KJCKorea
Journal Central

Purpose: This study aimed to systematically review and analyze the effects of online mindfulness-based interventions (MBIs) on symptoms and health-related quality of life (HRQoL) in adults. The focus was on symptoms such as anxiety, depression, fatigue, sleep disturbances, and pain. Methods: A comprehensive literature search was conducted across seven electronic databases to identify relevant studies. Covidence was utilized to manage the review process, and the Joanna Briggs Institute Critical Appraisal Checklist was employed to assess the quality of each study. Results: A total of 31 studies met the predefined inclusion criteria. The analysis revealed significant positive effects of online MBIs on anxiety and depression across various delivery modes, including websites and mobile applications. Notably, studies utilizing websites consistently demonstrated high effectiveness, whereas mobile applications exhibited inconsistent findings, particularly with shorter intervention durations (less than 4 weeks) being less effective. Regarding HRQoL, six studies were analyzed, with four exhibiting significant improvements; all involved 8-week adapted MBI programs. Conclusions: This review systematically presents the current state of research on online MBIs for adults with symptoms and comprehensively analyzes their effects, providing directions for future program development. The findings highlight the importance of structured and sustained interventions to achieve meaningful improvements in symptoms and HRQoL.

Purpose: This scoping review aimed to identify the effects of various self-management interventions on colorectal cancer survivors. Methods: A systematic literature search was performed using PubMed, CINAHL, EMBASE, Cochrane Library, and SCOPUS, following a methodological framework based on the foundational work of Arksey and O'Malley. Randomized controlled trials examining colorectal neoplasms, survivors, and self-care were included. Only published trials were eligible. Results: Sixteen studies met our inclusion criteria. As self-administered programs, eight studies provided only physical interventions, two provided emotional interventions, and six provided integrated interventions. Physical interventions resulted in significant increase in activity in some cases; however, improvements in fatigue reduction and quality of life were inconsistent. In some studies, emotional interventions conducted in group settings resulted in reductions in distress and partial improvements in quality of life. Integrated interventions involved personalized approaches and multidisciplinary teams, with cognitive-behavioral approaches, such as acceptance commitment therapy, proving effective. Conclusion: Interventions must be standardized and strengthened to increase consistency and support long-term health improvement. Intervention programs for colorectal cancer survivors should be diversified and expanded to provide more effective stress management strategies.

Purpose: This study explored factors influencing the self-rated health of multicultural adolescents by sex using an ecological model. Methods: This descriptive cross-sectional study aimed to identify the factors affecting self-rated health in multicultural adolescents, employing the World Health Organization's model of determinants of adolescent health and development as a framework. The study included 1,195 multicultural adolescents who provided data for the eighth wave of the 2018 Multicultural Adolescents Panel Study. Hierarchical analyses were conducted using secondary data from the same wave. T-tests and chi-square tests were performed to analyze data by sex. Results: Regarding individual-level factors, sex, body mass index, and depression significantly influenced self-rated health. Including interpersonal factors in the model revealed a significant change in F for men but not for women. Among men, parenting attitudes and relationships with peers were significant, whereas for women, national identity and household characteristics were influential. Conclusion: The findings highlight the necessity of a multidimensional approach that considers sex differences in developing effective policies to improve the health of multicultural adolescents.