Background: Internet and social media addiction have become a health problem due to their negative impact on health and well-being. Internet use time is also frequently examined as an outcome, offering complementary insight into usage patterns. Health education is a key tool during adolescence to promote healthy behaviours, supporting self-regulation and fostering healthier patterns of Internet and social media use. The aim of this study is to evaluate the effectiveness of health education interventions for reducing Internet addiction, Internet use time, and social media addiction among adolescents. Methods: We conducted a systematic review with meta-analysis following PRISMA guidelines. Eligible studies were experimental or quasi-experimental designs involving adolescents and evaluating health education interventions, with outcomes on Internet addiction, Internet use time, or social media addiction. A search was conducted in Medline, WoS, Scopus, CINAHL, PsycINFO and PubMed Central. Study selection, data extraction, and synthesis were performed independently by pairs of researchers. To evaluate risk of bias, the Cochrane Collaboration’s tool was used for randomised studies, and ROBINS-I for non-randomised studies. Certainty of evidence was assessed with GRADE. Results: Sixteen studies with 13,562 participants were included in the systematic review. Six were included in the meta-analysis for Internet addiction. Most interventions were conducted in educational settings, with participants showing variability in their Internet use patterns across studies. Across studies, observed characteristics included group delivery and participatory approaches, parental involvement, promotion of healthier Internet use, and inclusion of broader educational content addressing health-promotion topics. The review found generally favourable effects on Internet addiction and Internet use time. Evidence on social media addiction was limited. The meta-analysis for Internet addiction showed a statistically significant difference in favour of the intervention, with a large effect size (SMD = − 1.88; 95% CI [− 2.64, − 1.11], p < 0.00001). Subgroup analysis showed a large and significant effect in adolescent only interventions (SMD = − 1.93; 95% CI [− 2.84, − 1.02], p < 0.0001) and in parent involved interventions (SMD = − 1.81; 95% CI [− 2.95, − 0.68], p = 0.002). Conclusions: Health education shows promise for reducing Internet addiction and Internet use time among adolescents. Evidence on social media addiction remains limited. Trial registration: The study protocol was registered in PROSPERO (CRD42024568029).

Purpose: Fibromyalgia is a chronic disease that mainly affects women, deteriorating the quality of life of these patients. Resistance exercise (RE) has been shown to be beneficial in this disease. The objective of this study is to evaluate the effectiveness of RE for depression, fatigue, and sleep quality in women with fibromyalgia.Design and Methods: A systematic review with meta‐analysis was conducted until September 1, 2024. Seven databases were searched as follows: PubMed, Cochrane Library, Web of Science, Scopus, Physiotherapy Evidence Database, Dialnet, and Cumulative Index to Nursing and Allied Health Literature. Randomized clinical trials were conducted in women with a diagnosis of fibromyalgia, including RE as the only intervention in any of the groups and to assess depression, fatigue, and sleep quality. For meta‐analyses, we calculated the standardized difference of means and its standard error. A random‐effects model was used. The risk of bias was assessed using the Cochrane risk‐of‐bias tool for randomized trials (RoB 2). PROSPERO Registration: CRD42021256162.Findings: Eleven trials were included in the systematic review and eight in the meta‐analysis (n = 664). RE showed statistically significant improvements in depression (SMD = −0.54; 95% CI [−0.92, −0.16], p = 0.005) and fatigue (SMD = −0.83; 95% CI [−1.41–0.25], p = 0.005). No significant differences were found in sleep quality (SMD = −0.99; 95% CI [−2.40, 0.43], p = 0.17). In general, the methodological quality of the included trials was good.Practice Implication: RE is an effective tool to improve depression and fatigue in women with fibromyalgia, achieving clinically relevant improvements of more than 50% in symptoms related to depression. RE did not show benefits for sleep quality, although this finding may be due to a lack of studies. More studies are needed to determine the effectiveness of RE on sleep quality.

Evaluate the effectiveness of adding health education programs to a fibromyalgia intervention, focusing on pain intensity and the impact of fibromyalgia on quality of life. Systematic review and meta-analysis of randomized controlled trials. Databases: Web of Science, Medline, Scopus, Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Health Sciences Literature and PsycINFO. Literature from 2005-2025 was reviewed. Risk of bias was assessed by two researchers using the Cochrane Collaboration's tool. Quality of evidence was measured using the Grading of Recommendations, Assessment, Development, and Evaluation tool. The systematic review included 7 randomized controlled trials. 6 studies were included in the meta-analysis of the impact of fibromyalgia on quality of life, and five in the pain intensity meta-analysis. Meta-analysis results showed that health education significantly reduced pain intensity (MD=-13.10; 95% CI [-22.06, - 4.14], p=0.004) and improved the impact of fibromyalgia on quality of life (SMD=-0.39; 95% CI [-0.55, -0.23], p<.001). Subgroup analyses showed that adding education to usual care led to clinically relevant reduction in pain intensity (MD=-19.53; 95% CI [-31.68, -7.39], p=0.002) and statistically significant improvement in the impacf of fibromyalgia on quality of life (SMD=-0.46; 95% CI [-0.66, -0.26], p < .001). Health education programs are effective in improving pain intensity and reducing the impact of fibromyalgia on quality of life. Further research is needed to support findings. By implementing health education for fibromyalgia patients, nurses can improve outcomes, enhancing the quality of care provided.

Therapeutic exercise is the only intervention with strong evidence for fibromyalgia, yet the most effective modality remains uncertain. To determine which modality of therapeutic exercise is the most effective in reducing the impact of fibromyalgia in women, as assessed by the Fibromyalgia Impact Questionnaire (FIQ/FIQR). Systematic review with a network meta-analysis of randomized controlled trials. A comprehensive search was performed in MEDLINE, Cochrane Library, Scopus, Web of Science, and CINAHL from inception to March 2025. Eligible randomized controlled trials involved therapeutic exercise interventions reporting Fibromyalgia Impact Questionnaire outcomes. Data synthesis followed PRISMA-NMA guidelines, using a frequentist network meta-analysis to estimate effect sizes and clinically important differences in the short term (≤3 months) and long term (>3 months). Certainty of evidence was assessed with CINeMA. Sixty-four studies were identified, of which 59 were included in the quantitative synthesis (n = 3256). Fourteen modalities of therapeutic exercise and seven comparison interventions (comparators) were identified. In the short term, Pilates, Aquatic Exercise, and Resistance Exercise ranked highest. In the long term, Dance and Mixed Exercise ranked highest. Certainty of evidence was mostly low to moderate (CINeMA), mainly limited by imprecision and heterogeneity. Pilates, Aquatic Exercise, and Resistance Exercise ranked highest in the short term, while Dance and Mixed Exercise ranked highest in the long term. However, findings should be interpreted with caution due to substantial heterogeneity and mostly low-to-moderate certainty of evidence.

The scientific literature was reviewed to systematically identify and characterize validated scales measuring homophobia, lesbophobia, biphobia, and transphobia, as well as the biopsychosocial consequences derived from these attitudes in sexual and gender minority (SGM) populations. The search was conducted in the WOS, Scopus, and Medline databases, limited to studies published between January 2015 and January 2024. This review was registered in the International Prospective Register of Systematic Reviews, and its quality was evaluated using the Effective Public Health Practice Project instrument. The criteria of the PRISMA declaration for systematic reviews were applied. Among the 78 articles initially selected, 9 met the established eligibility criteria. In these 9 articles, 13 validated scales were identified, covering attitudes toward sexual and gender minorities, internalised stigma, minority stress and resilience, parental acceptance, and experiences of bullying and cyberbullying in SGM populations. The findings reveal substantial fragmentation in the available measurement landscape, with most instruments lacking cross-cultural validation, measurement invariance testing, and construct coverage beyond Western, English- or Spanish-speaking contexts. These results should be interpreted with caution given the limited number of included studies and the absence of meta-analytic quantification. This review proposes the development of a novel intermodular measurement system as a priority research agenda and identifies key implications for specialized psychiatric and clinical practice, public health surveillance, and future research.

Introduction: Population aging has opened up a new and broad field of study for health science in which nursing must investigate to guarantee the health autonomy of older people. Objective: To make visible the Gerontological Day Centers (CDG) and the activities of nursing professionals in these centers in Huelva. Methodology: A qualitative investigation has been carried out using questionnaires and interviews directed at the management and nursing staff of several Day Centers in Huelva and the province. Results: The CDG are an intermediate resource with multiple objectives and functions, which offer quality of life for both the elderly and their families. They are made up of a basic team of professionals who work on a non-permanent basis. The role of nursing is essential, but it has a very poor employment situation. Conclusion: These centers provide professional care and allow them to remain in their usual homes, favoring the quality of life and autonomy of this older population. The bibliography on this topic is scarce, so it is considered necessary to deepen its research along with the implementation of programs and improvement proposals that make these socio-health centers known. Introducción: El envejecimiento poblacional ha desplegado un nuevo y amplio campo de estudio para la ciencia sanitaria en el que la enfermería debe investigar para garantizar la autonomía en salud de las personas mayores. Objetivo: Visibilizar los Centros de Día Gerontológicos (CDG) y las actividades de los profesionales de enfermería en dichos centros en Huelva. Metodología: Se ha realizado una investigación cualitativa a partir de cuestionarios y entrevistas dirigidas al personal de dirección y enfermería de varios Centros de Día de Huelva y provincia. Resultados: Los CDG son un recurso intermedio con múltiples objetivos y funciones, que ofrecen calidad de vida tanto para los mayores como para sus familiares. Se componen de un equipo básico de profesionales que trabaja de forma no permanente. La figura de la enfermería es esencial, pero cuenta con una situación laboral muy deficiente. Conclusión: Estos centros proporcionan cuidados profesionales y permiten la permanencia en los domicilios habituales favoreciendo la calidad de vida y autonomía de esta población mayor. La bibliografía sobre este tema es escasa, por lo que se considera necesario profundizar en su investigación junto con la puesta en marcha de programas y propuestas de mejora que den a conocer estos centros sociosanitarios. Introdução: O envelhecimento populacional abriu um novo e amplo campo de estudo para as ciencias da saúde no qual a enfermagem deve investigar para garantir a autonomia de saúde dos idosos. Objectivo: Dar visibilidade aos Centros de Dia Gerontológicos (CDG) e à actividade dos profissionais de enfermagem destes centros de Huelva. Metodologia: Foi realizada uma investigação qualitativa através de questionários e entrevistas dirigidas aos dirigentes e pessoal de enfermagem de vários Centros de Dia de Huelva e da província. Resultados: Os CDG são um recurso intermediario com múltiplos objetivos e funções, que oferecem qualidade de vida tanto para os idosos quanto para seus familiares. São formados por uma equipe básica de profissionais que atuam de forma não permanente. O papel da enfermagem é essencial, mas tem uma situação laboral muito precária. Conclusão: Estes centros prestam cuidados profissionais e permitem a permanência nos seus domicílios habituais, favorecendo a qualidade de vida e a autonomia desta população idosa. A bibliografia sobre este tema é escassa, pelo que considera-se necessário aprofundar a sua investigação juntamente com a implementação de programas e propostas de melhoria que dêem a conhecer estes centros sócio-sanitários.