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This study uses a mixed methodology of satellite data and in-depth interviews to identify the influencing factors of urban construction in Pyongyang between 1990 and 2020. The satellite data analysis shows that the most influential variable in all periods was living roads, which was also confirmed by the interviews. In addition, nighttime light, access to markets, number of cars, points of interest (POIs), and access to public transport were found to have different effects depending on the time period. In terms of timing, between 1990 and 2010, construction was more prevalent on the outskirts of the city, whereas between 2010 and 2020, when Kim Jong-un took power, construction activity was centred in the city centre. The mixed methods study found that construction in North Korea is centred on Pyongyang, with regime-driven construction having a greater impact than private market construction. This study, which applies satellite data and in-depth interviews, opens up new research possibilities for North Korean studies that are limited by data scarcity and inaccessibility to the field.

This study aimed to develop a multisensory virtual reality (VR)-based interactive music program and to explore its effects on the psychological and social well-being of older adults. Methods A VR music system integrating visual, auditory, and tactile stimuli was developed, featuring a haptic drumstick and an immersive 3D environment tailored to the physical and cognitive characteristics of older adults. Based on this technology, a ten-session music activity program was designed with four structured phases. Five older adult women, aged 80 and above, participated in the program twice a week over seven weeks. Quantitative evaluations were conducted through pre- and post-test surveys on depression, anxiety, loneliness, and happiness, while qualitative data were collected through focus group interviews. Results Findings indicated statistically significant decreases in depression and loneliness scores after participation. Qualitative analyses revealed that participants experienced joy, emotional rejuvenation, curiosity toward new technology, and expanded social interactions. Conclusion These results suggest that a VR-based multisensory music experience can serve as an effective non-pharmacological intervention to promote mental health and social engagement among older adults.

The study aimed to extend the existing discussion on assessment literacy by focusing on English teachers’ ability to implement it in South Korea where a new assessment policy was implemented as part of educational reform. Scholars have pointed out a lack of teachers’ assessment knowledge and gaps in their ability to conduct the appropriate assessment for effective instruction. Thus, the scope of teacher assessment literacy needs to include teachers’ ability to implement it appropriately in given contexts. Grounding our study in the notion of teacher-based assessment as a guiding framework and using a mixed-methods design, we examined how Korean teachers perceived performance assessment emphasized in the reform and how they put it into practice. One hundred and twenty-seven teachers participated in survey questionnaires and 15 teachers were interviewed as a follow-up. The findings of the study showed that there were discrepancies between the teachers’ perceptions of assessment and their assessment practice and that the teachers showed diverse reactions toward teacher-based assessment from being capable to feeling powerless depending on their assessment knowledge and contextual constraints. The study suggests the importance of teachers’ agency in assessment literacy as a prerequisite for teacher-based assessment.

이 논문에서는 충북 농업노동요를 가창방식에 따라 크게 선후창 방식과 교환창 방식, 복합 방식의 세 가지 방식으로 나누어 각각의 경우에 사설의 엮음 방식이 어떻게 나타나고 있는지를 살폈다. 나아가 이를 바탕으로 충북의 농업노동요를 중심으로 한 충청북도의 문화적 특질을 가늠하여 보았다. 충북 농업노동요는 선후창 방식의 노래가 주로 불리며, 그 다음으로 복합 방식의 노래가 많이 불린다. 다른 지역에서 교환창이나 돌림창으로 부르는 노래도 충북 지역에서는 선후창으로 부르는 현상이 나타난다. 선후창 방식 노래의 사설은 대체로 유기적 질서를 지향하며, 교환창 방식 노래의 사설은 삽화적 질서를 보이고 있다. 한편 충북의 농업노동요에는 선후창과 교환창, 선후창과 돌림창, 교환창과 돌림창 등의 복합 방식이 많이 나타나고 있는데, 사설이 길게 연속되는 경우 유기적 사설을 여러 개의 삽화로 제시하는 옴니버스적 구성을 보이기도 한다. 이와 같은 충북 농업노동요의 분석을 통해 충청북도의 문화적 특질로 공동체적 질서의 중시와 인접 문화의 포용과 절충이라는 두 가지 특질을 추출하였다. 즉 충북 농업노동요는 선후창 방식의 소리를 통해 주로 개인의 감정이나 정서의 표출보다는 집단적 이념을 전달하고 작업을 지시하며, 복합 방식의 소리를 통해 인접 지역 소리를 포용하고 절충하여 충북 지역에 적합한 다양한 방식의 소리로 재창조해내고 있음을 밝혔다.이 논문은 충북 농업노동요의 가창방식과 사설의 엮음방식의 관계, 문화적 특질 등을 전반적으로 논의하였다는 데 의의가 있다. 그러나 논의의 일반화를 위해서는 앞으로 자료를 확대하고 다른 지역과의 비교 연구로 확장할 필요가 있음을 밝혀 둔다.

본 연구는 지역아동센터 서비스와 취약계층 청소년의 학교적응에 대한 통합적 이해를 도모하기 위해 양적연구와 질적연구의 상호보완을 목적으로 혼합연구를 실시하였다. 이를 위해 「지역아동센터아동패널」을 활용하여 양적연구를 실시하고, 지역아동센터를 이용하는 청소년의 심층 인터뷰를 토대로 질적 연구를 수행한 순차설명설계 방법으로 진행하였다. 혼합 연구 결과, 지역아동센터 서비스는 다양하고 복합적으로 취약계층 청소년의 학교적응에 긍정적 영향을 미쳤고, 자아탄력성의 간접효과가 나타났다. 한편, 지역아동센터 교사 지지는 통계적으로 유의하지 않았으나 질적 연구에서 지역아동센터 교사지지 중요성은 강조되었다. 또한, 지역아동센터 내 프로그램화된 서비스만이 아닌 대상, 공간, 구조, 시스템 등을 통해 취약계층 청소년의 학교 적응에 순기능을 하고 있음이 드러났다. 이에 지역아동센터 서비스의 질적 강화와 교사의 전문성 강화 등 현장과 학계, 유관기관들을통한 증거기반 결과물을 누적하여 취약계층 청소년의 학교적응 증진을 위해 다 체계적으로 노력해야 할 것이다.

This mixed Methods study was conducted to complement the quantitative and qualitative research in order to provide an integrated understanding of the community child center services and school adaptation of vulnerable adolescent. This research was sequential explanatory design, It conducted a quantitative analysis on Community Child Center Panel Data and a qualitative analysis based on the in-depth interviews with adolescents using community child center. The result of this study were as follows, The community child center services have yielded various and complex positive effects on school adaptation of vulnerable adolescents and showed the indirect effect of ego-resilience. In the other hand, supports for teachers of community child center was not statistically significant, but the importance of teachers of supports was emphasized in qualitative research. In addition, The objects, spaces, structures, and systems of community child center centers are a positive function as a school adaption for vulnerable adolescents. Therefore, in order to enhance the adaptation of vulnerable adolescents to the school, it is necessary to accumulate evidence-based results through field, academia and related institutions, such as strengthening the quality of services at Community Children centers and enhancing the professionalism of teachers.

This mixed-methods study investigates how Pontic Greeks in Western Macedonia, Greece, preserve and adapt their culinary traditions amid modern challenges. Employing survey questionnaires (n = 390), interviews, and participant observation, we explored sociodemographic attributes, lifestyle factors, and food preferences. Statistical and thematic analyses revealed a strong preference for traditional delicacies, such as pisia (a type of pancake) and tanomenon sorva (yogurt soup), alongside a notable shift from butter to olive oil driven by health considerations. Qualitative findings underscored the deep cultural and emotional significance of these foods, revealing themes such as intergenerational knowledge transmission, urbanization’s impact, and the dual role of heritage and convenience in shaping food choices. Integrated data analysis revealed a convergence regarding the importance of preserving culinary traditions in the face of societal change, illustrating the dynamic nature of Pontic Greek gastronomy. This study demonstrates how personal, cultural, environmental, and societal factors influence the maintenance and evolution of these culinary practices.

This exploratory mixed-methods study examined the experiences of first-year engineering students in integrating problem-based learning (PBL) and practical learning. It also explored how these experiences relate to students' self-efficacy, peer evaluation, and early academic adjustment. The study involved 16 first-year engineering students enrolled in two project-based courses. Quantitative analyses assessed the reliability and construct validity of self-, peer-, and team-evaluation instruments, while qualitative data from 32 semi-structured interviews were analyzed using thematic analysis. The qualitative findings revealed several recurring themes, including authentic engagement in problem exploration, collaborative idea development, peer interaction, and emerging academic confidence. Quantitative results showed a relatively strong alignment between self-assessment and peer-assessment scores, whereas the relationship between individual self-perceptions and team-level evaluations was more variable. Given the small sample size and single-institution context, these findings should be interpreted with caution. Nevertheless, the study offers valuable insights into how integrated PBL and practical learning environments may enhance collaborative engagement and knowledge application among first-year university students. The implications for instructional design and multi-source evaluation practices in project-based learning contexts are discussed.

Purpose: High recurrence risks significantly contribute to poor health outcomes among postoperative cervical cancer patients. This study aimed to determine the impact of fear of cancer recurrence (FCR) on the posttraumatic growth (PTG) in postoperative cervical cancer patients and to investigate the mediating effects of self-care self-efficacy and health-promoting behaviors within this relationship. Methods: A total of 334 cervical cancer patients who had undergone surgery in three tertiary hospitals in Liaoning Province, China, were recruited using a convenience sampling method. Data were collected using the general information questionnaire, the Fear of Progression Questionnaire (FCR), the Post-traumatic Growth Inventory (PTG), the Strategies Used by People to Promote Health (self-care self-efficacy), and the Health-Promoting Lifestyle Profile (health-promoting behaviors). Data analysis was performed using descriptive analysis, Pearson's correlations, and multiple linear regression analysis. A structural equation model was conducted using Amos 24.0 software. Results: PTG of cervical cancer patients after surgery was significantly and negatively associated with FCR (r = -.54, p < .001), while positively correlated with self-care self-efficacy (r = .51, p < .001) and health-promoting behaviors (r = .59, p < .001). The mediation model revealed that self-care self-efficacy (Boots 95% CI 0.39 ∼ 0.15) and health-promoting behaviors (Boots 95% CI 0.51 ∼ 0.24) independently served as mediating factors, respectively. Self-care self-efficacy and health-promoting behaviors played a significant chain mediating effect between FCR and PTG (Boots 95% CI 0.19 ∼ 0.07), with an indirect effect of 11.6%. Conclusion: This study demonstrated that self-care self-efficacy and health-promoting behaviors partially mediated the relationship between FCR and PTG in cervical cancer survivors after surgery. Implementing tailored interventions that focus on enhancing self-care self-efficacy and health-promoting behaviors among cervical cancer survivors may help alleviate concerns about cervical cancer recurrence and enhance PTG following surgery.

Purpose: This study aimed to explore the participation experiences of patients with type 2 diabetes in an Automated Personalized Self-Care program, assess the changes in self-care behavior and glycemic control, and evaluate the stages of change and readiness to change using the transtheoretical model (TTM). Methods: We examined 16 patients with type 2 diabetes who participated in a diabetes self-care program using a mobile application. Purposive sampling continued until data saturation. Using a mixed method study, we analyzed the participants’ characteristics, self-care behavior, stage of change, and readiness to change quantitatively and analyzed the qualitative data using Elo and Kyngas’s content analysis method. Results: The compliance group (CG) showed improved self-care behavior and glycemic control. In the CG, the proportion of participants in the action stage was higher in the exercise and diet domains and lower in the blood glucose testing and medication domains than in the non-compliance group (NCG). Readiness to change, motivation for health behaviors, and social motivation were higher in the CG, whereas personal motivation was higher in the NCG. In this qualitative study, three categories and 11 subcategories were identified. The findings suggest the CG regarded their experience in the program more frequently as positive, whereas the NCG perceived greater barriers to using the mobile application in the program. Conclusion: Based on the differences identified between the CG and NCG, TTM-based strategies are needed to facilitate the progression of NCG to the action stage.

Purpose: This study was conducted to investigate nurses’ perceptions and performance of family-centered care (FCC) at a children’s hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system. Methods: A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses’ perspectives on FCC. In total, 157 nurses working at a large teritagy children’s hospital responded to a self-report survey and 18 nurses participated in focus group interviews. Results: Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children’s hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC. Conclusion: Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.

Purpose: Infection control is a critical concern in nursing homes, especially in the post-COVID-19 era, due to the frailty and complex health conditions of older adults. This study aimed to develop an educational framework to improve infection control practices in nursing homes. Methods: We interviewed five infection specialists to gain practical insights. Subsequently, we administered three rounds of Delphi surveys to 20 nursing home practitioners to assess the validity and practicality of the selected items, thereby establishing a comprehensive framework. Results: The interview data revealed three key categories: recipient-centered, interaction-centered, and environment-centered. Following the Delphi surveys, we identified seven crucial factors for practicality in nursing homes: the characteristics of residents’ health, detection of subtle changes, identification of nonverbal signs, effective communication among professionals, feedback and assessment among professionals, following infection control principles, education based on problem-solving, and immunization and isolation strategies for creating a safe environment. Conclusion: By integrating expert insights and validating the framework through the Delphi technique, the proposed framework enhances infection control training and education programs in nursing homes, ultimately ensuring resident safety.

Purpose: Job satisfaction among blood center nurses is suboptimal due to challenging working conditions, characterized by unexpected tasks resulting from sudden schedule changes and frequent weekend shifts. This study aimed to quantitatively examine the relationships among job stress, psychological capital, personejob fit, job crafting, and job satisfaction, based on the job crafting model. Additionally, qualitative data were collected through mixed methods to gain a better understanding of the experiences related to job satisfaction among blood center nurses. Methods: A convergent mixed methods research design was employed to simultaneously collect quantitative and qualitative data and to integrate the findings from both analyses. A total of 127 full-time nurses who had completed at least a three-month probationary period at blood centers participated in the study. Participants were recruited from three blood centers operated by the Korean Red Cross in three metropolitan cities. The survey included open-ended qualitative questions and five quantitative measures covering job satisfaction, job stress, psychological capital, personejob fit, and job crafting. The data collection occurred from September to October 2022. Results: Regression analysis identified key factors influencing job satisfaction as personejob fit, job stress, psychological capital, and marital status, explaining 80% of the variance. Qualitative analysis of the open-ended responses showed five main themes: “deriving fulfillment from work,” “challenges encountered at work,” “driving forces behind positive outcomes,” “congruence between individual’s traits and job requirements,” and “efforts to perform meaningful work.” Conclusions: The findings suggest the need for developing an employee assistance program and educational initiatives aimed at enhancing job satisfaction among blood center nurses. These should focus on improving personejob fit, managing stress, aiding with emotional labor, and bolstering psychological capital.

Purpose: The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed to explore the changes in participants through the program. Methods: A convergent mixed-methods study design was adopted. In the quantitative phase, 35 women (17 and 18 in the intervention and control group, respectively) participated. The intervention group attended a program that included small-group sessions and individual tele-coaching. To confirm the effects, data were collected before and one and four weeks after the intervention. In the qualitative stage, focus group interviews and tele-coaching were conducted with the intervention group. Results: After the program ended, significant differences were observed over time between the intervention and control groups for self-efficacy for IBD management (Wald χ² = 4.41, p = .036), IBD-related pregnancy knowledge (Wald χ² = 13.80, p < .001) and IBD-related pregnancy anxiety (Wald χ² = 8.61, p = .003). Qualitative data analysis revealed the following themes: (1) improving confidence in IBD management and awareness for planned pregnancy; (2) improving IBD awareness related to pregnancy and childbirth; and (3) relieving anxiety about and actively facing pregnancy. Conclusion: This study is meaningful in that, to the best of our knowledge, it is the first to develop a pre-conception care program for women diagnosed with IBD and confirm its effectiveness. Furthermore, this program is expected to be suitable for patient counseling and education in clinical practice.

Purpose:This study aimed to identify the infant-rearing experiences of parents during the coronavirus disease 2019 (COVID-19) pandemic and provide foundational data for the development of infant-rearing support programs during pandemic situations. Methods: Convergent mixed methods were used to better understand the research outcomes by converging both quantitative and qualitative data. A total of 149 parents with infant-rearing experiences during the pandemic responded to a self-report survey, and 10 parents participated in the interviews. Data were analyzed using Colaizzi’s method, descriptive statistics, t-test, one-way analysis of variance, the Scheffe test, Pearson correlation coefficients, and hierarchical regression. Results: Analysis of qualitative data yielded the following three categories: five theme clusters, ten themes, and thirty-nine sub-themes. The factors influencing infant-rearing behavior were nuclear family (β=.34, p<.001) and rearing stress (β=-.39, p<.001). The explanatory power of the regression equation was 26.6%. Conclusion: Infectious disease disasters, such as the COVID-19 pandemic, can quickly alter infant-rearing conditions, causing heightened parental anxiety. This may affect infant-rearing behaviors and hinder healthy infant development. Future research should develop a comprehensive tool to measure holistic health-related parenting behaviors across the different stages of child development. Additionally, pediatric nurse practitioners can play an active role in educating parents, supporting parenting, and promoting healthy infant development in their communities, making pediatric nurse practitioners a highly relevant and necessary healthcare profession during infectious disease disasters. Thus, there is a need to improve institutions and build infrastructure at the national level to support them.

Purpose: This study aimed to develop an online oncology nursing simulation module focused on septic shock care for cancer patients. Additionally, it sought to evaluate the module’s effectiveness in improving nursing students’ clinical performance, clinical confidence, learning satisfaction, and learning flow. Methods: A mixed-methods experimental design was employed. The simulation module was developed using the ADDIE model and delivered via a web-based platform. Fifty nursing students were randomly assigned to an experimental group (n=25) or a control group (n=25). As normality assumptions were not met, the Mann-Whitney U test was used for group comparisons, and Spearman’s rank correlation was employed to examine relationships among dependent variables. Additionally, three focus group interviews were conducted with the experimental group, and qualitative data were analyzed using a thematic analysis approach. Results: The experimental group showed significantly higher scores in clinical confidence, learning satisfaction, and learning flow compared with the control group (all variables p<.001). Clinical performance also improved, but the difference was not significant (p=.070). Exploratory correlation analysis indicated strong interrelationships among clinical confidence, learning satisfaction, and learning flow (ρ=.53-.76, p<.001), whereas clinical performance was only weakly related to learning flow (ρ=.28, p=.047). Qualitative findings supported these results, highlighting immersive learning and enhanced clinical reasoning. Conclusion: The online oncology nursing simulation module effectively enhanced core competencies, particularly clinical confidence, while also supporting interrelated experiences of learning satisfaction and learning flow, as indicated by exploratory correlation analysis. These findings suggest that web-based simulation is a practical and scalable strategy for nursing education in the digital era.

PurposeThis study aimed to explore the experiences of patients with type 2 diabetes (T2D) according to their adherence to a personalized self-care (PSC) program and to evaluate its effects on self-care activities and hemoglobin A1c (HbA1c) levels 18 months after baseline. MethodsA convergent mixed-methods design was employed. Qualitative interviews were conducted with 33 participants who demonstrated high adherence (adherence group, AG) and 17 participants who demonstrated low adherence (non-adherence group, NAG). Data were analyzed using Elo and Kyngas’s content analysis approach. The program’s effects were evaluated by comparing the mean differences between pre-test and 18-month follow-up data using SPSS version 23.0. ResultsParticipants in the AG used the app for self-monitoring, which promoted self-reflection and improved diabetes self-care. Participants in the NAG expressed an intentions to improve but reported low motivation due to limited willpower, busy schedules, and insufficient awareness of the diabetes severity. Foot care significantly improved both within (Z = ?3.98, p < .001) and between groups (t = ?2.22, p = .031), with the most notable improvement observed in the AG. Significant improvements in general diet (t = ?2.68, p = .012) and HbA1c levels (Z = ?2.93, p = .003) were observed only in the AG. ConclusionThe finding suggested that PSC program enhanced diabetes self-care activities, particularly in the areas of general diet, foot care, and HbA1c control. To enhance self-care adherence among individuals with T2D, mobile apps should offer goal setting, progress tracking, simplified data entry, and reminders.

Purpose: The coronavirus disease 2019 (COVID-19) pandemic has caused patients to suffer from various physical and psychological symptoms and social challenges, but the impact was harder for those COVID-19 patients receiving treatment in single-room isolation wards in South Korea. This study aimed to investigate resilience, anxiety, depression, and sleep quality of those patients and the relationships between those variables, and explore the patients' experience of resilience during the COVID-19 treatment in single-room isolation wards. Methods: This study employed a mixed-methods approach, collecting quantitative data through surveys and qualitative data through semistructured interviews conducted between May and October 2022. Quantitative surveys encompassing disease-specific and demographic information, visual analog scales to assess anxiety, depression, and sleep quality, and the Connor-Davidson resilience scale were administered to patients (N = 153). Qualitative thematic analyses were conducted following interviews with a subset of patients (N = 13) belonging to the high-resilience group. Results: Resilience exhibited a negative correlation with anxiety and depression, while showing a positive correlation with sleep quality. Factors affecting resilience include having a spouse, educational attainment, and depression. The qualitative thematic analysis results were categorized into: (1) facing the reality of being isolated in a room; (2) struggling to accept and adapt to isolation; and (3) seeking connections in isolation. Conclusions: This research sheds light on the challenges faced by individuals in isolation and underscores the crucial role of resilience in overcoming such challenges. The resilience observed in these patients is grounded in both interpersonal and profound spiritual connections. These findings underscore the necessity for nurses to develop customized strategies to alleviate the impacts of social isolation.

Purpose: The purpose of this study was to investigate the awareness and educational demand regarding Vancomycin-Resistant Enterococci (VRE) infection control among nurses in wards with cohort isolation rooms. Methods: A mixed-methods design was applied. Quantitative data were collected via structured questionnaires and data from 61 nurses and analyzed using SPSS for Windows version 23.0. An Importance-Performance Analysis (IPA) was conducted. Qualitative data were collected through focus groups with 12 nurses who worked in wards with VRE cohort isolation rooms, and content analysis was conducted. Methods: A mixed-methods design was applied. Quantitative data were collected via structured questionnaires and data from 61 nurses and analyzed using SPSS for Windows version 23.0. An Importance-Performance Analysis (IPA) was conducted. Qualitative data were collected through focus groups with 12 nurses who worked in wards with VRE cohort isolation rooms, and content analysis was conducted. Results: All items had lower performance scores than their importance scores, with significant differences. In the qualitative/descriptive analysis, the barriers to implementing VRE infection control were a lack of awareness of infection control, increased work burden, and lack of resources. Conclusion: The findings indicate that it is necessary to develop systematic education tailored to nurses in wards with cohort isolation rooms. Furthermore, adequate resource support, distinct from the general infection control practices in other wards, is necessary. This includes considering additional infection control tasks and procedures when staffing the ward, as well as supplying equipment in accordance with cohort isolation requirements.

Purpose: To sustain behavior change, an intervention strategy that considers the contribution of affect to daily physical activity behavior regulation is needed. Although virtual reality-based physical activity interventions have the potential to improve emotional status, interventions using virtual reality videos in a free-living environment are lacking. This pilot study assessed the feasibility and preliminary efficacy of a home-based intervention using 360-degree virtual videos and wearable activity trackers to improve mood and physical activity. Methods: A one-group pilot study of 12 middle-aged migrant women asked participants to watch virtual reality videos and perform moderate-intensity walking 5 days per week for 4 weeks, then complete surveys and focus group interviews. The intervention’s feasibility and preliminary efficacy were assessed by examining recruitment, retention, adherence, acceptability, mood, physical activity, and exercise self-efficacy. Results: A word-of-mouth approach was effective for recruiting participants. Although the weekly intervention adherence rate ranged from 53.5% to 83.5%, retention (92.3%) and acceptability (91.7%) were high. Participants were satisfied with the “visual status indicators,” “sense of accomplishment and confidence,” “emotional engagement and sense of presence,” “joy from exercise,” “external motivation through supervision,” “easy to control virtual reality device,” and “extra benefits” of the intervention. Participants had significant decreases in negative affect (p=.016). Positive affect, physical activity, and exercise self-efficacy showed trends toward improvement. Conclusion: This home-based intervention employing virtual reality videos and Fitbit activity trackers is feasible and shows preliminary efficacy in improving mood. Further research is warranted to evaluate its effectiveness in a more rigorous randomized controlled trial.