This perspective lays out the challenges and conundrums facing global health and discusses possible solutions applicable in the future. The world is facing numerous challenges that include those associated with globalization, climate change, emerging diseases, continuation of non-communicable diseases, reemerging communicable diseases, antimicrobial resistance (AMR), wars, terrorism, and humanitarian crises, among others. The recent challenges exaggerated by the COVID-19 pandemic have exposed vulnerabilities within healthcare systems, particularly in low- and middle-income countries (LMIC). The solutions must be interprofessional and multifarious with collaborative efforts and partnerships. One world order seems to be a far-fetched ideal utopian goal, but it can be a remedy for ensuring health for all. In the meantime, strengthening the World Health Organization’s role in coordinating global health efforts and improving its capacity to respond to future health crises will be critical in ensuring that the vision of a unified, healthier world becomes a reality.

Background/Objectives: Use of social media among college students is ubiquitous. Excessive use of social media has been linked to distractions, reduced academic focus, and poor mental health outcomes such as anxiety and depression. The determinants of social media use among college students are not well understood. Hence, the purpose of this study was to conduct a scoping review on the behavioral, demographic, and psychosocial determinants, explore theoretical frameworks, and suggest evidence-based recommendations. Methods: This scoping review was conducted between January 2024 and May 2025 following PRISMA-ScR guidelines, using MEDLINE (PubMed), CINAHL, and ERIC databases. Peer-reviewed studies were included if they focused on college students (ages 18–30), investigated determinants of social media use, and met predefined inclusion criteria. Results: A total of 22 studies met the inclusion criteria. Studies were conducted in Bangladesh, Canada, China, Egypt, India, Nigeria, Pakistan, Saudi Arabia, Turkey, and the United States, and the majority used cross-sectional designs (n = 20). A consistent finding across the reviewed studies was the strong association between social media overuse and symptoms of depression, anxiety, stress, and emotional dysregulation. Very few theoretical frameworks for understanding the determinants of social media were used. According to the reviewed studies, factors such as fear of missing out, sleep quality, and prolonged social media use consistently emerged as significant predictors of adverse mental health outcomes (p < 0.05). Conclusions: In this study, problematic social media use (PSMU) was linked to increased mental health issues, suggesting that students frequently engage in social comparison and experience feelings of missing out (FoMO), which exacerbate emotional distress. There is a need for integrated approaches in addressing PSMU within educational environments, particularly in fostering healthier digital habits among students. There is a need to conduct more concerted research using longitudinal designs and contemporary theoretical frameworks in this area.

Drowsy driving among college students is a critical public health issue due to its significant impact on road safety. This cross-sectional study aimed to investigate the determinants of stopping drowsy driving behavior among college students using the multi-theory model (MTM) of health behavior change. Data for this study were collected from September to October 2023 via a 42-item psychometric valid, web-based survey disseminated via Qualtrics, involving 725 students from a large southwestern university. Nearly half of the participants (49.38%) reported drowsy driving in the past month. Hierarchical multiple regression analysis revealed that participatory dialogue (p = 0.0008) and behavioral confidence (p < 0.0001) significantly predicted the initiation of refraining from drowsy driving, with the final model explaining 36.4% of the variance. Similarly, emotional transformation (p < 0.0001) and practice for change (p = 0.0202) significantly predicted the sustenance of behavior change, with the final model accounting for 40.6% of the variance. These findings underscore the importance of targeted MTM-based interventions focusing on enhancing students’ awareness and confidence in managing drowsiness to mitigate drowsy driving, ultimately improving road safety and student well-being.

School-based interventions support children’s holistic well-being by promoting mental health, fostering resilience, and enhancing social, academic, and physical development. This systematic review aimed to synthesize current evidence-based research on school mental health promotion interventions. Another objective is to analyze the reported outcomes of interventions to review current policies and available resources. A comprehensive search within MEDLINE (PubMed), CINAHL (EBSCO), and Google Scholar was conducted using different combinations of keywords “school-based”, “intervention”, “mental health”, “evidence-based”, “theory” and “promotion” by using the Boolean operators “AND” and “OR”. Studies were included from December 1, 2017, to October 31, 2024, study design (randomized control trials), age ≤ 18, all genders, and English language. Studies were excluded based on inception year, age ≥ 18 years, study designs other than mentioned above, and non-English language. Quality assessment was performed with the Joanna Briggs Institute (JBI) critical appraisal tool for randomized controlled trials. A total of 24 studies were included, identifying a total of 32 evidence-based mental health interventions. These school-based mental health promotion interventions utilized combined frameworks (n=7), cognitive behavioral therapy (n=5), mindfulness theory (n=3), mental health literacy (n=3), diathesis-stress model (n=3), WHO-approved FRIENDS program (n=2), social cognitive theory(n=1). A combination of programs and frameworks were utilized in 5 out of 24 studies. School-based interventions effectively reduce depression, anxiety, and psychosocial challenges in youth, promoting well-being. More rigorous research is needed to enhance evidence-based interventions, consider contextual influences, and evaluate broader societal benefits of empowering children in mental health prevention.

BACKGROUND Drowsy driving is a critical public health concern, particularly among college students who face a unique convergence of lifestyle risk factors, including academic pressures, irregular sleep schedules, and reliance on caffeine as a substitute for adequate rest. Nearly 50% of college students report having driven while drowsy within the past month, yet targeted, theory-driven interventions for this population remain scarce. OBJECTIVE This study outlines the protocol for a randomized controlled trial (RCT) evaluating the efficacy of Stay Awake, Stay Alive©, a Multi-Theory Model (MTM)-based educational intervention designed to reduce drowsy driving behavior among college students compared to a standard American Automobile Association (AAA) knowledge-based program. METHODS This study employs a single-blinded educational RCT design, registered on ClinicalTrials.gov (NCT07434921) and approved by the University of Nevada, Las Vegas Institutional Review Board (UNLV-2025-627). A total of 72 college students will be recruited and randomly assigned to either the experimental group (Stay Awake, Stay Alive©) or the comparison group (AAA program), with 36 participants per group. The MTM-based intervention integrates all six theoretical constructs, including participatory dialogue, behavioral confidence, changes in the physical environment, emotional transformation, practice for change, and changes in the social environment. It is delivered across four weekly in-person sessions of 75 minutes each. Participants will complete a validated 43-item questionnaire assessing drowsy driving behavior and MTM construct scores at three time points: baseline, immediate post-intervention at four weeks, and a two-week follow-up. Data will be analyzed using two-factor repeated measures ANOVA and ANCOVA (if needed) in SPSS Version 29 and SAS 9.4, with a significance level of P<.05. RESULTS Recruitment commenced in April 2026, and 17 participants have been enrolled to date. Data collection is anticipated to be completed by October 2026. CONCLUSIONS This protocol can establish a replicable and scalable evidence-based framework for reducing drowsy driving among college students and contribute meaningfully to the literature on theory-driven behavioral interventions for road safety. CLINICALTRIAL ClinicalTrials.gov NCT07434921