Public health

Protocol for the diabetes, distress and disparities (3D) study: an explanatory sequential mixed-methods design
Caitlan DeVries, Alejandro Rodríguez-Putnam, Alana Ewen, Bella Flores, Pragya Choudhary, Emma Spring, Alyson Miller, Chuwen Zhong, Kara M Mannor, Rossella Messina, Briana Mezuk

BMJ Open Apr 2025, 15 (4) e088082; DOI: 10.1136/bmjopen-2024-088082
Twenty-year trend in comorbidity score among adults aged 50–85 years in Lombardy, Italy: Age-Cohort-Period analysis and future trends
Giovanni Corrao, Matteo Franchi, Alina Tratsevich, Vittoria Bracci, Olivia Leoni, Giulio Zucca, Giuseppe Mancia, Guido Bertolaso

BMJ Open Apr 2025, 15 (4) e097385; DOI: 10.1136/bmjopen-2024-097385
Active group-based performing arts interventions in Parkinson’s disease: an updated systematic review and meta-analysis
Maxwell S Barnish, Sarah E Reynolds, Rebecca V Nelson-Horne

BMJ Open Apr 2025, 15 (4) e089920; DOI: 10.1136/bmjopen-2024-089920
Long-term effects of a primary school-based overweight preventive intervention on physical fitness and physical activity: a propensity score-matched retrospective cohort study within the Generation R Study
Michel Sebastiaan Smit, Famke Mölenberg, Rosalie Mensink-Bout, Daan Nieboer, Trudy Voortman, Liesbeth Duijts, Hein Raat, Wilma Jansen

BMJ Open Apr 2025, 15 (4) e088272; DOI: 10.1136/bmjopen-2024-088272
Applying co-design health literacy development in Australian prisons: protocol for system-wide application of the Optimising Health Literacy and Access (Ophelia) process
Scott W Gill, Julia Bowman, Christina Cheng, Caron Shaw, Stephen Hampton, Wendy Hoey, Richard H Osborne

BMJ Open Apr 2025, 15 (4) e092128; DOI: 10.1136/bmjopen-2024-092128
Association between the use of an app for providing healthcare information for parents and urgent emergency department visits for children: a cross-sectional study in Japan
Masahiko Sakamoto, Asuka Suzuki, Hirono Ishikawa

BMJ Open Apr 2025, 15 (4) e098838; DOI: 10.1136/bmjopen-2025-098838
Safety surveillance of respiratory syncytial virus (RSV) vaccine among pregnant individuals: a real-world pharmacovigilance study using the Vaccine Adverse Event Reporting System
Abdallah Alami, Santiago Pérez-Lloret, Donald R Mattison

BMJ Open Apr 2025, 15 (4) e087850; DOI: 10.1136/bmjopen-2024-087850
Perceptions about chronic health conditions, multimorbidity and self-management practices in rural northeast South Africa: findings from a qualitative study
Audry Dube, Chodziwadziwa Whiteson Kabudula, Belinda J Njiro, Edward Fottrell, F Xavier Gómez-Olivé, Alisha N Wade, Stephen Tollman, Rochelle Burgess, Nicola Joan Christofides

BMJ Open Apr 2025, 15 (4) e098219; DOI: 10.1136/bmjopen-2024-098219
Knowledge, attitude and practice of patients with ankle injury regarding osteochondral lesions of the talus: a cross-sectional study in Wuxi, China
Xueming Chen, Chang She, Xingfei Zhang, Wencheng Wang, Yuxuan Zhang

BMJ Open Apr 2025, 15 (4) e087402; DOI: 10.1136/bmjopen-2024-087402
Sensor-triggered ecological momentary assessment in physical activity and sedentary behaviour research among Belgian community-dwelling elderly: lessons learnt from intensive longitudinal studies
Julie Delobelle, Elien Lebuf, Sofie Compernolle, Tomas Vetrovsky, Jelle Van Cauwenberg, Richard Cimler, Jitka Kuhnova, Delfien Van Dyck

BMJ Open Apr 2025, 15 (4) e096327; DOI: 10.1136/bmjopen-2024-096327

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