Showing 365–378 of 336,781 results for "Steven Wishart"

Journals 2026 EN

Complex PTSD among persons with serious mental illness receiving community mental health services

Lu Weili · Wang Ke · Mueser Kim T. +9 more

Complex PTSD (CPTSD) is often associated with prolonged or repeated trauma exposure and the experience of intimate partner and childhood abuse. CPTSD includes the criteria for PTSD (re-experiencing, avoidance, and sense of threat) in addition to three criteria for self-organization disturbances (affective dysregulation, negative self-concept, and relational disturbance). This study aimed to assess profiles of CPTSD symptoms and their association with psychiatric distress among people with co-occurring Serious Mental Illness (SMI; schizophrenia/schizoaffective, bipolar, and treatment-refractory major depression). Treatment-seeking participants ( N  = 307) with SMI and PTSD diagnoses were drawn from two randomized controlled trials. Distinct symptom profiles were assessed using Latent Profile Analysis (LPA). A model with three classes best fit the data with the most parsimonious interpretation: 26.7% ( n  = 82) in the PTSD class, 43.7% ( n  = 134) in the CPTSD class, and 29.6% ( n  = 91) in the CPTSD+ Borderline Personality Disorder (BPD) class. The CPTSD+BPD class showed the highest levels of psychiatric symptoms, followed by the CPTSD and PTSD groups, respectively. The results demonstrate the heterogeneity in symptom presentation across the PTSD classes and that, despite similar diagnoses, individuals may present with varying symptom patterns. This emphasizes the importance of studying CPTSD in subpopulations of persons with SMI.

Routledge
Journals 2026 EN

Evaluating in-reach rehabilitation: a parallel model of multidisciplinary rehabilitation delivered alongside acute hospital care

Shiner Christine T. · Olsen Nick · Watanabe Yuriko +3 more

Early rehabilitation can support functional recovery and prevent deconditioning in hospital, though practice remains variable. This study aimed to evaluate an emerging model for delivering early, multidisciplinary rehabilitation parallel to acute specialist medical care; in-reach rehabilitation. Consecutive in-reach rehabilitation episodes delivered as part of standard care at a tertiary hospital between 2015–2023 were included in a retrospective evaluation. Routine data including case characteristics, rehabilitation goals and functional independence before and after in-reach rehabilitation were extracted from records and analyzed via descriptive statistics and mixed-effects linear modeling. 967 participants were included (64% male, mean age 58.4 ± 15.4 years). In-reach episodes were delivered over a median 11 [7–18] days for heterogenous diagnoses, most commonly reconditioning (31.3%), cardiopulmonary transplant (22.1%), and neurological impairments (20.1%). Functional Independence Measure scores increased with in-reach rehabilitation (mean gain 24.0 points [95% CI 22.9–25.1]); with younger age, earlier in-reach commencement and certain diagnoses associated with larger gains in multivariable modeling. In-reach goals prioritized activities and participation, with high observed goal attainment (90.5%). In-reach rehabilitation is feasible in an acute general hospital setting for patients with heterogenous diagnoses. In-reach rehabilitation was associated with functional improvements and high rates of goal attainment in routine care.

Taylor & Francis
Journals 2026 EN

Admissions policies and colleges’ retention rates

Ma Alyson C. · Bouvet Florence · Ratcliff Ryan +2 more

Our study examines the relation between college admission criteria and college–student retention in the United States. We report two key findings related to admissions requirements using a dataset for the 2021–2022 academic year. First, there is little evidence that test–optional admissions policies had a significant effect on retention rates for this cohort. Second, Required/Recommended Letters of Recommendation and Secondary School Record are consistently associated with 1.3–3.3% higher retention rates. When combined with the appropriate institutional supports these results may assist HEIs maintain or increase retention rates in this new admission landscape.

Routledge
Journals 2026 EN

Irresponsible marketing and the need to support pro-sustainable production and consumption

Greenland Steven J. · Nguyen Ninh · Strong Carolyn

Globally, organisations and consumers face an array of economic, environmental, and social sustainability challenges. The UN Sustainable Development Goals (SDGs) assist by providing guidance for appreciating and responding to these challenges. Marketers also have an important role to play in promoting positive sustainable attitudes and behaviour in both consumer and corporate contexts. Increasingly sophisticated marketing capabilities, combined with enhanced understanding of consumer psychology, mean that marketers have unprecedented ability to positively influence public opinion and promote positive social and environmental behaviours. However, this capability is frequently used irresponsibly in the pursuit of profit and political goals, with disregard for sustainable outcomes. Irresponsible marketing, including sustainability washing, misleads consumers and governments about the sustainability credentials of these organisations’ products or services. This undermines SDG 12 sustainable consumption and production, as well as the other SDGs. This paper discusses the need for marketers to be more proactive in promoting sustainability and informing irresponsible marketing regulation. Critical avenues for future research are also identified.

Routledge
Journals 2026 EN

The effect of an altitudinal gradient on the abundance and phenology of the coffee berry borer ( Hypothenemus hampei ) (ferreri) (Coleoptera: scolytidae) in the Colombia Andes

Whittaker Lawrence · González-Moreno Pablo · Lowry Alyssa +5 more

Globally, the coffee berry borer (CBB) Hypothenemus hampei (Ferreri) is the most severe pest of the commercial coffee species arabica coffee ( Coffea arabica ). Heterogenous landscapes characterize many coffee-growing areas. We studied the phenology of coffee and the abundance, and development of infestation by CBB within the context an altitudinal gradient in the coffee-growing region of Caldas, Colombia. This was between 1200 m and 1800 m (a.s.l.) from September 2019 to July 2020 covering two seasons of coffee flowering. Coffee berry phenology did not differ over the altitudinal gradient studied, but CBB abundance and berry infestation differed in quantity and timings, with lower altitudes having higher abundances and proportions of infestation than higher altitudes. In the context of CBB management, October through to December is vital for coffee farms <1500 m as CBB abundance and infestation both spike, and March to June is key for farms between 1500-1700 m for the same reasons. In conclusion, coffee farmers in highly heterogeneous landscapes will have to adjust their CBB management according to the altitude gradients of their farm.

Taylor & Francis
Journals 2026 EN

Can public welfare employment address disability challenges in rural China?

Chen Na · Ngai Steven Sek-yum · Chang Cheng +2 more

This study examines systemic exclusion mechanisms driving recent withdrawal of rural disabled workers from China’s public welfare employment―a policy intentionally framed as integrating employment support, poverty alleviation, and public service provision to advance the goal of rural revitalization. Through a critical disability lens, we identified three contradictions underpinning the exclusion: (1) policy distortion through neglect of disability adaptation; (2) hostile work environments perpetuated by accessibility failures and productivity-driven blame; and (3) institutionalized ableism manifest in exploitative payment hierarchies and labor commodification. Our analysis reveals how policy-implementation gaps entrench exclusion through intersecting ableist and rural marginalization dynamics. To reclaim inclusive objectives of this initiative, we propose structural accountability mechanisms, participatory design protocols and intersectional resource redistribution to center disability inclusion as cornerstone of rural revitalization, not its afterthought.

Routledge
Resource 2026 EN

The effect of spinal orthoses on pain, kyphosis angle, balance, fall risk, and quality of life in older adults with hyperkyphosis: A systematic review

Gasavi Nezhad Zeinab · Gard Steven A. · Arazpour Mokhtar

Hyperkyphosis, defined as excessive forward thoracic curvature, is associated with pain, impaired balance, increased fall risk, and reduced quality of life in older adults. Spinal orthoses have been proposed as a therapeutic option. This systematic review evaluated their effects on pain, kyphosis angle, balance, fall risk, and quality of life. The protocol was registered in PROSPERO (CRD42024607584) and followed PRISMA 2020 guidelines. Comprehensive searches of PubMed, Web of Science, Scopus, CINAHL, and Cochrane Library up to November 2024 identified 16 eligible studies involving 757 participants and 13 orthosis types. Inclusion criteria covered clinical trials, cohort, cross-sectional, and observational studies in adults ≥60 years with hyperkyphosis, while surgical, pharmacological, and non-hyperkyphotic studies were excluded. Data were synthesized qualitatively, with balance outcomes classified as static or dynamic, and orthoses categorized by design and function. Risk of bias was assessed using PEDro and ROBINS-I. Findings suggest spinal orthoses, particularly semi-rigid devices, may reduce kyphosis angle, alleviate pain, enhance balance, and improve quality of life. Nonetheless, heterogeneity, limited blinding, and non-randomized designs reduce certainty. Further high-quality trials are warranted to strengthen evidence. No funding was received.

Taylor & Francis
Journals 2026 EN

Child Care Instability and Children’s Developmental Outcomes: A Systematic Literature Review

Zgourou Eleni · Holochwost Steven · Bratsch-Hines Mary

Research Findings : This systematic review examines the relation between child care instability, defined as sequential changes in child care arrangements, and children’s developmental outcomes, while synthesizing findings about factors that moderate the relation between child care instability and children’s development. Guided by the PRISMA guidelines and employing rigorous selection criteria, we screened 7,119 articles for eligibility and identified 25 studies for final analysis. Findings indicate that child care instability has primarily been studied in relation to socioemotional development, with several studies indicating that more child care changes are associated with a greater number of behavior problems and lower ratings of social competence. Findings are discussed within the context of sample sizes, research designs, and indicators for external and internal validity. Policy and Practice : We uncover several methodological issues and conceptual gaps in the child care instability literature and offer suggestions for future research. We suggest situating child care instability within its broader context and considering factors that influence the relation between child care instability and child development. Our policy recommendations highlight the importance of supporting continuity of care, expanding access to high-quality child care, providing child care assistance to eligible parents, and dismantling subsidy system barriers.

Routledge
Journals 2026 EN

“ Recuerdos de Mi Abuelo ”: Producing Telenovelas to Engage Latinos About Alzheimer’s Disease

Vardeman Jennifer · Cajina-Clark Jeremy · Medina Luis D. +11 more

This health communication edutainment project addresses racial disparities in Alzheimer’s and dementia related diseases (ADRD). Studies show that Hispanics/Latinos have a 50% greater risk of ADRD, compared to non-Hispanic whites, but make up a fraction of the research participants. APP’s goals are to recruit these communities into life-saving research and provide these communities with much needed information about aging brain health. This novel approach used community-based participatory approaches throughout the project.

Routledge
Journals 2026 EN

Intersectional inequalities in trust in the police in England

Tura Ferhat · Pickering Steven · Hansen Martin Ejnar +1 more

This study investigates intersectional inequalities in trust in the police in England using multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) for the first time. We find that those who are non-White, from lower social classes, and reside in London show lower predicted trust levels than other people. While older people show higher predicted trust levels, younger people, especially those from marginalised backgrounds, have the lowest predicted levels of trust in the police. We also find intersectional effects. While middle-aged White males from lower social classes and living outside of London have lower than-expected trust in the police, older White females from lower social classes and living outside of London have higher than-expected trust in the police. We argue that ground-level, community engagement, coupled with extensive officer training on engaging with individuals from diverse backgrounds, are key to developing higher levels of trust in the police.

Routledge