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Background Inappropriate child-feeding practices lead to child morbidity and mortality in many countries around the world. In many low- and middle-income countries, mothers often lack access to appropriate child-feeding counseling services within healthcare settings. While several studies have examined recommended infant and child feeding practices, there is insufficient information regarding the accessibility of child-feeding counseling services in Ethiopia. Therefore, this study was conducted to assess the accessibility of child-feeding counseling services and determinant factors among breastfeeding mothers in Ethiopia. Methods The total weighted samples of 3979 participants were included in this study. The data were taken from the 2019 Ethiopian Demographic and Health Survey (EDHS). A multilevel multivariable logistic regression model was used to identify the determinant factors of child-feeding counseling services. Excel and STATA-14 software were used for the data management and analysis. In the multivariable multilevel analysis, the adjusted odds ratio with a 95% CI was used to declare significant determinants of child-feeding counseling services. Result The prevalence of child-feeding counseling services among mothers in Ethiopia during the 2019 EDHS was 36.94%. In multivariable multilevel analysis, the significant factors associated with child-feeding counseling service were wealth index (AOR = 1.46; 95 CI (1.04–2.06)), maternal education; primary education (AOR = 1.27; 95% CI (1.03–1.58)), secondary and higher education (AOR = 1.56; 95% CI (1.17–2.08)), place of delivery; higher odds was observed among mothers who delivered at health institution (AOR = 8.4; 95% CI (6.73–10.49)), marital status; ever married (AOR = 3.28; 95 CI (1.12–9.59)), place of residence (AOR = 2.06; 95% CI (1.39–3.05)), community poverty level; middle (AOR = 1.38; 95% CI (1.07–1.78)), richer (AOR = 1.54 (1.19–1.99)), antenatal care visits; 1–4 visits (AOR = 2.90; 95% CI (2.21–3.84)), 5–8 visits (AOR = 3.33; 95% CI (2.40–4.61)), and more than 8 visits (AOR = 3.40; 95% CI (1.79–6.46)), the regions, Tigray (AOR = 2.65; 95% CI (1.36–5.14)), Afar (AOR = 2.57; 95% CI (1.34–4.92)), Amhara (AOR = 1.94; 95% CI (1.02–3.65)), and Addis Ababa (AOR = 3.9; 95% CI (1.84–8.28)). Conclusion and recommendation Child-feeding counseling service among breastfeeding mothers was low and requires immediate attention to promote healthy child-feeding practices by improving the accessibility of the counseling service. The determinant factors were an important input to developing strategies for improving the accessibility of child-feeding counseling services in the country.

As artificial intelligence (AI) permeates the current society, the young generation is becoming increasingly accustomed to using digital solutions. AI-based medication counseling services may help people take medications more accurately and reduce adverse events. However, it is not known which AI-based medication counseling service will be preferred by young people. This study aims to assess young people's preferences for AI-based medication counseling services. A discrete choice experiment (DCE) approach was the main analysis method applied in this study, involving 6 attributes: granularity, linguistic comprehensibility, symptom-specific results, access platforms, content model, and costs. The participants in this study were screened and recruited through web-based registration and investigator visits, and the questionnaire was filled out online, with the questionnaire platform provided by Questionnaire Star. The sample population in this study consisted of young adults aged 18-44 years. A mixed logit model was used to estimate attribute preference coefficients and to estimate the willingness to pay (WTP) and relative importance (RI) scores. Subgroups were also analyzed to check for heterogeneity in preferences. In this analysis, 340 participants were included, generating 8160 DCE observations. Participants exhibited a strong preference for receiving 100% symptom-specific results (β=3.18, 95% CI 2.54-3.81; P<.001), and the RI of the attributes (RI=36.99%) was consistent with this. Next, they showed preference for the content model of the video (β=0.86, 95% CI 0.51-1.22; P<.001), easy-to-understand language (β=0.81, 95% CI 0.46-1.16; P<.001), and when considering the granularity, refined content was preferred over general information (β=0.51, 95% CI 0.21-0.8; P<.001). Finally, participants exhibited a notable preference for accessing information through WeChat applets rather than websites (β=0.66, 95% CI 0.27-1.05; P<.001). The WTP for AI-based medication counseling services ranked from the highest to the lowest for symptom-specific results, easy-to-understand language, video content, WeChat applet platform, and refined medication counseling. Among these, the WTP for 100% symptom-specific results was the highest (¥24.01, 95% CI 20.16-28.77; US $1=¥7.09). High-income participants exhibited significantly higher WTP for highly accurate results (¥45.32) compared to low-income participants (¥20.65). Similarly, participants with higher education levels showed greater preferences for easy-to-understand language (¥5.93) and video content (¥12.53). We conducted an in-depth investigation of the preference of young people for AI-based medication counseling services. Service providers should pay attention to symptom-specific results, support more convenient access platforms, and optimize the language description, content models that add multiple digital media interactions, and more refined medication counseling to develop AI-based medication counseling services.

University counseling services (UCSs) are actively involved in mental health assessment and in supplying interventions aimed at preventing, facing and possibly overcoming psychological problems. However, we do not have a global overview of psychological counseling among universities. This systematic review aims at reviewing the literature on university psychological counseling, including articles documenting: (1) mental health and attitudes regarding help-seeking behaviors and UCSs among university students or counselors, (2) the description of protocols/services among UCSs, (3) the efficacy of psychological counseling/interventions among university students (both face-to-face and internet-delivered interventions). The study followed PRISMA guidelines and was registered on PROSPERO. After defining inclusion and exclusion criteria, a literature search was conducted, identifying 7085 records. Finally, 152 articles met the review eligibility criteria and were included in the qualitative synthesis. Results are divided into seven thematic topics that emerged during the analysis of the literature. The results mainly showed that face-to-face and web-based counseling/psychological interventions improve university students’ mental health. Cross-sectional studies showed that many biases exist toward help-seeking behaviors, especially among international students. Both students and counselors must strive to overcome cultural barriers. Available resources for UCSs are scarce and need to be strengthened, as well as efficacy studies through randomized clinical trials.

This study aimed to examine the process of establishing a telenursing service for COVID-19 patients with mild or no symptoms admitted to a community treatment center (CTC). The process of establishing the service was reviewed, and the degree of satisfaction with the provided service was investigated based on the medical records the patients submitted at their discharge from the CTC. A total of 113 patients were admitted; the patients themselves entered the self-measured vital signs and symptoms of COVID-19 infection to the electronic questionnaires and mobile application. The nurses implemented remote nursing based on the patients’ input data. The educational materials, including the video for self-measuring vital signs and the living guidelines, were prepared and arranged in advance. The telenursing protocol regarding the whole process from the patients’ admission to their discharge was used and applied to five other CTCs. The non-contact counseling service’s satisfaction and convenience scores were 4.65 points and 4.62 points, respectively, out of 5 points. The non-contact nursing counseling service played an important role in monitoring patients’ medical conditions during the spread of COVID-19. This experience of establishing telenursing services to the CTC provides a clear direction to innovate healthcare services in future disasters.

Psychological distress is widespread among university students, with depression being notably more prevalent compared to the general population. University counseling services are crucial for addressing these mental health challenges, and numerous studies have demonstrated their effectiveness in reducing psychological distress and improving overall well-being. However, there is limited research on what factors predict the success of university counseling. This study aims to evaluate whether counseling improves well-being, specifically by reducing depressive symptoms, and to explore whether personality traits influence counseling outcomes. Participants included 125 Italian university students (64.8% female, mean age = 22.69; SD = 3.04) who utilized counseling services. They completed a socio-demographic questionnaire, the Beck Depression Inventory-II (BDI-II), and the Personality Inventory for DSM-5-TR (PID-5-TR) at three points: immediately after the intake interview (T0), just before the intervention (T1), and after the fourth session (T2). Linear mixed models were used to analyze changes in depression levels, revealing a significant reduction in depressive symptoms from pre- to post-intervention. Among personality traits, only antagonism showed a significant interaction with time. Additionally, higher detachment scores were associated with higher depression levels. These findings emphasize the need for focused attention on students’ emotional issues and suggest that personality traits may influence the effectiveness of counseling.

Evaluating health counseling services is crucial for ensuring their quality and effectiveness. However, this process is hampered by challenges such as language barriers and limited awareness of their needs and concerns. The studies aimed to enhance and digitize an existing paper-and-pencil evaluation form for a health counseling service while gaining insights into client needs and barriers. This effort intends to adapt a health care facility's offerings to better meet client demands and implement a multilingual format for greater accessibility. The research team designed and conducted an in-depth interview study with clients of a health counseling service to gather new information. The insights regarding client demands, wishes, and social needs were used to revise and supplement the existing 1-page questionnaire (originally in German) for evaluating counseling sessions. Using artificial intelligence, the team transformed the new 3-page questionnaire into easy language with a Kunin smiley scale, translated it into 7 other languages, and created audio recordings for all questions in each language. The questionnaire was then programmed into an web-based tool, allowing data collection both on-site with tablets and through integration into the counseling service's website. This digital format is now continuously used to adapt the counseling service to clients' needs. A total of 18 clients participated in the in-depth interviews, which were conducted in their native languages whenever possible and lasted between 8 and 30 minutes. The results indicated that many clients attending the counseling center are burdened by physical and mental health issues, with a significant portion of the assistance provided focused on helping clients complete various forms required by health insurance providers and medical professionals. Despite these challenges, clients expressed a high level of satisfaction with the health counseling services they received. The revised and supplemented web-based questionnaire has been completed by 41 clients. Evaluation results revealed that only 21 respondents (51%) filled out the questionnaire in the national language (German), while English and Arabic were the next most common choices, each used by 6 clients (15%). Findings regarding health burdens and the need for assistance were reaffirmed, highlighting that clients' self-perception regarding their ability for self-help is notably low. Contrary to previous assumptions, it was found that client interests predominantly lie in receiving help with the excessive demands imposed by institutional forms and requirements rather than solely addressing health issues. Clients showed strong satisfaction with the advice received and emphasized the necessity for multilingual health counseling services and evaluations. There is a distinct need for support in completing forms for doctors and health insurance applications. In addition, many clients expressed a lack of confidence in managing health care processes independently in the future, underscoring the need for greater awareness of available resources and support networks.

Attitude is one of the important constructs for the effective undertaking of any role. This study examined secondary school teachers’ attitudes toward counseling service provision. The study was guided by pragmatic philosophical paradigm and adopted a concurrent embedded design with mixed-method approach. It involved 250 secondary school teachers who completed the questionnaires; 46 teachers who participated in focus group discussions and 9 heads of schools were interviewed. Qualitative data were thematically analyzed, while descriptive and inferential statistics facilitated quantitative data analysis. The descriptive results indicated that teachers had a positive attitude toward counseling service provision. Results from the independent sample t-test revealed a statistically significant difference in attitude between teachers who attended in-service counseling training [M = 83.55, SD = 14.15] and those who did not [M = 79.29, SD = 12.27] at t-value p = .02. The statistically significant difference in attitude scores was arrived at through ANOVA statistical method based on the teachers’ teaching experiences (f(6, 243) = 2, 0.07, p = .05). There was no statistically significant difference in attitude score in providing counseling services by teachers’ sex, qualifications and working experiences as school counselors. Results from interviews and focused group discussions indicated a positive attitude toward counseling service provision. The study concludes that the teacher’s attitude is essential for effective counseling service provision. Policies have a role in influencing teachers’ attitude.

This study aims to investigate the reality of e-counseling services in the light of digital learning from the perspective of teachers in Jordan. The sample of the study consisted of (348) male and female teachers at Rusaifa Education Directorate in 2021. The scale of the counseling services for this study was created by the researchers, where the validity and reliability of the scale were approved, and the appropriate statistical procedures were used. The study reached some statistical results regarding e-counseling services in the light of digital learning from the perspective of teachers in Jordan. Results revealed that the arithmetic averages of the reality of e-counseling services have an intermediate degree at the overall level, and each dimension has an intermediate degree, too. The prevention dimension took the first place, followed by the social dimension, the moral dimension, the professional dimension, the educational dimension, and lastly, the technical dimension, respectively. The results revealed that there are no statistically significant differences at the level of significance (α ≤ 0.05) at the overall level. The level of each dimension of the scale is attributed to the variables of gender and one’s years of experience.

University students are generally vulnerable to mental health problems. This was exacerbated during the COVID-19 pandemic, when students experienced decisive changes and restrictions in their academic lives. Our study aimed at (a) analysing associations between study conditions and symptoms of depression and anxiety and (b) determining the extent of use and motivation to use student counselling services. The C19 GSWS is a cross-sectional study conducted at five universities in Germany (N = 7203). Descriptive analyses and linear regression models were performed to estimate the associations between study conditions and mental health outcomes. A total of 42.4% of the students felt down, depressed, or hopeless on several days over the past 14 days. Between a third and 44.1% of the students felt burdened by their study conditions. Worse perceived study conditions were associated with higher levels of depressive symptoms and anxiety. Only 7.1% indicated that they had utilised student counselling services, and female gender, enrolment in a bachelor’s programme, and having more than 1 reason for utilisation were factors associated with use. The results of our research underline the need for universities to review their study conditions and to provide targeted intervention strategies and counselling services to promote students’ mental well-being.

Introduction. Infertility has an impact on the psychophysical health of individuals and couples, and its treatment through an assisted reproductive technology (ART) is a very exacting experience. The aim of this study was to explore the characteristics of psychological counselling services in Italian ART centres through a specially designed questionnaire administered to the physicians in charge of the centres. Methods. The questionnaire online was sent to 306 ART authorized centres. It consisted of 26 questions. A total of 15 were single-selection questions, 5 were multiple-choice and the remaining 6 were open-ended. Results. 113 (37%) ART centres responded to the questionnaire. All the ART centres offered psychological counselling, but only in 47% of them the psychologist is a permanent staff member. In 69% of the centres, 10 to 20% of couples use the psychological counselling service. Discussion. Although the Italian Guidelines under Law 40/2004 stress the need to provide couples with psychological support and counselling and the literature highlights the efficacy of such interventions, the results of our study show that psychological counselling services are not yet fully operational in Italian ART centres or integrated into their day-to-day medical practice.Conclusion. In conclusion, the results show that psychological services in Italian ART centres are not yet fully operational and integrated in the ART procedure. All of this highlights the importance of further investigations with the aim to shared information to use to establish common protocols for psychological interventions in ART centres.