{"id":"https://openalex.org/W7203947131","doi":"https://doi.org/10.17615/z7qt-8f61","title":"The Hidden Complexity of Virtual Mindfulness-Based Group Medical Visits: Comfort, Challenge, and the Influence of Social Determinants of Health","display_name":"The Hidden Complexity of Virtual Mindfulness-Based Group Medical Visits: Comfort, Challenge, and the Influence of Social Determinants of Health","publication_year":2026,"publication_date":"2026-08-20","ids":{"openalex":"https://openalex.org/W7203947131","doi":"https://doi.org/10.17615/z7qt-8f61"},"language":"en","primary_location":{"id":"doi:10.17615/z7qt-8f61","doi":"https://doi.org/10.17615/z7qt-8f61","is_oa":true,"landing_page_url":"https://doi.org/10.17615/z7qt-8f61","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","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":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"volume":null,"type":"article","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.17615/z7qt-8f61","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013871035","display_name":"Elondra D. Harr","orcid":"https://orcid.org/0000-0002-6146-6459","observed_orcids":["https://orcid.org/0000-0002-6146-6459"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Harr, Elondra","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048518372","display_name":"Natalia E. Morone","orcid":"https://orcid.org/0000-0002-8405-5396","observed_orcids":["https://orcid.org/0000-0002-8405-5396","https://orcid.org/0000-0002-8931-4211"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Morone, Natalia E.","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-8405-5396","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063586965","display_name":"Carol M. Greco","orcid":"https://orcid.org/0000-0002-3078-2918","observed_orcids":["https://orcid.org/0000-0002-3078-2918"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Greco, Carol M.","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-3078-2918","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023502744","display_name":"Paula M. Gardiner","orcid":"https://orcid.org/0000-0002-3663-000X","observed_orcids":["https://orcid.org/0000-0002-3663-000X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gardiner, Paula","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-3663-000X","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042272410","display_name":"Isabel Roth","orcid":"https://orcid.org/0000-0002-4502-3041","observed_orcids":["https://orcid.org/0000-0002-4502-3041"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roth, Isabel","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":"https://orcid.org/0000-0002-4502-3041","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147709381","display_name":"Gabriela Castro","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Castro, Gabriela","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116837690","display_name":"Anita Bengert","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bengert, Anita","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070314259","display_name":"Jessica L. Barnhill","orcid":"https://orcid.org/0000-0003-3360-4217","observed_orcids":["https://orcid.org/0000-0003-3360-4217"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Barnhill, Jessica L.","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":"https://orcid.org/0000-0003-3360-4217","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062277183","display_name":"Susan Ann Gaylord","orcid":"https://orcid.org/0000-0002-5119-9633","observed_orcids":["https://orcid.org/0000-0002-5119-9633"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gaylord, Susan A.","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":"https://orcid.org/0000-0002-5119-9633","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052599599","display_name":"Christine Lathren","orcid":"https://orcid.org/0000-0003-0577-9415","observed_orcids":["https://orcid.org/0000-0003-0577-9415"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lathren, Christine","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":"https://orcid.org/0000-0003-0577-9415","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108776239","display_name":"Suzanne Lawrence","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lawrence, Suzanne","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111125101","display_name":"Ruth Rodriguez","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rodriguez, Ruth","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015605426","display_name":"Jose E. Baez","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Baez, Jose E.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103039033","display_name":"Graham A. Dore","orcid":"https://orcid.org/0000-0001-9444-4822","observed_orcids":["https://orcid.org/0000-0001-9444-4822"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dore, Graham","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-9444-4822","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5017151759","display_name":"Holly N. Thomas","orcid":"https://orcid.org/0000-0003-3298-0202","observed_orcids":["https://orcid.org/0000-0003-3298-0202"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Thomas, Holly N.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.62339128,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"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/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.5199999809265137,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.5199999809265137,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.28540000319480896,"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/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.13539999723434448,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-low-back-pain","display_name":"chronic low back pain","score":0.8669999837875366},{"id":"https://openalex.org/keywords/mindfulness-based-stress-reduction","display_name":"mindfulness-based stress reduction","score":0.8090000152587891},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.5730000138282776},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.8460000157356262},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.8220000267028809},{"id":"https://openalex.org/keywords/historically-marginalized-communities","display_name":"historically marginalized groups","score":0.8429999947547913},{"id":"https://openalex.org/keywords/black-patients","display_name":"Black patients","score":0.7279999852180481},{"id":"https://openalex.org/keywords/participant-experiences","display_name":"participant experiences","score":0.7099999785423279},{"id":"https://openalex.org/keywords/family-environment","display_name":"family environment","score":0.7760000228881836},{"id":"https://openalex.org/keywords/technology-barriers","display_name":"technology barriers","score":0.5109999775886536}],"concepts":[{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6991000175476074},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5845999717712402},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5401999950408936},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5382000207901001},{"id":"https://openalex.org/C13200473","wikidata":"https://www.wikidata.org/wiki/Q2747831","display_name":"Reflexivity","level":2,"score":0.5372999906539917},{"id":"https://openalex.org/C194943564","wikidata":"https://www.wikidata.org/wiki/Q1129049","display_name":"Participant observation","level":2,"score":0.5306000113487244},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.4699000120162964},{"id":"https://openalex.org/C33566652","wikidata":"https://www.wikidata.org/wiki/Q1065927","display_name":"Theme (computing)","level":2,"score":0.46320000290870667},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.44339999556541443},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.43230000138282776},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.41659998893737793},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.412200003862381},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3991999924182892},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.38760000467300415},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.33329999446868896},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3321000039577484},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.32899999618530273},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.323199987411499},{"id":"https://openalex.org/C128593788","wikidata":"https://www.wikidata.org/wiki/Q1194193","display_name":"Peer group","level":2,"score":0.30570000410079956},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.30000001192092896},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.29350000619888306},{"id":"https://openalex.org/C4727928","wikidata":"https://www.wikidata.org/wiki/Q17164759","display_name":"Social network (sociolinguistics)","level":3,"score":0.2892000079154968},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.288100004196167},{"id":"https://openalex.org/C2778533338","wikidata":"https://www.wikidata.org/wiki/Q7935148","display_name":"Virtual patient","level":2,"score":0.27790001034736633},{"id":"https://openalex.org/C2779824711","wikidata":"https://www.wikidata.org/wiki/Q1814351","display_name":"Health intervention","level":3,"score":0.27459999918937683},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.27320000529289246},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.27070000767707825},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.26969999074935913},{"id":"https://openalex.org/C180872759","wikidata":"https://www.wikidata.org/wiki/Q874405","display_name":"Social group","level":2,"score":0.25850000977516174}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.17615/z7qt-8f61","doi":"https://doi.org/10.17615/z7qt-8f61","is_oa":true,"landing_page_url":"https://doi.org/10.17615/z7qt-8f61","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","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":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"}],"best_oa_location":{"id":"doi:10.17615/z7qt-8f61","doi":"https://doi.org/10.17615/z7qt-8f61","is_oa":true,"landing_page_url":"https://doi.org/10.17615/z7qt-8f61","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","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":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320337593","display_name":"National Center for Complementary and Integrative Health","ror":"https://ror.org/00190t495"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7118088693","https://openalex.org/W7166548480","https://openalex.org/W7171677911","https://openalex.org/W4386949811","https://openalex.org/W2756007261","https://openalex.org/W7106015446","https://openalex.org/W4323539648","https://openalex.org/W2603426292","https://openalex.org/W2944005739","https://openalex.org/W4390755766"],"abstract_inverted_index":{"Background:":[0],"Chronic":[1],"low":[2,85,114],"back":[3,86,115],"pain":[4,37],"is":[5,50],"globally":[6],"prevalent":[7],"and":[8,38,40,122,187,203,220,242,263,287,291],"associated":[9],"with":[10,83,174],"significant":[11],"impairment":[12],"in":[13,183,285],"quality":[14],"of":[15,59,74,96,100,161,205,228,238,256],"life.":[16],"Furthermore,":[17],"people":[18,82,249],"from":[19,64,92,134,154,169,250],"historically":[20,65,251],"marginalized":[21,66,252],"communities":[22],"are":[23,280],"less":[24],"likely":[25],"to":[26,30,46,128,235,271,282,292],"receive":[27],"treatment,":[28],"contributing":[29],"health":[31],"inequities.":[32],"Group":[33],"mindfulness-based":[34,60,77,215],"interventions":[35],"improve":[36],"function,":[39],"virtual":[41,57,76,101,197,214,273,286,294],"delivery":[42,58],"has":[43],"been":[44],"demonstrated":[45],"be":[47],"feasible.":[48],"Little":[49],"known":[51],"about":[52],"how":[53],"participants":[54,63,136],"experience":[55],"the":[56,93,162,166,171,175,184,196,213,236,239,243],"interventions,":[61],"especially":[62],"communities.":[67,253],"Objective:":[68],"This":[69],"study":[70,99],"explored":[71],"participant":[72,172],"perspectives":[73],"a":[75,98,267],"group":[78,103,216],"medical":[79,102,217],"visit":[80,218],"for":[81,112,248],"chronic":[84,113],"pain.":[87,116],"Methods:":[88],"Participants":[89],"were":[90,120,147,152,179,200],"recruited":[91],"intervention":[94,219],"arm":[95],"OPTIMUM,":[97],"visits":[104],"using":[105],"an":[106],"adapted":[107],"Mindfulness-Based":[108],"Stress":[109],"Reduction":[110],"program":[111],"Semi-structured":[117],"exit":[118],"interviews":[119],"examined,":[121],"reflexive":[123],"thematic":[124],"analysis":[125],"was":[126,159,194,223],"used":[127],"compose":[129],"key":[130,231],"themes.":[131],"Results:":[132],"Interviews":[133],"59":[135],"(mean":[137],"56":[138],"years,":[139],"69.5%":[140],"women;":[141],"45.8%":[142],"Black":[143],"or":[144],"African":[145],"American)":[146],"examined.":[148],"Two":[149],"major":[150],"themes":[151,232],"derived":[153],"analysis.":[155],"The":[156,177,191,230],"first":[157],"theme":[158,193],"'effects":[160],"external":[163,240],"environment,'":[164],"ie,":[165],"physical":[167],"location":[168],"which":[170,270],"engaged":[173],"session.":[176],"subthemes":[178],"comfort,":[180],"social":[181,226],"demands":[182],"home":[185,276],"setting,":[186],"sharing":[188],"personal":[189],"spaces.":[190],"second":[192],"'navigating":[195],"platform.'":[198],"Subthemes":[199],"ease,":[201],"struggle,":[202],"levels":[204],"support.":[206],"Conclusion:":[207],"Patient":[208],"experiences":[209],"varied":[210],"substantially":[211],"during":[212],"this":[221],"variation":[222],"influenced":[224],"by":[225],"determinants":[227],"health.":[229],"bring":[233],"attention":[234],"effects":[237],"environment":[241],"technology":[244],"itself":[245],"on":[246],"participation":[247,274],"Basic":[254],"tenets":[255],"mindfulness,":[257],"such":[258],"as":[259],"present":[260],"state":[261],"awareness":[262],"equanimity,":[264],"can":[265],"provide":[266],"structure":[268],"within":[269],"navigate":[272],"amid":[275],"environments.":[277],"Future":[278],"studies":[279],"needed":[281],"explore":[283],"differences":[284],"in-person":[288],"mindfulness":[289,295],"programs":[290],"adapt":[293],"programs.":[296],"Clinicaltrialsgov":[297],"ID":[298],"number:":[299],"NCT04129450.":[300]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-08-22T00:00:00"}