journal
https://read.qxmd.com/read/38695754/individual-level-digital-determinants-of-health-and-technology-acceptance-of-patient-portals-a-cross-sectional-assessment
#1
JOURNAL ARTICLE
Lindsey M Philpot, Priya Ramar, Daniel L Roellinger, Jane W Njeru, Jon O Ebbert
BACKGROUND: Digital determinants of health (DDoH), including access to technological tools, digital health literacy, and internet access, function independently as barriers to health. Assessment for DDoH is not routine within most healthcare systems, although addressing DDoH could help mitigate differential health outcomes and the digital divide. OBJECTIVE: To assess the role of individual-level factors of DDoH on patient enrollment in and use of the patient portal...
May 2, 2024: JMIR Formative Research
https://read.qxmd.com/read/38738977/automated-machine-learning-predicts-necessary-upcoming-therapy-changes-in-patients-with-psoriasis-vulgaris-et-arthritis-and-uncovers-new-influences-on-disease-progression-retrospective-study
#2
JOURNAL ARTICLE
Daniel Schaffert, Igor Bibi, Mara Blauth, Christian Lull, Jan Alwin von Ahnen, Georg Groß, Theresa Schulze-Hagen, Johannes Knitza, Sebastian Kuhn, Johannes Benecke, Astrid Schmieder, Jan Leipe, Victor Olsavszky
BACKGROUND: Psoriasis vulgaris (PsV) and Psoriatic arthritis (PsA) are intertwined multifactorial diseases with significant impact on health and quality of life, which can be debilitating due to chronicity and treatment complexity. Predicting treatment response and disease progression in these conditions is challenging, but crucial for optimising therapeutic interventions. The advancing technology of automated machine learning (AutoML) holds great promise for rapidly building highly accurate predictive models based on patient features and treatment data...
April 11, 2024: JMIR Formative Research
https://read.qxmd.com/read/38643063/using-smartphone-chatbot-for-postoperative-care-after-intravitreal-injection-during-covid-19-period-a-retrospective-cohort-study
#3
JOURNAL ARTICLE
Pei-Chang Wu, Wei-Yu Chiang, Jung Lo, Jong-Jer Lee, Yung-Jen Chen, Hsi-Kung Kuo, Jie-Shin Chiau, Shu-Hui Hsu, Yi-Hao Chen
BACKGROUND: During COVID-19 pandemic period, it was difficult for the patients regular and scheduled follow-up in outpatient department, especially when lock-down. However, early detection of patients with initial infection or other serious conditions after ocular surgeries, such as intravitreous injection (IVI) for age-related macular degeneration (AMD). OBJECTIVE: We accessed a postoperative care chatbot system (PCCS) in smartphone for patients to self-report postoperative symptoms/signs with an instant bidirectional feedback system...
April 11, 2024: JMIR Formative Research
https://read.qxmd.com/read/38598698/validation-of-pulse-oxygen-saturation-heart-rate-blood-pressure-and-respiratory-rate-raised-by-a-contactless-telehealth-portal-validation-study
#4
JOURNAL ARTICLE
Julian Gerald Dcruz, Paichang Yeh
BACKGROUND: The traditional measurement of these vitals via physical examination has become challenging and the recent pandemic has accelerated trends towards telehealth and remote monitoring. Instead of going to the physician for checking Heart Rate, Oxygen Saturation (SPO2), Blood Pressure, Body Temperature and Respiration Rate it would be excellent if it could be measured at home. Vital signs monitors, also known as physiological parameter monitors, are electronic devices that measure and display biological information about patients under constant monitoring...
April 4, 2024: JMIR Formative Research
https://read.qxmd.com/read/38568139/prospective-acceptability-of-digital-therapy-for-major-depressive-disorder-in-france-multicentric-real-life-study
#5
JOURNAL ARTICLE
Odile Amiot, Anne Sauvaget, Isabelle Alamome, Samuel Bulteau, Thomas Charpeaud, Anne-Hélène Clair, Philippe Courtet, Dominique Drapier, Emmanuel Haffen, Eric Fakra, Gaudeau-Bosma Christian, Adeline Gourion-Gaillard, Stéphane Mouchabac, Fanny Pineau, Véronique Narboni, Anne Duburcq, Laurent Lecardeur
BACKGROUND: Major depressive disorder is one of the leading causes of disability worldwide. Recently, the WHO has highlighted the negative impact of recent crises (COVID-19 pandemic, war in Ukraine, economic crisis). Although most international guidelines recommend psychological and psychosocial interventions as a first-line treatment for mild to moderate depression, access remains limited in France due to limited availability of trained clinicians, high costs for patients in a context of non-reimbursement and fear of stigmatisation...
April 3, 2024: JMIR Formative Research
https://read.qxmd.com/read/38875702/health-information-system-strengthening-during-antenatal-care-in-haiti-continuous-quality-improvement-study
#6
JOURNAL ARTICLE
Meredith Casella Jean-Baptiste, Thamar Monide Vital Julmiste, Ellen Ball
BACKGROUND: Journey to 9 Plus (J9) is an integrated reproductive, maternal, neonatal, and child health approach to care that has at its core the goal of decreasing the rate of maternal and neonatal morbidity and mortality in rural Haiti. For the maximum effectiveness of this program, it is necessary that the data system be of the highest quality. OpenMRS, an electronic medical record (EMR) system, has been in place since 2013 throughout a tertiary referral hospital, the Hôpital Universitaire de Mirebalais, in Haiti and has been expanded for J9 data collection and reporting...
June 14, 2024: JMIR Formative Research
https://read.qxmd.com/read/38869943/developing-a-tailored-ehealth-self-management-intervention-for-patients-with-chronic-kidney-disease-in-china-intervention-mapping-approach
#7
JOURNAL ARTICLE
Hongxia Shen, Rianne van der Kleij, Paul J M van der Boog, Niels H Chavannes
BACKGROUND: Chronic kidney disease (CKD) is a major public health concern. Adequate self-management skills are vital to reduce CKD burden, optimize patient health outcomes, and control health care expenditures. Using eHealth to support CKD self-management has the potential to promote healthy behaviors and improve health outcomes of patients with CKD. However, knowledge of the implementation of such interventions in general, and in China specifically, is still limited. OBJECTIVE: This study aims to develop a tailored eHealth self-management intervention for patients with CKD in China based on the Dutch Medical Dashboard (MD) eHealth self-management intervention...
June 13, 2024: JMIR Formative Research
https://read.qxmd.com/read/38869940/understanding-covid-19-impacts-on-the-health-workforce-ai-assisted-open-source-media-content-analysis
#8
JOURNAL ARTICLE
Anita Pienkowska, Mathieu Ravaut, Maleyka Mammadova, Chin-Siang Ang, Hanyu Wang, Qi Chwen Ong, Iva Bojic, Vicky Mengqi Qin, Dewan Md Sumsuzzman, Onyema Ajuebor, Mathieu Boniol, Juana Paola Bustamante, James Campbell, Giorgio Cometto, Siobhan Fitzpatrick, Catherine Kane, Shafiq Joty, Josip Car
BACKGROUND: To investigate the impacts of the COVID-19 pandemic on the health workforce, we aimed to develop a framework that synergizes natural language processing (NLP) techniques and human-generated analysis to reduce, organize, classify, and analyze a vast volume of publicly available news articles to complement scientific literature and support strategic policy dialogue, advocacy, and decision-making. OBJECTIVE: This study aimed to explore the possibility of systematically scanning intelligence from media that are usually not captured or best gathered through structured academic channels and inform on the impacts of the COVID-19 pandemic on the health workforce, contributing factors to the pervasiveness of the impacts, and policy responses, as depicted in publicly available news articles...
June 13, 2024: JMIR Formative Research
https://read.qxmd.com/read/38869926/web-based-tool-designed-to-encourage-supplemental-nutrition-assistance-program-use-in-urban-college-students-usability-testing-study
#9
JOURNAL ARTICLE
Catherine Yan Hei Li, Charles Platkin, Jonathan Chin, Asia Khan, Jaleel Bennett, Anna Speck, Annette Nielsen, May May Leung
BACKGROUND: Food insecurity continues to be a risk for college students in the United States. It is associated with numerous problems, such as chronic health conditions, increased stress and anxiety, and a lower grade point average. After COVID-19, the Supplemental Nutrition Assistance Program (SNAP) benefits were extended to college-aged students; however, there were some barriers to participation, which persisted such as lack of perceived food insecurity risk, lack of knowledge regarding the SNAP application process, the complexity of determining eligibility, and stigma associated with needing social assistance...
June 13, 2024: JMIR Formative Research
https://read.qxmd.com/read/38865702/development-of-an-electronic-health-record-self-referral-tool-for-lung-cancer-screening-one-group-posttest-study
#10
JOURNAL ARTICLE
Garrett S Stang, Nichole T Tanner, Ashley Hatch, Jakarri Godbolt, Benjamin A Toll, Alana M Rojewski
BACKGROUND: Approximately 14 million individuals in the United States are eligible for lung cancer screening (LCS), but only 5.8% completed screening in 2021. Given the low uptake despite the potential great health benefit of LCS, interventions aimed at increasing uptake are warranted. The use of a patient-facing electronic health record (EHR) patient portal direct messaging tool offers a new opportunity to both engage eligible patients in preventative screening and provide a unique referral pathway for tobacco treatment...
June 12, 2024: JMIR Formative Research
https://read.qxmd.com/read/38857493/leveraging-ecological-momentary-assessment-data-to-characterize-individual-mobility-exploratory-pilot-study-in-rural-uganda
#11
JOURNAL ARTICLE
Aleya Khalifa, Laura K Beres, Aggrey Anok, Ismail Mbabali, Charles Katabalwa, Jeremiah Mulamba, Alvin G Thomas, Eva Bugos, Gertrude Nakigozi, Larry W Chang, M Kate Grabowski
BACKGROUND: The geographical environments within which individuals conduct their daily activities may influence health behaviors, yet little is known about individual-level geographic mobility and specific, linked behaviors in rural low- and middle-income settings. OBJECTIVE: Nested in a 3-month ecological momentary assessment intervention pilot trial, this study aims to leverage mobile health app user GPS data to examine activity space through individual spatial mobility and locations of reported health behaviors in relation to their homes...
June 10, 2024: JMIR Formative Research
https://read.qxmd.com/read/38857078/defining-activity-thresholds-triggering-a-stand-hour-for-apple-watch-users-cross-sectional-study
#12
JOURNAL ARTICLE
Katy Lyons, Alison Hau Hei Man, David Booth, Graham Rena
BACKGROUND: Sedentary behavior (SB) is one of the largest contributing factors increasing the risk of developing noncommunicable diseases, including cardiovascular disease and type 2 diabetes. Guidelines from the World Health Organization for physical activity suggest the substitution of SB with light physical activity. The Apple Watch contains a health metric known as the stand hour (SH). The SH is intended to record standing with movement for at least 1 minute per hour; however, the activity measured during the determination of the SH is unclear...
June 10, 2024: JMIR Formative Research
https://read.qxmd.com/read/38857065/an-app-based-physical-activity-intervention-in-community-dwelling-chinese-tagalog-and-vietnamese-speaking-americans-single-arm-intervention-study
#13
JOURNAL ARTICLE
Antony Nguyen, Filmer Yu, Linda G Park, Yoshimi Fukuoka, Ching Wong, Ginny Gildengorin, Tung T Nguyen, Janice Y Tsoh, Jane Jih
BACKGROUND: Physical inactivity is associated with adverse health outcomes among Asian Americans, who exhibit the least adherence to physical activity guidelines compared with other racial and ethnic groups. Mobile app-based interventions are a promising approach to promote healthy behaviors. However, there is a lack of app-based interventions focused on improving physical activity among Asian Americans whose primary language is not English. OBJECTIVE: This pilot study aimed to assess the feasibility and acceptability of a 5-week intervention using a culturally and linguistically adapted, evidence-based mobile phone app with an accelerometer program, to promote physical activity among Chinese-, Tagalog-, or Vietnamese-speaking Americans...
June 10, 2024: JMIR Formative Research
https://read.qxmd.com/read/38848557/smartphone-based-survey-and-message-compliance-in-adults-initially-unready-to-quit-smoking-secondary-analysis-of-a-randomized-controlled-trial
#14
JOURNAL ARTICLE
Clayton Ulm, Sixia Chen, Brianna Fleshman, Lizbeth Benson, Darla E Kendzor, Summer Frank-Pearce, Jordan M Neil, Damon Vidrine, Michael S Businelle
BACKGROUND: Efficacy of smartphone-based interventions depends on intervention content quality and level of exposure to that content. Smartphone-based survey completion rates tend to decline over time; however, few studies have identified variables that predict this decline over longer-term interventions (eg, 26 weeks). OBJECTIVE: This study aims to identify predictors of survey completion and message viewing over time within a 26-week smoking cessation trial. METHODS: This study examined data from a 3-group pilot randomized controlled trial of adults who smoke (N=152) and were not ready to quit smoking within the next 30 days...
June 7, 2024: JMIR Formative Research
https://read.qxmd.com/read/38848553/clinical-accuracy-relevance-clarity-and-emotional-sensitivity-of-large-language-models-to-surgical-patient-questions-cross-sectional-study
#15
JOURNAL ARTICLE
Mert Marcel Dagli, Felix Conrad Oettl, Jaskeerat Gujral, Kashish Malhotra, Yohannes Ghenbot, Jang W Yoon, Ali K Ozturk, William C Welch
This cross-sectional study evaluates the clinical accuracy, relevance, clarity, and emotional sensitivity of responses to inquiries from patients undergoing surgery provided by large language models (LLMs), highlighting their potential as adjunct tools in patient communication and education. Our findings demonstrated high performance of LLMs across accuracy, relevance, clarity, and emotional sensitivity, with Anthropic's Claude 2 outperforming OpenAI's ChatGPT and Google's Bard, suggesting LLMs' potential to serve as complementary tools for enhanced information delivery and patient-surgeon interaction...
June 7, 2024: JMIR Formative Research
https://read.qxmd.com/read/38848121/clinicians-decision-making-regarding-telehealth-services-focus-group-study-in-pediatric-allied-health
#16
JOURNAL ARTICLE
Donna Claire Thomas, Eva Frances Litherland, Sarah Masso, Gianina Raymundo, Melanie Keep
BACKGROUND: Many allied health services now provide both telehealth and in-person services following a rapid integration of telehealth as a response to the COVID-19 pandemic. However, little is known about how decisions are made about which clinical appointments to provide via telehealth versus in person. OBJECTIVE: The aim of this study is to explore clinicians' decision-making when contemplating telehealth for their clients, including the factors they consider and how they weigh up these different factors, and the clinicians' perceptions of telehealth utility beyond COVID-19 lockdowns...
June 7, 2024: JMIR Formative Research
https://read.qxmd.com/read/38848120/mhealth-intervention-for-elevated-blood-pressure-among-college-students-single-arm-intervention-study
#17
JOURNAL ARTICLE
Dieu-My Tran, Catherine Dingley, Roger Bonilla
BACKGROUND: Current evidence reveals a growing pattern of hypertension among young adults, significantly increasing their risk for cardiovascular disease later in life. Young adults, particularly those of college age, often develop risk factors related to lifestyle choices in diet, exercise, and alcohol consumption. Developing useful interventions that can assist with screening and possible behavioral modifications that are suitable and appealing to college-aged young adults could help with early identification and intervention for hypertension...
June 7, 2024: JMIR Formative Research
https://read.qxmd.com/read/38843520/youtube-as-a-source-of-patient-information-on-external-cephalic-version-cross-sectional-study
#18
JOURNAL ARTICLE
Merle R van Dijk, Anne-Fleur van der Marel, Leonie E van Rheenen-Flach, Wessel Ganzevoort, Etelka Moll, Fedde Scheele, Joost Velzel
BACKGROUND: With the global increase of cesarean deliveries, breech presentation is the third indication for elective cesarean delivery. Implementation of external cephalic version (ECV), in which the position of the baby is manipulated externally to prevent breech presentation at term, remains suboptimal. Increasing knowledge for caretakers and patients is beneficial in the uptake of ECV implementation. In recent decades, the internet has become the most important source of information for both patients and health care professionals...
June 6, 2024: JMIR Formative Research
https://read.qxmd.com/read/38843512/association-between-discrimination-and-depressive-symptoms-among-hispanic-or-latino-adults-during-the-covid-19-pandemic-cross-sectional-study
#19
JOURNAL ARTICLE
Cameron K Ormiston, Kevin Villalobos, Francisco Alejandro Montiel Ishino, Faustine Williams
BACKGROUND: Discrimination and xenophobia toward Hispanic and Latino communities increased during the COVID-19 pandemic, likely inflicting significant harm on the mental health of Hispanic and Latino individuals. Pandemic-related financial and social instability has disproportionately affected Hispanic and Latino communities, potentially compounding existing disparities and worsening mental health. OBJECTIVE: This study aims to examine the association between discrimination and depressive symptoms during the COVID-19 pandemic among a national sample of Hispanic and Latino adults...
June 6, 2024: JMIR Formative Research
https://read.qxmd.com/read/38842924/development-of-a-digital-patient-assistant-for-the-management-of-cyclic-vomiting-syndrome-patient-centric-design-study
#20
JOURNAL ARTICLE
Gaurav Narang, Yaozhu J Chen, Nicole Wedel, Melody Wu, Michelle Luo, Ashish Atreja
BACKGROUND: Cyclic vomiting syndrome (CVS) is an enigmatic and debilitating disorder of gut-brain interaction that is characterized by recurrent episodes of severe vomiting and nausea. It significantly impairs patients' quality of life and can lead to frequent medical visits and substantial health care costs. The diagnosis for CVS is often protracted and complex, primarily due to its exclusionary diagnosis nature and the lack of specific biomarkers. This typically leads to a considerable delay in accurate diagnosis, contributing to increased patient morbidity...
June 6, 2024: JMIR Formative Research
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