Background: To improve the quality of palliative care, six evidence-based tools were implemented in 10 care services specialised in care for people with intellectual disabilities. Contextual differences were taken into account by using a participatory action research approach. Method: The RE-AIM framework (Reach, Effectiveness, Adoption,…

Objective: The study analyzes e-health message content shared by university health centers and determines college students' engagement with those messages. Method: Using the Reasoned Action Approach (RAA) framework, the current study content analyzed the RAA components (target behavior, attitudes/expectancies, social norms, and efficacy) within…

Background: SPEAK OUT! has been shown to enhance various aspects of voice such as intensity, prosody, voice quality and perception of voice. However, their impacts on expiration and communication effectiveness have not yet been evaluated. This study aimed to evaluate the effectiveness of the Hybrid SPEAK OUT! method on aerodynamic measurements and…

Despite increasing reliance on licensed practical nurses (LPNs) to provide health services in schools, we do not know whether this is a cost-effective prevention strategy against student absenteeism. Therefore, we evaluated the costs and effectiveness of an LPN-based school nursing program for improving attendance and chronic absenteeism at a…

Research has consistently demonstrated the benefits of school mental health (SMH) services on the well-being of students. Administrators play an important role in the implementation and sustainability of SMH services within a school. However, school principals' perspectives regarding their role in SMH implementation are underrepresented in…

The prevalence of school-based health care has increased markedly over the past decade. We study a modern mode of school-based health care, telemedicine, that offers the potential to reach places and populations with historically low access to such care. School-based telemedicine clinics (SBTCs) provide students with access to health care during…

School-based mental health programs (SBMHP) are designed to influence students' emotional, behavioral or social functioning. Ensuring mental well-being among children and adolescents is essential, because a significant proportion of adult mental illness begin in adolescence, yet mental health challenges among adolescents mostly go undetected and…

Suicide is the fourth leading cause of death among adolescents, globally. Though post-primary, school-based suicide prevention (PSSP) has the potential to be a key strategy for preventing adolescent suicidal thoughts and behaviours (STBs), there are persisting challenges to translating PSSP research to practice. Intervention and contextual factors…

The current study examines trajectories of treatment outcomes 6 months after completion of a peer parent program, "NAMI Basics." Fifty-two caregivers who were part of a larger trial completed questionnaires prior to, immediately after, and 6 months after completing "NAMI Basics." Growth curve models were used to examine…

Objective: The under-utilisation of mental health services by populations because of inadequate mental health education by community leaders and the public is of concern. The primary purpose of this study was to evaluate the usefulness of brief 1-day workshops in educating the public about mental health. Design: Quantitative pre-post evaluation.…

School mental health programs are an important component of the national response to the current student mental health crisis. However, evidence-based programs often face numerous barriers to their selection, scale-up, and sustainability in real-world settings. In this study, we interviewed 15 educational stakeholders to examine what influences…

Utilization of telehealth in school-based health centers (SBHCs) is increasing rapidly during the COVID-19 pandemic. This study used a quasi-experimental design to evaluate the effect on school absences and cost-benefit of telehealth-exclusive SBHCs at 6 elementary schools from 2015-2017. The effect of telehealth on absences was estimated compared…

Diabetes self-management education and support enhance self-efficacy and promote self-management behaviors essential for diabetes management. We investigated the mediating effect of self-efficacy on the association between diabetes education or care coordination and self-care activities. We surveyed a population-based sample of adults with type 2…

Background: Prior research indicates that healthcare provider-patient communication influences health outcomes such as patient satisfaction, compliance with diagnosis or treatment, and general health quality. However, little is known about this type of inquiry in the context of healthcare centers on college and university campuses. Aim: The…

Chronic absenteeism is a widespread and troubling phenomenon affecting high school students nationwide. Existing research identifies an inverse link between student health and chronic absenteeism. Illness is a top cause of student absence, suggesting that school-based health services may play an important role in mitigating chronic absenteeism.…