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1.
Journal of Knowledge Management ; 27(1):178-196, 2023.
Article in English | ProQuest Central | ID: covidwho-2171057

ABSTRACT

Purpose>Facing the global public health emergency (GPHE), the conflict of cultural differences and the imbalance of vital resources such as knowledge among different organizations are becoming more severe, which affects the enthusiasm and sustainability of firms' innovation heavily. It is an urgent problem to be solved for firms how to make use of internal knowledge and external power to help firms' sustainable innovation (FSI). Thus, the purpose of this study is to deeply analyze how firms' internal knowledge diversity (KD) and external ego-network structures [ego-network density (ED) and honest brokers (HB)] affect FSI, as well as how the ego-network structures (ED and HB) moderate the relationship between KD and FSI based on the perspective of the ego network.Design/methodology/approach>Based on the data of the alliance innovation networks of China's new energy industries in 2009–2019, this study uses the social network analysis method and negative binomial regression model to explore the effect of KD and ego-network structures (ED and HB) on FSI, as well as the moderating effects of ego-network structures (ED and HB) on the relationship between KD and FSI based on the perspective of ego network.Findings>This study finds that KD, ED and HB can boost FSI. Moreover, ED plays a negative moderating role in the relationship between KD and FSI. However, the negative moderating effect of HB on the relationship between KD and FSI is not significant.Research limitations/implications>This study presents fresh empirical evidence and new insights for firms on how to make full use of firms' internal KD and external ego-network structures to facilitate FSI.Originality/value>First, this study not only enriches the research on the consequences of KD but also expands our understanding of the knowledge-based view to some extent. Second, this study not only enriches the motivation research of the FSI based on the perspective of ego-network in the context of the GPHE but also expands the application scope of social network theory and sustainable innovation' theory in part. Third, this paper is a new attempt to apply social network theory and knowledge-based view at the same time.

2.
Frontiers in Public Health ; 10, 2022.
Article in English | Web of Science | ID: covidwho-2199489

ABSTRACT

Inconsistent training programs for public health emergency (PHE) have been criticized as a contributing factor in PHE's managerial weak points. In response, to analyze the relevant discrepancies among the medical students in the class of 2021 from Xiangya School of Medicine of Central South University, the present study conducted an online questionnaire survey using convenience sampling. The questionnaire comprised four sections, including the basic information, the subjective cognition in PHE, the rescue knowledge and capabilities of PHE, and the mastery of PHE regulations and psychological intervention abilities. To compare the abovementioned aspects, related data were collected from 235 medical students divided into two groups, namely, clinical medical students (Group A) and preventive medical students (Group B). We found a more positive attitude in PHE (P = 0.014) and a better grasp of the PHE classification (P = 0.027) and the reporting system in group B compared with group A. In addition, even if group B showed the same response capability in communicable diseases as group A, the former had less access to clinical practice, resulting in poorer performance in the noncommunicable diseases during a fire, flood, and traffic accidents (P = 0.002, P = 0.018, P = 0.002). The different emphasis of each training program contributed to the uneven distribution of abilities and cognition. Meanwhile, the lack of an integrated PHE curriculum led to unsystematic expertise. Hence, to optimize the PHE management system, equal attention should be paid to medical students with diverse majors along with a complete integrated PHE curriculum.

3.
Frontiers in Public Health ; 10, 2022.
Article in English | Web of Science | ID: covidwho-2199481

ABSTRACT

COVID-19 is a major threat to public safety, and emergency public health measures to protect lives (e.g., lockdown, social distancing) have caused widespread disruption. While these measures are necessary to prevent catastrophic trauma and grief, many people are experiencing heightened stress and fear. Public health measures, risks of COVID-19 and stress responses compound existing inequities in our community. First Nations communities are particularly at risk due to historical trauma, ongoing socio-economic deprivation, and lack of trust in government authorities as a result of colonization. The objective of this study was to review evidence for trauma-informed public health emergency responses to inform development of a culturally-responsive trauma-informed public health emergency framework for First Nations communities. We searched relevant databases from 1/1/2000 to 13/11/2020 inclusive, which identified 40 primary studies (and eight associated references) for inclusion in this review. Extracted data were subjected to framework and thematic synthesis. No studies reported evaluations of a trauma-informed public health emergency response. However, included studies highlighted key elements of a "trauma-informed lens, " which may help to consider implications, reduce risks and foster a sense of security, wellbeing, self- and collective-efficacy, hope and resilience for First Nations communities during COVID-19. We identified key elements for minimizing the impact of compounding trauma on First Nations communities, including: a commitment to equity and human rights, cultural responsiveness, good communication, and positive leadership. The six principles guiding trauma-informed culturally-responsive public health emergency frameworks included: (i) safety, (ii) empowerment, (iii) holistic support, (iv) connectedness and collaboration, (v) compassion and caring, and (vi) trust and transparency in multi-level responses, well-functioning social systems, and provision of basic services. These findings will be discussed with First Nations public health experts, together with data on the experiences of First Nations families and communities during COVID-19, to develop a trauma-integrated public health emergency response framework or "lens " to minimize compounding trauma for First Nations communities.

4.
Journal of Knowledge Management ; 2022.
Article in English | Web of Science | ID: covidwho-2191537

ABSTRACT

PurposeMultinational small-to-medium-sized enterprises (SMEs) are increasingly participating in cross-border digital platforms - especially amid the COVID-19 pandemic. Accordingly, knowledge integration (KI) has become more and more important. In fact, it has been deemed by many as the key to organizational resilience. Given this burgeoning phenomenon, this study aims to explore a path for improving the resilience of multinational SMEs. Through this process, this study also finds a relationship between the KI processes associated with adopting global digital platforms and the resiliency of local-global businesses. Hence, in part, this paper also explores the effectiveness of all these mechanisms. Design/methodology/approachThis study used the stepwise regression method in Stata 16.0 to analyze the direct effects of both horizontal and vertical KI processes on the resilience of local-global businesses. Additionally, t-tests were also used to compare the differences in coefficients between the mechanisms. The sample analyzed comprised data on multinational manufacturing SMEs in the Yangtze River Delta region of China who are using global digital platforms. FindingsThe KI processes of these firms, both horizontal and vertical, positively correlate to resilience. Horizontal KI processes more efficiently increase the resilience of global businesses, whereas vertical processes more efficiently increase the resilience of local businesses. Originality/valueFirst, this study provides insights into how multinational SMEs can improve their resilience in a crisis. In addition to adding to the knowledge of KI processes, this expands the KM literature on pandemics. Second, by creating two KI processes based on global digital platforms and discussing their influence on resilience, this research deepens the understanding of affordance in the KM literature. Third, focusing on the KI research stream, the results shed light on how KI processes might occur and how firms develop their KI processes.

5.
Lab Med ; 2023.
Article in English | PubMed | ID: covidwho-2189343

ABSTRACT

The number of testing sites receiving their first Certificate of Waiver (CoW) under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) increased significantly after the start of the COVID-19 pandemic. We compared the first-time CoWs in 2020-2021 to those in 2018-2019. The total number of first-time CoWs during 2020-2021 was more than twice what it was in 2018-2019, corresponding to population testing needs during the COVID-19 pandemic, especially in assisted living facility, pharmacy, physician office, and school/student health service settings. This study highlighted the need to strengthen clinical testing strategies to be better prepared for future public health emergencies.

6.
Frontiers in Public Health ; 10, 2022.
Article in English | Web of Science | ID: covidwho-2163191

ABSTRACT

ObjectiveAs life with COVID-19 became a norm in 2022, the public's demand for and perception of COVID-19-related information has changed. This study analyzed the performance and responses of Healthy China and the public at various stages of COVID-19 normalization using the crisis and emergency risk communication (CERC) theory. MethodsThis study was based on the 2022 Shanghai COVID-19 outbreak and data from "Healthy China," the official TikTok account of the National Health Commission of the People's Republic of China (NHCC). First, we divided the Shanghai lockdown into five stages in accordance with the CERC. Second, the videos released by Healthy China were open-coded. Third, to understand the distribution of strategies across the stages, we used counts and percentages to summarize the categorical variables. Fourth, we investigated the distribution of public participation indicators using descriptive statistical analysis. Finally, the relationship between stage and communication strategy was examined using the chi-square test and negative binomial regression. Results(1) Healthy China adopted a more flexible approach to communication strategies;(2) new cases per day was the commonly used substrategy for uncertainty reduction;(3) there was a significant difference in the strategies used by Healthy China at different stages;(4) public participation was highest in the pre-crisis period;and (5) the stage had a significant positive impact on the number of views, favorites, likes, and shares. ConclusionsThis research provides insight into effective communication strategies for the government or public health agencies to employ during COVID-19 normalization.

7.
Journal of Alzheimers Disease Reports ; 6(1):733-737, 2022.
Article in English | Web of Science | ID: covidwho-2162925

ABSTRACT

Persons living with dementia and their caregivers are among society's most vulnerable, a condition exacerbated by the COVID-19 pandemic. This national survey was conducted with dementia caregivers in the US. Primary outcomes targeted pandemic-related changes in cognitive, behavioral, and motors systems. 113 dementia caregivers from 30 US states completed the survey. The impact of the COVID-19 pandemic on persons living with dementia and their caregivers is substantial in comparison to society at large. A marked public health and preventative role signals opportunity for practitioners to fill the void and prepare for future public health emergencies.

8.
Global Health ; 18(1):100, 2022.
Article in English | PubMed | ID: covidwho-2153612

ABSTRACT

BACKGROUND: Emergency-use-authorization (EUA) is the representative biodefense policy that allows the use of unlicensed medical countermeasures or off-label use of approved medical countermeasures in response to public health emergencies. This article aims to determine why the EUA policies of the United States and South Korea produced drastically different outcomes during the COVID-19 pandemic, and how these outcomes were determined by the originations and evolutionary paths of the two policies. METHOD: Historical institutionalism (HI) explains institutional changes-that is, how the institution is born and how it evolves-based on the concept of path dependency. However, the HI analytical narratives remain at the meso level of analysis in the context of structure and agency. This article discusses domestic and policy-level factors related to the origination of the biodefense institutions in the United States and South Korea using policy-learning concepts with the Event-related Policy Change Model. RESULTS: The 2001 anthrax letter attack (Amerithrax) and the 2015 Middle East Respiratory Syndrome (MERS) outbreak prompted the establishment of biodefense institutions in the United States and South Korea, respectively. Due to the different departure points and the mechanism of path dependency, the two countries' EUAs evolved in different ways-the United States EUA reinforced the Post-Exposure Prophylaxis (PEP) function, while the South Korea EUA strengthened the Non-Pharmaceutical Intervention (NPI) function. CONCLUSIONS: The evolution and outcomes of the two EUAs are different because both policies were born out of different needs. The United States EUA is primarily oriented toward protecting homeland security against CBRN (chemical, biological, radiological, and nuclear) threats, whereas the South Korea EUA is specifically designed for disease prevention against infectious disease outbreak.

9.
Vaccine ; 2022.
Article in English | ScienceDirect | ID: covidwho-2150796

ABSTRACT

Introduction Public health department (PHD) led COVID-19 vaccination clinics can be a critical component of pandemic response as they facilitate high volume of vaccination. However, few patient-time analyses examining patient throughput at mass vaccination clinics with unique COVID-19 vaccination challenges have been published. Methods During April and May of 2021, 521 patients in 23 COVID-19 vaccination sites counties of 6 states were followed to measure the time spent from entry to vaccination. The total time was summarized and tabulated by clinic characteristics. A multivariate linear regression analysis was conducted to evaluate the association between vaccination clinic settings and patient waiting times in the clinic. Results The average time a patient spent in the clinic from entry to vaccination was 9 minutes 5 seconds (range: 02:00 - 23:39). Longer patient flow times were observed in clinics with higher numbers of doses administered, 6 or fewer vaccinators, walk-in patients accepted, dedicated services for people with disabilities, and drive-through clinics. The multivariate linear regression showed that longer patient waiting times were significantly associated with the number of vaccine doses administered, dedicated services for people with disabilities, the availability of more than one brand of vaccine, and rurality. Conclusions Given the standardized procedures outlined by immunization guidelines, reducing the wait time is critical in lowering the patient flow time by relieving the bottleneck effect in the clinic. Our study suggests enhancing the efficiency of PHD-led vaccination clinics by preparing vaccinators to provide vaccines with proper and timely support such as training or delivering necessary supplies and paperwork to the vaccinators. In addition, patient wait time can be spent answering questions about vaccination or reviewing educational materials on other public health services.

10.
Cureus ; 14(10): e30062, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-2145086

ABSTRACT

Emerging and re-emerging viral infections pose a constant threat, especially in healthcare settings. Viral infections can be thought of as an ecological system, like a forest or a pond, with different species competing for resources. Pandemics tend to occur when there is a disruption to this ecosystem, such as introducing a strain of virus into humans or animals that they have no immunity against. Around 60% of human infectious diseases and 75% of emerging infections are zoonotic, with two-thirds originating in wildlife. There is an ongoing risk of viral diseases as the human population continues to grow and the rate of urbanization increases. The emergence and re-emergence of viral diseases are influenced by a variety of virologic and environmental factors. These factors can be roughly categorized as affecting humans, the environment and/or ecology, and viruses. The spread of zoonotic diseases among humans can be prevented by reducing the transmission risk associated with wildlife and exotic pets through education, legislation, and behavioral change programs that target individuals at risk for exposure.

11.
Ciencia e Saude Coletiva ; 27(11):4125-4130, 2022.
Article in English | EMBASE | ID: covidwho-2140940

ABSTRACT

In this interview, Sonia Guajajara, the executive coordinator of the Brazil's Indigenous Peoples Articulation (APIB), addresses the analyzis and strategies developed by the Indigenous movement to face the COVID-19 pandemic. Among other topics, she highlights some of the movement's strategies concerning communication, surveillance, and the monitoring of COVID-19, as well as its actions to support Indigenous territories, the initiatives carried out in the Legislative and Judiciary realms, the movement's international incidence, and its articulation with academia. Sonia shows the important role played by the Indigenous movement to control the health emergency and to defend the rights of the Indigenous peoples, in the framework of intense conflicts with the federal government and setbacks in public policies. Copyright © 2022, Associacao Brasileira de Pos - Graduacao em Saude Coletiva. All rights reserved.

12.
Journal of Information Science ; : 1, 2022.
Article in English | Academic Search Complete | ID: covidwho-2138546

ABSTRACT

The spread of rumours on social media in the context of public health emergencies often distorts perceptions of public events and obstructs crisis management. Microblog entries about 28 rumour cases are collected on Sina Weibo during the COVID-19 outbreak. The Modality–Agency–Interactivity–Navigability model is used to identify the key factors of rumour prediction. To investigate the relationship among information modality, information content, information source and rumour identification, the binary logistic regression model is established based on the features of users and microblog entries. In addition, we propose a multi-feature rumour prediction model based on the Bidirectional Encoder Representations from Transformers (BERT) and Extreme Gradient Boosting (XGBoost) models. The proposed rumour prediction model has the best performance compared with other models. The feature importance is then calculated by the SHapley Additive exPlanations (SHAP), which can also explain the XGBoost results. It is shown that the likelihood that microblog entries are rumours decreases as the values of variables such as user influence and the positive sentiment of comments rise. Microblog entries posted on Thursdays or at noon are more probably to be rumours than those posted at other time. The proposed model can assist emergency management departments in establishing a feasible rumour prediction mechanism to guide public opinion against rumours. [ FROM AUTHOR]

13.
7th International Conference on Multimedia Systems and Signal Processing, ICMSSP 2022 ; : 80-84, 2022.
Article in English | Scopus | ID: covidwho-2138170

ABSTRACT

The outbreak of sudden public health incidents notes the agenda setting of the media in the process of message diffusion, but the audience's expectation for the media framework is seldom paid attention to. Through an online questionnaire, the media usage, satisfaction, intuitive evaluation of different message framing and placement methods of the audience (N=401) are investigated. The results notes that: audiences attach the most importance to message placement and gain-framing, where the importance of message placement is basically the same as the agenda setting of official media;audiences are satisfied with media coverage overall and are most concerned about the speed of media response, while the ability to deal with false message needs to be improved;some audiences attach equal importance to additional message on sudden public events. This study proposes an audience-led agenda-setting in response to public health emergencies, providing a new perspective to understand the audience's message needs and agenda setting. © 2022 ACM.

14.
Sustainability ; 14(21), 2022.
Article in English | Web of Science | ID: covidwho-2123814

ABSTRACT

Most of China's historic districts are located in urban centers with excessive building density and possess rich historical, cultural, scientific and aesthetic value. However, historic districts lack infrastructure and specific plans for emergency response compared to modern residential areas in cities, creating a social inequity trap for the residents in both. In addition, as valuable material cultural heritage, the usual conservation of local culture and the ecological environment conflict with anti-epidemic requirements. This study proposes a system of strategies for responding to public health emergencies that can address the above issues. Through the methods of policy refinement and the application of the concept of normal and disaster time conversion, the strategic system was constructed, including five major aspects: emergency preparedness programs at the planning level, installation of modulized variable devices, environmentally friendly health protection, disaster prevention preparation at the spatial level, and plant configuration. It is beneficial to improve the disaster prevention system for special urban communities and provide a reference for emergency planning in the future regeneration process of historic districts.

15.
JMIR Form Res ; 6(11): e37698, 2022 Nov 14.
Article in English | MEDLINE | ID: covidwho-2116576

ABSTRACT

BACKGROUND: On January 23, 2020, the city of Wuhan, China, was sealed off in response to the COVID-19 pandemic. Studies have found that the lockdown was associated with both positive and negative emotions, although their findings are not conclusive. In these studies, emotional responses to the Wuhan lockdown were identified using lexicons based on limited emotion types. OBJECTIVE: This study aims to map Chinese people's emotional responses to the Wuhan lockdown and compare Wuhan residents' emotions with those of people elsewhere in China by analyzing social media data from Weibo using a lexicon based on the circumplex model of affect. METHODS: Social media posts on Weibo from 2 weeks before to 2 weeks after the Wuhan lockdown was imposed (January 9, 2020, to February 6, 2020) were collected. Each post was coded using a valence score and an arousal score. To map emotional trajectories during the study period, we used a data set of 359,190 posts. To compare the immediate emotional responses to the lockdown and its longer-term emotional impact on Wuhan residents (n=1236) and non-Hubei residents (n=12,714), we used a second data set of 57,685 posts for multilevel modeling analyses. RESULTS: Most posts (248,757/359,190, 69.25%) made during the studied lockdown period indicated a pleasant mood with low arousal. A gradual increase in both valence and arousal before the lockdown was observed. The posts after the lockdown was imposed had higher valence and arousal than prelockdown posts. On the day of lockdown, the non-Hubei group had a temporarily boosted valence (γ20=0.118; SE 0.021; P<.001) and arousal (γ30=0.293; SE 0.022; P<.001). Compared with non-Hubei residents, the Wuhan group had smaller increases in valence (γ21=-0.172; SE 0.052; P<.001) and arousal (γ31=-0.262; SE 0.053; P<.001) on the day of lockdown. Weibo users' emotional valence (γ40=0.000; SE 0.001; P=.71) and arousal (γ40=0.001; SE 0.001; P=.56) remained stable over the 2 weeks after the lockdown was imposed regardless of geographical location (valence: γ41=-0.004, SE 0.003, and P=.16; arousal: γ41=0.003, SE 0.003, and P=.26). CONCLUSIONS: During the early stages of the pandemic, most Weibo posts indicated a pleasant mood with low arousal. The overall increase in the posts' valence and arousal after the lockdown announcement might indicate collective cohesion and mutual support in web-based communities during a public health crisis. Compared with the temporary increases in valence and arousal of non-Hubei users on the day of lockdown, Wuhan residents' emotions were less affected by the announcement. Overall, our data suggest that Weibo users were not influenced by the lockdown measures in the 2 weeks after the lockdown announcement. Our findings offer policy makers insights into the usefulness of social connections in maintaining the psychological well-being of people affected by a lockdown.

16.
PeerJ Comput Sci ; 8: e1085, 2022.
Article in English | MEDLINE | ID: covidwho-2110903

ABSTRACT

Urgent global research demands real-time dissemination of precise data. Wikidata, a collaborative and openly licensed knowledge graph available in RDF format, provides an ideal forum for exchanging structured data that can be verified and consolidated using validation schemas and bot edits. In this research article, we catalog an automatable task set necessary to assess and validate the portion of Wikidata relating to the COVID-19 epidemiology. These tasks assess statistical data and are implemented in SPARQL, a query language for semantic databases. We demonstrate the efficiency of our methods for evaluating structured non-relational information on COVID-19 in Wikidata, and its applicability in collaborative ontologies and knowledge graphs more broadly. We show the advantages and limitations of our proposed approach by comparing it to the features of other methods for the validation of linked web data as revealed by previous research.

17.
Malaysian Orthopaedic Journal ; : 7-16, 2020.
Article | WPRIM (Western Pacific), WPRIM (Western Pacific) | ID: covidwho-2093073

ABSTRACT

@#With the increasing number of COVID-19 cases and related deaths worldwide, we decided to share the development of this condition in Singapore and Malaysia. First few cases were diagnosed in the two countries at the end of January 2020, and the numbers have surged to thousands by end of March 2020. We will focus on strategies adopted by the government and also the Orthopaedic community of the two countries up till the beginning of April 2020. We hope that by sharing of relevant information and knowledge on how we are managing the COVID-19 condition, we can help other communities, and health care workers to more effectively overcome this pandemic.

18.
Trop Med Infect Dis ; 7(10)2022 Oct 12.
Article in English | MEDLINE | ID: covidwho-2071796

ABSTRACT

Language and cultural barriers among migrant workers hamper access to health risk information. This study aims to explore health risk communication structure and processes and identify the communication network of migrant workers during the COVID-19 pandemic in Thailand. This study used a parallel mixed-methods design combined with in-depth interviews and questionnaires for social network analysis from November 2020 to June 2021 in the headquarter district of Samut Sakhon, Ranong, and Phuket provinces. We conducted purposive sampling of representatives from public and non-public organisations and local communities. Thirty-six key informants participated in in-depth interviews, and fifty-six respondents completed the questionnaire for social network analysis. Although health risk communication included various activities, there was no formal governing body responsible for health risk communication among migrants, and monitoring and evaluation of communication process were not well-implemented. The health risk communication network was centralised, especially in the rural area; however, migrant health volunteers (MHVs) and local media were key sources of information for most migrants in communities. Overall, a governing body led by the government with intersectional collaboration and a health risk communication process should be promoted while considering migrants' characteristics and concerns. The health risk communication network should identify key communicators such as MHVs and local media. This can be an effective strategy to fill the gap of information dependency.

19.
Int J Environ Res Public Health ; 19(19)2022 Oct 09.
Article in English | MEDLINE | ID: covidwho-2066083

ABSTRACT

Policy is an important support for risk society to prevent and resolve crises. Based on the content analysis of the policy text and PMC-Index model, this paper takes texts of 327 public health emergency response policies (PHERP) at the central level in China from 1989 to 2022 as the analysis object, designs an indicator system, and combines qualitative and quantitative methods to evaluate the existing policies. The results of content analysis indicate that current policy focuses on emergency rather than preventive control, the main policy-making and issuing authority is the Ministry of Health and policies are mostly issued in the form of notice. The PMC-Index of ten selected policies is all ranked above acceptable, which means that the overall quality of policy text is relatively high. However, the PMC-Surface shows that there is still considerable variability in the scores of the main indicators for each policy. The top three main scoring indicators are policy nature, policy evaluation and policy instrument, while the bottom three are policy time, policy release agency and policy target groups, which reminds us that the design of policy text can still be improved in terms of optimizing policy time, policy issuing institutions and expanding policy target groups. In response to these problems, this paper puts forward six suggestions for optimization.


Subject(s)
Emergencies , Public Health , China , Health Policy , Humans , Policy Making , Public Policy
20.
Nurs Open ; 2022 Oct 09.
Article in English | MEDLINE | ID: covidwho-2059571

ABSTRACT

AIM: To examine effects of holistic sleep improvement strategies on frontline nurses who served in Wuhan, China, during a public health emergency (COVID-19). DESIGN: A pre-post-test design with single group was conducted with a convenience sample applied the Transparent Reporting of Evaluations with Non-randomized Designs statement. METHODS: Fifty-two nurses were recruited from a COVID-19 designated hospital, receiving holistic sleep improvement intervention, which concentrated on scientific human resource management, comfortable sleep environment establishment, self-relaxation and self-adjustment training and humanistic care. Data was collected at baseline and 4-week follow-up post intervention using self-reported questionnaires. RESULTS: The total score of Pittsburgh Sleep Quality Index scale was 8.69 ± 4.346 at baseline. After 4 weeks of follow-up, the score statistically significantly decreased to 7.48 ± 3.691. Subjective sleep quality (p = .016), sleep efficiency (p = .015), sleep disturbances (p = .007) were statistically significantly improved after the intervention, while there were no statistically significant differences in sleep latency (p = .205), sleep duration (p = .375), sleep medication (p = .723) or daytime dysfunction (p = .747).

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