{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T11:46:21Z","timestamp":1791719181437,"version":"4.3.4"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":295,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"JSPS KAKENHI"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objectives: The purpose of this secondary analysis of data from a previous randomized controlled trial (RCT) was to investigate whether an internet-based cognitive behavioral therapy (iCBT) stress management program improved work performance, sick leave, and intention to leave among nurses in Vietnam and Thailand during the COVID-19 pandemic.<\/jats:p>\n                  <jats:p>Methods: Full-time nurses were recruited from hospitals in Vietnam and Thailand. A 2-arm, parallel-group, RCT was conducted. The intervention groups were provided a 7-week self-guided iCBT program. As secondary outcomes, work performance (on-the-job performance and quality of nursing care), sick leave days, and intention to leave the profession and the organization were assessed at baseline and 3-month and 6-month follow-ups in each group.<\/jats:p>\n                  <jats:p>Results: A total of 1203 participants were randomly allocated to the intervention and the control group. The program significantly improved on-the-job performance at 3-month follow-up (P\u00a0=\u2009.0499), although the effect was nonsignificant at 6-month follow-up; Cohen\u2019s d was 0.16 and 0.04, respectively. The program also significantly reduced sick leave at 6-month follow-up (coefficient\u2009=\u2009\u22120.21; 95% CI, \u22120.36 to \u22120.07; prevalence ratio 0.81), although the effect at 3\u00a0months was nonsignificant. However, the effects of the intervention on the quality of nursing care and the intention to leave the profession or the organization were not significant.<\/jats:p>\n                  <jats:p>Conclusions: A smartphone-based iCBT stress management program improved on-the-job performance at 3-month follow-up and decreased sick leave days at 6-month follow-up among hospital nurses in Vietnam and Thailand during the COVID-19 pandemic.<\/jats:p>","DOI":"10.1093\/joccuh\/uiaf061","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T11:40:18Z","timestamp":1761219618000},"source":"Crossref","is-referenced-by-count":0,"title":["Effects of a smartphone-based stress management program on work performance, sick leave, and intention to leave among nurses during COVID-19 in Vietnam and Thailand: an analysis of secondary outcomes of a randomized controlled trial"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1561-019X","authenticated-orcid":false,"given":"Asuka","family":"Sakuraya","sequence":"first","affiliation":[{"name":"Department of Digital Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thuy Thi Thu","family":"Tran","sequence":"additional","affiliation":[{"name":"Faculty of Environmental and Occupational Health, Hanoi University of Public Health , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narisara","family":"Sripo","sequence":"additional","affiliation":[{"name":"Princess Agrarajakumari College of Nursing, Chulabhorn Royal Academy , Bangkok ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3342-6142","authenticated-orcid":false,"given":"Kazuhiro","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Digital Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]},{"name":"Department of Public Health, Kitasato University School of Medicine , Sagamihara ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotaro","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Digital Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Plernpit","family":"Boonyamalik","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Mahidol University , Bangkok ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsu","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanate","family":"Tienthong","sequence":"additional","affiliation":[{"name":"Princess Agrarajakumari College of Nursing, Chulabhorn Royal Academy , Bangkok ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Asaoka","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mako","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quynh Thuy","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Faculty of Environmental and Occupational Health, Hanoi University of Public Health , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nga Thi","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Faculty of Social and Behavioural Sciences, Hanoi University of Public Health , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thai Son","family":"Vu","sequence":"additional","affiliation":[{"name":"Faculty of Environmental and Occupational Health, Hanoi University of Public Health , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thuy Thi","family":"Ngo","sequence":"additional","affiliation":[{"name":"Nursing Department, Pho Noi Hospital , Hung Yen ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tham Thi","family":"Luyen","sequence":"additional","affiliation":[{"name":"Nursing Department, Pho Noi Hospital , Hung Yen ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long Duc","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Board of Directors, Saint Paul Hospital , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nga Thi Viet","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Nursing Department, Saint Paul Hospital , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binh Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Nursing Department, Saint Paul Hospital , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Matsuyama","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, School of Public Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukie","family":"Takemura","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Tokyo Hospital , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Nishi","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akizumi","family":"Tsutsumi","sequence":"additional","affiliation":[{"name":"Department of Public Health, Kitasato University School of Medicine , Sagamihara ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huong Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Faculty of Social and Behavioural Sciences, Hanoi University of Public Health , Hanoi ,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orawan","family":"Kaewboonchoo","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Mahidol University , Bangkok ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-2720","authenticated-orcid":false,"given":"Norito","family":"Kawakami","sequence":"additional","affiliation":[{"name":"Department of Digital Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"2026101106511226900_ref1","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.jad.2023.03.012","article-title":"The prevalence of probable mental health disorders among hospital healthcare workers during COVID-19: a systematic review and meta-analysis","volume":"330","author":"Lee","year":"2023","journal-title":"J Affect Disord"},{"key":"2026101106511226900_ref2","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1016\/j.bbi.2020.05.026","article-title":"Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"88","author":"Pappa","year":"2020","journal-title":"Brain Behav Immun"},{"key":"2026101106511226900_ref3","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1016\/j.jad.2020.08.034","article-title":"Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis","volume":"277","author":"Serrano-Ripoll","year":"2020","journal-title":"J Affect Disord"},{"key":"2026101106511226900_ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.812737","article-title":"Serial-multiple mediation of job burnout and fatigue in the relationship between sickness presenteeism and productivity loss in nurses: a multicenter cross-sectional study","volume":"9","author":"Li","year":"2022","journal-title":"Front Public Health"},{"issue":"5","key":"2026101106511226900_ref5","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1177\/09720634221121364","article-title":"Antecedents of nurse burnout during a pandemic: managerial way out","volume":"26","author":"Basar","year":"2022","journal-title":"J Health Manag"},{"issue":"6","key":"2026101106511226900_ref6","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1136\/oemed-2022-108555","article-title":"Impact of the COVID-19 pandemic on sick leave among healthcare workers: a register-based observational study","volume":"80","author":"Reme","year":"2023","journal-title":"Occup Environ Med"},{"issue":"1","key":"2026101106511226900_ref7","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1111\/jocn.16588","article-title":"Intention to leave among nurses during the COVID-19 outbreak: a rapid systematic review and meta-analysis","volume":"33","author":"Ulup\u0131nar","year":"2024","journal-title":"J Clin Nurs"},{"issue":"3","key":"2026101106511226900_ref8","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0300377","article-title":"Determinants of intention to leave among nurses and physicians in a hospital setting during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"19","author":"de Vries","year":"2024","journal-title":"PLoS One"},{"issue":"S2","key":"2026101106511226900_ref9","doi-asserted-by":"publisher","first-page":"200","DOI":"10.2105\/ajph.2024.307574","article-title":"Determinants of staff intent to leave health care during the COVID-19 pandemic","volume":"114","author":"DePierro","year":"2024","journal-title":"Am J Public Health"},{"issue":"1","key":"2026101106511226900_ref10","doi-asserted-by":"publisher","first-page":"e42","DOI":"10.1093\/pubmed\/fdab341","article-title":"Changing patterns of sickness absence among healthcare workers in England during the COVID-19 pandemic","volume":"44","author":"Edge","year":"2022","journal-title":"J Public Health (Oxf)"},{"issue":"3","key":"2026101106511226900_ref11","doi-asserted-by":"publisher","first-page":"539","DOI":"10.3233\/wor-211073","article-title":"The effects of the COVID-19 pandemic on healthcare workers' psychological and mental health: the moderating role of felt obligation","volume":"71","author":"Sarfraz","year":"2022","journal-title":"Work."},{"issue":"16","key":"2026101106511226900_ref12","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191610359","article-title":"How did work-related depression, anxiety, and stress hamper healthcare employee performance during COVID-19? The mediating role of job burnout and mental health","volume":"19","author":"Sun","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"12","key":"2026101106511226900_ref13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0189904","article-title":"Effectiveness of eHealth interventions for reducing mental health conditions in employees: a systematic review and meta-analysis","volume":"12","author":"Stratton","year":"2017","journal-title":"PLoS One"},{"issue":"7","key":"2026101106511226900_ref14","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7583","article-title":"Improving employee well-being and effectiveness: systematic review and meta-analysis of web-based psychological interventions delivered in the workplace","volume":"19","author":"Carolan","year":"2017","journal-title":"J Med Internet Res"},{"issue":"4","key":"2026101106511226900_ref15","doi-asserted-by":"publisher","first-page":"e17","DOI":"10.1016\/s2215-0366(20)30077-8","article-title":"Online mental health services in China during the COVID-19 outbreak","volume":"7","author":"Liu","year":"2020","journal-title":"Lancet Psychiatry"},{"issue":"2","key":"2026101106511226900_ref16","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1038\/s44159-021-00003-1","article-title":"An overview of and recommendations for more accessible digital mental health services","volume":"1","author":"Lattie","year":"2022","journal-title":"Nat Rev Psychol"},{"issue":"16","key":"2026101106511226900_ref17","doi-asserted-by":"publisher","first-page":"3357","DOI":"10.1017\/s0033291715001427","article-title":"Economic evaluations of internet interventions for mental health: a systematic review","volume":"45","author":"Donker","year":"2015","journal-title":"Psychol Med"},{"issue":"5","key":"2026101106511226900_ref18","doi-asserted-by":"publisher","DOI":"10.2196\/27039","article-title":"a mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp): randomized controlled trial","volume":"9","author":"Fiol-DeRoque","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"2026101106511226900_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104408","article-title":"The efficacy of the internet-based stress recovery intervention FOREST for nurses amid the COVID-19 pandemic: a randomized controlled trial","volume":"138","author":"Dumarkaite","year":"2023","journal-title":"Int J Nurs Stud"},{"key":"2026101106511226900_ref20","doi-asserted-by":"publisher","first-page":"e50071","DOI":"10.2196\/50071","article-title":"Effectiveness of a smartphone-based stress management program for depression in hospital nurses during COVID-19 in Vietnam and Thailand: 2-arm parallel-group randomized controlled trial","volume":"26","author":"Watanabe","year":"2024","journal-title":"J Med Internet Res"},{"issue":"9","key":"2026101106511226900_ref21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0072546","article-title":"Effect of an E-mental health approach to workers' health surveillance versus control group on work functioning of hospital employees: a cluster-RCT","volume":"8","author":"Ketelaar","year":"2013","journal-title":"PLoS One"},{"issue":"7","key":"2026101106511226900_ref22","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1097\/jom.0000000000000778","article-title":"Sleep and productivity benefits of digital cognitive behavioral therapy for insomnia: a randomized controlled trial conducted in the workplace environment","volume":"58","author":"Bostock","year":"2016","journal-title":"J Occup Environ Med"},{"issue":"5","key":"2026101106511226900_ref23","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1097\/jom.0000000000000411","article-title":"Effects of an internet-based cognitive behavioral therapy intervention on improving work engagement and other work-related outcomes: an analysis of secondary outcomes of a randomized controlled trial","volume":"57","author":"Imamura","year":"2015","journal-title":"J Occup Environ Med"},{"issue":"1","key":"2026101106511226900_ref24","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.4231","article-title":"MoodHacker mobile web app with email for adults to self-manage mild-to-moderate depression: randomized controlled trial","volume":"4","author":"Birney","year":"2016","journal-title":"JMIR Mhealth Uhealth."},{"issue":"8","key":"2026101106511226900_ref25","doi-asserted-by":"publisher","first-page":"960","DOI":"10.1097\/JOM.0b013e31816c435b","article-title":"A web-based approach to managing stress and mood disorders in the workforce","volume":"50","author":"Billings","year":"2008","journal-title":"J Occup Environ Med"},{"issue":"8","key":"2026101106511226900_ref26","doi-asserted-by":"publisher","first-page":"e31744","DOI":"10.2196\/31744","article-title":"Health care workers' need for headspace: findings from a multisite definitive randomized controlled trial of an unguided digital mindfulness-based self-help app to reduce healthcare worker stress","volume":"10","author":"Taylor","year":"2022","journal-title":"JMIR Mhealth Uhealth"},{"issue":"10","key":"2026101106511226900_ref27","doi-asserted-by":"publisher","first-page":"1243","DOI":"10.4236\/health.2015.710139","article-title":"The effect of the group cognitive behavior therapy in a nurses burnout and intention to resign","volume":"07","author":"Ohue","year":"2015","journal-title":"Health (N Y)"},{"issue":"2","key":"2026101106511226900_ref28","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.3390\/nursrep14020077","article-title":"Effectiveness of mentorship using cognitive behavior therapy to reduce burnout and turnover among nurses: intervention impact on mentees","volume":"14","author":"Ohue","year":"2024","journal-title":"Nurs Rep"},{"key":"2026101106511226900_ref29","doi-asserted-by":"publisher","DOI":"10.20944\/preprints202303.0450.v1","article-title":"Effect of a smartphone-based stress management program on depression and other health- and work-related outcomes among hospital nurses in the COVID-19 pandemic in Vietnam and Thailand: a protocol of a randomized controlled trial of the COCONATS project","author":"Kawakami","year":"2023"},{"key":"2026101106511226900_ref30","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.1136\/bmj.p1655","article-title":"\u201cPast the point of sanity\u201d\u2014South East Asia faces critical shortage of healthcare workers","volume":"382","author":"Sarkar","year":"2023","journal-title":"BMJ."},{"key":"2026101106511226900_ref31","volume-title":"State of the world's nursing 2020: investing in education, jobs and leadership","author":"World Health Organization","year":"2020"},{"issue":"mar23 1","key":"2026101106511226900_ref32","doi-asserted-by":"publisher","first-page":"c332","DOI":"10.1136\/bmj.c332","article-title":"CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials","volume":"340","author":"Schulz","year":"2010","journal-title":"BMJ."},{"issue":"1","key":"2026101106511226900_ref33","doi-asserted-by":"publisher","first-page":"11353","DOI":"10.1038\/s41598-021-90320-5","article-title":"Effect of smartphone-based stress management programs on depression and anxiety of hospital nurses in Vietnam: a three-arm randomized controlled trial","volume":"11","author":"Imamura","year":"2021","journal-title":"Sci Rep"},{"issue":"2","key":"2026101106511226900_ref34","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1097\/01.jom.0000052967.43131.51","article-title":"The World Health Organization Health and Work Performance Questionnaire (HPQ)","volume":"45","author":"Kessler","year":"2003","journal-title":"J Occup Environ Med"},{"issue":"5","key":"2026101106511226900_ref35","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1067\/mno.2002.126696","article-title":"Hospital staffing, organization, and quality of care: cross-national findings","volume":"50","author":"Aiken","year":"2002","journal-title":"Nurs Outlook"},{"issue":"6","key":"2026101106511226900_ref36","first-page":"75","article-title":"Contribution of job strain to nurses\u2019 consideration of leaving the profession\u2014results from the longitudinal European nurses\u2019 early exit study","author":"Hasselhorn","year":"2008","journal-title":"SJWEH Supplements"},{"issue":"4","key":"2026101106511226900_ref37","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","article-title":"Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses","volume":"41","author":"Faul","year":"2009","journal-title":"Behav Res Methods"},{"issue":"1","key":"2026101106511226900_ref38","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1016\/s2155-8256(23)00063-7","article-title":"Examining the impact of the COVID-19 pandemic on burnout and stress among U.S","volume":"14","author":"Martin","year":"2023","journal-title":"nurses. J Nurs Regul"},{"issue":"10","key":"2026101106511226900_ref39","doi-asserted-by":"publisher","first-page":"2080","DOI":"10.1080\/13607863.2021.2013433","article-title":"The experiences of care home staff during the COVID-19 pandemic: a systematic review","volume":"26","author":"Gray","year":"2022","journal-title":"Aging Ment Health"},{"issue":"1","key":"2026101106511226900_ref40","doi-asserted-by":"publisher","first-page":"74","DOI":"10.32996\/bjns.2024.4.1.6","article-title":"Factors associated with nurses\u2019 intention to leave in Saudi Arabia: a literature review","volume":"4","author":"Alqahtani","year":"2024","journal-title":"Br J Nurs Stud"},{"issue":"3","key":"2026101106511226900_ref41","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1179\/oeh.2007.13.3.268","article-title":"A systematic review of the job-stress intervention evaluation literature, 1990-2005","volume":"13","author":"Lamontagne","year":"2007","journal-title":"Int J Occup Environ Health"}],"container-title":["Journal of Occupational Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/joh\/advance-article-pdf\/doi\/10.1093\/joccuh\/uiaf061\/64880935\/uiaf061.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/joh\/article-pdf\/67\/1\/uiaf061\/64880935\/uiaf061.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/joh\/article-pdf\/67\/1\/uiaf061\/64880935\/uiaf061.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T10:51:17Z","timestamp":1791715877000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/joh\/article\/doi\/10.1093\/joccuh\/uiaf061\/8300110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1,7]]}},"URL":"https:\/\/doi.org\/10.1093\/joccuh\/uiaf061","relation":{},"ISSN":["1348-9585"],"issn-type":[{"value":"1348-9585","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2025,1]]},"article-number":"uiaf061"}}