karnika Shah
Library Philosophy and Practice (e-journal)
Purpose: The purpose of the present study is to find research productivity on 'human migration in Himalayan region' from 1947 to 2019.
Methodology: The data of the present study have been collected from the International bibliographic database 'Scopus'. Total 582 documents were extracted from 282 sources for the Himalayan region (China, India, Pakistan, Nepal, Tajikistan, Myanmar, Bhutan, and Afghanistan) under the category of 'Social Science' for the period 1947-2019. Data analysis was conducted by using bibliometric software, namely RStudio's Biblioshiny and Microsoft office, version 2013.
Results: The results reveal that the year 2019 was the most productive year for …
Foreign Students’ Status Of Autonomy, Environmental Mastery, Personal Growth, Positive Relations, Purpose In Life; And Association Of All These With Using Library As A Third/ Community Place, Waqar Ahmad Awan Dr., Saira Hanif Soroya Dr.
Foreign Students’ Status Of Autonomy, Environmental Mastery, Personal Growth, Positive Relations, Purpose In Life; And Association Of All These With Using Library As A Third/ Community Place, Waqar Ahmad Awan Dr., Saira Hanif Soroya Dr.
Library Philosophy and Practice (e-journal)
The study was aimed at investigating the status of six domains of the psychological well-being of foreign students studying in Pakistani University comprising five campuses. Additionally, the association of the purpose of using library (as community/ third place or study room), and the length of time spent there on the psychological well-being of foreign students was also estimated. These independent variables were added to the study based on previously published literature. A quantitative approach and survey technique were used to carry out the study. Data were collected from foreign students of a public sector engineering university that has five campuses …
Is This What Counselors Are? Conflict Stories In Multicultural Coursework, Lauren Melamed
Is This What Counselors Are? Conflict Stories In Multicultural Coursework, Lauren Melamed
Journal of Counselor Preparation and Supervision
Classroom-based conversations about multicultural issues can be difficult, ranging with various degrees of tension that span between affective stress to full on turbulent emotional exchanges. The purpose of this narrative inquiry was to better understand the student perspective of conflict in the classroom. Understanding conflict stories are imperative for the training of professional counselors bound to both cultural competency and professional growth. Findings reveal both content and structure of students’ conflict stories in multicultural counseling classes as they navigate the tasks of professional identity development. Themes of gatekeeping and collective accountability emerged, in addition to transformation and meaning-making.
Remote Data Collection: How Broadband Connectivity Affected The Conversion Of Physical Performance Testing To The Remote Setting During Covid-19: A Research Assistant's Assessment, Ramyar Eslami
University Honors Theses
The GET FIT Prostate and Exercising Together trials conducted by Dr. Kerri Winters-Stone incorporate exercise intervention for cancer survivors during or after completing their therapy. Before the COVID-19 pandemic, the laboratory assessment of both studies was conducted in-person. However, the transition to remote assessment was required due to the safety precautions of COVID-19. Protocol outcomes for administering tests like the short physical performance battery (sPPB), which includes the 4m usual walk (4MW; m/s), chair stands (CS; sec), and standing balance measurements, were completed via a video conferencing interface called Cisco Webex.
Transitioning to remote testing determined the validity of remote …
The Role Of Variable Rate Technology In Fertilizer Usage, Terry Wayne Griffin, Lavona Traywick
The Role Of Variable Rate Technology In Fertilizer Usage, Terry Wayne Griffin, Lavona Traywick
Journal of Applied Farm Economics
Precision technologies such as variable rate fertilizer applications have been touted as solving production agricultural issues, increasing yields, and improving environmental stewardship. Variable rate technologies have been widely available on farms especially via custom service providers; however, utilization rates of these technologies remain relatively low. Low adoption rates indicate barriers to adoption and an opportunity for market expansion. The degree to which such technologies may reduce the demand for fertilizers will depend on VRT adoption rates.
From The Bench To Practice – Field Integration Of Community-Based Services For Older Citizens With Different Levels Of Functional Limitation Across European Regions, Regina Roller-Wirnsberger
From The Bench To Practice – Field Integration Of Community-Based Services For Older Citizens With Different Levels Of Functional Limitation Across European Regions, Regina Roller-Wirnsberger
Translational Medicine @ UniSa
The meeting of the European Innovation Partnership on Active and Healthy Ageing (EIPonAHA) action group A3 together with members of the Reference site collaborative network (RSCN) in December 2019 in Rome focused on integration of evidence-based approaches on health and care delivery for older citizens at different levels of needs with expertise coming from stakeholder across Europe. It was the final aim of the group to co-create culturally sensitive pathways and facilitate co-ownership for further implementation of the pathways in different care systems across Europe.
The study design is a mixed method approach. Based on data analysis from a cohort …