Cheongin Im

Background: Latino millennial caregivers comprise over one-quarter of millennial family caregivers in the United States. Latino millennial family caregivers face unique challenges due to cultural, structural, and economic burdens that may increase stress and stress-related health effects. These caregivers also report time limitations due to their multiple roles. Technology may be a way to deliver an accessible and flexible intervention to support stress management and emotional regulation in this population. Objective: This study aimed to evaluate the feasibility, acceptability, and preliminary outcomes of a culturally tailored mobile health (mHealth) intervention to support stress management and emotional regulation for Latino millennial caregivers. Methods: Participants (N=30) were recruited nationally in the United States using a recruitment agency and were randomized to the intervention or waitlist control groups. The 4-week fully automated intervention included daily mindfulness exercises and journaling prompts delivered via a custom mHealth platform. The waitlist control group received a written handout with mindfulness, journaling, and support information. Feasibility data, including recruitment and retention rates and intervention adherence, and postintervention acceptability surveys were collected. Study outcome measures were collected electronically at baseline and 2, 4, and 6 weeks. Primary outcomes included caregiver burden and perceived stress, and secondary outcomes included well-being, informational support, and emotional support. Feasibility and acceptability data were analyzed descriptively alongside study outcome measure data from participants who completed week 6 data collection (n=21). No efficacy testing was conducted. Results: Enrollment was completed in 12 weeks (N=30), with a 70% (21/30) retention. Participants showed differential adherence, with 60% (6/10) completing a daily journal activity and 30% (3/10) completing a daily mindfulness activity. Adherence patterns were reflected in the acceptability findings, with journaling being preferred over mindfulness. Preliminary outcomes showed varying patterns between the intervention and control groups, with the intervention group showing decreased median burden levels from before (median 20, IQR 15-27.25) to after the intervention (median 15, IQR 10.50-28.75) but increased median stress levels from 19.50 (IQR 12-26.75) to 21 (IQR 8.75-22.75), while the control group burden and stress levels remained the same before and after the intervention. Positive affect and well-being and informational support increased for both groups. Median emotional support levels increased from 15 (IQR 12-20) before the intervention to 16 (IQR 13-19) after the intervention for the control group and decreased from 14.5 (IQR 11.5-17.75) to 14 (IQR 12-17.25) for the intervention group. Conclusions: Findings demonstrate areas for further intervention iteration to address both adherence and acceptability issues with the mindfulness component of the intervention. Intervention implementation also needs to be addressed, including participant retention rates. Our team will use lessons learned alongside feedback from Latino millennial caregivers to address these issues.

BACKGROUND Latino Millennial caregivers face unique challenges and elevated stress due to cultural, structural, and economic burdens. Culturally responsive, technology-based stress management interventions are needed to support emotional well-being in this population. OBJECTIVE To evaluate the feasibility and acceptability of a culturally tailored mobile health (mHealth) intervention to support stress management and emotional regulation for Latino Millennial caregivers. METHODS A four-week feasibility and acceptability pilot study was conducted with 21 Latino Millennial caregivers. The intervention included daily mindfulness exercises and journaling prompts, delivered via a custom mHealth platform. RESULTS The intervention was feasible, with enrollment completed in 12 weeks and 70% retention. Participants showed differential adherence with 60% of participants completing a daily journal activity and 30% completing a daily mindfulness activity. Adherence patterns were reflected in acceptability findings, with journaling being preferred more than mindfulness due to flexibility and cultural fit. CONCLUSIONS Findings support the intervention’s feasibility and highlight the importance of flexible, culturally responsive features. Tailoring mHealth tools to match caregivers’ stress demands and preferences can enhance engagement and emotional well-being. CLINICALTRIAL N/A

Hypertension is a major risk factor for cardiovascular (CV) health in Native Americans (NAs), contributing to disparities in mortality, hospitalizations, and complications that include stroke and kidney diseases. However, despite the benefits of lifestyle modifications for CV health, systemic and cultural barriers hinder their adoption. To promote self-care behaviors, interventions must be culturally tailored and sustainable. Digital games (DGs) offer a promising, community-based approach to enhance self-care for hypertension (HTN) in NAs, aligning with traditional NA practices in which games foster skill-building and engagement. This study focuses on the Lumbee NA community, which faces significant HTN-related disparities. Using community-based participatory research, we are developing a culturally tailored, native-sensor-controlled digital game (N-SCDG) to support HTN self-care behaviors. This is a prospective, randomized (1:1) controlled clinical trial with two groups, to evaluate the impact of a culturally tailored N-SCDG on engagement in HTN self-care behaviors and related health outcomes among Lumbee adults at 3 and 6 months. Adults aged ≥ 18 years from the Lumbee tribal community in Robeson County and diagnosed with HTN will be randomized into an N-SCDG intervention group or a sensor-only control group. Both groups will receive a Fitbit activity tracker to monitor physical activity (PA). The N-SCDG group will engage in the game, which incorporates evidence-based HTN education, while the control group will receive the same HTN education in written format. The primary outcome is the mean daily step count, recorded by the activity tracker at 3 and 6 months. Secondary outcomes include systolic blood pressure (SBP), diastolic blood pressure (DBP), BP control, HTN knowledge, self-efficacy, motivation for self-care, quality of life (QoL), and cardiac hospitalization rates. This evaluation of an N-SCDG to enhance HTN self-care in Lumbee adults will integrate culturally relevant design with evidence-based education and thus address a gap in use of digital health tools for NAs. The findings will provide vital data on the impact of digital health interventions to improve HTN outcomes and advance health equity in underserved NA communities. ClinicalTrials.gov NCT05671406. Registered on January 9, 2024.

"HSR25-189: Symptom Management and Patient Outcomes in Cardio-Oncology Population: A Scoping Review" published on 28 Mar 2025 by National Comprehensive Cancer Network.

"HSR24-149: Mobile Health (mHealth) Interventions for Colorectal Cancer (CRC) Survivors: A Systematic Review" published on 05 Apr 2024 by National Comprehensive Cancer Network.

Aim. This study explored and analyzed the characteristics of bystander types of workplace violence in hospital nurses experiencing horizontal (nurse‐to‐nurse) violence. The primary research question was “What are the behavioral patterns of bystander types in peer‐to‐peer violence situations among hospital nurses?”. Background. Workplace violence is a result of environmental and structural conflicts, rather than deviant individual perpetrators. Research examining workplace violence suggests that bystanders are not merely witnesses of acts of aggression but can play a substantial role in escalating or deflecting violence. Types of bystander influence power dynamics within a group, resulting in changes in the pattern of violence. Methods. Employing a qualitative design, this study conducted focus group interviews with nurses from three tertiary hospitals. The qualitative data collected was analyzed using inductive and qualitative content analysis methods. Results. Nine focus group interviews (n = 26) were conducted on bystanders’ experiences of workplace violence. A total of 185 analysis units were identified and categorized into three main themes, based on their impact on workplace violence (reinforcing, avoiding, and suppressing) with six subcategories (facilitative reinforcer, diffuse reinforcer, condoning avoider, powerless avoider, empathic suppressor, and interventional suppressor). Conclusions. This study delineates a typology of bystander roles in workplace bullying/horizontal violence among nurses, identifying three distinct types of bystanders. The outcomes of workplace violence vary, based on the type of bystander involved as well as the dynamics among bystanders, perpetrators, and victims. Implications for Nursing Management. Nursing organizations should educate nurses about the concept of bystanders as this will help nurses understand that even if they may not be perpetrators or victims of workplace violence, they are still implicated as bystanders. Additionally, nursing organizations and leaders should empower nurses to play a positive bystander role.

Aim: To describe the associations of psychological burnout and time factors on hospital nurses' medication errors.Design: A cross‐sectional survey design was used.Methods: A structured questionnaire pertaining to psychological burnout, time factors and medication error was administered to 200 bedside nurses working at two tertiary university hospitals in Korea. The associations between the psychological burnout, time factor and medication error were analysed with the zero‐inflated negative binomial regression for over‐dispersed and over‐abundant zeros count data.Results: Higher psychological burnout, shorter meal time during duty and longer weekly overtime were associated with an increased likelihood of medication error of nurses working in tertiary university hospitals. For medication safety, nurse managers should provide appropriate administrative support to nurses to cope with psychological burnout of nurses. Work time management should also be considered as human factors to satisfy the needs of nurses, such as securing meal times and maintaining a low level of weekly overtime.