Objective: This study aimed to determine the mediating role of loneliness in the relationship between gender perception and attitudes toward dating violence among university students. Methods: The cross-sectional study was conducted with 335 students enrolled in the Health Services Vocational College of a public university in the Southeastern Anatolia Region of Türkiye. Data were collected at June 14-28, 2024, using the Personal Information Form, Gender Perception Scale, Dating Violence Scale, and University of California Los Angeles Loneliness Scale through face-to-face interviews. Descriptive statistics and Pearson correlation tests were used for data analysis. The mediating effect of loneliness was tested using Hayes’ PROCESS Macro Model 4. Results: Positive gender perception was positively associated with disapproval (rh = 0.526; P < .001) of dating violence and negatively associated with loneliness (rh = −0.193; P < .001). Mediation analysis revealed that loneliness partially mediated the relationship between gender perception and attitudes toward dating violence. Mediation analysis revealed that loneliness partially mediated the relationship between gender perception and attitudes toward dating violence (β = 0.014; t = 10.620; P < .001; lower limit = 0.0119, upper limit = 0.0174). Conclusion: The findings indicate that attitudes toward dating violence among university students are shaped by both gender-based beliefs and emotional factors. More egalitarian gender perceptions are associated with lower loneliness and stronger disapproval of dating violence, highlighting the importance of addressing both gender equality and psy- chosocial well-being in dating violence prevention efforts. Cite this article as: Turan Z, Akcan K. The mediating role of loneliness in the relationship between gender perception and attitudes toward dating violence among university students. Arch Health Sci Res. 2026, 13, 0154, doi: 10.5152/ArcHealthSciRes.2026.25154.
Objective: This study aimed to evaluate the presence of a mediating role of patient engagement in the effect of self-efficacy on treatment adherence in patients with multimorbidity. Methods: In this cross-sectional study, a questionnaire was administered to 414 outpatients with multimorbidity in Kırıkkale province, Türkiye, using a face-to-face interview method between March and July 2025. In addition to questions regarding individual characteristics, the questionnaire included self-efficacy in management of chronic disease), patient engagement, and the Morisky Medication Adherence Scale. Descriptive statistics and PROCESS macro multiple regression analysis were used for data analysis. Results: Participants perceived their self-efficacy as moderate and their patient engagement and medication adherence levels as good. Self-efficacy increased patient engagement, while patient engagement also increased medication adherence. As the direct effect of self-efficacy on medication adherence was not statistically significant, patient engagement was found to have a full mediating effect. Conclusion: The importance of patient engagement in managing complex treatment regimens and ensuring treatment adherence, particularly in patients with multimorbidity, was highlighted. Interventions aimed at enhancing self-efficacy in patients with multimorbidity may not be sufficient on their own; strategies to increase patient engagement may be more decisive in terms of treatment adherence. These findings are expected to guide healthcare professionals and policymakers in adopting a patient-centered approach. Cite this article as: Sönmez S. The mediating role of patient engagement in the relationship between self-efficacy and treatment adherence among patients with multimorbidity. Arch Health Sci Res. 2026, 13, 0330, doi: 10.5152/ArcHealthSciRes.2026.25330.
Objective: Adults with cerebral palsy (CP) experience various limitations in daily and social life due to structural and functional impairments. These limitations affect their sociodemographic characteristics, quality of life (QoL), and emotional well-being. This study aimed to describe the sociodemographic factors, QoL, and hopelessness levels of adults with CP.Methods: This study was a cross-sectional descriptive study conducted in Amasya, Türkiye, between 2020 and 2021. It included 102 adults with CP. The Sociodemographic Evaluation Form was administered to all participants, and theShort Form-36 (SF-36) QoL Scale and Beck Hopelessness Scale were administered to 54 participants without intellectual disability. Descriptive statistics and Spearman correlation analysis were used for analysis.Results: The mean age of the participants was 30.78 years. The participants’ profile was characterized by low educational attainment (40.2% illiterate) and high unemployment (78.4% not working). Physical Role (38.27 ± 45.51) andPhysical Function (45.87 ± 33.30) had the lowest SF-36 scores. The majority (74%) exhibited minimal to mild hopelessness. Significant negative correlations were found between hopelessness and several QoL subscales, most notablyVitality (r=−0.63) and General Health Perception (r = −0.57).Conclusions: This study provided important insights into the challenges faced by adults with CP, highlighting limitations in physical functioning, role-physical, general health, and vitality, as well as the presence of moderate to severehopelessness in some of the participants. The findings revealed a strong negative relationship between QoL and hopelessness and emphasized the need for comprehensive interventions that supported both functional independence andpsychosocial well-being.Cite this article as: Kavak M, Cevik D. Describing sociodemographic factors, quality of life, and hopelessness of adults with cerebral palsy: A cross-sectional study.Arch Health Sci Res. 2026, 13, 0037, doi: 10.5152/ArcHealthSciRes.2026.24037.
Objective: The Patient-Specific Functional Scale (PSFS) is frequently used for the functional evaluation of patients. The Turkish validity and reliability of the PSFS in patients with shoulder pain has not yet been established. This study aimed to evaluate the validity and reliability of the Turkish PSFS in patients with shoulder pain. Methods: This methodological study was conducted between December 2023 and August 2024 at Kütahya Health Sciences University Evliya Celebi Training and Research Hospital.. Patient-Specific Functional Scale, Quick Disability of the Arm, Shoulder and Hand Questionnaire (QuickDASH), and Shoulder Pain and Disability Index (SPADI) were administered to 101 patients with shoulder pain aged 18-65 years at the initial assessment. The test-retest assessment was performed by re-administering scales to 77 patients 7 days later. Internal consistency was assessed using Cronbach’s α. Intraclass correlation coefficient (ICC) was used to evaluate test-retest reliability. Convergent validity was assessed using Pearson correlation analysis. Results: The PSFS demonstrated acceptable internal consistency (Cronbach’s α = 0.740) and test-retest reliability (ICC 2,1 = 0.670). No floor or ceiling effects were observed. The PSFS showed moderate correlation with QuickDASH (r = −0.418, P < .01) and weak correlation with SPADI (r = −0.354, P < .01). Additionally, the standard error of measurement was 0.84, and the minimum detectable change was 2.33. Conclusion: This study indicates that the Turkish PSFS is a valid and reliable measurement tool. Due to its quick administration and patient-centered approach, PSFS can be preferred as a practical assessment tool in clinical and research settings for individuals with shoulder pain. Cite this article as: Afşar E, Bağdatlı E, Gökpınar HH. Validity and reliability of the Turkish version of the patient-specific functional scale in patients with shoulder pain: A methodological study. Arch Health Sci Res. 2026, 13, 0293, doi: 10.5152/ArcHealthSciRes.2026.25293.
Objective: This study aims to multidimensionally evaluate the effects of perceptual hearing loss and tinnitus on quality of life specific to the elderly in geriatric individuals aged 65 years and older. Methods: This cross-sectional study included 108 volunteers aged 65-90 years with subjective hearing loss. Participants were contacted via social media and asked to complete the scales using the Google Forms platform. Data collection was conducted between December 2025 and January 2026. The Hearing Handicap Inventory for the Elderly (HHI-E), Tinnitus Handicap Inventory (THI), and World Health Organization Quality of Life Instrument-Old (WHOQOL-OLD) quality of life scale were used as data collection instruments. Mann–Whitney U-test, Spearman correlation, and multiple linear regression analyses were applied to the data analysis. Results: In the group with perceptual hearing loss, the WHOQOL-OLD total score, “sensory functions” (P < .001), and “death and dying” (P = .008) subscale scores were found to be statistically significantly lower. A positive correlation (rho = 0.312) was found between HHI-E and THI, whereas a strong negative correlation (rho = −0.587) was found between HHI-E and the sensory function sub-dimension of quality of life. According to the established regression model (R2 = 0.230), the level of hearing impairment was found to be a more dominant predictor of quality of life compared to the presence of tinnitus. Conclusion: The findings of this study indicate a high prevalence of perceived hearing loss and tinnitus among older adults. Perceived hearing loss negatively affects not only sensory functions but also the social participation and existential well-being of elderly individuals. In clinical practice, the use of screening tools such as HHI-E is critical for the early detection of hearing loss and the development of holistic rehabilitation strategies to prevent social isolation. Cite this article as: Batuk İT, Karakuluk I. The impact of perceived hearing loss and tinnitus on the quality of life in the geriatric population: A multidimensional analysis. Arch Health Sci Res. 2026, 13, 0007, doi: 10.5152/ArcHealthSciRes.2026.26007.
Objective: This study aimed to evaluate the effect of proprioceptive training combined with eye–hand coordination activities on agility performance in male cricket players compared to a regular cricket training program. Methods: A true experimental study was conducted with 50 male cricket players (aged 15-20 years) randomly assigned to an experimental group (n = 25) and a control group (n = 25). The experimental group underwent a 24-week intervention incorporating proprioceptive training and eye–hand coordination exercises alongside regular cricket training, while the control group followed only the standard training regimen. Both groups trained for an equal total weekly duration. Agility performance was assessed using the T-Agility test before and after the intervention. Statistical analysis was performed using paired and independent t-tests along with effect size (Cohen’s d) and post-hoc power analysis. Results: The experimental group showed a significant improvement in agility performance, with a reduction in T-Agility test time from 12.72 ± 1.44 seconds to 9.84 ± 0.80 seconds (P < .001, d = 2.476, power = 100%). The control group also demonstrated an improvement (12.67 ± 1.33 seconds to 12.50 ± 1.25 seconds, P = .011, d = 0.132, power = 9.7%), but the magnitude of change was significantly greater in the experimental group (post-test P < .001, d = 2.530, power = 100%). Conclusion: The findings indicate that proprioceptive training combined with eye–hand coordination activities significantly enhances agility in cricket players compared to regular training alone. These results highlight the importance of integrating targeted neuromuscular and coordination exercises into cricket training programs for performance optimization and injury prevention, with potential applications in sports rehabilitation and occupational therapy. Cite this article as: K.M. S.K., E. S.A., M.M. E. Effect of proprioceptive training with eye–hand coordination activities on agility performance among male cricket players. Arch Health Sci Res. 2026, 13, 0105, doi:10.5152/ArcHealthSciRes.2026.25105.
Objective: This study aimed to evaluate the effect of the training provided on social responsibility on the individual and global social responsibility levels of nursing students and their perceptions of commitment to the profession. Methods: The research is a quasi-experimental design featuring a single group with pretest and posttest assessments. The sample of the study consisted of 102 nursing students at a nursing faculty in Northern Cyprus. The researcher trained the students on social responsibility for 2 hours per week for 5 weeks. The data of the study were collected by face-to-face questionnaire using the Individual Social Responsibility Scale (ISRS), Global Social Responsibility Scale (GSRS), and Nursing Professional Commitment Scale (NPCS). The data collection period the sample of the study consisted of 102 nursing students at a nursing faculty in Northern Cyprus. The data collection period for the study was between Feb and June. The data were analyzed using Kolmogorov–Smirnov, t, and Pearson tests. Results: The findings indicated an increase in students’ ISRS scores from the pretest to the posttest (pretest: 57.18 Å} 14.87; posttest: 62.80 Å} 4.51; P < .05). The students had higher scores on overall GSRS and on the subscales of action-oriented responsibility, ecological responsibility, altruistic responsibility, and national responsibility in the posttest compared to the pretest (P < .05). Conclusion: After the social responsibility course, the average scores of students on the subscales “desire to effort” and “devotion to the goals and values” of the NPCS dramatically increased. It is recommended that nursing students take social responsibility courses during their education and participate in various social responsibility projects for their individual, social, and professional development. Cite this article as: Yılmaz .D, Tekbaş S, Güder DS, Aktun. .. The effect of training social responsibility on students' individual and global social responsibility and commitment profession: A quasi-experimental study. Arch Health Sci Res. 2026, 13, 0070, doi:10.5152/ArcHealthSciRes.2026.25070.
Objective: Falls in the elderly are significantly linked with morbidity, mortality, and healthcare costs; hence, it is important to treat the balance deficits in these older adults. In recent times, virtual reality (VR) has developed rapidly and is a promising tool in rehabilitation. However, research on virtual reality training (VRT) programs lacks methodological consistency, and their interventions and outcomes have produced contradictory results. Furthermore, there is a significant research deficit in the benefits of VRT, notably on balance in older persons in the Indian population. Hence, the current pilot study was done to see the effect of VRT on balance in older adults using the Balance Evaluation Systems Test (BESTest) scale. Hence, the objective of this study was to find the effect of VRT on balance in the elderly. Methods: The study was conducted in a Tertiary hospital and geriatric centre, Pune, India. The study duration was from December 2020 to January 2022. A pretest-posttest study was conducted with 30 healthy participants aged 65-85 years. They were divided into 2 groups, 15 in each group: control and experimental. Both groups received 30 minutes of conventional balance treatment, and the experimental group additionally received 10 minutes of VRT. A pre-assessment was conducted using BESTest (Balance Evaluation Systems Test) for both groups on day 1, followed by the intervention, and a post-assessment was conducted after 4 weeks. The intervention was given 3 times a week for 4 weeks. Results: The mean age of the participants was 69.66 ± 5.67 in the VRT group and 71.2 ± 5.12 in the control group. Statistical analysis showed a significant difference in the BESTest scores in both groups after intervention P < .05). There was a significant difference in the BESTest scores when compared between the groups. This shows that VRT substantially improved balance in the elderly. Cite this article as: Bhise S, Azeem Z, Dabadghav R, et al. Effect of virtual reality training on balance in healthy elderly individuals: A pilot interventional study. Arch Health Sci Res. 2026, 13, 0051, doi: 10.5152/ArcHealthSciRes.2026.25051.
Objective: The inherently interactive, complex, and in-depth nature of qualitative research may give rise to ethical challenges and dilemmas that warrant careful and unavoidable consideration. A precise and realistic understanding of the specific ethical challenges in qualitative research and strategies for their management is of paramount importance. Accordingly, this study was conducted to explore ethical challenges in qualitative research. Methods: This narrative review was carried out in July 2025 through a systematic search of relevant articles in Medline and Scopus databases, as well as the Google Scholar search engine and the national databases. The keywords “research ethics,” “qualitative research,” and “ethical challenges” were used in English language, covering the period from 2000 to 2025. Out of 41 retrieved articles, 7 met the inclusion criteria and were subjected to narrative analysis. Results: Ethical challenges in qualitative research can be categorized into 2 major domains: macro-level and methodological challenges and practical or operational challenges. These encompass 5 subcategories, namely policy and organizational challenges, methodological challenges, participant-related challenges, researcher-related challenges, and environmental challenges. Conclusion: Effective qualitative research requires embedding ethics throughout the entire process, moving beyond formal approvals. This is achieved by cultivating ethical awareness, practicing reflexivity, building trust with participants, and using collaborative approaches. Particular attention to vulnerable groups and thoughtful documentation of ethical decisions are crucial for enhancing the research's rigor and trustworthiness. Cite this article as: Sobhanifar F, Mirhosseini S, Emami Sigaroudi A. Ethical challenges in qualitative research: a narrative review. Arch Health Sci Res. 2026, 13, 0230, doi:10.5152/ArcHealthSciRes.2026.25230.
Objective: This study determined the professional values of nurses and their statuses of protecting patient privacy and investigated the relationship between these variables. Methods: The study was conducted with 380 nurses working at 4 state hospitals operating in the 4 cities of in Turkish Republic of Northern Cyprus. This cross-sectional and correlational study was conducted between May 2024 and September 2024. Data was collected using a Descriptive Information Form, the Patient Privacy Scale in Nursing, and the Nurses Professional Values Scale-Revised. Data were analyzed using descriptive statistics, parametric tests (t-test, ANOVA), and regression analyses via SPSS 27.0. Results: The nurses had a mean total Patient Privacy Scale (PPS) score of 113.82 ± 5.57 and a mean total Nurses Professional Values Scale-Revised (NPVS-R) score of 87.18 ± 7.35, which indicated that they had high levels of professional values and protecting patient privacy. The regression model showed that the scores of the dimensions of NPVS-R predicted PPS scores, and the former explained 3.6% of the total variance in the latter. It was also detected that knowledge and practices in the context of patient privacy affected the statuses of the nurses to ensure the privacy of their patients and their perceptions of professional values. Conclusion: The study concluded that nurses’ knowledge and practices regarding patient privacy and their professional values affect their ability to ensure the privacy of their patients. It is essential for nurses to understand professional values well and internalize them to provide reliable and quality care complying with ethical standards. Cite this article as: Canbakiş E, Yildiz CÇ. Examination of nurses’ professional values and their respect for patient privacy: A cross-sectional and correlational study. Arch Health Sci Res. 2026, 13, 0125, doi: 10.5152/ArcHealthSciRes.2026.25125.
Objective: This study investigates the relationship between psychological insulin resistance and diabetes awareness and acceptance among individuals with type 2 diabetes mellitus (T2DM). Additionally, the study seeks to identify factors influencing psychological insulin resistance.Methods: This cross-sectional study was conducted between July 2023 and March 2024 and included 313 individuals diagnosed with T2DM receiving treatment at a hospital. Data were collected using the Patient Information Form, thePsychological Insulin Resistance (PIR) Scale, and the Diabetes Awareness and Acceptance Scale (DAAS).Results: The mean total PIR score of the participants was 33.17 ± 10.88, while the mean total DAAS score was 75.12 ± 16.55. A statistically significant positive correlation (r=0.302, P < .01) was found between PIR and DAAS, indicating that individuals with higher diabetes awareness and acceptance also exhibited higher psychological insulin resistance. Regression analysis revealed that income level, gender, diabetes awareness, and disease duration had significant effects on PIR.Conclusion: This study demonstrates that PIR increases in parallel with diabetes awareness and acceptance, suggesting that individuals who are more aware of and have accepted their condition may still experience psychological barriers toward insulin therapy. Individualized approaches based on income level, gender, awareness, and diabetes duration are critical in addressing resistance to insulin therapy. Psychological support and multidisciplinary educational programs can enhance treatment adherence and improve health outcomes in diabetes management.Cite this article as: Bıçak Ayık D, Akça Doğan D. Psychological insulin resistance in type 2 diabetes mellitus: associations with awareness and acceptance levels. ArchHealth Sci Res. 2026, 13, 0102, doi: 10.5152/ArcHealthSciRes.2026.25102.
Objectives: To examine the associations between body awareness (BA) and pain, static balance, and functional performance in women with knee osteoarthritis (OA). Methods: This cross-sectional study included 24 women with moderate unilateral knee osteoarthritis (mean age 55.5 ± 7.5 years; body mass index (BMI) 29.9 ± 4.9 kg/m2). Body awareness (Body Awareness Questionnaire, BAQ), pain during activity (visual analogue scale, VAS), static balance (anteroposterior/mediolateral postural sway during eyes-open and eyes-closed stance using a force plate), and functional performance (Timed Up & Go, TUG) were assessed. Spearman correlations were calculated. Hierarchical multiple regression tested whether BAQ independently predicted pain and anteroposterior (AP) sway after adjusting for age, BMI, and disease duration. Results: Body Awareness Questionnaire was negatively correlated with disease duration (r = −0.680, P < .001), VAS (r = −0.654, P < .001), and eyes-closed AP sway (r = −0.738, P < .001), and moderately correlated with eyes-open AP sway (r = −0.456, P = .025). Body Awareness Questionnaire was not associated with mediolateral sway or TUG (P > .05). In adjusted regression models, BAQ was not a statistically significant independent predictor of pain or AP sway (all P > .05). Conclusion: Higher BA was associated with lower pain and reduced AP sway in bivariate analyses, but these relationships attenuated after accounting for age, BMI, and disease duration. Longitudinal studies with larger samples and more sensitive functional measures are warranted. Cite this article as: Beydagi MG, Bagdatli SB, Kisacik P, Apaydin H, Topuz S, Erden Z. The relationship between body awareness and pain severity, static balance, and functional performance in female patients with knee osteoarthritis: A cross-sectional study. Arch Health Sci Res. 2026, 13, 0055, doi: 10.5152/ ArcHealthSciRes.2026.25055.
Objective: This study aimed to determine the effect of early ambulation and changes in in-bed position on back pain, comfort, and vascular complications in patients who underwent femoral angiography. Methods: This quasi-experimental study was conducted on 135 patients who underwent femoral angiography in the coronary intensive care unit of Artvin State Hospitalbetween March 6, 2023 and August 1, 2023. The sample was divided into 3 groups: control group, position change group (1), and early mobilization group (2). The data were collected using the patient information form, visual analog scale, Immobilization Comfort Scale (ICS), and Bleeding and Hematoma Assessment Form. Pain severity and vascular complications were measured at 0, 2, 4, and 6 hours after angiography. The ICS was measured at 0 and 6 hours after angiography. Data were analyzed with SPSS 23.0 (IBM SPSS Corp.; Armonk, NY, USA) using descriptive and comparative tests. Results: It was found that there was no significant difference between the descriptive characteristics of the patients (P > .05). There was no significant difference in pain levels between the groups at hour 0 (P > .05). The pain levels at the second, fourth, and sixth hours were higher in the control group (2.8 ± 1.9, 4.1 ± 2.1, and 6.1 ± 2.5, respectively) than in both intervention groups (P < .05). The comfort levels at the sixth hour were significantly higher in the patient groups with position changes and early ambulation than in the control group (P < .05). The position changes and early ambulation did not increase the incidence of bleeding and hematoma. While leakage was not observed in both inter-vention groups after the fourth hour, it was determined that it continued to occur in the control group. Conclusion: Adjusting bed positioning and encouraging early ambulation after coronary angiography helps reduce the incidence of back pain and vascular complications in patients while increasing comfort levels. Cite this article as: Öztürk Akın S, Temiz Z, Özoran Y. Effect of early ambulation and changes in in-bed position on back pain, comfort, and vascular complications after coronary angiography: A single-blind, quasi-experimental study. Arch Health Sci Res. 13, 0053, doi:10.5152/ArcHealthSciRes.2026.25053.
Objective: The aim of this randomized controlled trial is to assess the effect of motivational interviewing (MI) with online group on eating behaviors, healthy lifestyle behaviors, and quality of life in nursing students with food addic-tion (FA). Methods: A total of 59 students meeting the diagnostic criteria for FA were randomly assigned to the intervention group (n = 29) or the control group (n = 30). The intervention group received weekly MI sessions for 5 weeks. Data were collected using standardized measures of FA, healthy lifestyle behaviors, and quality of life through the Yale Food Addiction Scale (YFAS), the Healthy Lifestyle Behaviors Scale-II (HLBS-II), and the Quality of Life Survey Short Form (SF-36). This randomized controlled trial was conducted at 3 universities in Türkiye between September 2021 and March 2022. Data were analyzed using a Generalized Linear Model. Results: After the intervention, the intervention group had significantly higher mean scores of HLBS-II compared to the control group (t = 3.195, P = .002). However, no significant differences were observed between the groups in terms of YFAS or SF-36 scores (P > .05). Conclusion: The findings suggest that MI effectively promoted healthy lifestyle behaviors in students with FA. clinictrials.gov id: NCT05046938 Cite this article as: Işık M, Demir S. The effect of motivational interviewing with online group on eating behaviors, healthy lifestyle behaviors, and quality of life in nursing students with food addiction: a randomized controlled trial. Arch Health Sci Res. 2026, 13, 0036, doi:10.5152/ArcHealthSciRes.2026.25036.
Objective: This preliminary study aims to determine whether Speech and Language Pathologists (SLPs) in Türkiye utilize evidence-based practices (EBP) and their attitudes toward EBP. The information sources SLPs use for clinical decision-making, and the relevant barriers they encounter are also among the objectives. Methods: This study employed a descriptive research design and included 88 SLPs. Data were collected using a four-section, 46-item questionnaire, which was administered online through alumni groups of university speech and language therapy departments and the email group of the Turkish Association of Speech and Language Therapists. Data collection took place between December 2022 and March 2023. Results: Participants showed a strong consensus (91.3%) regarding the importance of EBP in clinical settings. Those with postgraduate degrees demonstrated more positive attitudes toward EBP than those with only a BA, and overall attitudes were positively correlated with both exposure to and use of EBP (P < .05). No significant difference was observed in the use of EBP resources between the 2 educational groups. The main barriers identified were quality and the quantity of research, and time constraints. Conclusion: SLPs in Türkiye highly value EBP despite challenges related to resources and time. Increasing opportunities for EBP exposure—through workplace training and internship experiences—and integrating more EBP-related course-work into university curricula could further strengthen its implementation in the field. Cite this article as: Selvi Balo S, Balo E, Tunçer AM. Speech-language pathologists and evidence-based practice: navigating attitudes, exposure, and barriers. Arch Health Sci Res. 2026, 13, 0122, doi: 10.5152/ArcHealthSciRes.2026.25122.
Objective: This study aims to comparatively evaluate the quality of daily life and quality of work life among employees working in environments with different noise exposure levels to explore the potential impact of occupational noise on overall well-being. Methods: This cross-sectional study was conducted in the audiology department at Trakya University between April and July 2024. The study included 86 employees who worked in an industrial estate, street market, hospital laboratory, and office. Noise levels in the environments were measured with a sound level meter, and participants were asked to complete the Short-Form 12 Questionnaire (SF-12) and the Quality of Work Life (QWL). Results: Average noise levels were highest in the street market (73.63 dBA) and lowest in the office (55.80 dBA). A significant difference was found between laboratory employees and street market workers in the physical component of the SF-12 and between industrial estate workers and office employees in the mental component (P < .05). The QWL scores did not differ significantly by group. Regression analyses revealed that age significantly predicted Physical Component Score-12 scores, while both age and work environment were significant predictors of Mental Component Score-12; however, no predictors were associated with QWL. Conclusion: Even when below legal limits, noise exposure in various work environments has negative impacts on employees’ quality of daily life. It is important that occupational health and safety policies address not only loud noises but also common “noisy” working conditions. Regular noise measurements, encouraging the use of protective equipment, and awareness training could play a critical role in improving employees’ quality of daily and work life. Cite this article as: Avcı NB, Ali C, Nterntiman A, Ferat OM, Taşdemir Gürşen İ, Bulut E. Impact of varied noise exposure on workers’ quality of life and work: A multienvironment study. Arch Health Sci Res. 2026, 13, 0189, doi: 10.5152/ArcHealthSciRes.2026.25189.
Objective: The study aimed to evaluate the validity and reliability of Turkish version of the Physiotherapist Self-Efficacy (PSE) Questionnaire while ensuring cultural adaptation. Methods: In this study, translation, back translation, and cultural adaptation processes were completed. One hundred twenty-two intern or graduated physiotherapists participated. Results: The neurological and cardiopulmonary scales demonstrate a high level of reliability (Cronbach’s α = 0.81, 0.87 respectively). The orthopedic subscale is also found to be reliable (Cronbach’s α = 0.76). The Turkish version of the PSE questionnaire exhibits excellent internal consistency for neurological, orthopedic, and cardiopulmonary subscales (with Cronbach’s α values of 0.98, 0.98, and 0.99 respectively). Conclusion: Turkish PSE Questionnaire is both a valid and reliable scale. It can be used to assess the professional self-efficacy levels of both intern and graduated physiotherapists. Cite this article as: Emirza Cilbir Ç, Dereli EE, Çakmak Reyhan A, Kuru Çolak T. Turkish version of physiotherapist self-efficacy questionnaire: cultural adaptation, validity, and reliability. Arch Health Sci Res. 2026, 13, 0116, doi:10.5152/ArcHealthSciRes.2026.25116.
Objective: Patient empowerment is important in chronic disease management. The aim of this research was to determine the effects of a family-centered empowerment program on quality of life, self-efficacy, and stress in patients with cancer. Methods: This study used a pretest–posttest quasi-experimental design with a control group. A total of 51 patients who received adjuvant chemotherapy for the first time between July 2020 and August 2021 were included in the study. For the empowerment group, an education program, relaxation exercises, counseling, and follow-up were conducted according to the family-centered empowerment model. Data were collected using the Introductory Form, the European Organization for Research and Treatment of Cancer Quality of Life–C30, the General Self-Efficacy Scale, and the Perceived Stress Scale. A repeated-measures ANOVA test was used to determine whether the pretest–posttest mean scores of the groups changed over time and to determine the effect of group time. Results: The general well-being scores and cognitive function mean scores of the empowerment group were higher than the control group, and the time and groups interaction were statistically significant (F = 5.298, P = .023; F = 6.624, P = .012). It was found that the mean scores of the total general self-efficacy were significantly higher in the empowerment group than in the control group (F = 7.162; P = .09). The mean scores of the total stress scale did not differsignificantly between groups (P > .05). Conclusion: As a result of this study, it was observed that the general well-being and self-efficacy of patients who participated in the empowerment program increased during the chemotherapy process. Using empowering interventions for the patient can guide healthcare professionals and improve patients’ quality of life and self-efficacy. Cite this article as: Uysal N, Çayir Yilmaz M, Pirhan Y, Pirhan H. Effect of empowerment program on quality of life, self-efficacy, and stress in cancer patients. Arch Health Sci Res. 2026, 13, 0181, doi:10.5152/ArcHealthSciRes.2026.25181.
Objective: This study investigates the complex relationship between socioeconomic indicators and health outcomes across countries, with a particular focus on the role of healthcare expenditures in shaping public health. Methods: Using 2019 data obtained from international sources such as the Organisation for Economic Co-operation and Development (OECD), World Bank, World Health Organization, and Eurostat, canonical correlation analysis was employed. Socioeconomic indicators—including population density, growth rate, unemployment rate, per capita Gross Domestic Product (GDP), and education level—were treated as independent variables, while health outcomes—such as infant mortality, life expectancy, noncommunicable disease mortality, immunization rates, and tobacco use—served as dependent variables. The analyses were conducted using SPSS 22.0, supported by Wilks’ Lambda test statistics. Results: The results indicate that key socioeconomic indicators, particularly education level, unemployment rate, and per capita GDP, significantly influence public health. Higher education levels are associated with improved health outcomes, while unemployment and lower economic indicators correspond to deteriorating health metrics. Increased healthcare spending correlates with reductions in infant mortality and improvements in life expectancy. Conclusion: Socioeconomic conditions are integral to the design of effective and equitable health policies. Rather than merely increasing health expenditures, their strategic allocation is essential for meaningful improvements in public health. Educational advancement plays a pivotal role in reducing health disparities. Future research should explore comparative evaluations of healthcare systems using longitudinal and cross-national data. Cite this article as: Bulut C, Altıntaş T. The effects of health expenditures on socioeconomic indicators and health status: A canonical correlation analysis. Arch Health Sci Res. 2025, 12, 0030, doi: 10.5152/ArcHealthSciRes.2025.25030.
Objective: The study aimed to investigate the effectiveness of the Mulligan concept cervical sustained natural apoph yseal glide (SNAG) mobilization method in people with non-specific neck pain (NSNP). Methods: The study was conducted with 32 patients aged 18-50 years. The patients were divided randomly into the study (n = 16) and control (n = 16) groups. A total of 15 treatment sessions were applied to both groups. Joint range of motion (ROM) was evaluated with a universal goniometer, pain assessments with the short-form McGill questionnaire, functionality with the Neck Disability Index, quality of life with the Nottingham Health Profile scale, and sleep levels with the Pittsburgh Sleep Quality Index. Results: Significant differences were detected in the measurement of ROM, pain, and neck disability severity before and after treatment in both the study and control groups (P < .05). Although no significant differences were detected in sleep quality and quality of life scores in the study group before and after treatment (P > .05), significant differences were detected in the control group (P < .05). After treatment, no differences were detected between the 2 groups in terms of ROM, pain, the severity of neck disability, sleep quality, and quality of life (P > .05). Conclusion: The SNAG method was found to be effective in improving cervical ROM, reducing pain, and disability. This study highlights the clinical relevance of the SNAG method as a safe and effective manual therapy technique for improving cervical mobility and reducing pain in individuals with NSNP. *CTN: NCT05425706 Cite this article as: Korkem Yorulmaz D, Çelik M, Yıldırım Şahan T, Aytar A, Dürüstkan Elbaşı N, Birbir B. The effectiveness of the Mulligan concept sustained natural apophyseal glide method in patients with non-specific neck pain: a randomized controlled single-blinded trial. Arch Health Sci Res. 2025; 12, 0202, doi: 10.5152/ArcHealthSciRes.2025.25202.
