{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:00:39Z","timestamp":1790650839230,"version":"4.1.0"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007176","name":"Western Carolina University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007176","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    Healthcare workers show higher rates of burnout and lower rates of flourishing (overall well-being). Many interventions target healthcare workers already in the field or graduate students. This group-dynamics based intervention targeted undergraduate healthcare students to promote flourishing. The intervention targeted physical activity, mindfulness, nutrition, and self-care as foundational ways to support overall flourishing. Participants were recruited from an undergraduate population to attend 4 educational and activity sessions. Surveys were completed pre-, post- and 6-months post intervention. Surveys included the validated Standford Leisure-Time Activity Categorical Item (L-Cat) to measure physical activity, the Short Healthy Eating Index Survey (sHEI) to measure healthy eating, and Secure Flourishing Index (SFI) to measure flourishing. During the 4 weekly intervention meetings, participants learned about ways to promote health and flourishing and participated in hands-on activities and active discussions. There was no statistical improvement in physical activity or healthy eating, but flourishing was statistically improved post-intervention (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). Additional participant feedback noted enjoying the group, improved cooking skills, and learning new mindfulness skills. Limitations to this case study include the small participant group size (n = 8). More research is needed on group-dynamics interventions to promote flourishing in larger and more diverse college groups.\n                  <\/jats:p>","DOI":"10.1177\/15598276261491713","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:24:36Z","timestamp":1790342676000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving Flourishing Through Utilization of Group Dynamics and Lifestyle Education: A Case Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0127-7370","authenticated-orcid":false,"given":"Anna","family":"Dysart","sequence":"first","affiliation":[{"name":"Western Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1639-3086","authenticated-orcid":false,"given":"Minu Sara","family":"Thomas","sequence":"additional","affiliation":[{"name":"Western Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1702996114"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.780618"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.862366"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.13023\/JAH.0704.08"},{"key":"e_1_3_6_6_2","unstructured":"Complementary alternative or integrative health: what\u2019s in a name? NCCIH. Accessed May 2 2024.https:\/\/www.nccih.nih.gov\/health\/complementary-alternative-or-integrative-health-whats-in-a-name"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s41042-022-00075-1"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2020621"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/2165079915596102"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.17761\/D-18-2019-00026"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1023\/a:1018741712755"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2013.36"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.155"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu12092611"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/23311908.2019.1598926"},{"key":"e_1_3_6_16_2","volume-title":"Physical Activity Guidelines for Americans","year":"2018","unstructured":"Physical Activity Guidelines for Americans, 2nd ed. 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