{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T13:41:22Z","timestamp":1783690882015,"version":"3.55.0"},"reference-count":31,"publisher":"JMIR Publications Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health care professionals are exposed to the psychological and physiological effects of stress, which is a well-known risk factor for various mental and physical health problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aims of this study were to assess the adherence of female health care workers to use a web-based tool for improving and modifying lifestyle and to identify the potential factors influencing their adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, observational study was performed. A total of 80 female health care workers (physicians and gradated nurses) from 2 university medical centers and female members of a family medicine society participated. Participants completed a questionnaire that inquired about their basic demographic data and physical fitness. Physical fitness was assessed by the Rockport Fitness Walking Test. Adherence to a web-based application (24@life) was followed for 3 months and the number of log-ins into the application was counted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study was conducted from March to October 2019. Significantly high workload has been detected in all groups (P&lt;.05), except in the general practitioner with normal workload group. The graduated nurse working in the surgery room group showed chronic stress with elevated S-cortisol levels (&gt;690 nmol\/L); activated cellular immune system with elevated concentrations of lymphocytes (reference 1.1-2.5 \u00d7 109 cells\/L), CD3 cells (reference 0.7-1.9 \u00d7 109 cells\/L), CD8 cells (reference 0.2-0.7 \u00d7 109 cells\/L), and HLA-DR\/CD3 cells (reference 0.04-0.2 \u00d7 109 cells\/L); and the worst quality of sleep (mean 2.8 [SD 1.2]). Only 32 of 80 participants (40%) were adherent to the web-based application. Participants most frequently viewed web pages on areas of physical activity (497 times) and nutrition (332 times). No factors or participant\u2019s characteristics such as weight (odds ratio [OR] 1.026, 95% CI 0.977-1.078), BMI (OR 0.993, 95% CI 0.834-1.184), age (OR 0.970, 95% CI 0.910-1.034), or stress level (OR 0.997, 95% CI 0.995-1.000) were identified to affect the adherence rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Female health care workers exposed to high workload did not find the web-based application useful for improving and modifying their lifestyle. Therefore, other strategies that might help health care workers facing stress and improve their lifestyle should be identified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/19500","type":"journal-article","created":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T18:26:30Z","timestamp":1592159190000},"page":"e19500","source":"Crossref","is-referenced-by-count":9,"title":["Retracted: Adherence of Female Health Care Workers to the Use a Web-Based Tool for Improving and Modifying Lifestyle: Prospective Target Group Pilot Study"],"prefix":"10.2196","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4314-7806","authenticated-orcid":false,"given":"Tomislav","family":"Jukic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2904-1212","authenticated-orcid":false,"given":"Alojz","family":"Ihan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1736-2377","authenticated-orcid":false,"given":"Marija","family":"Petek \u0160ter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8629-3283","authenticated-orcid":false,"given":"Vojko","family":"Strojnik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9653-9830","authenticated-orcid":false,"given":"David","family":"Stubljar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-7974","authenticated-orcid":false,"given":"Andrej","family":"Starc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2020,8,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.5172\/conu.17.3.293"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02600.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-34"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2010.04.010"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.5923\/j.ijpbs.20120206.02"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/2165079915576931"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1602"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31822b9543"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa4901_13"},{"key":"ref10","first-page":"A","author":"Spielberger, C","year":"1972","journal-title":"Anxiety as an emotional state. 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