2,936 results match your criteria Journal of Medical Internet Research [Journal]


QuikLitE, a Framework for Quick Literacy Evaluation in Medicine: Development and Validation.

J Med Internet Res 2019 Feb 22;21(2):e12525. Epub 2019 Feb 22.

Department of Computer Science, University of Massachusetts Lowell, Lowell, MA, United States.

Background: A plethora of health literacy instruments was developed over the decades. They usually start with experts curating passages of text or word lists, followed by psychometric validation and revision based on test results obtained from a sample population. This process is costly and it is difficult to customize for new usage scenarios. Read More

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http://dx.doi.org/10.2196/12525DOI Listing
February 2019

Understanding Youths' Ability to Interpret 3D-Printed Physical Activity Data and Identify Associated Intensity Levels: Mixed-Methods Study.

J Med Internet Res 2019 Feb 22;21(2):e11253. Epub 2019 Feb 22.

Applied Sports Science Technology and Medicine Research Centre (A-STEM), Swansea University, Swansea, United Kingdom.

Background: A significant proportion of youth in the United Kingdom fail to meet the recommended 60 minutes of moderate-to-vigorous physical activity every day. One of the major barriers encountered in achieving these physical activity recommendations is the perceived difficulty for youths to interpret physical activity intensity levels and apply them to everyday activities. Personalized physical activity feedback is an important method to educate youths about behaviors and associated outcomes. Read More

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http://dx.doi.org/10.2196/11253DOI Listing
February 2019

Digital Health Professions Education on Diabetes Management: Systematic Review by the Digital Health Education Collaboration.

J Med Internet Res 2019 Feb 21;21(2):e12997. Epub 2019 Feb 21.

Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.

Background: There is a shortage of health care professionals competent in diabetes management worldwide. Digital education is increasingly used in educating health professionals on diabetes. Digital diabetes self-management education for patients has been shown to improve patients' knowledge and outcomes. Read More

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http://dx.doi.org/10.2196/12997DOI Listing
February 2019

A Smoking Prevention Program Delivered by Medical Students to Secondary Schools in Brazil Called "Education Against Tobacco": Randomized Controlled Trial.

J Med Internet Res 2019 Feb 21;21(2):e12854. Epub 2019 Feb 21.

National Center for Tumor Diseases, German Cancer Research Center, University of Heidelberg, Heidelberg, Germany.

Background: Smoking is the largest preventable cause of mortality in Brazil. Education Against Tobacco (EAT) is a network of more than 3500 medical students and physicians across 14 countries who volunteer for school-based smoking prevention programs. EAT educates 50,000 adolescents per year in the classroom setting. Read More

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http://dx.doi.org/10.2196/12854DOI Listing
February 2019

Digital Trespass: Ethical and Terms-of-Use Violations by Researchers Accessing Data From an Online Patient Community.

J Med Internet Res 2019 Feb 21;21(2):e11985. Epub 2019 Feb 21.

PatientsLikeMe, Inc, Cambridge, MA, United States.

With the expansion and popularity of research on websites such as Facebook and Twitter, there has been increasing concern about investigator conduct and social media ethics. The availability of large data sets has attracted researchers who are not traditionally associated with health data and its associated ethical considerations, such as computer and data scientists. Reliance on oversight by ethics review boards is inadequate and, due to the public availability of social media data, there is often confusion between public and private spaces. Read More

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http://dx.doi.org/10.2196/11985DOI Listing
February 2019

Causal Relationships Among Pollen Counts, Tweet Numbers, and Patient Numbers for Seasonal Allergic Rhinitis Surveillance: Retrospective Analysis.

J Med Internet Res 2019 Feb 20;21(2):e10450. Epub 2019 Feb 20.

Institute for Research Initiatives, Nara Institute of Science and Technology, Ikoma, Japan.

Background: Health-related social media data are increasingly used in disease-surveillance studies, which have demonstrated moderately high correlations between the number of social media posts and the number of patients. However, there is a need to understand the causal relationship between the behavior of social media users and the actual number of patients in order to increase the credibility of disease surveillance based on social media data.

Objective: This study aimed to clarify the causal relationships among pollen count, the posting behavior of social media users, and the number of patients with seasonal allergic rhinitis in the real world. Read More

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http://dx.doi.org/10.2196/10450DOI Listing
February 2019

How Do Adolescents Use Electronic Diaries? A Mixed-Methods Study Among Adolescents With Depressive Symptoms.

J Med Internet Res 2019 Feb 20;21(2):e11711. Epub 2019 Feb 20.

Department of Nursing Science, University of Turku, Turku, Finland.

Background: Depression in adolescence is common. Less than half of the adolescents with depression receive mental health care; furthermore, treatment tends to be suspended, and its success rates are low. There is a need for these adolescents to have a safe place to share their thoughts. Read More

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http://dx.doi.org/10.2196/11711DOI Listing
February 2019

Tweet Classification Toward Twitter-Based Disease Surveillance: New Data, Methods, and Evaluations.

J Med Internet Res 2019 Feb 20;21(2):e12783. Epub 2019 Feb 20.

Institute for Research Initiatives, Nara Institute of Science and Technology, Ikoma, Japan.

Background: The amount of medical and clinical-related information on the Web is increasing. Among the different types of information available, social media-based data obtained directly from people are particularly valuable and are attracting significant attention. To encourage medical natural language processing (NLP) research exploiting social media data, the 13th NII Testbeds and Community for Information access Research (NTCIR-13) Medical natural language processing for Web document (MedWeb) provides pseudo-Twitter messages in a cross-language and multi-label corpus, covering 3 languages (Japanese, English, and Chinese) and annotated with 8 symptom labels (such as cold, fever, and flu). Read More

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http://dx.doi.org/10.2196/12783DOI Listing
February 2019

Toward an Objective Assessment of Implementation Processes for Innovations in Health Care: Psychometric Evaluation of the Normalization Measure Development (NoMAD) Questionnaire Among Mental Health Care Professionals.

J Med Internet Res 2019 Feb 20;21(2):e12376. Epub 2019 Feb 20.

Amsterdam UMC, Vrije Universiteit, Psychiatry, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.

Background: Successfully implementing eMental health (eMH) interventions in routine mental health care constitutes a major challenge. Reliable instruments to assess implementation progress are essential. The Normalization MeAsure Development (NoMAD) study developed a brief self-report questionnaire that could be helpful in measuring implementation progress. Read More

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http://dx.doi.org/10.2196/12376DOI Listing
February 2019

Novel Approach to Inpatient Fall Risk Prediction and Its Cross-Site Validation Using Time-Variant Data.

J Med Internet Res 2019 Feb 19;21(2):e11505. Epub 2019 Feb 19.

The Center for Patient Safety Research and Practice, Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, United States.

Background: Electronic medical records (EMRs) contain a considerable amount of information about patients. The rapid adoption of EMRs and the integration of nursing data into clinical repositories have made large quantities of clinical data available for both clinical practice and research.

Objective: In this study, we aimed to investigate whether readily available longitudinal EMR data including nursing records could be utilized to compute the risk of inpatient falls and to assess their accuracy compared with existing fall risk assessment tools. Read More

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http://dx.doi.org/10.2196/11505DOI Listing
February 2019

Resilience@Work Mindfulness Program: Results From a Cluster Randomized Controlled Trial With First Responders.

J Med Internet Res 2019 Feb 19;21(2):e12894. Epub 2019 Feb 19.

School of Psychiatry, Faculty of Medicine, University of New South Wales, Randwick, Australia.

Background: A growing body of research suggests that resilience training can play a pivotal role in creating mentally healthy workplaces, particularly with regard to protecting the long-term well-being of workers. Emerging research describes positive outcomes from various types of resilience training programs (RTPs) among different occupational groups. One specific group of workers that may benefit from this form of proactive resilience training is first responders. Read More

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http://dx.doi.org/10.2196/12894DOI Listing
February 2019

Cost-Effectiveness of Telemedicine in Remote Orthopedic Consultations: Randomized Controlled Trial.

J Med Internet Res 2019 Feb 19;21(2):e11330. Epub 2019 Feb 19.

Department of Community Medicine, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway.

Background: Telemedicine consultations using real-time videoconferencing has the potential to improve access and quality of care, avoid patient travels, and reduce health care costs.

Objective: The aim of this study was to examine the cost-effectiveness of an orthopedic videoconferencing service between the University Hospital of North Norway and a regional medical center in a remote community located 148 km away.

Methods: An economic evaluation based on a randomized controlled trial of 389 patients (559 consultations) referred to the hospital for an orthopedic outpatient consultation was conducted. Read More

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http://dx.doi.org/10.2196/11330DOI Listing
February 2019

Health Care and Cybersecurity: Bibliometric Analysis of the Literature.

J Med Internet Res 2019 Feb 15;21(2):e12644. Epub 2019 Feb 15.

Sloan School of Management, Massachusetts Institute of Technology, Cambridge, MA, United States.

Background: Over the past decade, clinical care has become globally dependent on information technology. The cybersecurity of health care information systems is now an essential component of safe, reliable, and effective health care delivery.

Objective: The objective of this study was to provide an overview of the literature at the intersection of cybersecurity and health care delivery. Read More

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https://www.jmir.org/2019/2/e12644/
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February 2019
3 Reads

Patient-Level Prediction of Cardio-Cerebrovascular Events in Hypertension Using Nationwide Claims Data.

J Med Internet Res 2019 Feb 15;21(2):e11757. Epub 2019 Feb 15.

Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Background: Prevention and management of chronic diseases are the main goals of national health maintenance programs. Previously widely used screening tools, such as Health Risk Appraisal, are restricted in their achievement this goal due to their limitations, such as static characteristics, accessibility, and generalizability. Hypertension is one of the most important chronic diseases requiring management via the nationwide health maintenance program, and health care providers should inform patients about their risks of a complication caused by hypertension. Read More

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http://www.jmir.org/2019/2/e11757/
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http://dx.doi.org/10.2196/11757DOI Listing
February 2019
4 Reads

A Framework for Analyzing and Measuring Usage and Engagement Data (AMUsED) in Digital Interventions: Viewpoint.

J Med Internet Res 2019 Feb 15;21(2):e10966. Epub 2019 Feb 15.

Center for Clinical and Community Applications of Health Psychology, Department of Psychology, University of Southampton, Southampton, United Kingdom.

Trials of digital interventions can yield extensive, in-depth usage data, yet usage analyses tend to focus on broad descriptive summaries of how an intervention has been used by the whole sample. This paper proposes a novel framework to guide systematic, fine-grained usage analyses that better enables understanding of how an intervention works, when, and for whom. The framework comprises three stages to assist in the following: (1) familiarization with the intervention and its relationship to the captured data, (2) identification of meaningful measures of usage and specifying research questions to guide systematic analyses of usage data, and (3) preparation of datasheets and consideration of available analytical methods with which to examine the data. Read More

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http://www.jmir.org/2019/2/e10966/
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http://dx.doi.org/10.2196/10966DOI Listing
February 2019
2 Reads

Mitigation of Participant Loss to Follow-Up Using Facebook: All Our Families Longitudinal Pregnancy Cohort.

J Med Internet Res 2019 Feb 15;21(2):e10441. Epub 2019 Feb 15.

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Background: Facebook, a popular social media site, allows users to communicate and exchange information. Social media sites can also be used as databases to search for individuals, including cohort participants. Retaining and tracking cohort participants are essential for the validity and generalizability of data in longitudinal research. Read More

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http://dx.doi.org/10.2196/10441DOI Listing
February 2019

Digital Education in Health Professions: The Need for Overarching Evidence Synthesis.

J Med Internet Res 2019 02 14;21(2):e12913. Epub 2019 Feb 14.

Health Workforce Department, World Health Organization, Geneva, Switzerland.

Synthesizing evidence from randomized controlled trials of digital health education poses some challenges. These include a lack of clear categorization of digital health education in the literature; constantly evolving concepts, pedagogies, or theories; and a multitude of methods, features, technologies, or delivery settings. The Digital Health Education Collaboration was established to evaluate the evidence on digital education in health professions; inform policymakers, educators, and students; and ultimately, change the way in which these professionals learn and are taught. Read More

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http://dx.doi.org/10.2196/12913DOI Listing
February 2019

Mobile Technology for Community Health in Ghana: Is Maternal Messaging and Provider Use of Technology Cost-Effective in Improving Maternal and Child Health Outcomes at Scale?

J Med Internet Res 2019 Feb 13;21(2):e11268. Epub 2019 Feb 13.

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

Background: Mobile technologies are emerging as tools to enhance health service delivery systems and empower clients to improve maternal, newborn, and child health. Limited evidence exists on the value for money of mobile health (mHealth) programs in low- and middle-income countries.

Objective: This study aims to forecast the incremental cost-effectiveness of the Mobile Technology for Community Health (MOTECH) initiative at scale across 170 districts in Ghana. Read More

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http://dx.doi.org/10.2196/11268DOI Listing
February 2019

Evaluation of Mothers' Perceptions of a Technology-Based Supportive Educational Parenting Program (Part 2): Qualitative Study.

J Med Internet Res 2019 Feb 13;21(2):e11065. Epub 2019 Feb 13.

National University of Singapore, Singapore, Singapore.

Background: Transitioning into parenthood can be stressful as parents struggle to cope with new parenting responsibilities. Although perinatal care in hospitals aims to improve parental outcomes, there is a general consensus that it is suboptimal and insufficient. Therefore, many studies have designed intervention methods to supplement support for parents during this stressful period. Read More

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http://dx.doi.org/10.2196/11065DOI Listing
February 2019
6 Reads

Older Adults' Perspectives on Using Digital Technology to Maintain Good Mental Health: Interactive Group Study.

J Med Internet Res 2019 Feb 13;21(2):e11694. Epub 2019 Feb 13.

Ontario Shores Centre for Mental Health Sciences, Whitby, ON, Canada.

Background: A growing number of apps to support good mental health and well-being are available on digital platforms. However, very few studies have examined older adults' attitudes toward the use of these apps, despite increasing uptake of digital technologies by this demographic.

Objective: This study sought to explore older adults' perspectives on technology to support good mental health. Read More

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http://dx.doi.org/10.2196/11694DOI Listing
February 2019

Use of Learning Analytics Data in Health Care-Related Educational Disciplines: Systematic Review.

J Med Internet Res 2019 Feb 13;21(2):e11241. Epub 2019 Feb 13.

Prosthodontics, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, China (Hong Kong).

Background: While the application of learning analytics in tertiary education has received increasing attention in recent years, a much smaller number have explored its use in health care-related educational studies.

Objective: This systematic review aims to examine the use of e-learning analytics data in health care studies with regards to how the analytics is reported and if there is a relationship between e-learning analytics and learning outcomes.

Methods: We performed comprehensive searches of papers from 4 electronic databases (MEDLINE, EBSCOhost, Web of Science, and ERIC) to identify relevant papers. Read More

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http://dx.doi.org/10.2196/11241DOI Listing
February 2019

Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes (Part 1): Randomized Controlled Trial.

J Med Internet Res 2019 Feb 13;21(2):e10816. Epub 2019 Feb 13.

Singapore Clinical Research Institute, Singapore, Singapore.

Background: Transitioning into parenthood can be stressful for new parents, especially with the lack of continuity of care from health care professionals during the postpartum period. Short hospital stays limit the availability of support and time parents need to be well equipped with parenting and infant care skills. Poor parental adjustment may, in turn, lead to negative parental outcomes and adversely affect the child's development. Read More

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http://www.jmir.org/2019/2/e10816/
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February 2019
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Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals' Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting.

J Med Internet Res 2019 Feb 12;21(2):e10377. Epub 2019 Feb 12.

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Background: The increasing digitization of health care services with enhanced access to fast internet connections, along with wide use of smartphones, offers the opportunity to get health advice or treatment remotely. For service providers, it is important to consider how consumers can take full advantage of available services and how this can create an enabling environment. However, it is important to consider the digital context and the attributes of current and future users, such as their readiness (ie, knowledge, skills, and attitudes, including trust and motivation). Read More

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http://dx.doi.org/10.2196/10377DOI Listing
February 2019
1 Read

Implementing Blockchains for Efficient Health Care: Systematic Review.

J Med Internet Res 2019 Feb 12;21(2):e12439. Epub 2019 Feb 12.

Healthcare Translation Research Group, Department of Paediatrics, University of Oxford, Oxford, United Kingdom.

Background: The decentralized nature of sensitive health information can bring about situations where timely information is unavailable, worsening health outcomes. Furthermore, as patient involvement in health care increases, there is a growing need for patients to access and control their data. Blockchain is a secure, decentralized online ledger that could be used to manage electronic health records (EHRs) efficiently, therefore with the potential to improve health outcomes by creating a conduit for interoperability. Read More

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http://dx.doi.org/10.2196/12439DOI Listing
February 2019

Mobile Digital Education for Health Professions: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration.

J Med Internet Res 2019 Feb 12;21(2):e12937. Epub 2019 Feb 12.

Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore.

Background: There is a pressing need to implement efficient and cost-effective training to address the worldwide shortage of health professionals. Mobile digital education (mLearning) has been mooted as a potential solution to increase the delivery of health professions education as it offers the opportunity for wide access at low cost and flexibility with the portability of mobile devices. To better inform policy making, we need to determine the effectiveness of mLearning. Read More

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http://www.jmir.org/2019/2/e12937/
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February 2019
1 Read

Design and Development of a Person-Centered Patient Portal Using Participatory Stakeholder Co-Design.

J Med Internet Res 2019 Feb 11;21(2):e11371. Epub 2019 Feb 11.

Department of Medical Physics, McGill University Health Centre, Montreal, QC, Canada.

Background: Patient portals are increasingly accepted as part of standard medical care. However, to date, most patient portals provide just passive access to medical data. The use of modern technology such as smartphones and data personalization algorithms offers the potential to make patient portals more person-centered and enabling. Read More

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http://dx.doi.org/10.2196/11371DOI Listing
February 2019
2 Reads

Evaluating the Quality of Health Information in a Changing Digital Ecosystem.

J Med Internet Res 2019 Feb 8;21(2):e11129. Epub 2019 Feb 8.

Arizona State University, Scottsdale, AZ, United States.

Background: Critical evaluation of online health information has always been central to consumer health informatics. However, with the emergence of new Web media platforms and the ubiquity of social media, the issue has taken on a new dimension and urgency. At the same time, many established existing information quality evaluation guidelines address information characteristics other than the content (eg, authority and currency), target information creators rather than users as their main audience, or do not address information presented via novel Web technologies. Read More

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http://dx.doi.org/10.2196/11129DOI Listing
February 2019
1 Read

Is Blockchain Technology Suitable for Managing Personal Health Records? Mixed-Methods Study to Test Feasibility.

J Med Internet Res 2019 Feb 8;21(2):e12533. Epub 2019 Feb 8.

Department of Biomedical Informatics, Asan Medical Center, Seoul, Republic of Korea.

Background: There are many perspectives on the advantages of introducing blockchain in the medical field, but there are no published feasibility studies regarding the storage, propagation, and management of personal health records (PHRs) using blockchain technology.

Objective: The purpose of this study was to investigate the usefulness of blockchains in the medical field in relation to transactions with and propagation of PHRs in a private blockchain.

Methods: We constructed a private blockchain network using Ethereum version 1. Read More

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http://dx.doi.org/10.2196/12533DOI Listing
February 2019
1 Read

An Internet-Based Childhood Obesity Prevention Program (Time2bHealthy) for Parents of Preschool-Aged Children: Randomized Controlled Trial.

J Med Internet Res 2019 Feb 8;21(2):e11964. Epub 2019 Feb 8.

Early Start, Faculty of Social Sciences, University of Wollongong, Wollongong, Australia.

Background: Electronic health (eHealth) obesity programs offer benefits to traditionally delivered programs and have shown promise in improving obesity-related behaviors in children.

Objective: This study aimed to assess the efficacy of a parent-focused, internet-based healthy lifestyle program for preschool-aged children, who are overweight or at or above the fiftieth percentile for body mass index (BMI) for their age and sex, on child BMI, obesity-related behaviors, parent modeling, and parent self-efficacy.

Methods: The Time2bHealthy randomized controlled trial was conducted in Australia, during 2016 to 2017. Read More

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http://dx.doi.org/10.2196/11964DOI Listing
February 2019

Cardiac Rehabilitees' Technology Experiences Before Remote Rehabilitation: Qualitative Study Using a Grounded Theory Approach.

J Med Internet Res 2019 Feb 7;21(2):e10985. Epub 2019 Feb 7.

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

Background: Even though technology is becoming increasingly common in rehabilitation programs, insufficient data are as yet available on rehabilitees' perceptions and experiences. It is important to understand their abilities when using technology for remote rehabilitation.

Objective: This is a qualitative study on technology experiences of persons affected by cardiovascular disease assessed before remote rehabilitation. Read More

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http://dx.doi.org/10.2196/10985DOI Listing
February 2019
1 Read

Digital Interventions to Reduce Sedentary Behaviors of Office Workers: Scoping Review.

J Med Internet Res 2019 Feb 7;21(2):e11079. Epub 2019 Feb 7.

School of Health Sciences, University of Nottingham, Nottingham, United Kingdom.

Background: There is a clear public health need to reduce office workers' sedentary behaviors (SBs), especially in the workplace. Digital technologies are increasingly being deployed in the workplace to measure and modify office workers' SBs. However, knowledge of the range and nature of research on this topic is limited; it also remains unclear to what extent digital interventions have exploited the technological possibilities. Read More

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http://dx.doi.org/10.2196/11079DOI Listing
February 2019
2 Reads

Correction: A Web-Based Acceptance-Facilitating Intervention for Identifying Patients' Acceptance, Uptake, and Adherence of Internet- and Mobile-Based Pain Interventions: Randomized Controlled Trial.

J Med Internet Res 2019 Feb 6;21(2):e12015. Epub 2019 Feb 6.

Institute of Psychology, Department of Clinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.

[This corrects the article DOI: 10.2196/jmir.9925. Read More

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http://dx.doi.org/10.2196/12015DOI Listing
February 2019

Health Care Professionals' Perceptions of Home Telemonitoring in Heart Failure Care: Cross-Sectional Survey.

J Med Internet Res 2019 Feb 6;21(2):e10362. Epub 2019 Feb 6.

Centre for Patient-Centered Heart and Lung Research, Department of Cardiothoracic Surgery, Oslo University Hospital Ullevål, Oslo, Norway.

Background: Noninvasive telemonitoring (TM) can be used in heart failure (HF) patients to perform early detection of decompensation at home, prevent unnecessary health care utilization, and decrease health care costs. However, the evidence is not sufficient to be part of HF guidelines for follow-up care, and we have no knowledge of how TM is used in the Nordic Baltic region.

Objective: The aim of this study was to describe health care professionals' (HCPs) perception of and presumed experience with noninvasive TM in daily HF patient care, perspectives of the relevance of and reasons for applying noninvasive TM, and barriers to the use of noninvasive TM. Read More

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http://dx.doi.org/10.2196/10362DOI Listing
February 2019
2 Reads

Detecting Potential Adverse Drug Reactions Using a Deep Neural Network Model.

J Med Internet Res 2019 Feb 6;21(2):e11016. Epub 2019 Feb 6.

Department of Computer Science and Information Engineering, National Cheng Kung University, Tainan, Taiwan.

Background: Adverse drug reactions (ADRs) are common and are the underlying cause of over a million serious injuries and deaths each year. The most familiar method to detect ADRs is relying on spontaneous reports. Unfortunately, the low reporting rate of spontaneous reports is a serious limitation of pharmacovigilance. Read More

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http://www.jmir.org/2019/2/e11016/
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February 2019
3 Reads

Online Information-Seeking About Potential Breast Cancer Symptoms: Capturing Online Behavior With an Internet Browsing Tracking Tool.

J Med Internet Res 2019 Feb 6;21(2):e12400. Epub 2019 Feb 6.

School of Health Sciences, Faculty of Health & Medical Sciences, University of Surrey, Guildford, United Kingdom.

Background: People engage in health information-seeking online when experiencing unusual or unfamiliar bodily changes. It is not well understood how people consult the internet for health information after the onset of unfamiliar symptoms and before receiving a potential diagnosis and how online information-seeking can help people appraise their symptoms. This lack of evidence may be partly due to methodological limitations in capturing in real time the online information-seeking process. Read More

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http://dx.doi.org/10.2196/12400DOI Listing
February 2019
1 Read

Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development.

J Med Internet Res 2019 Feb 6;21(2):e9938. Epub 2019 Feb 6.

Amsterdam Public Health Research Institute, Department of Occupational and Public Health, VU University Medical Center, Amsterdam, Netherlands.

Background: Support for guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gynecological patients during the perioperative period. This eHealth intervention requires a need for further development for patients who will undergo various types of general surgical and gynecological procedures. Read More

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https://www.jmir.org/2019/2/e9938/
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http://dx.doi.org/10.2196/jmir.9938DOI Listing
February 2019
4 Reads

Weight Management in Young Adults: Systematic Review of Electronic Health Intervention Components and Outcomes.

J Med Internet Res 2019 Feb 6;21(2):e10265. Epub 2019 Feb 6.

Social Marketing @ Griffith, Griffith Business School, Griffith University, Nathan, Australia.

Background: Young adulthood is a vulnerable period for unhealthy lifestyle adoption and excess weight gain. Scant attention has been focused on developing and evaluating effective weight gain prevention strategies for this age group. Electronic health (eHealth) offers potential as a cost-effective means of delivering convenient, individually-tailored, and contextually-meaningful interventions at scale. Read More

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http://dx.doi.org/10.2196/10265DOI Listing
February 2019

The Messages Presented in Electronic Cigarette-Related Social Media Promotions and Discussion: Scoping Review.

J Med Internet Res 2019 Feb 5;21(2):e11953. Epub 2019 Feb 5.

Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Bentley, Australia.

Background: There has been a rapid rise in the popularity of electronic cigarettes (e-cigarettes) over the last decade, with growth predicted to continue. The uptake of these devices has escalated despite inconclusive evidence of their efficacy as a smoking cessation device and unknown long-term health consequences. As smoking rates continue to drop or plateau in many well-developed countries, transnational tobacco companies have transitioned into the vaping industry and are now using social media to promote their products. Read More

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http://dx.doi.org/10.2196/11953DOI Listing
February 2019
1 Read

Step Counts of Middle-Aged and Elderly Adults for 10 Months Before and After the Release of Pokémon GO in Yokohama, Japan.

J Med Internet Res 2019 Feb 5;21(2):e10724. Epub 2019 Feb 5.

Department of Public Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.

Background: Smartphones have been integrated into our society and are expected to serve as tools to improve health outcomes. In the summer of 2016, Pokémon GO, a location-based augmented reality game for smartphones was released; it attracted attention from the perspective of health, especially with its potential to increase physical activity (PA). A few studies have compared objectively measured step counts before and after the release of the game; however, they were conducted over a short study period and evaluated only young people. Read More

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http://dx.doi.org/10.2196/10724DOI Listing
February 2019

What Affects the Completion of Ecological Momentary Assessments in Chronic Pain Research? An Individual Patient Data Meta-Analysis.

J Med Internet Res 2019 Feb 5;21(2):e11398. Epub 2019 Feb 5.

Center for Self-Report Science, Center for Economic and Social Research, University of Southern California, Los Angeles, CA, United States.

Background: Ecological momentary assessment (EMA) involves repeated sampling of people's current experiences in real time in their natural environments, which offers a granular perspective on patients' experience of pain and other symptoms. However, EMA can be burdensome to patients, and its benefits depend upon patients' engagement in the assessments.

Objective: The goal of this study was to investigate factors affecting EMA-completion rates among patients with chronic pain. Read More

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http://dx.doi.org/10.2196/11398DOI Listing
February 2019

Design and Delivery Features That May Improve the Use of Internet-Based Cognitive Behavioral Therapy for Children and Adolescents With Anxiety: A Realist Literature Synthesis With a Persuasive Systems Design Perspective.

J Med Internet Res 2019 Feb 5;21(2):e11128. Epub 2019 Feb 5.

Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.

Background: Internet-based cognitive behavioral therapy (iCBT) is a persuasive system as its design combines therapeutic content, technological features, and interactions between the user and the program to reduce anxiety for children and adolescents. How iCBT is designed and delivered differs across programs. Although iCBT is considered an effective approach for treating child and adolescent anxiety, rates of program use (eg, module completion) are highly variable for reasons that are not clear. Read More

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http://dx.doi.org/10.2196/11128DOI Listing
February 2019

Developing a Web-Based Comic for Newly Diagnosed Women With Breast Cancer: An Action Research Approach.

J Med Internet Res 2019 Feb 4;21(2):e10716. Epub 2019 Feb 4.

Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.

Background: Personal narratives have been seen as a useful way of communicating about cancer treatment options and providing recovery information. Many printed versions of such material are available, including comics that explore the individual memories of patients who have gone through cancer treatment. These studies have been used to orientate patients, patients' relatives, and physicians. Read More

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http://dx.doi.org/10.2196/10716DOI Listing
February 2019
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Developing a Decision-Aid Website for Breast Cancer Surgery: An Action Research Approach.

J Med Internet Res 2019 Feb 4;21(2):e10404. Epub 2019 Feb 4.

Institute of Community Health Care, School of Nursing, National Yang-Ming University, Taipei, Taiwan.

Background: Patients with early-stage breast cancer have numerous options when choosing the type of breast surgery method to be applied. Each of these options lead to a similar long-term survival rate, but result in significant differences in appearance, function, cost, recurrence rate, and various other relevant considerations. However, the time available for detailed communication with each patient is often limited in clinics, which puts these women under great psychological stress and can hinder their surgery-related decision making. Read More

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http://dx.doi.org/10.2196/10404DOI Listing
February 2019
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Digital Marketing to Promote Healthy Weight Gain Among Pregnant Women in Alberta: An Implementation Study.

J Med Internet Res 2019 Feb 1;21(2):e11534. Epub 2019 Feb 1.

Reproductive Health, Population, Public and Indigenous Health, Alberta Health Services, Calgary, AB, Canada.

Background: As the use of digital media for health promotion has become increasingly common, descriptive studies exploring current and innovative marketing strategies can enhance the understanding of effective strategies and best practices.

Objective: This study aims to describe the implementation of a provincial digital media campaign using complementary advertising platforms to promote healthy pregnancy weight gain messages and direct a Web audience to a credible website.

Methods: The digital media campaign occurred in 3 phases, each for 8 weeks, and consisted of search engine marketing using Google AdWords and social media advertising through Facebook. Read More

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http://dx.doi.org/10.2196/11534DOI Listing
February 2019
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An Integrated Influenza Surveillance Framework Based on National Influenza-Like Illness Incidence and Multiple Hospital Electronic Medical Records for Early Prediction of Influenza Epidemics: Design and Evaluation.

J Med Internet Res 2019 Feb 1;21(2):e12341. Epub 2019 Feb 1.

Graduate Institute of Biomedical Informatics, Taipei Medical University, Taipei, Taiwan.

Background: Influenza is a leading cause of death worldwide and contributes to heavy economic losses to individuals and communities. Therefore, the early prediction of and interventions against influenza epidemics are crucial to reduce mortality and morbidity because of this disease. Similar to other countries, the Taiwan Centers for Disease Control and Prevention (TWCDC) has implemented influenza surveillance and reporting systems, which primarily rely on influenza-like illness (ILI) data reported by health care providers, for the early prediction of influenza epidemics. Read More

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http://dx.doi.org/10.2196/12341DOI Listing
February 2019
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Beyond One-Off Integrations: A Commercial, Substitutable, Reusable, Standards-Based, Electronic Health Record-Connected App.

J Med Internet Res 2019 Feb 1;21(2):e12902. Epub 2019 Feb 1.

Computational Health Informatics Program, Boston Children's Hospital, Boston, MA, United States.

The Substitutable Medical Apps and Reusable Technology (SMART) Health IT project launched in 2010 to facilitate the development of medical apps that are scalable and substitutable. SMART defines an open application programming interface (API) specification that enables apps to connect to electronic health record systems and data warehouses without custom integration efforts. The SMART-enabled version of the Meducation app, developed by Polyglot, has been implemented at scores of hospitals and clinics in the United States, nation-wide. Read More

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February 2019

Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China.

J Med Internet Res 2019 Jan 31;21(1):e11280. Epub 2019 Jan 31.

China Center for Health Development Studies, Peking University, Beijing, China.

Background: Hypertension is a rapidly growing epidemic in China. Yet, it remains inadequately controlled, especially in rural areas. The internet has shown potential for better health management in different settings; however, few studies have investigated its role in hypertension management in China. Read More

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http://dx.doi.org/10.2196/11280DOI Listing
January 2019

Use of the CHA2DS2-VASc Score for Risk Stratification of Hospital Admissions Among Patients With Cardiovascular Diseases Receiving a Fourth-Generation Synchronous Telehealth Program: Retrospective Cohort Study.

J Med Internet Res 2019 Jan 31;21(1):e12790. Epub 2019 Jan 31.

Telehealth Center, National Taiwan University Hospital, Taipei, Taiwan.

Background: Telehealth programs are generally diverse in approaching patients, from traditional telephone calling and texting message and to the latest fourth-generation synchronous program. The predefined outcomes are also different, including hypertension control, lipid lowering, cardiovascular outcomes, and mortality. In previous studies, the telehealth program showed both positive and negative results, providing mixed and confusing clinical outcomes. Read More

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https://www.jmir.org/2019/1/e12790/
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http://dx.doi.org/10.2196/12790DOI Listing
January 2019
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Consumer Health Search on the Web: Study of Web Page Understandability and Its Integration in Ranking Algorithms.

J Med Internet Res 2019 Jan 30;21(1):e10986. Epub 2019 Jan 30.

Institute for Information Systems Engineering, Technische Universität Wien, Vienna, Austria.

Background: Understandability plays a key role in ensuring that people accessing health information are capable of gaining insights that can assist them with their health concerns and choices. The access to unclear or misleading information has been shown to negatively impact the health decisions of the general public.

Objective: The aim of this study was to investigate methods to estimate the understandability of health Web pages and use these to improve the retrieval of information for people seeking health advice on the Web. Read More

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http://dx.doi.org/10.2196/10986DOI Listing
January 2019