Digital intervention for tokophobia: a randomized controlled trial of internet-based cognitive behavioral therapy on fear of childbirth and self-efficacy among Egyptian pregnant women

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 3, 2025

Tokophobia affects up to 14% of pregnant women globally and is linked high cesarean rates, particularly in Egypt. This study evaluated the efficacy a culturally adapted Internet-based Cognitive Behavioral Therapy program on fear childbirth maternal self-efficacy among Egyptian women. A randomized controlled trial was conducted Damanhur City, Egypt, involving 96 with moderate severe tokophobia. Participants were randomly assigned an intervention group (n = 48) receiving six-week via WhatsApp or control routine antenatal care. The included cognitive restructuring, exposure therapy, relaxation techniques, psychoeducation grounded Bandura's Self-Efficacy Theory. Outcomes assessed using Childbirth Attitude Questionnaire Inventory at baseline post-intervention. Post-intervention, demonstrated significant reduction scores (mean decrease: 14.32 ± 5.55; p < 0.001) increase increase: 38.3 35.7; 0.001). Large effect sizes observed for both (η²=0.876) enhancement (η²=0.600). showed no changes. significantly reduced tokophobia enhanced self-efficacy, supporting its integration into perinatal These findings align Theory suggest potential digital interventions improving psychological outcomes, especially resource-limited settings. Integrating care could provide accessible, cost-effective support experiencing tokophobia, potentially reducing unnecessary sections informing health policy regarding effectiveness ICBT program. Future research should assess long-term outcomes generalizability diverse populations. registered ClinicalTrials.gov under identifier (NCT06640608) October 15, 2024

Language: Английский

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Why Meal Vouchers Matter for Academic Success: Advancing Our Conceptual Understanding of Well-Being

Journal of College Student Retention Research Theory & Practice, Journal Year: 2025, Volume and Issue: unknown

Published: April 13, 2025

Institutions of higher education are employing various basic needs interventions, including meal vouchers, to assist students experiencing food insecurity and promote student success. However, little is known about how these programs work affect outcomes. Drawing from previous observational studies, we conceptualize students’ well-being, consisting physical health, mental sense belonging, as a multi-pathway mechanism that facilitates the academic outcomes voucher program (MVP). This mixed-methods research employs interview, focus group, survey data longitudinal multimethod study campus MVP, interrogate whether an underlying mechanism, may contribute success at high risk insecurity. We find evidence MVP positively influenced their suggest ways our conceptualization well-being can be used inform practice policy.

Language: Английский

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Comparative Analysis of Independent Food Delivery Platforms: Empowering Food Movement Values

Published: April 25, 2025

Language: Английский

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Insights into in silico analysis to explore the multitarget antidepressant role of Camellia sinensis

Journal of Biomolecular Structure and Dynamics, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 13

Published: May 2, 2025

Depression is the fourth leading cause of death due to suicides every year according WHO. Various adverse effects are associated with many available antidepressants irreversible nature these drugs. So, it worthwhile explore natural phytoconstituents as an alternative therapy for treatment depression-dependent symptoms. Computational chemistry provides a cost-effective method or develop new therapies various diseases through in silico studies. In this study, multitargeting antidepressant potential Camellia sinensis explored via docking and binding interaction studies monoamine oxidase-A enzyme, serotonin, dopamine receptors involved depression targets. All selected were evaluated drug-likeliness properties using Swiss ADME. Among all phytoconstituents, Theasinensin, Theaflavin-3-gallate found have best affinities targets under investigation can be considered promising lead molecules development novel antidepressants. Molecular dynamics simulations assessed affinity four compounds Human Monoamine Oxidase A. showed potential, Theasinesin displaying strongest binding. This suggests their modulating enzyme activity relevance treatment.

Language: Английский

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Food Insecurity and Associated Factors in Brazilian Undergraduates during the COVID-19 Pandemic

Nutrients, Journal Year: 2022, Volume and Issue: 14(2), P. 358 - 358

Published: Jan. 14, 2022

Undergraduates may face challenges to assure food security, related economic and mental distress, especially during the COVID-19 pandemic. This study aimed assess insecurity its associated factors in undergraduates An online cross-sectional was conducted from August 2020 February 2021 with 4775 all Brazilian regions. The questionnaire contained socio-economic variables, validated scale, ESQUADA scale diet quality. median age of students 22.0 years, 48.0% reported income decreasing Food present 38.6% students, 4.5% severe 7.7% moderate. Logistic regressions showed brown black skin color/race presented highest OR for insecurity; both weight increase or reduction pandemic also a higher insecurity, better quality decreased insecurity. Our considerable presence undergraduates. Policy this population must be directed most vulnerable: those color/race, who changed pandemic, difficulties maintaining poor

Language: Английский

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Food insecurity and utilization of campus food resources differ by demographic and academic group

Journal of Agriculture Food Systems and Community Development, Journal Year: 2023, Volume and Issue: unknown, P. 63 - 78

Published: March 16, 2023

Food insecurity is a major challenge for many college students, negatively affecting their well-being and academic success. To address the challenge, universities are implementing food resources to provide free access food; however, little known about how students’ identities affect utilization of these resources. This study analyzed relationships among insecurity, campus resource participation, student demographic identity. Survey data were collected from representative sample (n=1,190) undergraduate students at University California (UC), Davis. Analyses conducted using chi-square tests independence logistic regression assess factors related participation. The results indicate that transfer 84% more likely experience but 39% less use Both first-generation fourth- year disproportionately utilize more. Latino(a)/Chicano(a)/Hispanic twice as 49% than white/European American students. These demonstrate identity intersects with in environment. findings can guide recommendations improving expanding by utilizing equitable outreach strategies build support network while reflecting diverse needs populations.

Language: Английский

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Incorporating Halal Into Healthy and Equitable Dietary Patterns to Address Food and Nutrition Security Among K-12 and University Students: A Perspective

Journal of Nutrition Education and Behavior, Journal Year: 2024, Volume and Issue: 56(9), P. 663 - 671

Published: June 22, 2024

Language: Английский

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Food Insecurity Predictors Differ for White, Multicultural, and International College Students in the United States

Nutrients, Journal Year: 2025, Volume and Issue: 17(2), P. 237 - 237

Published: Jan. 10, 2025

Background: Higher education institutions and public health agencies in the United States (US) have recognized that food insecurity is pervasive interferes with student learning on multiple levels. However, less research has examined among culturally diverse college students. A cross-sectional online survey was conducted to estimate prevalence predictors of for US-born White, Multicultural, International students aged 18-34 at a Midwest university. The secondary aims were describe dietary meal characteristics, use assistance programs, including on-campus pantry. Methods: In April 2022, 853 completed 10-item US Adult Food Security Module, demographic, fat intake, attitude, access barriers, nutrition program usage questions using socio ecological model (SEM) framework. Results: security 73.3% (54.7% high, 18.5% marginal) 26.7% (14.4% low, 12.3% very low). Significantly more (26.8%) Multicultural (35.6%) classified as food-insecure compared White (19.9%; p < 0.001). Binomial multinomial logistic regression models indicated intrapersonal factors race/ethnicity, poor self-reported health, being an undergraduate, community barriers high costs limited transportation. Conclusions: Dietary characteristics differed by nativity-ethnicity groups than they did cost emerged strong influence choice utilized pantry, other groups.

Language: Английский

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Assessing the relationship between food insecurity and lifestyle behaviors among university students: a comparative study between Lebanon and Germany

BMC Public Health, Journal Year: 2023, Volume and Issue: 23(1)

Published: May 3, 2023

Food insecurity is a common public health problem in both developed and developing countries. This study aimed to profile food among university students country with stable economic circumstances (Germany) Mediterranean undergoing severe financial crisis (Lebanon) examine the associations between lifestyle behaviors (i.e., physical activity, sleep, adherence healthy eating pattern, such as diet), stress, well-being.This online cross-sectional was conducted September 2021 March 2022. Subjects were recruited through social media platforms (Facebook, WhatsApp, Instagram, personal email) in-class announcements by several professors of various majors from different universities Lebanon Germany. The final sample included 547 participants (197 350 Germany).Our findings showed higher rate compared Germany (59% versus 33%). In bivariate analysis, associated insomnia (r = 0.230; p < 0.001) stress 0.225; 0.001); German had activity (p 0.001), better diet quality lower 0001) than Lebanese students. multivariable analyses, more related (B 0.178; while well-being not any behaviors. Physical insomnia, or > 0.05); however, living -7.85; 0.001).The high prevalence reported this alarming, particularly students; but worse diet. Moreover, also sleep stress. Further studies are necessary assess role mediating factor sociodemographic characteristics

Language: Английский

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Food insecurity and academic function among college students during the COVID-19 pandemic: A moderating role of the first-generation college student status

Journal of American College Health, Journal Year: 2023, Volume and Issue: 72(9), P. 3576 - 3582

Published: March 6, 2023

Objective To examine food insecurity (FI) prevalence among college students during the COVID-19 pandemic (April 2021) using cross-sectional design, and moderating role of first-generation student status in relationship between FI grade point average (GPA).Participants Three-hundred sixty recruited mostly from upper-level kinesiology coursesMethods General linear model was used to predict GPA based on security status, psychological health, bodily pain, with subgroup analysis performed by status.Results Approximately 19% were classified as having FI. Those showed lower poor health compared those without The link moderated negative impact more clearly observed non-first-generation students.Conclusion First-generation could play a determining academic performance.

Language: Английский

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