{"id":"https://openalex.org/W7220196502","doi":null,"title":"\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e01\u0e32\u0e23\u0e08\u0e31\u0e14\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e14\u0e39\u0e41\u0e25\u0e1c\u0e39\u0e49\u0e2a\u0e39\u0e07\u0e2d\u0e32\u0e22\u0e38\u0e17\u0e35\u0e48\u0e21\u0e35\u0e20\u0e32\u0e27\u0e30\u0e1e\u0e36\u0e48\u0e07\u0e1e\u0e34\u0e07\u0e20\u0e32\u0e22\u0e43\u0e15\u0e49\u0e01\u0e2d\u0e07\u0e17\u0e38\u0e19\u0e23\u0e30\u0e1a\u0e1a\u0e01\u0e32\u0e23\u0e14\u0e39\u0e41\u0e25\u0e23\u0e30\u0e22\u0e30\u0e22\u0e32\u0e27\u0e14\u0e49\u0e32\u0e19\u0e2a\u0e32\u0e18\u0e32\u0e23\u0e13\u0e2a\u0e38\u0e02","display_name":"\u0e1c\u0e25\u0e25\u0e31\u0e1e\u0e18\u0e4c\u0e01\u0e32\u0e23\u0e08\u0e31\u0e14\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e14\u0e39\u0e41\u0e25\u0e1c\u0e39\u0e49\u0e2a\u0e39\u0e07\u0e2d\u0e32\u0e22\u0e38\u0e17\u0e35\u0e48\u0e21\u0e35\u0e20\u0e32\u0e27\u0e30\u0e1e\u0e36\u0e48\u0e07\u0e1e\u0e34\u0e07\u0e20\u0e32\u0e22\u0e43\u0e15\u0e49\u0e01\u0e2d\u0e07\u0e17\u0e38\u0e19\u0e23\u0e30\u0e1a\u0e1a\u0e01\u0e32\u0e23\u0e14\u0e39\u0e41\u0e25\u0e23\u0e30\u0e22\u0e30\u0e22\u0e32\u0e27\u0e14\u0e49\u0e32\u0e19\u0e2a\u0e32\u0e18\u0e32\u0e23\u0e13\u0e2a\u0e38\u0e02","publication_year":2024,"publication_date":"2024-10-24","ids":{"openalex":"https://openalex.org/W7220196502"},"language":"th","primary_location":{"id":"pmh:oai:he02.tci-thaijo.org:article/266528","doi":null,"is_oa":true,"landing_page_url":"https://he02.tci-thaijo.org/index.php/jnphr/article/view/266528","pdf_url":"https://he02.tci-thaijo.org/index.php/jnphr/article/download/266528/185089","source":{"id":"https://openalex.org/S7407067567","display_name":"Journal of Nursing and Public Health Research","issn_l":"2985-0916","issn":["2985-0916"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2985-0916","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://he02.tci-thaijo.org/index.php/jnphr/article/download/266528/185089","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037608082","display_name":"Siranee Sihapark","orcid":"https://orcid.org/0000-0002-8771-2224","observed_orcids":["https://orcid.org/0000-0002-8771-2224"]},"institutions":[{"id":"https://openalex.org/I4210142119","display_name":"Praboromarajchanok Institute Ministry of Public Health","ror":"https://ror.org/03hpjw438","country_code":"TH","type":"other","lineage":["https://openalex.org/I4210142119"]},{"id":"https://openalex.org/I4405277727","display_name":"Boromarajonani College of Nursing, Khon Kaen","ror":"https://ror.org/03pqv0z84","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405277727"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Sihapark, Siranee","raw_affiliation_strings":["Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health","institution_ids":["https://openalex.org/I4210142119","https://openalex.org/I4405277727"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046461648","display_name":"Piyathida Kuhirunyaratn","orcid":"https://orcid.org/0000-0003-3828-2667","observed_orcids":["https://orcid.org/0000-0003-3828-2667"]},"institutions":[{"id":"https://openalex.org/I179193067","display_name":"Khon Kaen University","ror":"https://ror.org/03cq4gr50","country_code":"TH","type":"education","lineage":["https://openalex.org/I179193067"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Kuhirunyaratn, Piyathida","raw_affiliation_strings":["Medicine faculty Khon Kaen University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine faculty Khon Kaen University","institution_ids":["https://openalex.org/I179193067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070633522","display_name":"Kamthorn Dana","orcid":"https://orcid.org/0009-0000-8251-9831","observed_orcids":["https://orcid.org/0009-0000-8251-9831","https://orcid.org/0000-0002-4565-4062"]},"institutions":[{"id":"https://openalex.org/I4210142119","display_name":"Praboromarajchanok Institute Ministry of Public Health","ror":"https://ror.org/03hpjw438","country_code":"TH","type":"other","lineage":["https://openalex.org/I4210142119"]},{"id":"https://openalex.org/I4405277066","display_name":"Srimahasarakham Nursing College","ror":"https://ror.org/01b9s0z32","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405277066"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Dana, Kamthorn","raw_affiliation_strings":["Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health","institution_ids":["https://openalex.org/I4210142119","https://openalex.org/I4405277066"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156467331","display_name":"Saowalak Chankan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142119","display_name":"Praboromarajchanok Institute Ministry of Public Health","ror":"https://ror.org/03hpjw438","country_code":"TH","type":"other","lineage":["https://openalex.org/I4210142119"]},{"id":"https://openalex.org/I4405277727","display_name":"Boromarajonani College of Nursing, Khon Kaen","ror":"https://ror.org/03pqv0z84","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405277727"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Chankan, Saowalak","raw_affiliation_strings":["Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health","institution_ids":["https://openalex.org/I4210142119","https://openalex.org/I4405277727"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066379741","display_name":"Ratchanee Potchana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142119","display_name":"Praboromarajchanok Institute Ministry of Public Health","ror":"https://ror.org/03hpjw438","country_code":"TH","type":"other","lineage":["https://openalex.org/I4210142119"]},{"id":"https://openalex.org/I4405277727","display_name":"Boromarajonani College of Nursing, Khon Kaen","ror":"https://ror.org/03pqv0z84","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405277727"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Potchana, Ratchanee","raw_affiliation_strings":["Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health","institution_ids":["https://openalex.org/I4210142119","https://openalex.org/I4405277727"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5155640173","display_name":"Junya Konyai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142119","display_name":"Praboromarajchanok Institute Ministry of Public Health","ror":"https://ror.org/03hpjw438","country_code":"TH","type":"other","lineage":["https://openalex.org/I4210142119"]},{"id":"https://openalex.org/I4405277727","display_name":"Boromarajonani College of Nursing, Khon Kaen","ror":"https://ror.org/03pqv0z84","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405277727"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Konyai, Junya","raw_affiliation_strings":["Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health","institution_ids":["https://openalex.org/I4210142119","https://openalex.org/I4405277727"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157223898","display_name":"Namthip Phaikhamnam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142119","display_name":"Praboromarajchanok Institute Ministry of Public Health","ror":"https://ror.org/03hpjw438","country_code":"TH","type":"other","lineage":["https://openalex.org/I4210142119"]},{"id":"https://openalex.org/I4405277727","display_name":"Boromarajonani College of Nursing, Khon Kaen","ror":"https://ror.org/03pqv0z84","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405277727"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Phaikhamnam, Namthip","raw_affiliation_strings":["Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health","institution_ids":["https://openalex.org/I4210142119","https://openalex.org/I4405277727"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.6269999742507935,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.6269999742507935,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13695","display_name":"Aging, Elder Care, and Social Issues","score":0.23800000548362732,"subfield":{"id":"https://openalex.org/subfields/3319","display_name":"Life-span and Life-course Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.0794999971985817,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/long-term-care","display_name":"long-term care","score":0.7200000286102295},{"id":"https://openalex.org/keywords/homebound-older-adults","display_name":"homebound older adults","score":0.5809999704360962},{"id":"https://openalex.org/keywords/family-caregivers","display_name":"family caregivers","score":0.6669999957084656},{"id":"https://openalex.org/keywords/caregiver-health","display_name":"caregiver health","score":0.8149999976158142},{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.6800000071525574},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8240000009536743},{"id":"https://openalex.org/keywords/care-planning","display_name":"care planning","score":0.6909999847412109}],"concepts":[{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5766000151634216},{"id":"https://openalex.org/C3018200157","wikidata":"https://www.wikidata.org/wiki/Q437458","display_name":"Elderly care","level":2,"score":0.5738000273704529},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5726000070571899},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5580000281333923},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5120000243186951},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.46000000834465027},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.44760000705718994},{"id":"https://openalex.org/C186282968","wikidata":"https://www.wikidata.org/wiki/Q1434261","display_name":"McNemar's test","level":2,"score":0.38510000705718994},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.37869998812675476},{"id":"https://openalex.org/C3018697994","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Elderly people","level":2,"score":0.3714999854564667},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.35269999504089355},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34459999203681946},{"id":"https://openalex.org/C2776807786","wikidata":"https://www.wikidata.org/wiki/Q5113964","display_name":"Chronic care","level":3,"score":0.34040001034736633},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33660000562667847},{"id":"https://openalex.org/C2993197305","wikidata":"https://www.wikidata.org/wiki/Q294308","display_name":"Public health care","level":4,"score":0.3357999920845032},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.334199994802475},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31150001287460327},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.30660000443458557},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.28619998693466187},{"id":"https://openalex.org/C2780233487","wikidata":"https://www.wikidata.org/wiki/Q6672123","display_name":"Long-term care","level":2,"score":0.2800000011920929},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.2678000032901764},{"id":"https://openalex.org/C2775860198","wikidata":"https://www.wikidata.org/wiki/Q7257872","display_name":"Public hospital","level":2,"score":0.25220000743865967},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.25209999084472656},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.25049999356269836}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:he02.tci-thaijo.org:article/266528","doi":null,"is_oa":true,"landing_page_url":"https://he02.tci-thaijo.org/index.php/jnphr/article/view/266528","pdf_url":"https://he02.tci-thaijo.org/index.php/jnphr/article/download/266528/185089","source":{"id":"https://openalex.org/S7407067567","display_name":"Journal of Nursing and Public Health Research","issn_l":"2985-0916","issn":["2985-0916"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2985-0916","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:he02.tci-thaijo.org:article/266528","doi":null,"is_oa":true,"landing_page_url":"https://he02.tci-thaijo.org/index.php/jnphr/article/view/266528","pdf_url":"https://he02.tci-thaijo.org/index.php/jnphr/article/download/266528/185089","source":{"id":"https://openalex.org/S7407067567","display_name":"Journal of Nursing and Public Health Research","issn_l":"2985-0916","issn":["2985-0916"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2985-0916","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220196502.pdf","grobid_xml":"https://content.openalex.org/works/W7220196502.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W906674188","https://openalex.org/W2021776561","https://openalex.org/W2120398202","https://openalex.org/W2159348830","https://openalex.org/W3165385378","https://openalex.org/W3199545028","https://openalex.org/W4220834971","https://openalex.org/W4386479748"],"related_works":["https://openalex.org/W7219453910","https://openalex.org/W6942570336","https://openalex.org/W7217473318","https://openalex.org/W3106800649","https://openalex.org/W1156186286","https://openalex.org/W7219479877","https://openalex.org/W7219205605","https://openalex.org/W7219734123","https://openalex.org/W7220011174","https://openalex.org/W7219469492"],"abstract_inverted_index":{"This":[0],"evaluation":[1],"research":[2],"aimed":[3],"to":[4,248],"examine":[5],"the":[6,11,16,71,80,135,146,164,176,185,196,206,216,226,238,252,264],"outcomes":[7],"of":[8,73,114,137,166,187,208,240,254],"care":[9,160,167,214,245],"for":[10,20,84,139,150,169,180,189,220,234,256],"elderly":[12,28,74,132,140,170,192,211,235,258],"with":[13,76,90,122,142,172],"dependence":[14,78,144,174,209,229],"under":[15,79,145,175],"Long-Term":[17,81,147,177,217],"Care":[18,82,148,178,218],"Fund":[19,83,149,179,219],"public":[21,85,151,181,221],"health.":[22],"Data":[23],"were":[24,46,57,87],"collected":[25],"from":[26,94,125,215],"777":[27],"respondents":[29],"and":[30,41,51,64,104,128,159,162,191,224,242,260],"660":[31],"caregivers":[32,118,190,262],"through":[33,48],"surveys,":[34],"participatory":[35],"observations,":[36],"in-depth":[37],"interviews,":[38],"group":[39],"discussions,":[40],"relevant":[42],"documents.":[43],"Qualitative":[44],"data":[45,56],"analyzed":[47,58],"content":[49],"analysis":[50],"thematic":[52],"analysis,":[53],"while":[54],"quantitative":[55],"using":[59],"descriptive":[60],"statistics,":[61],"McNemar":[62],"test,":[63],"t-test.":[65],"The":[66],"results":[67],"showed":[68],"that:":[69],"1)":[70],"majority":[72],"individuals":[75,141,171,193,212,236,259],"long-term":[77,143,173,244],"health":[86,120,152,182,222],"predominantly":[88],"homebound,":[89],"over":[91],"half":[92],"suffering":[93,124],"chronic":[95,108,126],"illnesses.":[96],"Specifically,":[97],"34.75%":[98],"had":[99,102,106],"hypertension,":[100],"22.52%":[101],"diabetes,":[103],"24.07%":[105],"multiple":[107],"conditions.":[109],"Meanwhile,":[110],"in":[111,205,251,263],"one":[112],"out":[113],"every":[115],"three":[116],"families,":[117],"experienced":[119],"problems,":[121],"41%":[123],"illnesses":[127],"nearly":[129],"21%":[130],"being":[131],"themselves;":[133],"2)":[134],"process":[136],"caring":[138],"was":[153,201],"primarily":[154],"driven":[155],"by":[156],"managers,":[157],"caregivers,":[158],"plans;":[161],"3)":[163],"provision":[165],"services":[168],"significantly":[183],"improved":[184],"quality":[186,241,253],"life":[188,255],"statistically":[194],"at":[195],"0.01":[197],"level.":[198],"However,":[199],"there":[200],"no":[202],"significant":[203,232],"difference":[204],"level":[207],"among":[210],"receiving":[213],"before":[223],"after":[225],"study.":[227],"Therefore,":[228],"remained":[230],"a":[231],"issue":[233],"requiring":[237],"development":[239],"standard":[243],"services,":[246],"leading":[247],"an":[249],"enhancement":[250],"both":[257],"family":[261],"community.":[265]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-10-05T00:00:00"}