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Journal of Medical Internet Research

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https://read.qxmd.com/read/30485832/publication-rates-and-characteristics-of-registered-randomized-clinical-trials-in-digital-health-a-cross-sectional-analysis
#1
Mustafa Al-Durra, Robert P Nolan, Emily Seto, Joseph A Cafazzo, Gunther Eysenbach
BACKGROUND: Clinical trials are key to advancing evidence-based medical research. The medical research literature has identified the impact and risks of publication bias in clinical trials. Selective publication for positive outcomes or non-publication of negative results could lead to misdirection of subsequent research, justify further research, and result in literature reviews leaning towards positive outcomes. Digital health randomized clinical trials face specific challenges, including a high attrition rate, usability issues, and insufficient prior formative research...
November 28, 2018: Journal of Medical Internet Research
https://read.qxmd.com/read/30767908/health-care-and-cybersecurity-bibliometric-analysis-of-the-literature
#2
REVIEW
Mohammad S Jalali, Sabina Razak, William Gordon, Eric Perakslis, Stuart Madnick
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. METHODS: A comprehensive search was conducted using PubMed and Web of Science for English-language peer-reviewed articles...
February 15, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30767907/patient-level-prediction-of-cardio-cerebrovascular-events-in-hypertension-using-nationwide-claims-data
#3
Jaram Park, Jeong-Whun Kim, Borim Ryu, Eunyoung Heo, Se Young Jung, Sooyoung Yoo
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...
February 15, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30767905/a-framework-for-analyzing-and-measuring-usage-and-engagement-data-amused-in-digital-interventions-viewpoint
#4
Sascha Miller, Ben Ainsworth, Lucy Yardley, Alex Milton, Mark Weal, Peter Smith, Leanne Morrison
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...
February 15, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30767901/mitigation-of-participant-loss-to-follow-up-using-facebook-all-our-families-longitudinal-pregnancy-cohort
#5
Nikki Lee Stephenson, Erin Hetherington, Shawn Dodd, Alexander Mathews, Suzanne Tough
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. Despite numerous strategies to minimize loss to follow-up, maintaining contact with participants is time-consuming and resource-intensive. Social media may provide alternative methods of contacting participants who consented to follow-up but could not be reached, and thus are potentially "lost to follow-up...
February 15, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30762583/digital-education-in-health-professions-the-need-for-overarching-evidence-synthesis
#6
Josip Car, Jan Carlstedt-Duke, Lorainne Tudor Car, Pawel Posadzki, Penny Whiting, Nabil Zary, Rifat Atun, Azeem Majeed, James Campbell
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...
February 14, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30758296/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
#7
Michelle Willcox, Anitha Moorthy, Diwakar Mohan, Karen Romano, David Hutchful, Garrett Mehl, Alain Labrique, Amnesty LeFevre
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. METHODS: MOTECH's "Client Data Application" allows frontline health workers to digitize service delivery information and track the care of patients...
February 13, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30758295/evaluation-of-mothers-perceptions-of-a-technology-based-supportive-educational-parenting-program-part-2-qualitative-study
#8
Shefaly Shorey, Esperanza Debby Ng
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. However, studies often focus on parental outcomes as indicators of their interventions' success and effectiveness...
February 13, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30758292/older-adults-perspectives-on-using-digital-technology-to-maintain-good-mental-health-interactive-group-study
#9
Jacob A Andrews, Laura Je Brown, Mark S Hawley, Arlene J Astell
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. METHODS: A total of 15 older adults aged 50 years or older, in two groups, participated in sessions to explore the use of digital technologies to support mental health...
February 13, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30758291/use-of-learning-analytics-data-in-health-care-related-educational-disciplines-systematic-review
#10
REVIEW
Albert Km Chan, Michael G Botelho, Otto Lt Lam
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...
February 13, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30758289/effectiveness-of-a-technology-based-supportive-educational-parenting-program-on-parental-outcomes-part-1-randomized-controlled-trial
#11
Shefaly Shorey, Yvonne Peng Mei Ng, Esperanza Debby Ng, An Ling Siew, Evalotte Mörelius, Joanne Yoong, Mihir Gandhi
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. For the family's future well-being, and to facilitate a smoother transition into parenthood, there is a need for easily accessible, technology-based educational programs to support parents during the crucial perinatal period...
February 13, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30747717/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
#12
Lars Kayser, Sine Rossen, Astrid Karnoe, Gerald Elsworth, Jette Vibe-Petersen, Jesper Frank Christensen, Mathias Ried-Larsen, Richard H Osborne
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)...
February 12, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30747714/implementing-blockchains-for-efficient-health-care-systematic-review
#13
Anuraag A Vazirani, Odhran O'Donoghue, David Brindley, Edward Meinert
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...
February 12, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30747711/mobile-digital-education-for-health-professions-systematic-review-and-meta-analysis-by-the-digital-health-education-collaboration
#14
REVIEW
Gerard Dunleavy, Charoula Konstantia Nikolaou, Sokratis Nifakos, Rifat Atun, Gloria Chun Yi Law, Lorainne Tudor Car
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. OBJECTIVE: The primary objective of this review was to evaluate the effectiveness of mLearning interventions for delivering health professions education in terms of learners' knowledge, skills, attitudes, and satisfaction...
February 12, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30741643/design-and-development-of-a-person-centered-patient-portal-using-participatory-stakeholder-co-design
#15
John Kildea, John Battista, Briana Cabral, Laurie Hendren, David Herrera, Tarek Hijal, Ackeem Joseph
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. OBJECTIVE: The aim of this study is to share our experience in designing and developing a person-centered patient portal following a participatory stakeholder co-design approach...
February 11, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30735144/evaluating-the-quality-of-health-information-in-a-changing-digital-ecosystem
#16
Alla Keselman, Catherine Arnott Smith, Anita C Murcko, David R Kaufman
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...
February 8, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30735142/is-blockchain-technology-suitable-for-managing-personal-health-records-mixed-methods-study-to-test-feasibility
#17
Yu Rang Park, Eunsol Lee, Wonjun Na, Sungjun Park, Yura Lee, Jae-Ho Lee
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...
February 8, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30735139/an-internet-based-childhood-obesity-prevention-program-time2bhealthy-for-parents-of-preschool-aged-children-randomized-controlled-trial
#18
Megan L Hammersley, Anthony D Okely, Marijka J Batterham, Rachel A Jones
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...
February 8, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30730298/cardiac-rehabilitees-technology-experiences-before-remote-rehabilitation-qualitative-study-using-a-grounded-theory-approach
#19
Marjo-Riitta Anttila, Heikki Kivistö, Arja Piirainen, Katja Kokko, Anita Malinen, Mika Pekkonen, Tuulikki Sjögren
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. The aim of the study was to explore rehabilitees' experiences and attitudes toward technology before 12 months of remote rehabilitation...
February 7, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30730294/digital-interventions-to-reduce-sedentary-behaviors-of-office-workers-scoping-review
#20
REVIEW
Yitong Huang, Steve Benford, Holly Blake
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. OBJECTIVE: This study aimed to investigate the technological landscape of digital interventions for SB reduction in office workers and to map the research activity in this field...
February 7, 2019: Journal of Medical Internet Research
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