Planetary Health Responsibility and Awareness Scale (PHRAS): Development and Validation

This study aimed to develop and validate the Developmental Origins of Health and Disease (DOHaD) awareness scale and examine whether having a DOHaD education module may affect dietary behavior in college students. Some studies conducted within the scope of the DOHaD hypothesis show associations between early-life environmental factors, especially maternal health and nutritional status, with the next generation's health and disease status. Despite the increase in elucidating of the underpinning mechanisms of early life determinants and chronic disease risk, there is limited knowledge on how public perceive and understand DOHaD concepts. The study consisted of three phases: identification of DOHaD awareness scale components, development and validation, interrater reliability of the scale, and a confirmatory study. Two-hundred college students to confirm face validity of the scale, one-hundred for reproducibility and one-hundred for the confirmatory study. Confirmatory study included a pre-intervention period in which baseline parameters (such as anthropometric measurements, HEI-2015 (Healthy Eating Index-2015), physical activity levels, and DOHaD awareness scale scores) were measured at two different time points, and an educational module on DOHaD concepts was provided to the participants. The study was reported in accordance with the Guidelines for Reporting Reliability and Agreement Studies (GRRAS). Content validity ratio, exploratory factor analysis, and Cronbach's alpha values indicated that a reliable and valid instrument to assess the awareness of DOHaD concepts in college students was developed. Despite the lack of a control group, DOHaD concept education was associated with improved anthropometric measurements, healthier eating parameters, increased physical activity levels, and a better understanding of DOHaD concepts. Translating DOHaD concepts into healthier behaviors can support improvements in lifestyle, and the use of the DOHaD awareness scale may serve as a valuable tool to encourage healthy behaviors among college students.

Factors such as the risk of the spread of infectious diseases, global health crises, and disasters are among the major health and security challenges facing societies. Informed protective measures and effective risk awareness are necessary to cope with these challenges. As young adults, university students represent a significant segment of society, making studies conducted on this group critical for implementing effective measures against infectious disease risks. This study aimed to investigate university students' awareness and prevention behaviors regarding communicable diseases, their perception of disaster risk, and the role of social support networks. The descriptive study was conducted with a total of 372 undergraduate students studying at a university in Türkiye. Data were collected using a sociodemographic characteristics form, the Communicable Disease Risk Awareness and Prevention Scale, the Disaster Risk Perception Scale for University Students, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using IBM SPSS Statistics 27.0, employing independent sample t-tests, one-way ANOVA tests, Pearson correlation, and multiple linear regression analysis. The mean age of the university students participating in the study was 21.19±2.08years (min. 18.00-max. 32.00), with 64.5% (n=240) being female. Participants generally exhibited high levels of awareness and preventive behaviors regarding communicable diseases. Significant contributors to awareness included gender (β=9.51, p<0.05), increased disaster risk perception (β=8.80, p<0.01), obtaining information from health organization websites (β=7.90, p<0.01), preparing an emergency kit (β=5.56, p<0.05), and obtaining information from news websites (β=4.81, p<0.05). It was found that an increase in perceived social support positively impacted students' awareness and prevention levels (β=0.48, p<0.01). Additionally, an increase in disaster risk perception was positively correlated with communicable disease risk awareness (β=0.01, p<0.05). The study concludes that robust social support networks enhance students' health awareness and protective health behaviors. Universities should organize educational programs and drills to increase student disaster awareness and preparedness. Such training will help students better prepare for and effectively cope with disaster situations.

Objective To conduct the research on the health behavior ability of discharged acute pancreatitis (AP) patients, and analyze the relevant influencing factors. Methods Totals of 193 first-episode discharged AP in a third-grade class-A hospital were investigated with the General Information Evaluation Scale, Self-rated Abilities for Health Practices Scale (SRAHP), Health Awareness Scale, Self-rating Depression Scale (SDS) and Social Support Rate Scale (SSRS). Results Among discharged AP patients, the average score of healthy behavior ability was (64.09±15.25). Among the four dimensions, sports ranked the highest, followed by psychological adjustment and nutrition, while health responsibility ranked the lowest. Seventy patients (36.27%) had great healthy behavior ability, 118 patients (61.14%) had moderate healthy behavior ability, and 5 patients (2.59%) had bad healthy behavior ability. The average scores of health awareness and depression were (7.19±3.12) and (49.86±8.04). The single factor analysis showed that the influencing factors of healthy behavior ability of discharged AP patients were education, occupation, personal monthly income, expense of medical care, life style, social support, depression degree and health awareness (P<0.05). There was a positive correlation between healthy behavior ability and health awareness, life style, expense of medical care and social support (β=0.99, 1.00, 0.56, 1.01, respectively; P<0.05). There was a negative correlation between healthy behavior ability and depression degree (β=-0.68, P<0.05). Conclusions The health behavior ability of discharged AP patients needs to be improved. Nurses should pay attention to build and strengthen patients′ health awareness, change unhealthy life style, enhance social support and keep them in good mood when they design and implement nursing interventions, there by to improve the patients′ healthy behaviors ability and reduce recurrence. Key words: Acute pancreatitis; Healthy behaviors; Discharged patients

This study aimed at: (1) Developing health awareness scale for preparatory year students at Hail University, (2) Identify health awareness level among preparatory year students at Hail University, (3) Identify relationship between health awareness level and health information sources between students according to some demographic variables (specialization, place of residence) and (4) Identify the most important health information sources between preparatory year students at Hail University. Three hundred students from preparatory year at Hail University participated in main study, their age ranged between 18-20 years. Questionnaire for measuring health awareness and identify health information resources between preparatory year students at Hail University used as data collection tool (prepared by researcher). The most important result were that: students, in general, have high level of health awareness, health program students are higher in health awareness level than students of engineering and human programs, and city students are higher in health awareness level than rural students.

The present study aimed to examine the relationship between exercise adherence and breast cancer awareness among women who practice Pilates. The study was designed using a relational screening model. The sample consisted of 112 women residing in Diyarbakır who were actively engaged in Pilates exercises. Data were collected using a demographic information form, the Exercise Commitment Scale, and the Breast Cancer Awareness Scale. Descriptive statistics, including frequency and percentage distributions, were calculated. Following the assessment of normality assumptions, independent samples t-tests and Pearson correlation analyses were conducted. The results indicated that exercise adherence levels differed significantly according to marital status, having a relative diagnosed with breast cancer, and smoking status (p &lt; .05). Breast cancer awareness levels were found to be significantly higher only among participants who had a relative diagnosed with breast cancer and those who reported regular medication use (p &lt; .05). No statistically significant association was observed between exercise adherence and breast cancer awareness (p &gt; .05). In conclusion, exercise adherence among women practicing Pilates was found to vary significantly with respect to marital status, smoking behavior, and having a relative diagnosed with breast cancer, whereas breast cancer awareness was associated solely with having a relative diagnosed with breast cancer and regular medication use. Furthermore, the results demonstrated that exercise adherence and breast cancer awareness were not significantly related. Cite this article as: Gözaçık, Y. (2026). Pilates and health awareness: the relationship between exercise commitment and breast cancer awareness in women. Research in Sports Science, 16, 0079, doi: 10.5152/rss.2026.25079.

There remains a dearth of easily implemented strategies for translating environmental and sustainability policy into practice within occupational therapy education. In this context, the research-implementation time lag is problematic because time is of the essence when seeking evidence-based educational strategies to address planetary health challenges. The undertaking of practical experimentation to develop strategies for policy implementation and translation is challenged by the urgency of the issues faced. This paper aims to contribute to conversations around translating awareness of planetary health to practical action for occupational therapy education by proposing a framework for practical "doing" skills, based on conceptually sound, theoretical foundations that support likely efficacy. Three skills are suggested as a means to close the theory-practice gap while incorporating what is known about educational processes supporting the transition from novice to expert occupational therapy practitioner. The first skill proposed is a rethinking of essential forms of clinical reasoning, with the introduction of environmental and sustainable reasoning as mandatory. Founded in an adoption of "two-eyed seeing," the second skill emphasises bidirectional questioning for climate-just, person-centred care. The third skill explores interprofessional educational collaboration for environmental sustainability. Acknowledging the centrality of novice practitioner as part of occupational therapy learner professional identity requires appropriate strategies for learning clinical reasoning skills related to environmental sustainability, planetary health, and the potential discomfort of authentic bidirectional questioning. Implications of adopting these strategies are discussed in relation to their potential contribution to positive change for the occupational therapy profession and wider society.

This literature review is intended to highlight recent correlations between urologic, heart and overall health by emphasizing healthy eating patterns, physical activity, alcohol minimization and tobacco elimination, healthy sleep, weight, cholesterol, blood sugar, blood pressure management, and mental health awareness. Meta-analyses, systematic reviews, and clinical studies espouse a unified message for prevention, reducing the risk of disease recurrence, progression, complementing conventional medical intervention efficacy, and mitigating treatment side effects. Limiting or eliminating alcohol consumption could be considered an independent recommendation and adding a mental health and miscellaneous (genetic risk and lifestyle, planetary health, HPV or other vaccination awareness, spirituality, etc.) category could allow for individualized educational opportunities, synergism appreciation, and self-improvement. Urologic healthcare professionals have the potential to strengthen the collective public health goal of improving the quality and quantity of the lives of patients able to adhere to these heart healthy recommendations.

P37 - Surveying perinatal mental health problems in China: together or apart?

PATHFit or Physical Activity for Health and Fitness is a new program designed by CHED for tertiary level physical education. The unique features of this program lie along its standards for (1) active and healthy living that is characterized by progressively intensifying student’s physical activity and (2) advocacy and action plan where college students are encouraged to share their learning to their community. Both standards express CHED’s support of the Global Action Plan for Physical Activity (GAPPA) initiated by the WHO in 2018 to reduce physical inactivity and sedentary lifestyle by 15% before the year 2030. The purpose of this paper is to look into the 2-year trial implementation of PATHFit at West Visayas State University (WVSU) to investigate on the curriculum practices that were used to deliver the new PE program and see how these practices aligned with CHED’s standards and outcomes in order to contribute to the GAPPA. Results revealed that the new program ushered in a new era of teaching PE. The blending of PATHFit standards with the university’s hallmarks resulted in the delivery of kinesthetic intelligence, intensified physical fitness, nurturance of creative minds, awareness of health and social responsibilities, student independent learning, and empowerment of student leaders. This kind of physical literacy supports attributes of lifelong independent learning and real life experiences for future engagement to recreation to lower sedentary lifestyle that sets GAPPA in progress.

Background: This study evaluated workplace hazards and safety practices among selected workers in various facilities in Riyadh, Saudi Arabia. The research aimed to assess hazards exposure, workplace policies, worker awareness of occupational health and safety (OHS) rights and responsibilities, and worker empowerment in injury and illness prevention. Methods: A cross-sectional study was conducted in 2017 using a structured, self-administered questionnaire. The questionnaire assessed workers’ knowledge of workplace hazards, policies, and participation in preventive measures. The study also explored the sources of workers' knowledge about OHS. Results: A strong relationship was observed between workers’ knowledge of hazards and their compliance with personal protective equipment (44.6%). About 52% of workers reported receiving essential training before starting their jobs, with the majority gaining knowledge from workplace courses during their employment. Information sources included the internet (38.5%) and workplace courses (18.4%). A significant proportion (72.9%) of respondents reported performing their jobs safely, and 66.7% had sufficient awareness of health and safety hazards. Additionally, 53.7% demonstrated knowledge of health and safety concerns, and 63.7% agreed on the necessity of taking proper precautions at work. Conclusion: Workers in Riyadh exhibit high levels of knowledge and awareness about OHS, and most are clear about their workplace rights and responsibilities. However, gaps remain in providing essential training, which highlights an area for improvement. Addressing these gaps through enhanced training programs could further strengthen workplace safety and health practices.

The perception of health, which is the combination of personal feelings, thoughts, prejudices, and expectations regarding the individual's health, is closely related to healthy life awareness. This research examines the relationship between health perception and healthy life awareness of individuals during the COVID-19 pandemic and the influencing factors. The study has been carried out in Turkey from July to October 2020. The population of the research is the people who live in Turkey. The sample comprises 1752 participants who met the research criteria and were selected through a stratified sampling method. The study data were collected using the Sociodemographic Characteristics Form, Perception of Health Scale, and Healthy Life Awareness Scale. The participants' mean score from the Perception of Health Scale was 51.67 ± 6.72, and the mean score from the Healthy Life Awareness Scale was 57.84 ± 7.14. A statistically moderate positive correlation was found between the perception of health and healthy life awareness. A higher level of perception of health was found in the participants who live in the Marmara region, have postgraduate education, are single, and have more income than their expenses. It was also found that, among the participants, those who live in the Marmara region, aged 29-39, are female, have a postgraduate education, are married, have more income than expenses, and have a higher level of healthy life awareness. It was found that as the health perception of individuals increases, their understanding of healthy life also increases during the COVID-19 pandemic period.

Exploring awareness of planetary health and antibiotic disposal advice across Australian Pharmacies: A mystery shopping expedition

ABSTRACTBackgroundSystematic reviews suggest preconception health interventions may be effective in improving maternal and infant outcomes. However, few studies have explored women’s views on the types of support required for preconception health improvement, nor when and to whom this support should be provided.MethodsWe purposively sampled women aged 18-48 years in the West of England from respondents to a survey, and conducted semi-structured in-depth interviews to explore their views on support needs in the preconception period and target populations for this support. We analyzed the data using a data-driven framework analysis.ResultsThe women we interviewed (N=20) broadly supported promoting greater awareness of preconception health and felt the limited focus on health before pregnancy downplays its importance relative to antenatal health. Some women opposed support services and structural interventions to improve preconception health, due to concerns these are less impactful than encouraging individual responsibility for health. Women who supported structural interventions highlighted broader determinants of health and socioeconomic barriers to preconception health improvement. Men were considered a key target population for preconception support, to help share the burden for preconception health improvement. Women broadly supported ‘age-appropriate’, school-based preconception health education, highlighting young women as an under-served group in need of additional preconception education.ConclusionOur findings indicate a need to deliver early preventive support ahead of first pregnancy through services, interventions and policies co-produced with women and women’s partners. Future research should explore how to increase public understanding of the socioeconomic, environmental and commercial determinants of preconception health.HIGHLIGHTSWomen broadly supported promoting greater awareness of preconception healthNeoliberal views on responsibility underlay opposition to structural interventionsAwareness of wider health determinants underlay support for structural interventionsSuggested support included preconception health checks and community support groupsYoung women were considered an under-served group in terms of preconception support

In recent years, the frequent occurrence of public health emergencies has posed serious threats to human health, leading to a broad international consensus on the necessity of enhancing national health literacy. In response, the Chinese government has integrated health education into the national education system as a key strategic measure aimed at improving population health. The health literacy level of physical education (PE) teachers, who serve as primary agents in implementing school-based health education, is essential for ensuring the delivery of high-quality health education. Functional health literacy, as the foundational component of overall health literacy, plays a critical role in the development and enhancement of individual health competencies. In this study, we developed a structural model of functional health literacy specific to Chinese PE teachers, aiming to evaluate their own literacy levels and their contributions to school-based health education. Qualitative data were primarily collected through semi-structured interviews. A total of 16 PE teachers from 11 provinces across China mainland were purposively selected as study participants. We employed a grounded theory technical approach to analyze the data using NVIVO 20.0 qualitative analysis software. The functional health literacy model for PE teachers comprises four core dimensions: reading and understanding health knowledge, numerating and calculating health data, communicating and appreciating health performance, recognizing and valuing health values. Reading and understanding health knowledge contains four categories: Health and safety emergency method, health concepts and general knowledge, sports-related health knowledge, medical health knowledge. Numerating and calculating health data include two categories: body mass index and indicators, physical fitness test data. Communicating and appreciating health performance contains three categories: health communication, health identification, health performance. Recognizing and valuing health values contains two categories: health responsibility awareness, significance and value of health. The proposed model offers a theoretical framework to support the professional transition of Chinese PE teachers into dual-role educators specializing in both physical education and health instruction. Applying this model with teacher education programs is expected to enhance the quality and effectiveness of health education in Chinese primary and secondary schools.

Adolescents are increasingly exposed to digital environments that shape their mental health awareness through access to and processing of online information. However, evidence on this relationship in Indonesia remains limited. This study aimed to examine whether digital literacy predicts adolescents' understanding of mental health issues in the context of Yogyakarta. This cross-sectional study involved 350 high school students in Yogyakarta,chosen by a multistage random samplinh technique. Data were obtained through two standardized instruments the Digital Literacy Scale for Adolescents (DLSA) and the Mental Health Awareness Scale (MHAS). The analytical procedure comprised descriptive analyses followed by correlation testing and multivariate regression techniques. Digital literacy showed a significant positive correlation with mental health awareness (r = 0.52, p &lt; 0.001). Regression analysis revealed that digital literacy was the strongest predictor (β = 0.45, p &lt; 0.001), accounting for 26% of the variance (R 2 = 0.26) in mental health awareness. Internet use exceeding six hours daily was negatively associated (β = -0.11, p = 0.041). Adolescents understanding of mental health issues is strategically enhanced by digital literacy. Including digital literacy in public health initiatives and school curricula could improve resilience and long-term psychological health.