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Service provider perspectives on implementing the 'F-words for child development': an innovative approach to children's health and developmental services.

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Τίτλος: Service provider perspectives on implementing the 'F-words for child development': an innovative approach to children's health and developmental services.
Συγγραφείς: Mehreen I; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada., Tomas V; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.; Department of Pediatrics, McMaster University, Hamilton, ON, Canada., Bursey E; Community Living North Halton, Milton, ON, Canada., Charles L; Paediatric Occupational Therapy and Physiotherapy, Auckland, New Zealand., Cross A; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.; Department of Pediatrics, McMaster University, Hamilton, ON, Canada., Hamill A; Paediatric Occupational Therapy and Physiotherapy, Auckland, New Zealand., Hammond E; Rehabilitation Centre for Children, Winnipeg, MB, Canada.; Department of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada., Hesketh K; Children's Treatment Network, Richmond Hill, ON, Canada., Hill J; Department of Physiotherapy, Auckland University of Technology, Auckland, New Zealand.; Active Living and Rehabilitation, Aotearoa, New Zealand., Hitchcock B; Department of Occupational Science and Therapy, Auckland University of Technology, Auckland, New Zealand., Jones M; Department of Occupational Science and Therapy, Auckland University of Technology, Auckland, New Zealand., McMurdie G; Children's Developmental Services Halton Region, Oakville, ON, Canada., Rosenbaum P; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.; Department of Pediatrics, McMaster University, Hamilton, ON, Canada., Teplicky R; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada., van Beers M; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada., Wittmeier K; Rehabilitation Centre for Children, Winnipeg, MB, Canada.; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
Πηγή: Frontiers in public health [Front Public Health] 2026 Sep 18; Vol. 14, pp. 1788060. Date of Electronic Publication: 2026 Sep 18 (Print Publication: 2026).
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: Lausanne : Frontiers Editorial Office
Ιατρικοί όροι (MeSH): Child Health Services*/organization & administration , Health Personnel*/psychology , Child Development* , Child Health* , Attitude of Health Personnel*, Developmental Disabilities/therapy ; Humans ; Child ; Canada ; New Zealand ; Male ; Children with Disabilities ; Female ; Surveys and Questionnaires ; Child, Preschool
Περίληψη: Background: The 'F-words for Child Development'-Functioning, Family, Fun, Friends, Fitness and Future-provide a framework that brings to life key World Health Organization ideas about child health and development in an innovative and family-friendly way. Given international uptake of the F-words, understanding service providers' (SPs') experiences and perceived impact of F-words on pediatric disability and developmental services is important.
Objectives: This study explored SPs' (i) knowledge of the F-words and confidence in using the framework; (ii) perceptions and experiences using F-words; and (iii) barriers/facilitators to implementing the F-words.
Methods: This descriptive study was part of a larger project implementing the F-words across five sites in Canada and New Zealand from 2021 to 2024. SPs who provide services for children and youth with disabilities or developmental concerns (e.g., neurodevelopmental disabilities) were surveyed and interviewed after F-words implementation to explore their experiences implementing the F-words. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed via team-based conventional content analysis.
Results: Fifty-seven SPs completed the survey and 10 participated in interviews. SPs rated F-words familiarity (X̄ = 3.41/4) and knowledge (X̄ = 3.05/4) high, with moderate confidence using the F-words (X̄ = 2.93/4). Content analysis revealed that SPs perceived the F-words to enhance their service-delivery experiences, indicating that they provide a structured yet flexible approach to deliver strengths-based, holistic, family-centered care, while fostering relationship-building and empowerment with/among families. Examples of implementation facilitators included organizational buy-in, access to F-words resources/tools, and F-words alignment with service-delivery models. Reported implementation barriers included time constraints, the need for ongoing F-words training, and uncertainties regarding the cultural/social safety and responsiveness of the F-words for families.
Conclusion: Within this study, SPs had positive perceptions and experiences using the F-words to promote strengths-based, family-centered care for children and youth with disabilities or developmental concerns and their families. Future efforts should address implementation challenges, leverage facilitators, and continue to explore F-words implementation experiences across diverse settings.
(Copyright © 2026 Mehreen, Tomas, Bursey, Charles, Cross, Hamill, Hammond, Hesketh, Hill, Hitchcock, Jones, McMurdie, Rosenbaum, Teplicky, van Beers and Wittmeier.)
Competing Interests: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References: Psychiatry Res. 2020 Jan;283:112630. (PMID: 31722790)
BMJ Paediatr Open. 2025 Aug 11;9(1):. (PMID: 40789753)
Implement Sci. 2015 Aug 12;10:113. (PMID: 26264351)
Scand J Public Health. 2022 Jul;50(5):533-537. (PMID: 34058897)
Child Care Health Dev. 2019 Jul;45(4):473-490. (PMID: 31041806)
Braz J Phys Ther. 2021 Jan-Feb;25(1):1-3. (PMID: 32763088)
Health Expect. 2024 Jun;27(3):e14120. (PMID: 39888132)
Implement Sci. 2017 Sep 2;12(1):110. (PMID: 28865479)
Phys Occup Ther Pediatr. 2020;40(5):534-545. (PMID: 32064991)
Dev Med Child Neurol. 2017 Jan;59(1):16-25. (PMID: 27640996)
Health Aff (Millwood). 2018 Feb;37(2):183-190. (PMID: 29401011)
Front Rehabil Sci. 2025 Feb 13;6:1559098. (PMID: 40018654)
Child Care Health Dev. 2012 Jul;38(4):457-63. (PMID: 22040377)
Qual Health Res. 2005 Nov;15(9):1277-88. (PMID: 16204405)
J Med Educ Curric Dev. 2020 Aug 31;7:2382120520933855. (PMID: 32944651)
Int J Environ Res Public Health. 2022 Sep 08;19(18):. (PMID: 36141593)
Implement Sci. 2022 Oct 29;17(1):75. (PMID: 36309746)
JMIR Rehabil Assist Technol. 2018 Dec 21;5(2):e10439. (PMID: 30578233)
Pediatr Phys Ther. 2026 Jan 1;38(1):144-149. (PMID: 40953158)
Phys Occup Ther Pediatr. 2026;46(5):1124-1140. (PMID: 42178662)
Front Public Health. 2016 Oct 26;4:226. (PMID: 27833905)
Child Care Health Dev. 2024 Jan;50(1):e13205. (PMID: 38083819)
BMJ. 2019 May 10;365:l2068. (PMID: 31076440)
Disabil Rehabil. 2026 Jul 4;:1-11. (PMID: 42400954)
Int J Qual Stud Health Well-being. 2020 Dec;15(1):1725362. (PMID: 32048917)
J Paediatr Child Health. 2025 Jun;61(6):941-956. (PMID: 40207465)
J Allied Health. 2016 Winter;45(4):236-242. (PMID: 27915355)
World J Clin Pediatr. 2022 Mar 9;11(2):120-135. (PMID: 35433298)
Front Rehabil Sci. 2024 Aug 09;5:1412163. (PMID: 39185006)
Child Care Health Dev. 2026 May;52(3):e70277. (PMID: 41994940)
Pediatrics. 2019 Oct;144(4):. (PMID: 31558576)
Dev Med Child Neurol. 2025 Feb;67(2):150-164. (PMID: 39187986)
Psychol Med. 2023 Dec;53(16):7504-7511. (PMID: 37681273)
Child Care Health Dev. 2024 Sep;50(5):e13321. (PMID: 39169646)
Semin Perinatol. 2025 Oct;49(6):152102. (PMID: 40537363)
Disabil Rehabil. 2015;37(24):2264-71. (PMID: 25738914)
Dev Med Child Neurol. 2022 Feb;64(2):141-142. (PMID: 35005779)
BMJ Paediatr Open. 2025 Oct 5;9(1):. (PMID: 41052814)
Future Child. 2012 Spring;22(1):13-42. (PMID: 22550684)
Contributed Indexing: Keywords: F-words for child development; ICF; childhood-onset disability; implementation; service provider experiences
Entry Date(s): Date Created: 20261003 Date Completed: 20261003 Latest Revision: 20261005
Update Code: 20261005
PubMed Central ID: PMC13630929
DOI: 10.3389/fpubh.2026.1788060
PMID: 42827840
Βάση Δεδομένων: MEDLINE
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  Data: Service provider perspectives on implementing the 'F-words for child development': an innovative approach to children's health and developmental services.
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  Data: <searchLink fieldCode="AU" term="%22Mehreen+I%22">Mehreen I</searchLink>; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Tomas+V%22">Tomas V</searchLink>; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.; Department of Pediatrics, McMaster University, Hamilton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Bursey+E%22">Bursey E</searchLink>; Community Living North Halton, Milton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Charles+L%22">Charles L</searchLink>; Paediatric Occupational Therapy and Physiotherapy, Auckland, New Zealand.<br /><searchLink fieldCode="AU" term="%22Cross+A%22">Cross A</searchLink>; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.; Department of Pediatrics, McMaster University, Hamilton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Hamill+A%22">Hamill A</searchLink>; Paediatric Occupational Therapy and Physiotherapy, Auckland, New Zealand.<br /><searchLink fieldCode="AU" term="%22Hammond+E%22">Hammond E</searchLink>; Rehabilitation Centre for Children, Winnipeg, MB, Canada.; Department of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.<br /><searchLink fieldCode="AU" term="%22Hesketh+K%22">Hesketh K</searchLink>; Children's Treatment Network, Richmond Hill, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Hill+J%22">Hill J</searchLink>; Department of Physiotherapy, Auckland University of Technology, Auckland, New Zealand.; Active Living and Rehabilitation, Aotearoa, New Zealand.<br /><searchLink fieldCode="AU" term="%22Hitchcock+B%22">Hitchcock B</searchLink>; Department of Occupational Science and Therapy, Auckland University of Technology, Auckland, New Zealand.<br /><searchLink fieldCode="AU" term="%22Jones+M%22">Jones M</searchLink>; Department of Occupational Science and Therapy, Auckland University of Technology, Auckland, New Zealand.<br /><searchLink fieldCode="AU" term="%22McMurdie+G%22">McMurdie G</searchLink>; Children's Developmental Services Halton Region, Oakville, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Rosenbaum+P%22">Rosenbaum P</searchLink>; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.; Department of Pediatrics, McMaster University, Hamilton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Teplicky+R%22">Teplicky R</searchLink>; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22van+Beers+M%22">van Beers M</searchLink>; CanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Wittmeier+K%22">Wittmeier K</searchLink>; Rehabilitation Centre for Children, Winnipeg, MB, Canada.; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
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  Data: <searchLink fieldCode="JN" term="%22101616579%22">Frontiers in public health</searchLink> [Front Public Health] 2026 Sep 18; Vol. 14, pp. 1788060. <i>Date of Electronic Publication: </i>2026 Sep 18 (<i>Print Publication: </i>2026).
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Frontiers+Editorial+Office%22">Frontiers Editorial Office </searchLink><i>Country of Publication: </i>Switzerland <i>NLM ID: </i>101616579 <i>Publication Model: </i>eCollection <i>Cited Medium: </i>Internet <i>ISSN: </i>2296-2565 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2222962565%22">22962565 </searchLink><i>NLM ISO Abbreviation: </i>Front Public Health <i>Subsets: </i>MEDLINE
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The 'F-words for Child Development'-Functioning, Family, Fun, Friends, Fitness and Future-provide a framework that brings to life key World Health Organization ideas about child health and development in an innovative and family-friendly way. Given international uptake of the F-words, understanding service providers' (SPs') experiences and perceived impact of F-words on pediatric disability and developmental services is important.<br />Objectives: This study explored SPs' (i) knowledge of the F-words and confidence in using the framework; (ii) perceptions and experiences using F-words; and (iii) barriers/facilitators to implementing the F-words.<br />Methods: This descriptive study was part of a larger project implementing the F-words across five sites in Canada and New Zealand from 2021 to 2024. SPs who provide services for children and youth with disabilities or developmental concerns (e.g., neurodevelopmental disabilities) were surveyed and interviewed after F-words implementation to explore their experiences implementing the F-words. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed via team-based conventional content analysis.<br />Results: Fifty-seven SPs completed the survey and 10 participated in interviews. SPs rated F-words familiarity (X̄ = 3.41/4) and knowledge (X̄ = 3.05/4) high, with moderate confidence using the F-words (X̄ = 2.93/4). Content analysis revealed that SPs perceived the F-words to enhance their service-delivery experiences, indicating that they provide a structured yet flexible approach to deliver strengths-based, holistic, family-centered care, while fostering relationship-building and empowerment with/among families. Examples of implementation facilitators included organizational buy-in, access to F-words resources/tools, and F-words alignment with service-delivery models. Reported implementation barriers included time constraints, the need for ongoing F-words training, and uncertainties regarding the cultural/social safety and responsiveness of the F-words for families.<br />Conclusion: Within this study, SPs had positive perceptions and experiences using the F-words to promote strengths-based, family-centered care for children and youth with disabilities or developmental concerns and their families. Future efforts should address implementation challenges, leverage facilitators, and continue to explore F-words implementation experiences across diverse settings.<br /> (Copyright © 2026 Mehreen, Tomas, Bursey, Charles, Cross, Hamill, Hammond, Hesketh, Hill, Hitchcock, Jones, McMurdie, Rosenbaum, Teplicky, van Beers and Wittmeier.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
– Name: Ref
  Label: References
  Group: RefInfo
  Data: Psychiatry Res. 2020 Jan;283:112630. (PMID: <searchLink fieldCode="PM" term="%2231722790%22">31722790)</searchLink><br />BMJ Paediatr Open. 2025 Aug 11;9(1):. (PMID: <searchLink fieldCode="PM" term="%2240789753%22">40789753)</searchLink><br />Implement Sci. 2015 Aug 12;10:113. (PMID: <searchLink fieldCode="PM" term="%2226264351%22">26264351)</searchLink><br />Scand J Public Health. 2022 Jul;50(5):533-537. (PMID: <searchLink fieldCode="PM" term="%2234058897%22">34058897)</searchLink><br />Child Care Health Dev. 2019 Jul;45(4):473-490. (PMID: <searchLink fieldCode="PM" term="%2231041806%22">31041806)</searchLink><br />Braz J Phys Ther. 2021 Jan-Feb;25(1):1-3. (PMID: <searchLink fieldCode="PM" term="%2232763088%22">32763088)</searchLink><br />Health Expect. 2024 Jun;27(3):e14120. (PMID: <searchLink fieldCode="PM" term="%2239888132%22">39888132)</searchLink><br />Implement Sci. 2017 Sep 2;12(1):110. (PMID: <searchLink fieldCode="PM" term="%2228865479%22">28865479)</searchLink><br />Phys Occup Ther Pediatr. 2020;40(5):534-545. (PMID: <searchLink fieldCode="PM" term="%2232064991%22">32064991)</searchLink><br />Dev Med Child Neurol. 2017 Jan;59(1):16-25. (PMID: <searchLink fieldCode="PM" term="%2227640996%22">27640996)</searchLink><br />Health Aff (Millwood). 2018 Feb;37(2):183-190. (PMID: <searchLink fieldCode="PM" term="%2229401011%22">29401011)</searchLink><br />Front Rehabil Sci. 2025 Feb 13;6:1559098. (PMID: <searchLink fieldCode="PM" term="%2240018654%22">40018654)</searchLink><br />Child Care Health Dev. 2012 Jul;38(4):457-63. (PMID: <searchLink fieldCode="PM" term="%2222040377%22">22040377)</searchLink><br />Qual Health Res. 2005 Nov;15(9):1277-88. (PMID: <searchLink fieldCode="PM" term="%2216204405%22">16204405)</searchLink><br />J Med Educ Curric Dev. 2020 Aug 31;7:2382120520933855. (PMID: <searchLink fieldCode="PM" term="%2232944651%22">32944651)</searchLink><br />Int J Environ Res Public Health. 2022 Sep 08;19(18):. (PMID: <searchLink fieldCode="PM" term="%2236141593%22">36141593)</searchLink><br />Implement Sci. 2022 Oct 29;17(1):75. (PMID: <searchLink fieldCode="PM" term="%2236309746%22">36309746)</searchLink><br />JMIR Rehabil Assist Technol. 2018 Dec 21;5(2):e10439. (PMID: <searchLink fieldCode="PM" term="%2230578233%22">30578233)</searchLink><br />Pediatr Phys Ther. 2026 Jan 1;38(1):144-149. (PMID: <searchLink fieldCode="PM" term="%2240953158%22">40953158)</searchLink><br />Phys Occup Ther Pediatr. 2026;46(5):1124-1140. (PMID: <searchLink fieldCode="PM" term="%2242178662%22">42178662)</searchLink><br />Front Public Health. 2016 Oct 26;4:226. (PMID: <searchLink fieldCode="PM" term="%2227833905%22">27833905)</searchLink><br />Child Care Health Dev. 2024 Jan;50(1):e13205. (PMID: <searchLink fieldCode="PM" term="%2238083819%22">38083819)</searchLink><br />BMJ. 2019 May 10;365:l2068. (PMID: <searchLink fieldCode="PM" term="%2231076440%22">31076440)</searchLink><br />Disabil Rehabil. 2026 Jul 4;:1-11. (PMID: <searchLink fieldCode="PM" term="%2242400954%22">42400954)</searchLink><br />Int J Qual Stud Health Well-being. 2020 Dec;15(1):1725362. (PMID: <searchLink fieldCode="PM" term="%2232048917%22">32048917)</searchLink><br />J Paediatr Child Health. 2025 Jun;61(6):941-956. (PMID: <searchLink fieldCode="PM" term="%2240207465%22">40207465)</searchLink><br />J Allied Health. 2016 Winter;45(4):236-242. (PMID: <searchLink fieldCode="PM" term="%2227915355%22">27915355)</searchLink><br />World J Clin Pediatr. 2022 Mar 9;11(2):120-135. (PMID: <searchLink fieldCode="PM" term="%2235433298%22">35433298)</searchLink><br />Front Rehabil Sci. 2024 Aug 09;5:1412163. (PMID: <searchLink fieldCode="PM" term="%2239185006%22">39185006)</searchLink><br />Child Care Health Dev. 2026 May;52(3):e70277. (PMID: <searchLink fieldCode="PM" term="%2241994940%22">41994940)</searchLink><br />Pediatrics. 2019 Oct;144(4):. (PMID: <searchLink fieldCode="PM" term="%2231558576%22">31558576)</searchLink><br />Dev Med Child Neurol. 2025 Feb;67(2):150-164. (PMID: <searchLink fieldCode="PM" term="%2239187986%22">39187986)</searchLink><br />Psychol Med. 2023 Dec;53(16):7504-7511. (PMID: <searchLink fieldCode="PM" term="%2237681273%22">37681273)</searchLink><br />Child Care Health Dev. 2024 Sep;50(5):e13321. (PMID: <searchLink fieldCode="PM" term="%2239169646%22">39169646)</searchLink><br />Semin Perinatol. 2025 Oct;49(6):152102. (PMID: <searchLink fieldCode="PM" term="%2240537363%22">40537363)</searchLink><br />Disabil Rehabil. 2015;37(24):2264-71. (PMID: <searchLink fieldCode="PM" term="%2225738914%22">25738914)</searchLink><br />Dev Med Child Neurol. 2022 Feb;64(2):141-142. (PMID: <searchLink fieldCode="PM" term="%2235005779%22">35005779)</searchLink><br />BMJ Paediatr Open. 2025 Oct 5;9(1):. (PMID: <searchLink fieldCode="PM" term="%2241052814%22">41052814)</searchLink><br />Future Child. 2012 Spring;22(1):13-42. (PMID: <searchLink fieldCode="PM" term="%2222550684%22">22550684)</searchLink>
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      – SubjectFull: Developmental Disabilities therapy
        Type: general
      – SubjectFull: Humans
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      – SubjectFull: Child
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      – SubjectFull: Children with Disabilities
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      – SubjectFull: Surveys and Questionnaires
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      – SubjectFull: Health Personnel psychology
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      – SubjectFull: Child Development
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      – SubjectFull: Child Health
        Type: general
      – SubjectFull: Attitude of Health Personnel
        Type: general
    Titles:
      – TitleFull: Service provider perspectives on implementing the 'F-words for child development': an innovative approach to children's health and developmental services.
        Type: main
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            NameFull: Mehreen I
      – PersonEntity:
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            NameFull: Tomas V
      – PersonEntity:
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            NameFull: Bursey E
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            NameFull: Charles L
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            NameFull: Cross A
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            NameFull: Hamill A
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            NameFull: Hesketh K
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            NameFull: Hill J
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            NameFull: Hitchcock B
      – PersonEntity:
          Name:
            NameFull: Jones M
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            NameFull: McMurdie G
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          Dates:
            – D: 18
              M: 09
              Text: 2026 Sep 18
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 2296-2565
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              Value: 14
          Titles:
            – TitleFull: Frontiers in public health
              Type: main
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