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AbstractVirtual reality (VR) interventions have become a promising therapeutic modality to improve the prevalent mental health problems among college students. Despite the growing evidence, a comprehensive meta-analysis is absent. To evaluate the effectiveness of VR interventions on anxiety, stress, and negative emotions in college students, a meta-analysis was conducted. Sixteen randomized controlled trials published between 2014 and 2023 with 46 records and 1022 participants were analyzed. Significant VR intervention effects on anxiety (Hedge’s g = 0.492, p < 0.001), stress (Hedge’s g = 0.344, p = 0.028), and negative emotions (Hedge’s g = 0.461, p = 0.001) among college students were found. The meta-regression analysis revealed that the number of sessions, intervention type, and mean age significantly moderated the effect size. This study offered initial empirical evidence of VR interventions’ effectiveness in reducing anxiety, stress, and negative emotions in college students. Future research directions and methodological suggestions are proposed. [ABSTRACT FROM AUTHOR]

(1) Objective: to investigate the effectiveness of telephysiotherapy compared with traditional rehabilitation for elderly patients and determine the factors impacting its efficacy. (2) Method: Five online databases (PubMed, Google Scholar, Scopus, Web of Science, and Cochrane) were reviewed up to 31 July 2023. The search included the literature in English from 2014 to 2023, to capture the latest practices in telephysiotherapy for elderly patients. Data from all qualified studies were independently extracted by two authors, quantifying effect size to reflect treatment performance. (3) Results: 222 records from 19 articles were analyzed. The effect size for telephysiotherapy was 0.350 (95% C.I. = 0.283–0.416; p < 0.01). The standardized mean differences for physical and psychological outcomes were 0.406 (95% C.I. = 0.325–0.488; p < 0.01) and 0.223 (95% C.I. = 0.110–0.336; p < 0.01), respectively. (4) Conclusions: Telephysiotherapy was more effective than traditional rehabilitation, significantly improving the physical and psychological status of elderly patients. The factors influencing the effectiveness of telephysiotherapy were intervention type, intervention duration, outcome, and gender. [ABSTRACT FROM AUTHOR]

AbstractHighly automated vehicles (level 4) will be launched soon. This study explored factors affecting the acceptance of level 4 automated vehicles (AV) amongst the public. The technology acceptance model (TAM), technology anxiety (TA), social influence (SI), facilitating condition (FC) and trust (TR) were integrated to develop a level 4 AV acceptance model. A web-based questionnaire was used for data collection from 693 Chinese participants. Structural equation modelling was utilized to analyze the collected data. The results showed that TAM is applicable to explain level 4 AV acceptance amongst the public. The effects of FC on perceived ease of use and perceived usefulness (PU) are positive. TA negatively influences PU. SI positively influences PU and behavioural intention to use AVs. TR positively influences attitude towards using AVs and is positively determined by PU. Based on the results, some practical implications for increasing the use of level 4 AVs amongst the public were provided. [ABSTRACT FROM AUTHOR]

Telecare has the potential to tackle emerging problems in public healthcare resulting from the graying of population. This study aims to investigate the personal, social and regulatory factors associated with the telecare acceptance for older adults in Hong Kong. A structured questionnaire survey was administered to 110 seniors aged 60–80 years. The results revealed that older people prefer to use the products that they are familiar with. Seniors of very poor economic status are likely to use telecare service. Family and friends support, self-satisfaction, and social relationship are critical factors which positively influence telecare usage of older adults via influencing their perceived ease of use and perceived usefulness. Regulatory factor of perceived incentives positively associates with the attitude of older people toward telecare service, and in turn facilitates telecare usage. This is the first study which stressed that public regulations, such as incentive interventions, should be emphasized in promoting telecare acceptance. [ABSTRACT FROM AUTHOR]

AbstractLevel 2 automated vehicles (AVs) have been commercially available for years, yet the extent to which drivers are cognizant of their capabilities and limitations remains largely unknown. This study aimed to assess the public’s mental model of Level 2 AVs and investigate the relationships between mental model, trust, and reliance. Moreover, it sought to explore driver heterogeneity through cluster analysis to identify typical driver classes. Employing Tesla Autopilot as a representative Level 2 automation system, we designed a questionnaire measuring mental model from three dimensions: functional condition, sensorimotor preparation, and automation monitoring. This questionnaire was administered to both Tesla Autopilot owners (N = 357) and non-owners (N = 357). The results showed that, on average, drivers possessed an inadequate mental model regarding Level 2 AVs, and those with a relatively better mental model exhibited lower levels of trust and reliance. Owning a Level 2 AV did not result in a better understanding of the system, but it led to a higher trust level. Moreover, the results suggested that drivers’ trust and reliance in AVs tended to increase within the initial 6 months of usage and then kept stabilized after that. Through cluster analysis, we identified three distinct driver classes that exhibited significant differences in their mental model levels and attitudes towards AVs: Class 1 (blurred positive), Class 2 (sober neutral), and Class 3 (cautiously positive). This further validates the presence of heterogeneity among drivers. The insights gained from this study can serve as a valuable resource for supporting and guiding the development and implementation of training programs aimed at enhancing drivers’ comprehension of Level 2 AVs. [ABSTRACT FROM AUTHOR]

Work-related musculoskeletal disorders (WMSDs) have been a concern among healthcare workers, impacting their well-being and patient safety. Exoskeleton technologies have gained a growing interest as an ergonomic intervention for WMSDs. This scoping review explores exoskeleton effects on WMSDs among healthcare workers. A comprehensive search identified 9 eligible studies published in English between 2013 and 2023. Exoskeletons showed promising effects on objective measures, selectively reducing muscle activation in a task-dependent manner. They also improved force exertion and body posture parameters in specific scenarios. Subjectively, exoskeletons reduced discomfort, pain, fatigue, and received positive perceptions with acceptable usability. However, the impact on perceived exertion varied with tasks. While exoskeletons have shown potential in enhancing healthcare workers' well-being and performance, more work is required to refine their effectiveness and maximise benefits in different healthcare settings. The study revealed the need for standardised methodologies, consideration of participant characteristics, and optimisation of exoskeleton design.

Shoulder pain is common among elite swimmers due to the tremendous stress over shoulders during swimming. Supraspinatus muscle is one of the major prime movers and stabilizers of shoulder and is highly susceptible to overloading and tendinopathy. An understanding of the relationship between supraspinatus tendon and pain; and between supraspinatus tendon and strength would assist health care practitioners for developing training regime. The objectives of this study are to evaluate 1) the association between structural abnormality of supraspinatus tendon and shoulder pain and 2) the association between structural abnormality of supraspinatus tendon and shoulder strength. We hypothesized that structural abnormality of supraspinatus tendons positively associated with shoulder pain and negatively associated with shoulder muscle strength among elite swimmers. 44 elite swimmers were recruited from the Hong Kong China Swimming Association. Supraspinatus tendon condition was evaluated using diagnostic ultrasound imaging and shoulder internal and external rotation strength was evaluated by the isokinetic dynamometer. Pearson's R was used to study the correlation between shoulder pain and supraspinatus tendon condition and to evaluate the association between isokinetic strength of shoulders and supraspinatus tendon condition. 82 shoulders had supraspinatus tendinopathy or tendon tear (93.18%). However, there was no statistically significant association between structural abnormality of supraspinatus tendon and shoulder pain. The results showed that there was no association between supraspinatus tendon abnormality and shoulder pain and there was a significant correlation between left maximal supraspinatus tendon thickness (LMSTT) and left external rotation/ concentric (LER/Con) and left external rotation/ eccentric (LER/Ecc) shoulder strength (p < 0.05) while internal rotation/ external rotation (IR/ER) ratio can also be a significant predicator on LMSTT >6mm (R 2 = 0.462, F = 7.016, df = 1, p = 0.038). Structural change of supraspinatus tendon was not associated with shoulder pain, but could be a predictor on MSTT >6mm in elite swimmers., (© Journal of Sports Science and Medicine.)