Research Article
The Impact of Frailty Intervention for Community-Dwelling Older Adults on Physical and Mental Health from the Perspective of the HAPA Theory
Wang Dan,
Yu Xingfeng,
Zhang Yulian,
Meng Yifei,
Su Yuting,
Niu Yaqi*
Issue:
Volume 7, Issue 2, June 2026
Pages:
22-30
Received:
15 April 2026
Accepted:
26 April 2026
Published:
11 May 2026
DOI:
10.11648/j.ajnhs.20260702.11
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Abstract: Objective: To investigate the effects of a dynamic intervention model for frailty in community-dwelling older adults-developed based on the Health Action Process Approach theory-on their physical and mental health. Methods: A total of 160 frail older adults screened from six communities in Xi’an were selected as study subjects and randomly divided into a control group and an intervention group, each comprising 80 participants. The control group received traditional health management methods, while the intervention group received the dynamic intervention model for frailty in community-dwelling older adults developed in this study. The two groups were compared in terms of demographic characteristics, the Mini-Nutrition Status Scale, biochemical indicators, the Brief Geriatric Depression Scale, the Chinese version of the Barthel Index, and the European Five-Dimensional Health Scale scores. Results: In the comparison of baseline data between the two groups, there were no statistically significant differences in demographic characteristics, health status, nutrition, self-care ability, depression status, or the incidence of adverse events (P > 0.05); Following the intervention, the intervention group demonstrated significantly better scores than the control group at 6 and 12 months in terms of nutrition, self-care ability, depression, and quality of life (P < 0.05); The research results of biochemical indicators such as HCG, IGF-1, HB and 25-(OH)2D3 in the elderly showed that there was no statistically significant difference in the biochemical indicators between the intervention group and the control group in the two follow-ups (P＞0.05). Conclusion: The dynamic frailty intervention model for community-dwelling older adults, developed based on the HAPA theory, can significantly improve their nutritional status, self-care ability, depressive symptoms, and quality of life, thereby promoting their physical and mental health.
Abstract: Objective: To investigate the effects of a dynamic intervention model for frailty in community-dwelling older adults-developed based on the Health Action Process Approach theory-on their physical and mental health. Methods: A total of 160 frail older adults screened from six communities in Xi’an were selected as study subjects and randomly divided ...
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Research Article
Discontinuation Rate of Intrauterine Contraceptive Device in Ethiopia: Systematic Review and Meta-analysis
Issue:
Volume 7, Issue 2, June 2026
Pages:
31-39
Received:
17 March 2026
Accepted:
31 March 2026
Published:
13 May 2026
DOI:
10.11648/j.ajnhs.20260702.12
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Views:
Abstract: Introduction: Discontinuation of the intrauterine contraceptive device (IUCD) is defined as the removal of the method within 12 months of initiation. Early discontinuation represents a critical public health issue, as it elevates the risk of unintended pregnancies, which may subsequently result in unsafe abortions and unplanned births. Despite ongoing efforts by the Ethiopian government to expand access to and utilization of long-acting reversible contraceptives (LARCs), particularly IUCDs, uptake remains suboptimal among women of reproductive age. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of IUCD discontinuation in Ethiopia. Methods: This systematic review and meta-analysis was prospectively registered in the PROSPERO database (registration number: CRD420251107378). A comprehensive literature search was conducted across major electronic databases, including PubMed, Google Scholar, Cochrane Library, and Embase. The review process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were analyzed using STATA version 14 (StataCorp, College Station, TX, USA). A random-effects model was employed to estimate the pooled prevalence of intrauterine contraceptive device (IUCD) discontinuation. Statistical heterogeneity among studies was assessed using the I2 statistic, while publication bias was evaluated using Egger’s regression test. Results: A total of four studies comprising 1,874 participants were included in this systematic review and meta-analysis. The pooled prevalence of intrauterine contraceptive device (IUCD) discontinuation in Ethiopia was 29.54% (95% CI: 12.68–46.40). Subgroup analysis by region revealed considerable variation, with the highest discontinuation rate observed in Addis Ababa at 60.67% (95% CI: 55.81–65.52), followed by the Oromia region at 20.56% (95% CI: 16.57–24.55), and the Southern Nations, Nationalities, and Peoples’ Region (SNNPR) at 18.67% (95% CI: 16.36–20.98). Conclusion: The evidence indicates a relatively high pooled rate of intrauterine contraceptive device (IUCD) discontinuation in Ethiopia. This finding underscores the need for targeted interventions to reduce early discontinuation and enhance the acceptability and sustained use of IUCDs among women of reproductive age in Ethiopia.
Abstract: Introduction: Discontinuation of the intrauterine contraceptive device (IUCD) is defined as the removal of the method within 12 months of initiation. Early discontinuation represents a critical public health issue, as it elevates the risk of unintended pregnancies, which may subsequently result in unsafe abortions and unplanned births. Despite ongo...
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,
Nebiyu Taye
