{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T10:35:49Z","timestamp":1763807749086,"version":"build-2065373602"},"reference-count":69,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T00:00:00Z","timestamp":1726012800000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004926","name":"Canadian Medical Association","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100004926","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100008240","name":"Fonds de Recherche du Qu\u00e9bec-Soci\u00e9t\u00e9 et Culture","doi-asserted-by":"publisher","award":["289651"],"award-info":[{"award-number":["289651"]}],"id":[{"id":"10.13039\/100008240","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,8,20]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To evaluate the feasibility of the Bali Yoga Programme for Residents (PYB-R), an 8-week virtual yoga-based intervention and determine its impact on the mental health of resident physicians.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Single-group repeated measures study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Associations from the four postgraduate medical education programmes in Qu\u00e9bec, Canada.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>Overall, 55 resident physicians were recruited to participate of which 53 (96.4%) completed the assessment pre-PYB-R. The postintervention assessment was completed by 43 residents (78.2%) and 39 (70.9%) completed all phases (including 3-month follow-up). Most were in their first year (43.4%) or second year (32.1%) of residency. The majority were female (81.1%) with a mean age of 28\u00b13.6 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Primary and secondary outcome measures<\/jats:title>\n                  <jats:p>The primary outcome measure was feasibility as measured by participation in the PYB-R. Secondary outcome measures were psychological variables (anxiety, depression, burn-out, emotional exhaustion, compassion fatigue and compassion satisfaction) and satisfaction with the PYB-R. Residents were further subgrouped based on the quality of work life and a number of PYB-R sessions attended.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The attrition rate for programme completion was 19%. Of the 43 residents who completed the PYB-R, 90.6% attended between 6 and 8 sessions. Repeated-measures analysis of variances (ANOVAs) at three time points (baseline, PYB-R completion and 3-month follow-up) confirmed a decrease in scores for depression and anxiety, and an increase in scores for compassion satisfaction. No changes were observed in the other psychological variables evaluated. ANOVAs also confirmed that a better quality of life at work helps develop compassion satisfaction, a protective factor to compassion fatigue. Most participants (92.9%) indicated they were satisfied or very satisfied with the quality of the programme.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A virtual yoga-based programme is feasible and has lasting positive effects for up to 3 months on the mental health of resident physicians. Further research is warranted to validate these findings using a larger sample of residents with a control group.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-082391","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T14:47:09Z","timestamp":1726152429000},"page":"e082391","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Online yoga programme for resident physicians in Qu\u00e9bec: an evaluation of feasibility and impact on mental health"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7731-7151","authenticated-orcid":false,"given":"Marie-Pier","family":"B\u00e9lisle","sequence":"first","affiliation":[{"name":"Department of Psychology, UQAM, Montreal, Qu\u00e9bec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Dupuis","sequence":"additional","affiliation":[{"name":"Department of Psychology, UQAM, Montreal, Qu\u00e9bec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Fleet","sequence":"additional","affiliation":[{"name":"D\u00e9partement de m\u00e9decine familiale et de m\u00e9decine d'urgence, Laval University, Laval, Qu\u00e9bec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"key":"2025101813094426000_14.9.e082391.1","unstructured":"Canadian Medical Association . n.d. COVID-19: Impacts on physician health and wellness in Canada: report executive summary."},{"key":"2025101813094426000_14.9.e082391.2","unstructured":"Canadian Medical Association . CMA National physician health survey: a national snapshot, 2018. Available: https:\/\/www.cma.ca\/sites\/default\/files\/2018-11\/nph-survey-e.pdf"},{"key":"2025101813094426000_14.9.e082391.3","unstructured":"Canadian Medical Association . National physician health survey. 2021. Available: https:\/\/www.cma.ca\/sites\/default\/files\/2022-08\/NPHS_final_report_EN.pdf"},{"key":"2025101813094426000_14.9.e082391.4","unstructured":"Resident Doctors of Canada . National resident survey: summary of findings, 2020. Available: https:\/\/residentdoctors.ca\/wp-content\/uploads\/2021\/05\/RDoC-Summary-of-Findings-2020-R3.pdf"},{"key":"2025101813094426000_14.9.e082391.5","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2018.1457213"},{"key":"2025101813094426000_14.9.e082391.6","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1302\/0301-620X.96B8.33609","article-title":"Burnout and quality of life among orthopaedic trainees in a modern educational programme: importance of the learning climate","volume":"96-B","author":"van Vendeloo","year":"2014","journal-title":"Bone Joint J"},{"key":"2025101813094426000_14.9.e082391.7","doi-asserted-by":"publisher","DOI":"10.1007\/s40596-015-0395-9"},{"key":"2025101813094426000_14.9.e082391.8","first-page":"616","article-title":"Autonomy and professional identity formation in residency training: A qualitative study","volume":"54","author":"Sawatsky","year":"2020","journal-title":"Med Educ (Chicago Ill)"},{"key":"2025101813094426000_14.9.e082391.9","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2020.00328","article-title":"Development of cynicism in medical students: Exploring the role of signature character strengths and well-being","volume":"11","author":"Kachel","year":"2020","journal-title":"Front Psychol"},{"key":"2025101813094426000_14.9.e082391.10","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2023.1133484","article-title":"The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review","volume":"11","author":"Ryan","year":"2023","journal-title":"Front Public Health"},{"key":"2025101813094426000_14.9.e082391.11","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000724"},{"key":"2025101813094426000_14.9.e082391.12","doi-asserted-by":"crossref","unstructured":"Hodkinson A , Zhou, A , Johnson J , et al . n.d. Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. BMJ:e070442. doi:10.1136\/bmj-2022-070442","DOI":"10.1136\/bmj-2022-070442"},{"key":"2025101813094426000_14.9.e082391.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.01.003"},{"key":"2025101813094426000_14.9.e082391.14","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-254"},{"key":"2025101813094426000_14.9.e082391.15","doi-asserted-by":"publisher","DOI":"10.7326\/m18-1422"},{"key":"2025101813094426000_14.9.e082391.16","doi-asserted-by":"crossref","DOI":"10.1186\/s12913-023-10356-3","article-title":"Compassion fatigue in healthcare providers: a scoping review","volume":"23","author":"Garnett","year":"2023","journal-title":"BMC Health Serv Res"},{"key":"2025101813094426000_14.9.e082391.17","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1038\/s41390-021-01635-y","article-title":"Compassion fatigue, burnout, and compassion satisfaction in pediatric subspecialists during the SARS-CoV-2 pandemic","volume":"91","author":"Kase","year":"2022","journal-title":"Pediatr Res"},{"key":"2025101813094426000_14.9.e082391.18","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18020611","article-title":"Sensory processing sensitivity and compassion satisfaction as risk\/protective factors from Burnout and compassion fatigue in healthcare and education professionals","volume":"18","author":"P\u00e9rez-Chac\u00f3n","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025101813094426000_14.9.e082391.19","first-page":"557","article-title":"Practical considerations in addressing physician burnout","volume":"23","author":"Deb","year":"2017","journal-title":"Cont (Mt Lawley)"},{"key":"2025101813094426000_14.9.e082391.20","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-16-00372.1"},{"key":"2025101813094426000_14.9.e082391.21","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1515\/med-2018-0039","article-title":"Intervention for physician burnout: A systematic review","volume":"13","author":"Wiederhold","year":"2018","journal-title":"Open Med"},{"key":"2025101813094426000_14.9.e082391.22","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1001\/jama.2019.9999","article-title":"A cultural sea change: Mindfulness for surgical residents","volume":"322","author":"Sancar","year":"2019","journal-title":"JAMA"},{"key":"2025101813094426000_14.9.e082391.23","first-page":"372","article-title":"Yoga and mindfulness program: The effects on compassion fatigue and compassion satisfaction in social workers","volume":"34","author":"Gregory","year":"2015","journal-title":"J Relig Spirit Soc Work: Soc Thought"},{"key":"2025101813094426000_14.9.e082391.24","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0231299","article-title":"Yoga in school sports improves functioning of autonomic nervous system in young adults: A non-randomized controlled pilot study","volume":"15","author":"Frank","year":"2020","journal-title":"PLoS One"},{"key":"2025101813094426000_14.9.e082391.25","doi-asserted-by":"crossref","unstructured":"Choudhary A , Pathak A , Kumari S . To study the effect of regular yogic activity on the function of autonomic nervous system: a comparative study. IJMBS 2020;4. doi:10.32553\/ijmbs.v4i8.1350","DOI":"10.32553\/ijmbs.v4i8.1350"},{"key":"2025101813094426000_14.9.e082391.26","doi-asserted-by":"crossref","unstructured":"Telles S , Singh N , eds. Research-based perspectives on the psychophysiology of yoga: IGI global. 2018.","DOI":"10.4018\/978-1-5225-2788-6"},{"key":"2025101813094426000_14.9.e082391.27","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1097\/AOG.0000000000003229","article-title":"Addressing obstetrics and gynecology trainee burnout using a yoga-based wellness initiative during dedicated education time","volume":"133","author":"Babbar","year":"2019","journal-title":"Obstet Gynecol"},{"key":"2025101813094426000_14.9.e082391.28","doi-asserted-by":"crossref","DOI":"10.1177\/21649561211001038","article-title":"Evaluation of a yoga-based mind-body intervention for resident physicians: A randomized clinical trial","volume":"10","author":"Loewenthal","year":"2021","journal-title":"Glob Adv Health Med"},{"key":"2025101813094426000_14.9.e082391.29","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1177\/2165079920930720","article-title":"A yoga-based program decreases physician burnout in neonatologists and obstetricians at an academic medical center","volume":"68","author":"Scheid","year":"2020","journal-title":"Workplace Health Saf"},{"key":"2025101813094426000_14.9.e082391.30","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph182111181","article-title":"The impact of psychological interventions with elements of mindfulness (PIM) on empathy, well-being, and reduction of burnout in physicians: a systematic review","volume":"18","author":"Tement","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025101813094426000_14.9.e082391.31","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1177\/0890117120920451","article-title":"Interventions to improve mental health, well-being, physical health, and lifestyle behaviors in physicians and nurses: A systematic review","volume":"34","author":"Melnyk","year":"2020","journal-title":"Am J Health Promot"},{"key":"2025101813094426000_14.9.e082391.32","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1001\/jamainternmed.2016.7674","article-title":"Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis","volume":"177","author":"Panagioti","year":"2017","journal-title":"JAMA Intern Med"},{"key":"2025101813094426000_14.9.e082391.33","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(18)30509-1"},{"key":"2025101813094426000_14.9.e082391.34","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2022.1089147","article-title":"Effectiveness of virtual mindfulness-based interventions on perceived anxiety and depression of physicians during the COVID-19 pandemic: A pre-post experimental study","volume":"13","author":"Al Ozairi","year":"2022","journal-title":"Front Psychiatry"},{"key":"2025101813094426000_14.9.e082391.35","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1177\/21650799221123258","article-title":"Should mindfulness for health care workers go virtual? A mindfulness-based intervention using virtual reality and heart rate variability in the emergency department","volume":"71","author":"Pascual","year":"2023","journal-title":"Workplace Health Saf"},{"key":"2025101813094426000_14.9.e082391.36","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000044"},{"key":"2025101813094426000_14.9.e082391.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.11.167"},{"key":"2025101813094426000_14.9.e082391.38","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0193478","article-title":"The ProQOL-21: A revised version of the Professional Quality of Life (ProQOL) scale based on Rasch analysis","volume":"13","author":"Heritage","year":"2018","journal-title":"PLoS One"},{"key":"2025101813094426000_14.9.e082391.39","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"2025101813094426000_14.9.e082391.40","first-page":"1737","article-title":"Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study","volume":"282","author":"Spitzer","year":"1999","journal-title":"Prim Care Eval Ment Disord Patient Health Questionnaire JAMA"},{"key":"2025101813094426000_14.9.e082391.41","doi-asserted-by":"publisher","DOI":"10.1007\/s11205-004-5368-4"},{"key":"2025101813094426000_14.9.e082391.42","first-page":"100","article-title":"Qualit\u00e9 de vie au travail et \u00e9puisement professionnel, l\u2019une peut-elle aider \u00e0 pr\u00e9venir l\u2019autre ?","volume":"25","author":"Dupuis","year":"2019","journal-title":"Psychol Trav Org"},{"key":"2025101813094426000_14.9.e082391.43","unstructured":"Girard-Beroait F . \u00c9tude de faisabilit\u00e9 sur l\u2019utilisation de la m\u00e9thode de yoga bali et ses effets aupr\u00e8s des enfants ayant un trouble du d\u00e9ficit de l\u2019attention avec hyperactivit\u00e9, 2019. Available: https:\/\/archipel.uqam.ca\/13269\/1\/D3606.pdf"},{"key":"2025101813094426000_14.9.e082391.44","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1515\/jcim-2015-0089","article-title":"The effects of the Bali Yoga Program (BYP-BC) on reducing psychological symptoms in breast cancer patients receiving chemotherapy: results of a randomized, partially blinded, controlled trial","volume":"13","author":"Lanct\u00f4t","year":"2016","journal-title":"J Complement Integr Med"},{"key":"2025101813094426000_14.9.e082391.45","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1089\/ict.2022.29005.asa","article-title":"The effects of the bali yoga program for breast cancer patients on cancer related fatigue: Results of a randomized partially blinded controlled trial","volume":"28","author":"Anestin","year":"2022","journal-title":"Integr Complement Ther"},{"key":"2025101813094426000_14.9.e082391.46","doi-asserted-by":"crossref","first-page":"23","DOI":"10.22271\/yogic.2022.v7.i1a.1249","article-title":"Effects of bali yoga program for athletes (BYP-A) on psychological state related to performance of circus artists","volume":"7","author":"Cadieux","year":"2022","journal-title":"Int J Yogic Hum Mov Sports Sci"},{"key":"2025101813094426000_14.9.e082391.47","first-page":"189","article-title":"A nonrandomized comparison study of self-hypnosis, yoga, and cognitive-behavioral therapy to reduce emotional distress in breast cancer patients","volume":"65","author":"Bragard","year":"2017","journal-title":"Int J Clin Exp Hypn"},{"key":"2025101813094426000_14.9.e082391.48","article-title":"Systematic review of mind\u2013body modalities to manage the mental health of healthcare workers during the COVID-19 era","volume":"10","author":"Kwon","year":"2022","journal-title":"Healthcare (Basel) -> Healthc (Basel)"},{"key":"2025101813094426000_14.9.e082391.49","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1001\/jamapsychiatry.2019.3750","article-title":"Association of patient treatment preference with dropout and clinical outcomes in adult psychosocial mental health interventions: A systematic review and meta-analysis","volume":"77","author":"Windle","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"2025101813094426000_14.9.e082391.50","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.95.3.542"},{"key":"2025101813094426000_14.9.e082391.51","doi-asserted-by":"crossref","unstructured":"Caputo A . Social desirability bias in self-reported well-being measures: evidence from an online survey. Univ Psychol 2017;16. doi:10.11144\/Javeriana.upsy16-2.sdsw","DOI":"10.11144\/Javeriana.upsy16-2.sdsw"},{"key":"2025101813094426000_14.9.e082391.52","first-page":"70","article-title":"Stress and quality of life among university students: A systematic literature review","volume":"4","author":"Ribeiro","year":"2018","journal-title":"H P E"},{"key":"2025101813094426000_14.9.e082391.53","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1111\/wvn.12097","article-title":"Effects of yoga on stress, stress adaption, and heart rate variability among mental health professionals--A randomized controlled trial","volume":"12","author":"Lin","year":"2015","journal-title":"Worldviews Evid Based Nurs"},{"key":"2025101813094426000_14.9.e082391.54","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001892"},{"key":"2025101813094426000_14.9.e082391.55","doi-asserted-by":"publisher","DOI":"10.3402\/meo.v18i0.20438"},{"key":"2025101813094426000_14.9.e082391.56","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2019-137413"},{"key":"2025101813094426000_14.9.e082391.57","doi-asserted-by":"publisher","DOI":"10.1177\/2165079915596102"},{"key":"2025101813094426000_14.9.e082391.58","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1080\/08964289.2015.1053426","article-title":"Caring for the caregivers: Results of an extended, five-component stress-reduction intervention for hospital staff","volume":"43","author":"Sallon","year":"2017","journal-title":"Behav Med"},{"key":"2025101813094426000_14.9.e082391.59","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1037\/trm0000290","article-title":"Moral injury in health-care workers during COVID-19 pandemic","volume":"27","author":"Litam","year":"2021","journal-title":"Traumatology (Tallahass Fla)"},{"key":"2025101813094426000_14.9.e082391.60","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph191912523","article-title":"Effects of yoga and mindfulness programs on self-compassion in medical professionals during the COVID-19 pandemic: An intervention study","volume":"19","author":"Miyoshi","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025101813094426000_14.9.e082391.61","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jpainsymman.2021.07.004","article-title":"Palliative care professionals\u2019 inner life: Exploring the mediating role of self-compassion in the prediction of compassion satisfaction, compassion fatigue, burnout and wellbeing","volume":"63","author":"Galiana","year":"2022","journal-title":"J Pain Symptom Manage"},{"key":"2025101813094426000_14.9.e082391.62","doi-asserted-by":"publisher","DOI":"10.1007\/s10615-007-0087-3"},{"key":"2025101813094426000_14.9.e082391.63","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17228358","article-title":"Psychological adjustment of healthcare workers in Italy during the COVID-19 pandemic: Differences in stress, anxiety, depression, burnout, secondary trauma, and compassion satisfaction between frontline and non-frontline professionals","volume":"17","author":"Trumello","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"2025101813094426000_14.9.e082391.64","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.10.004"},{"key":"2025101813094426000_14.9.e082391.65","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s10459-022-10100-2","article-title":"Beyond empathy decline: Do the barriers to compassion change across medical training?","volume":"27","author":"Wang","year":"2022","journal-title":"Adv in Health Sci Educ"},{"key":"2025101813094426000_14.9.e082391.66","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1111\/inm.12682","article-title":"A cross-sectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical centre","volume":"29","author":"Okoli","year":"2020","journal-title":"Int J Ment Health Nurs"},{"key":"2025101813094426000_14.9.e082391.67","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12122"},{"key":"2025101813094426000_14.9.e082391.68","doi-asserted-by":"crossref","DOI":"10.1186\/s12991-020-00272-9","article-title":"Oncology nurses\u2019 compassion fatigue, burn out and compassion satisfaction","volume":"19","author":"Jarrad","year":"2020","journal-title":"Ann Gen Psychiatry"},{"key":"2025101813094426000_14.9.e082391.69","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2597-8"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2023-082391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T20:09:59Z","timestamp":1760818199000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2023-082391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":69,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,9,12]]},"published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1136\/bmjopen-2023-082391"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2023-082391","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}