{"id":"https://openalex.org/W2402220332","doi":null,"title":"Vitality Training - a group-based intervention for persons with rheumatic diseases : Experiences, methodological aspects and clinical effects","display_name":"Vitality Training - a group-based intervention for persons with rheumatic diseases : Experiences, methodological aspects and clinical effects","publication_year":2012,"publication_date":"2012-01-01","ids":{"openalex":"https://openalex.org/W2402220332","mag":"2402220332"},"language":"en","primary_location":{"id":"pmh:oai:www.duo.uio.no:10852/34674","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10852/34674","pdf_url":"https://www.duo.uio.no/bitstream/10852/34674/1/dravhandling-zangi.pdf","source":{"id":"https://openalex.org/S7407064446","display_name":"NORA - Norwegian Open Research Archives","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralThesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.duo.uio.no/bitstream/10852/34674/1/dravhandling-zangi.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5089066299","display_name":"Heidi Andersen Zangi","orcid":"https://orcid.org/0000-0001-6882-221X","observed_orcids":["https://orcid.org/0000-0001-6882-221X"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Heidi A. Zangi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5089066299"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"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/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.7285000085830688,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.7285000085830688,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12947","display_name":"Health, psychology, and well-being","score":0.08150000125169754,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.06289999932050705,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/group-intervention","display_name":"group intervention","score":0.8009999990463257},{"id":"https://openalex.org/keywords/rheumatic-diseases","display_name":"rheumatic diseases","score":0.9369999766349792},{"id":"https://openalex.org/keywords/inflammatory-arthritis","display_name":"inflammatory arthritis","score":0.9169999957084656},{"id":"https://openalex.org/keywords/fibromyalgia","display_name":"fibromyalgia","score":0.953000009059906},{"id":"https://openalex.org/keywords/emotion-focused-coping","display_name":"emotion-focused coping","score":0.8169999718666077},{"id":"https://openalex.org/keywords/psychological-well-being","display_name":"psychological well-being","score":0.6330000162124634},{"id":"https://openalex.org/keywords/coping","display_name":"coping","score":0.6710000038146973},{"id":"https://openalex.org/keywords/disease-related-symptoms","display_name":"disease-related symptoms","score":0.6029999852180481},{"id":"https://openalex.org/keywords/patient-experience","display_name":"patient experience","score":0.5199999809265137},{"id":"https://openalex.org/keywords/self-management","display_name":"self-management","score":0.49399998784065247},{"id":"https://openalex.org/keywords/non-pharmacological-treatment","display_name":"non-pharmacological treatment","score":0.621999979019165},{"id":"https://openalex.org/keywords/norwegian-translation","display_name":"Norwegian translation","score":0.31700000166893005},{"id":"https://openalex.org/keywords/measurement-properties","display_name":"measurement properties","score":0.7110000252723694},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.5410000085830688},{"id":"https://openalex.org/keywords/chronic-pain","display_name":"chronic pain","score":0.328000009059906},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.5680000185966492},{"id":"https://openalex.org/keywords/self-efficacy","display_name":"self-efficacy","score":0.49399998784065247}],"concepts":[{"id":"https://openalex.org/C2779829227","wikidata":"https://www.wikidata.org/wiki/Q7936872","display_name":"Vitality","level":2,"score":0.8793640732765198},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.572780430316925},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.49959874153137207},{"id":"https://openalex.org/C2781311116","wikidata":"https://www.wikidata.org/wiki/Q83306","display_name":"Group (periodic table)","level":2,"score":0.43566375970840454},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.43246781826019287},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.42654645442962646},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.4136238098144531},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1303924024105072},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.07529264688491821},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.07473796606063843},{"id":"https://openalex.org/C27206212","wikidata":"https://www.wikidata.org/wiki/Q34178","display_name":"Theology","level":1,"score":0.0},{"id":"https://openalex.org/C178790620","wikidata":"https://www.wikidata.org/wiki/Q11351","display_name":"Organic chemistry","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:www.duo.uio.no:10852/34674","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10852/34674","pdf_url":"https://www.duo.uio.no/bitstream/10852/34674/1/dravhandling-zangi.pdf","source":{"id":"https://openalex.org/S7407064446","display_name":"NORA - Norwegian Open Research Archives","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralThesis"},{"id":"mag:2402220332","doi":null,"is_oa":false,"landing_page_url":"https://www.duo.uio.no/bitstream/10852/34674/1/dravhandling-zangi.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:www.duo.uio.no:10852/34674","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10852/34674","pdf_url":"https://www.duo.uio.no/bitstream/10852/34674/1/dravhandling-zangi.pdf","source":{"id":"https://openalex.org/S7407064446","display_name":"NORA - Norwegian Open Research Archives","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralThesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320324325","display_name":"Diakonhjemmet","ror":"https://ror.org/02jvh3a15"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2402220332.pdf","grobid_xml":"https://content.openalex.org/works/W2402220332.grobid-xml"},"referenced_works_count":39,"referenced_works":["https://openalex.org/W1602349719","https://openalex.org/W1604682389","https://openalex.org/W1958542379","https://openalex.org/W1976737025","https://openalex.org/W1979845885","https://openalex.org/W1987445308","https://openalex.org/W1998334177","https://openalex.org/W2001832628","https://openalex.org/W2006042707","https://openalex.org/W2019398887","https://openalex.org/W2028009980","https://openalex.org/W2034092396","https://openalex.org/W2037467209","https://openalex.org/W2045497473","https://openalex.org/W2060809432","https://openalex.org/W2063831139","https://openalex.org/W2066494573","https://openalex.org/W2068940282","https://openalex.org/W2075307034","https://openalex.org/W2081248103","https://openalex.org/W2082702415","https://openalex.org/W2087259067","https://openalex.org/W2094689715","https://openalex.org/W2101619031","https://openalex.org/W2108476653","https://openalex.org/W2108903013","https://openalex.org/W2113342679","https://openalex.org/W2114903272","https://openalex.org/W2118504704","https://openalex.org/W2128419930","https://openalex.org/W2143572374","https://openalex.org/W2156702515","https://openalex.org/W2165167678","https://openalex.org/W2165735574","https://openalex.org/W2166048702","https://openalex.org/W2167534793","https://openalex.org/W2625975570","https://openalex.org/W3099514962","https://openalex.org/W3141544461"],"related_works":["https://openalex.org/W2740642598","https://openalex.org/W1976737025","https://openalex.org/W2649482719","https://openalex.org/W2046430285","https://openalex.org/W2059833434","https://openalex.org/W2164591014","https://openalex.org/W1851535","https://openalex.org/W2949836682","https://openalex.org/W7052430777","https://openalex.org/W2802887116"],"abstract_inverted_index":{"Background:":[0],"During":[1],"the":[2,12,20,28,39,53,64,97,100,163,187,191,221,248,273,283,311,334,353,385,432,454,477,566,589,656,669,674,735,763,778,782,788,798,834,837,867,879,915,919,930,964,1028],"last":[3],"decades":[4],"there":[5,772],"has":[6,58,88,223,948],"been":[7,212,226,714],"a":[8,34,60,74,120,138,147,172,320,369,380,391,394,398,420,446,464,484,500,703,710,951,1010,1031,1039],"shift":[9],"away":[10],"from":[11,476,603,730,847,860,924],"traditional":[13],"view":[14],"of":[15,25,63,165,193,238,247,276,372,382,410,502,520,539,651,659,696,702,717,725,749,797,839,878,934,998],"health":[16,50,54,155,992],"care":[17,55,461],"professionals":[18],"as":[19,30,41,682,709,1038],"only":[21,105],"experts":[22],"and":[23,27,48,69,71,108,130,168,174,199,254,269,296,305,363,390,450,497,513,516,528,533,555,557,576,578,588,648,685,691,706,728,740,751,757,804,822,827,886,900,929,943,970,973,980,1002,1012,1059],"providers":[24],"knowledge":[26],"patients":[29,84,93,110,258,291,373,383,405,586,629,643,1046],"passive":[31],"recipients,":[32],"to":[33,112,133,135,160,170,182,196,204,244,264,271,279,341,361,445,452,606,679,687,692,852,863,960,987,1008,1042],"more":[35,694],"collaborative":[36],"approach,":[37],"recognizing":[38],"patient":[40,712,931],"an":[42,277],"active":[43],"agent":[44],"in":[45,162,214,228,257,289,319,333,344,365,419,431,584,615,627,639,642,661,668,762,777,781,795,811,866,876,890,907,914,927,984,996,1019],"managing":[46],"illness":[47],"own":[49,698],"care.":[51],"Within":[52],"system,":[56],"one":[57],"gained":[59],"broader":[61],"understanding":[62],"complex":[65],"interaction":[66],"between":[67],"person":[68],"disease":[70,101,935],"realized":[72],"that":[73,125,150,955,1027,1034],"narrow":[75],"biomedical":[76],"approach":[77,487],"is":[78,103,118,146,1030],"inadequate.":[79],"Although":[80],"pharmacological":[81],"treatment":[82,793,874,1044],"for":[83,96,122,508,1015,1045,1052],"with":[85,137,216,230,259,292,300,326,438,466,644,841,859,1021,1047],"rheumatic":[86,232,261,293,440,1022,1049,1063],"diseases":[87,442],"developed":[89],"remarkably,":[90],"not":[91,225,938],"all":[92,424],"are":[94],"eligible":[95],"new":[98],"medications,":[99],"process":[102,164],"still":[104],"partly":[106],"controllable,":[107],"many":[109],"need":[111,121],"make":[113],"demanding":[114],"lifestyle":[115],"changes.":[116],"There":[117],"therefore":[119],"nonpharmacological":[123],"interventions":[124],"enhance":[126,977],"individuals\u2019":[127],"coping":[128,253,1018],"abilities":[129,986],"help":[131],"them":[132,678],"adjust":[134],"living":[136,167],"lifelong":[139],"disease.":[140],"The":[141,235,600,720,905,1004],"Vitality":[142],"Training":[143],"Programme":[144],"(VTP)":[145],"group":[148,347,479,765,800,869,881,921,953],"intervention":[149,434,767,954,1033],"aims":[151,237],"at":[152,313,397,411,593,620,653,664,785,808,850,855,887,911],"enhancing":[153],"people\u2019s":[154],"promoting":[156],"resources,":[157],"their":[158,689,697,718,985,989],"capacity":[159],"engage":[161],"everyday":[166],"ability":[169,580,896],"live":[171],"meaningful":[173],"valued":[175],"life.":[176],"Rather":[177],"than":[178,963],"focusing":[179],"on":[180,250,957],"strategies":[181],"control":[183,462,868,920],"or":[184,206,459],"reduce":[185],"symptoms,":[186],"VTP":[188,222,249,267,312,386,455,675,764,799,835,880,916,1029],"explicitly":[189,966],"emphasises":[190],"importance":[192],"nonjudgemental":[194],"attention":[195],"thoughts,":[197],"feelings":[198],"bodily":[200],"senses":[201],"without":[202],"attempting":[203],"avoid":[205],"change":[207],"them.":[208],"Beneficial":[209,991],"effects":[210,246,541,794,805,875,993],"have":[211],"documented":[213,995],"persons":[215,229,299,437,840,1020],"chronic":[217,260],"musculoskeletal":[218],"pain,":[219],"but":[220,619],"previously":[224],"evaluated":[227],"inflammatory":[231,302,439,1048],"diseases.":[233,294,1023],"\\n\\nAims:":[234],"main":[236,657],"this":[239],"research":[240,946],"project":[241,947],"were:":[242],"1)":[243],"evaluate":[245],"psychological":[251,571,662,812,843,1000,1057,1065],"wellbeing,":[252,573],"disease-related":[255,968],"symptoms":[256,577,823],"diseases,":[262,1050,1064],"2)":[263],"explore":[265],"participants'":[266],"experiences,":[268],"3)":[270],"test":[272],"measurement":[274],"properties":[275],"instrument":[278,1014],"measure":[280],"emotion-focused":[281,1017],"coping,":[282,1069],"Emotional":[284,354,738,741],"Approach":[285,355],"Coping":[286,356],"Scale":[287,357],"(EAC),":[288],"Norwegian":[290,362],"\\n\\nMaterials":[295],"methods:":[297],"First,":[298],"various":[301],"arthritides":[303],"(IA)":[304],"fibromyalgia":[306],"syndrome":[307],"(FMS),":[308],"who":[309,1054],"attended":[310],"six":[314],"rheumatology":[315,375,399],"departments,":[316],"were":[317,338,443,481,492,546,581,591,637,655,773,801,806,882,994],"included":[318],"prospective":[321],"pre":[322,567],"\u2013":[323,568],"post-test":[324,569],"study":[325,422],"one-year":[327,594,621,665],"follow-up":[328,595,622],"(n":[329,349,377,387,401,456,470],"=":[330,350,378,388,402,457,471,631,871],"175).":[331],"Participants":[332,667],"first":[335],"ten":[336],"groups":[337,671],"also":[339,883],"asked":[340],"take":[342],"part":[343,701],"qualitative":[345,485,1073],"focus":[346,478,670],"interviews":[348,480],"69).":[351],"Second,":[352],"(EAC)":[358],"was":[359,417,429,613,624,845,909,922,1006],"translated":[360],"tested":[364,418,430],"three":[366,425],"different":[367],"samples,":[368,426],"consecutive":[370],"sample":[371,381,392,784],"attending":[374,384,393],"clinics":[376],"118),":[379],"36),":[389],"self-management":[395,783],"program":[396],"hospital":[400],"66).":[403],"All":[404],"had":[406,676,713,722,745],"confirmed":[407],"rheumatologic":[408],"diagnoses":[409],"least":[412],"0.5":[413],"years":[414],"duration.":[415],"Validity":[416],"cross-sectional":[421],"including":[423,505],"whereas":[427,771,918],"responsiveness":[428],"two":[433,736],"groups.":[435],"Finally,":[436],"joint":[441],"recruited":[444],"randomised":[447,789],"controlled":[448,790],"trial":[449],"allocated":[451],"either":[453],"36)":[458],"routine":[460],"plus":[463],"CD":[465],"mindfulness-based":[467,972],"home":[468],"exercises":[469],"35).":[472],"Qualitative":[473],"data,":[474,727],"collected":[475,493],"analysed":[482,498],"by":[483,494,499,548,558],"content":[486],"(paper":[488,522,531,542,553,562],"II).":[489],"Quantitative":[490],"data":[491],"self-report":[495],"questionnaires":[496],"variety":[501],"statistical":[503,940],"methods,":[504],"paired":[506],"t-tests":[507],"within-group":[509],"changes":[510,776],"(papers":[511],"I,":[512],"III),":[514,532],"bivariate":[515],"multivariate":[517],"regression":[518],"analyses":[519,538],"predictions":[521],"I),":[523],"principal":[524,731],"component":[525,732],"factor":[526],"analysis":[527,733],"correlation":[529],"statistics":[530],"mixed":[534,1077],"models":[535,1078],"repeated":[536,1075],"measures":[537],"between-group":[540],"IV).":[543,563],"Effect":[544],"sizes":[545],"estimated":[547],"standardised":[549],"response":[550],"mean":[551],"(SRM)":[552],"I":[554],"III)":[556],"Cohen\u2019s":[559],"d":[560],"statistic":[561],"\\n\\nResults:":[564],"In":[565,787,833],"study,":[570],"distress,":[572,1066],"self-efficacy":[574,817],"pain":[575,818,928],"self-care":[579,895],"significantly":[582,625,761],"improved":[583],"IA":[585,628],"post-intervention,":[587],"improvements":[590,636],"maintained":[592,807],"(all":[596],"p-values":[597],"<":[598,769],"0.001).":[599],"SRMs":[601],"ranged":[602],"0.63":[604],"(wellbeing)":[605],"0.41":[607],"(self-care":[608],"ability).":[609],"No":[610,633],"significant":[611,635,775,792],"reduction":[612,660],"found":[614,638,802,884,1007],"fatigue":[616,623,652,891,908],"after":[617,766],"intervention,":[618],"reduced":[626,846,999],"(p":[630,870],"0.007).":[632],"statistically":[634],"any":[640],"variables":[641],"FMS.":[645],"Inflammatory":[646],"diagnosis":[647],"higher":[649],"scores":[650],"baseline":[654,851],"predictors":[658],"distress":[663,813,844,1001,1058],"followup.":[666],"described":[672],"how":[673,950],"helped":[677],"recognize":[680,688],"themselves":[681],"both":[683,744],"ill":[684],"healthy,":[686],"emotions,":[690,1070],"become":[693],"aware":[695],"needs.":[699],"Being":[700],"supportive":[704],"community":[705],"being":[707],"recognized":[708],"credible":[711],"important":[715],"facilitators":[716],"outcomes.":[719],"EAC":[721,755,758,779,1005],"low":[723],"levels":[724],"missing":[726],"results":[729,1025],"supported":[734],"subscales,":[737],"Processing":[739,756],"Expression,":[742],"which":[743],"high":[746],"Cronbach's":[747],"alphas":[748],"0.92":[750],"0.90,":[752],"respectively.":[753],"Both":[754],"Expression":[759],"increased":[760,910],"(p-values":[768],"0.05),":[770],"no":[774],"scales":[780],"follow-up.":[786],"trial,":[791],"favour":[796,877],"post-treatment,":[803],"12":[809,856,888,912],"months":[810,857,889,913],"(effect":[814,819,824,830,892,897,902],"size":[815,820,825,831,893,898,903],"0.58),":[816],"0.59)":[821,899],"0.92)":[826],"emotional":[828,978],"processing":[829],"0.43).":[832,904],"group,":[836,917],"number":[838],"serious":[842],"13":[848],"(36%)":[849],"2":[853],"(6%)":[854],"compared":[858],"10":[861],"(29%)":[862],"8":[864],"(24%)":[865],"0.045).":[872],"Significant":[873],"post-treatment":[885],"0.50),":[894],"wellbeing":[901,979],"improvement":[906],"unchanged":[923],"baseline.":[925],"Effects":[926],"global":[932],"assessment":[933],"activity":[936],"did":[937],"reach":[939],"significance.":[941],"\\n\\nConclusions":[942],"implications:":[944],"This":[945],"illuminated":[949],"processoriented":[952],"focuses":[956],"topics":[958],"related":[959],"life":[961],"rather":[962],"disease,":[965],"addresses":[967],"emotions":[969],"combines":[971],"creative":[974],"exercises,":[975],"can":[976],"strengthen":[981],"individuals'":[982],"belief":[983],"manage":[988],"symptoms.":[990],"terms":[997],"fatigue.":[1003,1060],"be":[1009,1036],"valid":[1011],"responsive":[1013],"measuring":[1016],"These":[1024],"show":[1026],"feasible":[1032],"should":[1035],"considered":[1037],"beneficial":[1040],"complement":[1041],"existing":[1043],"particularly":[1051],"people":[1053],"experience":[1055],"heightened":[1056],"\\n\\nKey-words:":[1061],"vitality,":[1062],"fatigue,":[1067],"self-efficacy,":[1068],"adjustment,":[1071],"mindfulness,":[1072],"research,":[1074],"measurements,":[1076],"analysis.":[1079]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}