HIV Treatment and Mental Health Outcomes Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in a Pilot Multicomponent Intervention in Guatemala City
Globally, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, but few interventions address mental health and HIV outcomes among GBMSM living with HIV. The purpose of this study was to pilot a multicomponent intervention, integrating emotional well-bein...
Gespeichert in:
| Veröffentlicht in: | Health education & behavior 2023-12, Vol.50 (6), p.758-769 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 769 |
|---|---|
| container_issue | 6 |
| container_start_page | 758 |
| container_title | Health education & behavior |
| container_volume | 50 |
| creator | Barrington, Clare Davis, Dirk A. Angeles, Gustavo Pajarito Rompich, Angela Yolanda Santa Luce, Renato Shelus, Victoria Northbrook, Sanny |
| description | Globally, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, but few interventions address mental health and HIV outcomes among GBMSM living with HIV. The purpose of this study was to pilot a multicomponent intervention, integrating emotional well-being (EW) and health navigation for GBMSM living with HIV in Guatemala City. We implemented a 12-month intervention, including a four-session EW component and a health navigation component among newly diagnosed and reengaged GBMSM with HIV (n = 112). We conducted socio-behavioral surveys at baseline and endline to measure patient characteristics and HIV, and mental health outcomes as well as viral load testing. We documented participation in EW sessions and used a smartphone application to track navigation mode, frequency, and content. Using first-difference estimation modeling, we assessed associations between participation in EW and navigation and mental health (depression and anxiety symptoms) and HIV outcomes (HIV treatment adherence, viral suppression). Acceptability was high for EW (86%) and navigation (99%). During the intervention, viral suppression increased significantly and anxiety and depression decreased significantly. Participation in EW sessions and greater navigation frequency and duration were associated with being suppressed, whereas higher emotional navigator support was associated with being unsuppressed. Participation in EW sessions was associated with reduced anxiety. Findings suggest that multicomponent interventions integrating individual counseling and navigation may promote EW and sustained viral suppression. Future intervention research is needed to confirm whether HIV and mental health outcomes are attributable to the intervention and to assess mechanisms of influence. |
| doi_str_mv | 10.1177/10901981231164598 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2805519673</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ1400371</ericid><sage_id>10.1177_10901981231164598</sage_id><sourcerecordid>2805519673</sourcerecordid><originalsourceid>FETCH-LOGICAL-c385t-c7160aefe0ca2116e0bb59068b9dd8f7981b689242645ad6561d5128919922583</originalsourceid><addsrcrecordid>eNp1kcFuEzEQhlcIREvhATiALHHh0C0eb7xrH0tUkqBUQaLQ48q7O2lcee1ge6PmlXhKvE0pEoiTx_N__8xoJsteAz0DqKoPQCUFKYAVAOWES_EkOwbOWV4Cq56mOOn5CBxlL0K4pZSWkvLn2VFRUSFkJY6zn_PFd3LlUcUebSTKduQyBcqQOSoTN2Q1xNb1GMh57-wNman9KfmoA94Nypze86u4QT-6yPXGkbnaIfmKd-RaJ_eYXeqdTs77_9hNW6LIF21cJJeDiTqV3zo7dl_YiH6XIu3siM0GFbFXRpGpjvuX2bO1MgFfPbwn2bdPF1fTeb5czRbT82XeFoLHvK2gpArXSFvF0l6QNg2XtBSN7DqxrtI6mlJINmFpZaoreQkdByYkSMkYF8VJ9v5Qd-vdjwFDrHsdWjRGWXRDqJmgnIMsqyKh7_5Cb93gbZouUUJwCYKzRMGBar0LweO63nrdK7-vgdbjIet_Dpk8bx8qD02P3aPj9-US8OYAoNfto3zxGSaUFhUk_eygB3WDf8b6f8dfAvKs9A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2888591852</pqid></control><display><type>article</type><title>HIV Treatment and Mental Health Outcomes Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in a Pilot Multicomponent Intervention in Guatemala City</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>Sociological Abstracts</source><creator>Barrington, Clare ; Davis, Dirk A. ; Angeles, Gustavo ; Pajarito Rompich, Angela Yolanda ; Santa Luce, Renato ; Shelus, Victoria ; Northbrook, Sanny</creator><creatorcontrib>Barrington, Clare ; Davis, Dirk A. ; Angeles, Gustavo ; Pajarito Rompich, Angela Yolanda ; Santa Luce, Renato ; Shelus, Victoria ; Northbrook, Sanny</creatorcontrib><description>Globally, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, but few interventions address mental health and HIV outcomes among GBMSM living with HIV. The purpose of this study was to pilot a multicomponent intervention, integrating emotional well-being (EW) and health navigation for GBMSM living with HIV in Guatemala City. We implemented a 12-month intervention, including a four-session EW component and a health navigation component among newly diagnosed and reengaged GBMSM with HIV (n = 112). We conducted socio-behavioral surveys at baseline and endline to measure patient characteristics and HIV, and mental health outcomes as well as viral load testing. We documented participation in EW sessions and used a smartphone application to track navigation mode, frequency, and content. Using first-difference estimation modeling, we assessed associations between participation in EW and navigation and mental health (depression and anxiety symptoms) and HIV outcomes (HIV treatment adherence, viral suppression). Acceptability was high for EW (86%) and navigation (99%). During the intervention, viral suppression increased significantly and anxiety and depression decreased significantly. Participation in EW sessions and greater navigation frequency and duration were associated with being suppressed, whereas higher emotional navigator support was associated with being unsuppressed. Participation in EW sessions was associated with reduced anxiety. Findings suggest that multicomponent interventions integrating individual counseling and navigation may promote EW and sustained viral suppression. Future intervention research is needed to confirm whether HIV and mental health outcomes are attributable to the intervention and to assess mechanisms of influence.</description><identifier>ISSN: 1090-1981</identifier><identifier>ISSN: 1552-6127</identifier><identifier>EISSN: 1552-6127</identifier><identifier>DOI: 10.1177/10901981231164598</identifier><identifier>PMID: 37088978</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Acquired Immunodeficiency Syndrome (AIDS) ; Anxiety ; Bisexuality ; Depression (Psychology) ; Emotional well being ; Emotions ; Foreign Countries ; Guatemala ; Health Promotion ; Health status ; HIV ; HIV Infections - psychology ; HIV Infections - therapy ; Homosexuality ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Individual Counseling ; Intervention ; Male ; Males ; Men who have sex with men ; Mental depression ; Mental Health ; Mental health services ; Navigation ; Newly diagnosed ; Outcome Assessment, Health Care ; Participation ; Program Effectiveness ; Sexual and Gender Minorities ; Sexual Orientation ; Sexuality ; Sexually transmitted diseases ; STD ; Treatment compliance ; Well Being</subject><ispartof>Health education & behavior, 2023-12, Vol.50 (6), p.758-769</ispartof><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c385t-c7160aefe0ca2116e0bb59068b9dd8f7981b689242645ad6561d5128919922583</cites><orcidid>0000-0001-7418-6002 ; 0000-0001-7802-4051</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/10901981231164598$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/10901981231164598$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,30978,33753,43600,43601</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1400371$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37088978$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barrington, Clare</creatorcontrib><creatorcontrib>Davis, Dirk A.</creatorcontrib><creatorcontrib>Angeles, Gustavo</creatorcontrib><creatorcontrib>Pajarito Rompich, Angela Yolanda</creatorcontrib><creatorcontrib>Santa Luce, Renato</creatorcontrib><creatorcontrib>Shelus, Victoria</creatorcontrib><creatorcontrib>Northbrook, Sanny</creatorcontrib><title>HIV Treatment and Mental Health Outcomes Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in a Pilot Multicomponent Intervention in Guatemala City</title><title>Health education & behavior</title><addtitle>Health Educ Behav</addtitle><description>Globally, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, but few interventions address mental health and HIV outcomes among GBMSM living with HIV. The purpose of this study was to pilot a multicomponent intervention, integrating emotional well-being (EW) and health navigation for GBMSM living with HIV in Guatemala City. We implemented a 12-month intervention, including a four-session EW component and a health navigation component among newly diagnosed and reengaged GBMSM with HIV (n = 112). We conducted socio-behavioral surveys at baseline and endline to measure patient characteristics and HIV, and mental health outcomes as well as viral load testing. We documented participation in EW sessions and used a smartphone application to track navigation mode, frequency, and content. Using first-difference estimation modeling, we assessed associations between participation in EW and navigation and mental health (depression and anxiety symptoms) and HIV outcomes (HIV treatment adherence, viral suppression). Acceptability was high for EW (86%) and navigation (99%). During the intervention, viral suppression increased significantly and anxiety and depression decreased significantly. Participation in EW sessions and greater navigation frequency and duration were associated with being suppressed, whereas higher emotional navigator support was associated with being unsuppressed. Participation in EW sessions was associated with reduced anxiety. Findings suggest that multicomponent interventions integrating individual counseling and navigation may promote EW and sustained viral suppression. Future intervention research is needed to confirm whether HIV and mental health outcomes are attributable to the intervention and to assess mechanisms of influence.</description><subject>Acquired Immunodeficiency Syndrome (AIDS)</subject><subject>Anxiety</subject><subject>Bisexuality</subject><subject>Depression (Psychology)</subject><subject>Emotional well being</subject><subject>Emotions</subject><subject>Foreign Countries</subject><subject>Guatemala</subject><subject>Health Promotion</subject><subject>Health status</subject><subject>HIV</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - therapy</subject><subject>Homosexuality</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Individual Counseling</subject><subject>Intervention</subject><subject>Male</subject><subject>Males</subject><subject>Men who have sex with men</subject><subject>Mental depression</subject><subject>Mental Health</subject><subject>Mental health services</subject><subject>Navigation</subject><subject>Newly diagnosed</subject><subject>Outcome Assessment, Health Care</subject><subject>Participation</subject><subject>Program Effectiveness</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual Orientation</subject><subject>Sexuality</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Treatment compliance</subject><subject>Well Being</subject><issn>1090-1981</issn><issn>1552-6127</issn><issn>1552-6127</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kcFuEzEQhlcIREvhATiALHHh0C0eb7xrH0tUkqBUQaLQ48q7O2lcee1ge6PmlXhKvE0pEoiTx_N__8xoJsteAz0DqKoPQCUFKYAVAOWES_EkOwbOWV4Cq56mOOn5CBxlL0K4pZSWkvLn2VFRUSFkJY6zn_PFd3LlUcUebSTKduQyBcqQOSoTN2Q1xNb1GMh57-wNman9KfmoA94Nypze86u4QT-6yPXGkbnaIfmKd-RaJ_eYXeqdTs77_9hNW6LIF21cJJeDiTqV3zo7dl_YiH6XIu3siM0GFbFXRpGpjvuX2bO1MgFfPbwn2bdPF1fTeb5czRbT82XeFoLHvK2gpArXSFvF0l6QNg2XtBSN7DqxrtI6mlJINmFpZaoreQkdByYkSMkYF8VJ9v5Qd-vdjwFDrHsdWjRGWXRDqJmgnIMsqyKh7_5Cb93gbZouUUJwCYKzRMGBar0LweO63nrdK7-vgdbjIet_Dpk8bx8qD02P3aPj9-US8OYAoNfto3zxGSaUFhUk_eygB3WDf8b6f8dfAvKs9A</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Barrington, Clare</creator><creator>Davis, Dirk A.</creator><creator>Angeles, Gustavo</creator><creator>Pajarito Rompich, Angela Yolanda</creator><creator>Santa Luce, Renato</creator><creator>Shelus, Victoria</creator><creator>Northbrook, Sanny</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AFRWT</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7418-6002</orcidid><orcidid>https://orcid.org/0000-0001-7802-4051</orcidid></search><sort><creationdate>20231201</creationdate><title>HIV Treatment and Mental Health Outcomes Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in a Pilot Multicomponent Intervention in Guatemala City</title><author>Barrington, Clare ; Davis, Dirk A. ; Angeles, Gustavo ; Pajarito Rompich, Angela Yolanda ; Santa Luce, Renato ; Shelus, Victoria ; Northbrook, Sanny</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-c7160aefe0ca2116e0bb59068b9dd8f7981b689242645ad6561d5128919922583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acquired Immunodeficiency Syndrome (AIDS)</topic><topic>Anxiety</topic><topic>Bisexuality</topic><topic>Depression (Psychology)</topic><topic>Emotional well being</topic><topic>Emotions</topic><topic>Foreign Countries</topic><topic>Guatemala</topic><topic>Health Promotion</topic><topic>Health status</topic><topic>HIV</topic><topic>HIV Infections - psychology</topic><topic>HIV Infections - therapy</topic><topic>Homosexuality</topic><topic>Homosexuality, Male</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Individual Counseling</topic><topic>Intervention</topic><topic>Male</topic><topic>Males</topic><topic>Men who have sex with men</topic><topic>Mental depression</topic><topic>Mental Health</topic><topic>Mental health services</topic><topic>Navigation</topic><topic>Newly diagnosed</topic><topic>Outcome Assessment, Health Care</topic><topic>Participation</topic><topic>Program Effectiveness</topic><topic>Sexual and Gender Minorities</topic><topic>Sexual Orientation</topic><topic>Sexuality</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>Treatment compliance</topic><topic>Well Being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barrington, Clare</creatorcontrib><creatorcontrib>Davis, Dirk A.</creatorcontrib><creatorcontrib>Angeles, Gustavo</creatorcontrib><creatorcontrib>Pajarito Rompich, Angela Yolanda</creatorcontrib><creatorcontrib>Santa Luce, Renato</creatorcontrib><creatorcontrib>Shelus, Victoria</creatorcontrib><creatorcontrib>Northbrook, Sanny</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Health education & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barrington, Clare</au><au>Davis, Dirk A.</au><au>Angeles, Gustavo</au><au>Pajarito Rompich, Angela Yolanda</au><au>Santa Luce, Renato</au><au>Shelus, Victoria</au><au>Northbrook, Sanny</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1400371</ericid><atitle>HIV Treatment and Mental Health Outcomes Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in a Pilot Multicomponent Intervention in Guatemala City</atitle><jtitle>Health education & behavior</jtitle><addtitle>Health Educ Behav</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>50</volume><issue>6</issue><spage>758</spage><epage>769</epage><pages>758-769</pages><issn>1090-1981</issn><issn>1552-6127</issn><eissn>1552-6127</eissn><abstract>Globally, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, but few interventions address mental health and HIV outcomes among GBMSM living with HIV. The purpose of this study was to pilot a multicomponent intervention, integrating emotional well-being (EW) and health navigation for GBMSM living with HIV in Guatemala City. We implemented a 12-month intervention, including a four-session EW component and a health navigation component among newly diagnosed and reengaged GBMSM with HIV (n = 112). We conducted socio-behavioral surveys at baseline and endline to measure patient characteristics and HIV, and mental health outcomes as well as viral load testing. We documented participation in EW sessions and used a smartphone application to track navigation mode, frequency, and content. Using first-difference estimation modeling, we assessed associations between participation in EW and navigation and mental health (depression and anxiety symptoms) and HIV outcomes (HIV treatment adherence, viral suppression). Acceptability was high for EW (86%) and navigation (99%). During the intervention, viral suppression increased significantly and anxiety and depression decreased significantly. Participation in EW sessions and greater navigation frequency and duration were associated with being suppressed, whereas higher emotional navigator support was associated with being unsuppressed. Participation in EW sessions was associated with reduced anxiety. Findings suggest that multicomponent interventions integrating individual counseling and navigation may promote EW and sustained viral suppression. Future intervention research is needed to confirm whether HIV and mental health outcomes are attributable to the intervention and to assess mechanisms of influence.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>37088978</pmid><doi>10.1177/10901981231164598</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7418-6002</orcidid><orcidid>https://orcid.org/0000-0001-7802-4051</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1090-1981 |
| ispartof | Health education & behavior, 2023-12, Vol.50 (6), p.758-769 |
| issn | 1090-1981 1552-6127 1552-6127 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2805519673 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; MEDLINE; Alma/SFX Local Collection; Sociological Abstracts |
| subjects | Acquired Immunodeficiency Syndrome (AIDS) Anxiety Bisexuality Depression (Psychology) Emotional well being Emotions Foreign Countries Guatemala Health Promotion Health status HIV HIV Infections - psychology HIV Infections - therapy Homosexuality Homosexuality, Male Human immunodeficiency virus Humans Individual Counseling Intervention Male Males Men who have sex with men Mental depression Mental Health Mental health services Navigation Newly diagnosed Outcome Assessment, Health Care Participation Program Effectiveness Sexual and Gender Minorities Sexual Orientation Sexuality Sexually transmitted diseases STD Treatment compliance Well Being |
| title | HIV Treatment and Mental Health Outcomes Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in a Pilot Multicomponent Intervention in Guatemala City |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T06%3A21%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=HIV%20Treatment%20and%20Mental%20Health%20Outcomes%20Among%20Gay,%20Bisexual,%20and%20Other%20Men%20Who%20Have%20Sex%20With%20Men%20Living%20With%20HIV%20in%20a%20Pilot%20Multicomponent%20Intervention%20in%20Guatemala%20City&rft.jtitle=Health%20education%20&%20behavior&rft.au=Barrington,%20Clare&rft.date=2023-12-01&rft.volume=50&rft.issue=6&rft.spage=758&rft.epage=769&rft.pages=758-769&rft.issn=1090-1981&rft.eissn=1552-6127&rft_id=info:doi/10.1177/10901981231164598&rft_dat=%3Cproquest_cross%3E2805519673%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2888591852&rft_id=info:pmid/37088978&rft_ericid=EJ1400371&rft_sage_id=10.1177_10901981231164598&rfr_iscdi=true |