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Higher motivation could support to lead behavioral change for obese children and adolescents. This study aimed to evaluate the effects of a nutrition care process (NCP)–based intervention targeted on diet and weight status in moderate to severe obese children and adolescents in Korea. One hundred four subjects (mean age: 10.95 years, body mass index (BMI) ≥97th percentile of age-sex) participated in the present study. Subjects were divided into a usual care group (UG) and a nutrition group (NG). All participants underwent nutrition education 6 times. The NG received individual access and continuous monitoring and setting goals with respect to nutritional problems. Consumption of high-calorie, low-nutrient (HCLN) food was significantly decreased (P <.05) and the Diet Quality Index-International (DQI-I) score also increased with respect to sodium (P <.001). The total self-efficacy score was increased from 9.15 to 10.14 points (P <.01). After 24 weeks, the BMI-z-score decreased from 2.27 to 2.19 in the NG (P <.05); however, no group difference was found. BMI-z-score was negatively associated with self-efficacy (β = -0.03, P <.019). NCP-based intervention might be helpful to solve dietary problems by enhancing self-efficacy and lower BMI-z-score in moderately to severely obese children and adolescents. [ABSTRACT FROM AUTHOR]

This study aimed to develop a smartphone‐based home workout program for shift‐work nurses to increase their levels of exercise and examine its effects on health (sleep disturbance, fatigue, musculoskeletal problems, and resilience) and nursing performance. For this quasiexperimental study with a nonequivalent control group, 54 shift‐work nurses were recruited from two general wards at a hospital in Korea and assigned to the intervention and control groups. Nurses in the intervention group were encouraged to exercise regularly using the home workout application for 18 weeks. For the first 12 weeks, text‐message counseling and environmental improvement were carried out; only environmental improvement was implemented in the remaining 12–18 weeks. The control group did not receive any intervention. After excluding dropouts, the data of the final 25 participants in the intervention group and 24 participants in the control group were analyzed. Compared with the control group, the intervention group showed statistically significant improvements in physical and psychological health. Hospital organizations could adopt a smartphone‐based home workout program to overcome obstacles to exercise, which could lead to positive health outcomes for shift‐work nurses. [ABSTRACT FROM AUTHOR]

Vaccination against COVID‐19 has been promoted as a way to protect oneself and others from infection. To ensure the comprehensive acceptance of COVID‐19 vaccines, the factors that affect COVID‐19 vaccination hesitancy should be examined. This study aimed to identify the factors that affect COVID‐19 vaccination hesitancy among Korean adults, focusing on COVID‐19 knowledge and attitudes toward vaccination. This was a cross‐sectional study conducted with 2286 Korean adults aged 20–64 years. Demographic characteristics, knowledge regarding COVID‐19, and attitudes toward vaccination were assessed. A generalized linear model with Poisson regression was used to identify factors associated with COVID‐19 vaccination hesitancy. Approximately 67% of the COVID‐19 knowledge‐related questions were correctly answered. A neutral attitude toward vaccination and relatively low vaccination hesitancy were found. COVID‐19 vaccination hesitancy was affected by individuals' attitudes toward vaccination, as well as their gender and age, but not by their knowledge. Interventions or policies considering gender and age could be helpful in reducing COVID‐19 vaccination hesitancy. Strategies to disseminate more accurate and novel information related to the COVID‐19 vaccines should be implemented. [ABSTRACT FROM AUTHOR]