Predictors of Postal or Online Response Mode and Associations With Patient Experience and Satisfaction in the English Cancer Patient Experience Survey
Background: Patient experience surveys are important tools for improving the quality of cancer services, but the representativeness of responders is a concern. Increasingly, patient surveys that traditionally used postal questionnaires are incorporating an online response option. However, the characteristics and experience ratings of online responders are poorly understood. Objective: We sought to examine predictors of postal or online response mode, and associations with patient experience in the (English) Cancer Patient Experience Survey. Methods: We analyzed data from 71,186 patients with cancer recently treated in Nati...
Source: Journal of Medical Internet Research - May 2, 2019 Category: General Medicine Authors: Tra My Pham Gary A Abel Mayam Gomez-Cano Georgios Lyratzopoulos Source Type: research

Evaluating a Video-Based, Personalized Webpage in Genitourinary Oncology Clinical Trials: A Phase 2 Randomized Trial
Conclusions: This study is among the first to evaluate a video-based, personalized webpage that provides patients with educational videos and video recordings of clinical trial appointments. Despite not meeting the primary endpoint of reduced patient-initiated violations, this study demonstrates the feasibility of a video-based, personalized webpage in clinical trials. Future research assessing this tool might be better suited for realms outside of clinical trials and might consider the use of an endpoint that assesses patient-reported outcomes directly. A major limitation of this study was the lack of prior data for estim...
Source: Journal of Medical Internet Research - May 2, 2019 Category: General Medicine Authors: Rana McKay Hannah Mills Lillian Werner Atish Choudhury Toni Choueiri Susanna Jacobus Amanda Pace Laura Polacek Mark Pomerantz Judith Prisby Christopher Sweeney Meghara Walsh Mary-Ellen Taplin Source Type: research

Why Reviewing Apps Is Not Enough: Transparency for Trust (T4T) Principles of Responsible Health App Marketplaces
The overselling of health apps that may provide little benefit and even harm needs the health community’s immediate attention. With little formal regulation, a light-touch approach to consumer protection is now warranted to give customers a modicum of information to help them choose from the vast array of so-called health apps. We suggest 4 guiding principles that should be adopted to provide the consumer with information that can guide their choice at the point of download. We call these the Transparency for Trust (T4T) principles, which are derived from experimental studies, systematic reviews, and reports of patie...
Source: Journal of Medical Internet Research - May 2, 2019 Category: General Medicine Authors: Til Wykes Stephen Schueller Source Type: research

Consumer Evaluation of the Quality of Online Health Information: Systematic Literature Review of Relevant Criteria and Indicators
Conclusions: Consumer evaluation of online health information is a complex cost-benefit analysis process that involves the use of a wide range of criteria and a much wider range of quality indicators. There are commonalities in the use of criteria across user groups and source types, but the differences are hard to ignore. Evidently, consumers’ health information evaluation can be characterized as highly subjective and contextualized, and sometimes, misinformed. These findings invite more research into how different user groups evaluate different types of online sources and a personalized approach to educate users ab...
Source: Journal of Medical Internet Research - May 2, 2019 Category: General Medicine Authors: Yalin Sun Yan Zhang Jacek Gwizdka Ciaran B. Trace Source Type: research

Development and Evaluation of a Web-Based Resource for Suicidal Thoughts: NowMattersNow.org
This study aimed to describe the development of the NowMattersNow.org website as a resource for individuals with suicidal thoughts and to evaluate the utility of the site via user experience surveys. Methods: NowMattersNow.org is an online video-based free public resource that provides evidence-based teachings, examples, and resources for managing suicidal thoughts and intense emotions focused largely around skills from dialectical behavior therapy. Developed with assistance from mental health consumers, it is intended to address gaps in access to services for suicidal patients in health care systems. Visitors stay an aver...
Source: Journal of Medical Internet Research - May 2, 2019 Category: General Medicine Authors: Ursula Whiteside Julie Richards David Huh Rianna Hidalgo Rebecca Nordhauser Albert J Wong Xiaoshan Zhang David D Luxton Michael Ellsworth DeQuincy Lezine Source Type: research

Data-Driven Blood Glucose Pattern Classification and Anomalies Detection: Machine-Learning Applications in Type 1 Diabetes
Conclusions: Despite the complexity of BG dynamics, there are many attempts to capture hypoglycemia and hyperglycemia incidences and the extent of an individual’s GV using different approaches. Recently, the advancement of diabetes technologies and continuous accumulation of self-collected health data have paved the way for popularity of machine learning in these tasks. According to the review, most of the identified studies used a theoretical threshold, which suffers from inter- and intrapatient variation. Therefore, future studies should consider the difference among patients and also track its temporal change over...
Source: Journal of Medical Internet Research - May 1, 2019 Category: General Medicine Authors: Ashenafi Zebene Woldaregay Eirik Årsand Taxiarchis Botsis David Albers Lena Mamykina Gunnar Hartvigsen Source Type: research

“But His Yelp Reviews Are Awful!”: Analysis of General Surgeons’ Yelp Reviews
Background: Patients use Web-based platforms to review general surgeons. However, little is known about the free-form text and structured content of the reviews or how they relate to the physicians’ characteristics or their practices. Objective: This observational study aimed to analyze the Web-based reviews of general surgeons on the west side of Los Angeles. Methods: Demographics, practice characteristics, and Web-based presence were recorded. We evaluated frequency and types of Yelp reviews and assigned negative remarks to 5 categories. Tabulated results were evaluated using independent t test, one-way analysis of...
Source: Journal of Medical Internet Research - April 30, 2019 Category: General Medicine Authors: Cynthia Liu Meka Uffenheimer Yosef Nasseri Jason Cohen Joshua Ellenhorn Source Type: research

Efficacy of a Web-Based Self-Management Enhancing Program for Patients with Rheumatoid Arthritis: Explorative Randomized Controlled Trial
Conclusions: Based on these results, it is not possible to conclude on the positive effects of the intervention or to select outcome measures to be regarded as the primary/main or secondary outcomes for a future trial. A process evaluation should be performed to provide more insight into the low compliance with and effectiveness of the intervention. This can determine for whom this sort of program will work and help to fine-tune the inclusion criteria. Trial Registration: Netherlands Trial Register NTR4871; https://www.trialregister.nl/trial/4726 (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 30, 2019 Category: General Medicine Authors: Rixt Zuidema Sandra van Dulmen Maria Nijhuis-van der Sanden Inger Meek Cornelia van den Ende Jaap Fransen Betsie van Gaal Source Type: research

Technological Innovations in Disease Management: Text Mining US Patent Data From 1995 to 2017
Conclusions: This multifaceted analysis of patent documents provides a deep understanding of the focuses and trends of technological innovations in disease management in patents. Our findings offer insights into future research and innovation opportunities and provide actionable information to facilitate policy makers, payers, and investors to make better evidence-based decisions regarding resource allocation in biomedicine. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 30, 2019 Category: General Medicine Authors: Ming Huang Maryam Zolnoori Joyce E Balls-Berry Tabetha A Brockman Christi A Patten Lixia Yao Source Type: research

“It’s Not Just Technology, It’s People”: Constructing a Conceptual Model of Shared Health Informatics for Tracking in Chronic Illness Management
Conclusions: The resulting CoMSHI yields a more detailed and nuanced viewpoint of tracking in support of chronic illness management and can inform technology design to improve tracking tools to support people in more confident and capable chronic illness management. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 29, 2019 Category: General Medicine Authors: Lisa M Vizer Jordan Eschler Bon Mi Koo James Ralston Wanda Pratt Sean Munson Source Type: research

Crowdsourcing the Citation Screening Process for Systematic Reviews: Validation Study
Background: Systematic reviews (SRs) are often cited as the highest level of evidence available as they involve the identification and synthesis of published studies on a topic. Unfortunately, it is increasingly challenging for small teams to complete SR procedures in a reasonable time period, given the exponential rise in the volume of primary literature. Crowdsourcing has been postulated as a potential solution. Objective: The feasibility objective of this study was to determine whether a crowd would be willing to perform and complete abstract and full text screening. The validation objective was to assess the quality of...
Source: Journal of Medical Internet Research - April 29, 2019 Category: General Medicine Authors: Nassr Nama Margaret Sampson Nicholas Barrowman Ryan Sandarage Kusum Menon Gail Macartney Kimmo Murto Jean-Philippe Vaccani Sherri Katz Roger Zemek Ahmed Nasr James Dayre McNally Source Type: research

Improving Moderator Responsiveness in Online Peer Support Through Automated Triage
This study evaluated the potential for machine learning to assist online peer support by directing moderators’ attention where it is most needed. Objective: This study aimed to evaluate the accuracy of an automated triage system and the extent to which it influences moderator behavior. Methods: A machine learning classifier was trained to prioritize forum messages as green, amber, red, or crisis depending on how urgently they require attention from a moderator. This was then launched as a set of widgets injected into a popular online peer support forum hosted by ReachOut.com, an Australian Web-based youth mental heal...
Source: Journal of Medical Internet Research - April 26, 2019 Category: General Medicine Authors: David N Milne Kathryn L. McCabe Rafael A. Calvo Source Type: research

The Relationship Between Personality Traits, Psychopathological Symptoms, and Problematic Internet Use: A Complex Mediation Model
Conclusions: Personality traits (ie, conscientiousness as a protective factor and neuroticism as a risk factor) play a significant role in problematic internet use, both directly and indirectly (via distress level). (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 26, 2019 Category: General Medicine Authors: Beatrix Koronczai Gy öngyi Kökönyei Mark D Griffiths Zsolt Demetrovics Source Type: research

Wearable Proximity Sensors for Monitoring a Mass Casualty Incident Exercise: Feasibility Study
Conclusions: Our study shows the feasibility of the use of wearable sensors for tracking close contacts among individuals during an MCI simulation. It represents, to our knowledge, the first example of unsupervised data collection—ie, without the need for the involvement of observers, which could compromise the realism of the exercise—of face-to-face contacts during an MCI exercise. Moreover, by permitting detailed data collection about the simulation, such as data related to the flow of patients in the hospital, such deployment provides highly relevant input for the improvement of MCI resource allocation and m...
Source: Journal of Medical Internet Research - April 26, 2019 Category: General Medicine Authors: Laura Ozella Laetitia Gauvin Luca Carenzo Marco Quaggiotto Pier Luigi Ingrassia Michele Tizzoni Andr é Panisson Davide Colombo Anna Sapienza Kyriaki Kalimeri Francesco Della Corte Ciro Cattuto Source Type: research

Using Machine Learning to Derive Just-In-Time and Personalized Predictors of Stress: Observational Study Bridging the Gap Between Nomothetic and Ideographic Approaches
Conclusions: We conclude that for some applications, nomothetic models may be useful for yielding higher initial performance while still surfacing personalized predictors of stress, before switching to ideographic models upon sufficient data collection. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 26, 2019 Category: General Medicine Authors: Alan Rozet Ian M Kronish Joseph E Schwartz Karina W Davidson Source Type: research

Clinical Efficacy of Telemedicine Compared to Face-to-Face Clinic Visits for Smoking Cessation: Multicenter Open-Label Randomized Controlled Noninferiority Trial
Conclusions: The application of telemedicine using internet-based video counseling as a smoking cessation program had a similar CAR from weeks 9 to 12 as that of the standard face-to-face clinical visit program. The efficacy of the telemedicine-based smoking cessation program was not inferior to that of the standard visit–based smoking cessation program. Trial Registration: University Hospital Medical Information Network Clinical Trials Registry: UMIN000031620; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035975. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 26, 2019 Category: General Medicine Authors: Akihiro Nomura Tomoyuki Tanigawa Tomoyasu Muto Takafumi Oga Yasushi Fukushima Arihiro Kiyosue Masaki Miyazaki Eisuke Hida Kohta Satake Source Type: research

Use of Electronic Health and Its Impact on Doctor-Visiting Decisions Among People With Diabetes: Cross-Sectional Study
Conclusions: Our findings suggest that using eHealth has a significant impact on doctor-visiting decisions among people with diabetes, especially among people aged 18 to 39 years and among those reporting anxiety/depression. It is of great importance that the information posted is of high quality and that the large differences between internet-users regarding age as well as mental and somatic health status are taken into account. More research is needed to confirm and further explore the findings of this study. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 26, 2019 Category: General Medicine Authors: Anne Helen Hansen Tor Claudi Eirik Årsand Source Type: research

Clinicians ’ Concerns About Mobile Ecological Momentary Assessment Tools Designed for Emerging Psychiatric Problems: Prospective Acceptability Assessment of the MEmind App
Conclusions: We describe the first step of the development of a Web app combining an electronic health record and ecological momentary assessment features. This online tool offers the possibility to assess patients and to integrate medical data easily into face-to-face conditions. The acceptability of this app supports the feasibility of its broader implementation. This app could help to standardize assessment and to build up a strong database. Used in conjunction with robust data mining analytic techniques, such a database would allow exploration of risk factors, patterns of symptom evolution, and identification of distin...
Source: Journal of Medical Internet Research - April 25, 2019 Category: General Medicine Authors: Christophe Lemey Mark Erik Larsen Jordan Devylder Philippe Courtet Romain Billot Philippe Lenca Michel Walter Enrique Baca-Garc ía Sofian Berrouiguet Source Type: research

Offline Digital Education for Postregistration Health Professions: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration
Conclusions: There is some evidence to support the effectiveness of offline digital education in improving learners’ knowledge and insufficient quality and quantity evidence for the other outcomes. Future high-quality studies are needed to increase generalizability and inform use of this modality of education. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 24, 2019 Category: General Medicine Authors: Pawel Posadzki Malgorzata M Bala Bhone Myint Kyaw Monika Semwal Ushashree Divakar Magdalena Koperny Agnieszka Sliwka Josip Car Source Type: research

Detecting Developmental Delay and Autism Through Machine Learning Models Using Home Videos of Bangladeshi Children: Development and Validation Study
Conclusions: These results show promise for using a mobile video-based and machine learning–directed approach for early and remote detection of autism in Bangladeshi children. This strategy could provide important resources for developmental health in developing countries with few clinical resources for diagnosis, helping children get access to care at an early age. Future research aimed at extending the application of this approach to identify a range of other conditions and determine the population-level burden of developmental disabilities and impairments will be of high value. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 24, 2019 Category: General Medicine Authors: Qandeel Tariq Scott Lanyon Fleming Jessey Nicole Schwartz Kaitlyn Dunlap Conor Corbin Peter Washington Haik Kalantarian Naila Z Khan Gary L Darmstadt Dennis Paul Wall Source Type: research

The Use of Cancer-Specific Patient-Centered Technologies Among Underserved Populations in the United States: Systematic Review
Conclusions: There is a growing body of literature exploring patient-centered technology and its influence on care of underserved populations. In this review, we find that these technologies seem to be effective, especially when tailored, in improving patient and care-related outcomes. Despite the potential of patient-centered technologies and the receptivity of underserved populations, challenges still exist with respect to their effective use and usability. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 23, 2019 Category: General Medicine Authors: Will L Tarver David A Haggstrom Source Type: research

How Confidence in Prior Attitudes, Social Tag Popularity, and Source Credibility Shape Confirmation Bias Toward Antidepressants and Psychotherapy in a Representative German Sample: Randomized Controlled Web-Based Study
This study aimed to investigate confirmation bias in mental health–related information search, particularly (1) if high confidence worsens confirmation bias, (2) if social tags eliminate the influence of prior attitudes, and (3) if people successfully distinguish high and low source credibility. Methods: In total, 520 participants of a representative sample of the German Web-based population were recruited via a panel company. Among them, 48.1% (250/520) participants completed the fully automated study. Participants provided prior attitudes about antidepressants and psychotherapy. We manipulated (1) confidence in pri...
Source: Journal of Medical Internet Research - April 23, 2019 Category: General Medicine Authors: Stefan Schweiger Ulrike Cress Source Type: research

Usability of Health Information Websites Designed for Adolescents: Systematic Review, Neurodevelopmental Model, and Design Brief
Conclusions: Young people’s feedback can determine usability and content that make a health information website easy or informative to use. Neurodevelopmental profiles and the users’ specific preferences and skills should be addressed in future development of health information websites for adolescents. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 23, 2019 Category: General Medicine Authors: Gurpreet Kaur Reen Linden Muirhead Dawn Wendy Langdon Source Type: research

Developing a Physical Activity Ontology to Support the Interoperability of Physical Activity Data
Conclusions: As a first step toward standardizing and structuring heterogeneous descriptions of physical activities for integrative data analyses, PACO was constructed based on the concepts collected from physical activity questionnaires and assessment scales. PACO was evaluated to be structurally consistent and compliant to ontology authoring principles. PACO was also demonstrated to be potentially useful in standardizing heterogeneous physical activity descriptions and classifying them into clinically meaningful categories that reflect adequacy of exercise. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 23, 2019 Category: General Medicine Authors: Hyeoneui Kim Jessica Mentzer Ricky Taira Source Type: research

Racial, Ethnic, and Socioeconomic Disparities in Web-Based Patient Portal Usage Among Kidney and Liver Transplant Recipients: Cross-Sectional Study
Conclusions: Despite studies showing that patient portals have the potential to benefit transplant recipients as a tool for health management, racial and socioeconomic disparities should be considered before widespread implementation. Transplant centers should include portal training and support to all patients to encourage use, given its potential to improve outcomes. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 22, 2019 Category: General Medicine Authors: Joel Wedd Mohua Basu Laura M Curtis Kayla Smith Denise J Lo Marina Serper Michael S Wolf Ruth Parker Rachel E Patzer Source Type: research

The Evidence Base for an Ideal Care Pathway for Frail Multimorbid Elderly: Combined Scoping and Systematic Intervention Review
Conclusions: Despite a strong common-sense belief that the Digi-PIP ingredients are key to sustainable care in the face of the silver tsunami, research has failed to produce evidence for this. We found that interventions reflect a reductionist paradigm, which forces care workers into standardized narrowly focused interventions for complex problems. There is a paucity of studies that meet complex needs with digitally supported flexible and adaptive teamwork. We predict that consistent results from care transformations for frail multimorbid elderly hinges on an individual care pathway, which reflects a synergetic PIP approac...
Source: Journal of Medical Internet Research - April 22, 2019 Category: General Medicine Authors: Gro Berntsen Frode Strisland Kristian Malm-Nicolaisen Berglind Smaradottir Rune Fensli Mette R øhne Source Type: research

Predicting Outcomes from Engagement With Specific Components of an Internet-Based Physical Activity Intervention With Financial Incentives: Process Analysis of a Cluster Randomized Controlled Trial
Conclusions: Our results provide evidence opposing one of the main hypotheses of self-determination theory by showing that financial rewards are not necessarily associated with decreases in more internal forms of motivation when offered as part of a complex multicomponent intervention. Identifying baseline predictors of nonusage attrition can help researchers to develop strategies to ensure maximum intervention adherence. Trial Registration: ISRCTN Registry ISRCTN17975376; http://www.isrctn.com/ISRCTN17975376 (Archived by WebCite at http://www.webcitation.org/76VGZsZug) (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 19, 2019 Category: General Medicine Authors: Jennifer M Murray David P French Christopher C Patterson Frank Kee Aisling Gough Jianjun Tang Ruth F Hunter Source Type: research

Wearable Sensors Reveal Menses-Driven Changes in Physiology and Enable Prediction of the Fertile Window: Observational Study
In this study, we probed what phase-based differences a wearable bracelet could detect in users’ WST, heart rate, HRV, respiratory rate, and skin perfusion. Drawing on insight from artificial intelligence and machine learning, we then sought to develop an algorithm that could identify the fertile window in real time. Methods: We conducted a prospective longitudinal study, recruiting 237 conception-seeking Swiss women. Participants wore the Ava bracelet (Ava AG) nightly while sleeping for up to a year or until they became pregnant. In addition to syncing the device to the corresponding smartphone app daily, women also...
Source: Journal of Medical Internet Research - April 18, 2019 Category: General Medicine Authors: Brianna Mae Goodale Mohaned Shilaih Lisa Falco Franziska Dammeier Gy örgyi Hamvas Brigitte Leeners Source Type: research

Effects of Mock Facebook Workday Comments on Public Perception of Professional Credibility: A Field Study in Canada
Background: There is considerable discussion of risks to health professionals’ reputations and employment from personal social media use, though its impacts on professional credibility and the health professional-client relationship are unknown. Objective: The aim of this study was to test the extent to which workday comments posted to health professionals’ personal Facebook profiles influence their credibility and affect the professional-client relationship. Methods: In a controlled field study, participants (members of the public) reviewed randomly assigned mock Facebook profiles of health professionals. The ...
Source: Journal of Medical Internet Research - April 18, 2019 Category: General Medicine Authors: Cynthia Weijs Jason Coe Serge Desmarais Shannon Majowicz Andria Jones-Bitton Source Type: research

Augmented Reality in Emergency Medicine: A Scoping Review
Conclusions: Through analysis of the current literature across fields, we were able to demonstrate that augmented reality has utility and feasibility in clinical care delivery in patient care settings, in operating rooms and inpatient settings, and in education and training of emergency care providers. Additionally, we found that the use of augmented reality for care delivery over distances is feasible, suggesting a role in telehealth. Our results from the review of the literature in emergency medicine and other specialties reveal that further research into the uses of augmented reality will have a substantial role in chan...
Source: Journal of Medical Internet Research - April 17, 2019 Category: General Medicine Authors: Brendan William Munzer Mohammad Mairaj Khan Barbara Shipman Prashant Mahajan Source Type: research

Mood Prediction of Patients With Mood Disorders by Machine Learning Using Passive Digital Phenotypes Based on the Circadian Rhythm: Prospective Observational Cohort Study
Conclusions: On the basis of the theoretical basis of chronobiology, this study proposed a good model for future research by developing a mood prediction algorithm using machine learning by processing and reclassifying digital log data. In addition to academic value, it is expected that this study will be of practical help to improve the prognosis of patients with mood disorders by making it possible to apply actual clinical application owing to the rapid expansion of digital technology. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 17, 2019 Category: General Medicine Authors: Chul-Hyun Cho Taek Lee Min-Gwan Kim Hoh Peter In Leen Kim Heon-Jeong Lee Source Type: research

Internet-Delivered Cognitive Behavioral Therapy for Anxiety Disorders in Open Community Versus Clinical Service Recruitment: Meta-Analysis
Conclusions: iCBT was effective in samples recruited in clinical practice, but effect sizes were smaller than those found in trials with an open recruitment method for studies with waitlist control comparators. Hence, for patients with anxiety disorders in routine care, the impact of iCBT may not be as positive as for study participants recruited from the community. The difference between open recruitment trials and clinical service recruitment trials might be partly explained by patients’ greater therapy adherence in open recruitment trials and the stricter exclusion of patients with severe depressive symptoms in th...
Source: Journal of Medical Internet Research - April 17, 2019 Category: General Medicine Authors: Geke Romijn Neeltje Batelaan Robin Kok Jeroen Koning Anton van Balkom Nickolai Titov Heleen Riper Source Type: research

Comparison of Smartphone Ownership, Social Media Use, and Willingness to Use Digital Interventions Between Generation Z and Millennials in the Treatment of Substance Use: Cross-Sectional Questionnaire Study
Conclusions: Given the high rates of exposure to drug cues on social media, disseminating recovery support within a social media platform may be the ideal just-in-time intervention needed to decrease the rates of recurrent drug use. However, our results suggest that cross-platform solutions capable of transcending generational preferences are necessary and one-size-fits-all digital interventions should be avoided. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 17, 2019 Category: General Medicine Authors: Brenda L Curtis Robert D Ashford Katherine I Magnuson Stacy R Ryan-Pettes Source Type: research

Validation of Two Automatic Blood Pressure Monitors With the Ability to Transfer Data via Bluetooth
Background: Patients with chronic diseases are in need of regular health controls. Diabetes mellitus type 2 is currently the most prevalent chronic metabolic disease. A majority of diabetic patients have at least one comorbid chronic disease, where hypertension is the most common. The standard for blood pressure (BP) measurement is manual BP monitoring at health care clinics. Nevertheless, several advantages of self-measured BP have been documented. With BP data transfer from an automatic BP monitor via Bluetooth to software, for example, a smartphone app, home measurement could effectively be integrated into regular care....
Source: Journal of Medical Internet Research - April 17, 2019 Category: General Medicine Authors: Madeleine Wetterholm Stephanie Erika Bonn Christina Alexandrou Marie L öf Ylva Trolle Lagerros Source Type: research

Web-Based Health Information Technology: Access Among Latinos Varies by Subgroup Affiliation
Conclusions: We found Latino subgroups do not use health information channels equally, and attempts to target Latinos should take ethnicity and nativity into account. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 16, 2019 Category: General Medicine Authors: Mariaelena Gonzalez Ashley Sanders-Jackson Tashelle Wright Source Type: research

Using a Facebook Forum to Cope With Narcolepsy After Pandemrix Vaccination: Infodemiology Study
Conclusions: The group studied is a good example of social media use for self-help through a difficult situation among people affected by illness and disease. This shows that social media do not by themselves induce trench warfare but, given a good group composition, can provide a necessary forum for managing an emergency situation where health care and government have failed or are mistrusted, and patients have to organize themselves so as to cope. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 16, 2019 Category: General Medicine Authors: Karin Blomberg Mats Eriksson Rickard B öö Åke Grönlund Source Type: research

Designing a Chatbot for a Brief Motivational Interview on Stress Management: Qualitative Case Study
Conclusions: A conversational sequence for a brief motivational interview was presented in this case study. Participant feedback suggests sequencing questions and MI-adherent statements can facilitate a conversation for stress management, which may encourage a chance of self-reflection. More diversified sequences, along with more contextualized feedback, should follow to offer a better conversational experience and to confirm any empirical effect. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 16, 2019 Category: General Medicine Authors: SoHyun Park Jeewon Choi Sungwoo Lee Changhoon Oh Changdai Kim Soohyun La Joonhwan Lee Bongwon Suh Source Type: research

Midwives ’, Obstetricians’, and Recently Delivered Mothers’ Perceptions of Remote Monitoring for Prenatal Care: Retrospective Survey
Conclusions: Although most of midwives and obstetricians had no or very little experience with remote monitoring before enrolling in the PREMOM study, they reported, based on their one-year experience, that remote monitoring was an important component in the follow-up of high-risk pregnancies and would recommend it to their colleagues and pregnant patients. Trial Registration: ClinicalTrials.gov NCT03246737; https://clinicaltrials.gov/ct2/show/NCT03246737 (Archived by WebCite at http://www.webcitation.org/76KVnHSYY) (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 15, 2019 Category: General Medicine Authors: Dorien Lanssens Thijs Vandenberk Joy Lodewijckx Tessa Peeters Valerie Storms Inge M Thijs Lars Grieten Wilfried Gyselaers Source Type: research

Integration of Rehabilitation Activities Into Everyday Life Through Telerehabilitation: Qualitative Study of Cardiac Patients and Their Partners
Conclusions: Cardiac patients and their partners found telerehabilitation technologies a useful digital toolbox in the rehabilitation process. Telerehabilitation motivated the patients to integrate rehabilitation activities into their work schedule and everyday life and made them feel like unique individuals. Participating in the Teledialog Telerehabilitation Program might not be a suitable strategy for all cardiac patients. Being a patient’s partner in the telerehabilitation program was associated with a heightened sense of security, navigation between active involvement in the rehabilitation process, being an equal...
Source: Journal of Medical Internet Research - April 15, 2019 Category: General Medicine Authors: Birthe Dinesen Gitte Nielsen Jan Jesper Andreasen Helle Spindler Source Type: research

Understanding User Experience: Exploring Participants ’ Messages With a Web-Based Behavioral Health Intervention for Adolescents With Chronic Pain
Conclusions: In this secondary data analysis, we demonstrated how automated text analysis techniques could be used to identify messages of interest, such as questions and concerns from users. In addition, we demonstrated how cluster analysis could be used to identify subgroups of individuals who share communication and engagement patterns, and in turn facilitate personalization of interventions for different subgroups of patients. This work makes 2 key methodological contributions. First, this study is innovative in its use of topic modeling to provide a rich characterization of the textual content produced by coaches and ...
Source: Journal of Medical Internet Research - April 15, 2019 Category: General Medicine Authors: Annie T Chen Aarti Swaminathan William R Kearns Nicole M Alberts Emily F Law Tonya M Palermo Source Type: research

Face-to-Face Versus Video Assessment of Facial Paralysis: Implications for Telemedicine
Conclusions: Video assessment of FNP with the House-Brackmann and Sunnybrook systems was as reliable as face-to-face but with insufficient agreement, especially in the assessment of synkinesis. However, video assessment does not account for the impact of real-time interactions that occur during tele-assessment sessions. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 12, 2019 Category: General Medicine Authors: Jian Rong Tan Susan Coulson Melanie Keep Source Type: research

Privacy-Preserving Record Grouping and Consent Management Based on a Public-Private Key Signature Scheme: Theoretical Analysis and Feasibility Study
Conclusions: The proposed approach has a high security and privacy level in comparison with traditional centralized pseudonymization approaches and does not require a trusted third party. The only drawback in comparison with central pseudonymization is the directed feedback of accidental findings to individual participants, as this is not possible with a quasi-anonymous storage of patient data. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 12, 2019 Category: General Medicine Authors: Stephan Jonas Simon Siewert Cord Spreckelsen Source Type: research

Effectiveness of Internet-Delivered Computerized Cognitive Behavioral Therapy for Patients With Insomnia Who Remain Symptomatic Following Pharmacotherapy: Randomized Controlled Exploratory Trial
This study aimed to examine the effectiveness of our internet-delivered computerized cognitive behavioral therapy (ICBT) program as an adjunct to usual care (UC) compared with UC alone in patients with insomnia who remain symptomatic following hypnotics. Methods: We recruited 23 patients with insomnia who remained symptomatic following pharmacologic treatment including benzodiazepines, and we conducted an exploratory randomized controlled trial. The primary outcome was the Pittsburgh Sleep Quality Index (PSQI) at week 6 of the treatment. Secondary outcomes were sleep onset latency, total sleep time, sleep efficiency, numbe...
Source: Journal of Medical Internet Research - April 11, 2019 Category: General Medicine Authors: Daisuke Sato Naoki Yoshinaga Eiichi Nagai Kazue Nagai Eiji Shimizu Source Type: research

Patient Portals Facilitating Engagement With Inpatient Electronic Medical Records: A Systematic Review
Conclusions: While the evidence is currently immature, patient portals have demonstrated benefit by enabling the discovery of medical errors, improving adherence to medications, and providing patient-provider communication, etc. High-quality studies are needed to fully understand, improve, and evaluate their impact. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 11, 2019 Category: General Medicine Authors: Ronald Dendere Christine Slade Andrew Burton-Jones Clair Sullivan Andrew Staib Monika Janda Source Type: research

Web-Based Parent Training Intervention With Telephone Coaching for Disruptive Behavior in 4-Year-Old Children in Real-World Practice: Implementation Study
Background: Parent training is the most effective approach to the psychosocial treatment of disruptive behavioral problems in childhood. However, no studies exist on how well Web-based training programs work when they make the transition from the research setting to implementation in primary health care. Objective: The study aimed to examine how the randomized controlled trial (RCT) and implementation study groups of the Strongest Families Smart Website (SFSW) intervention differed in child psychopathology, family demographics and treatment-related factors, such as therapeutic alliance and parents’ satisfaction rates...
Source: Journal of Medical Internet Research - April 11, 2019 Category: General Medicine Authors: Terja Ristkari Marjo Kurki Auli Suominen Sonja Gilbert Atte Sinokki Malin Kinnunen Jukka Huttunen Patrick McGrath Andre Sourander Source Type: research

Health Care and Precision Medicine Research: Analysis of a Scalable Data Science Platform
Conclusions: The implementation and use of integrated data science platforms offer organizations the opportunity to combine traditional datasets, including data from the electronic health record, with emerging big data sources, such as continuous patient monitoring and real-time laboratory results. These platforms can enable cost-effective and scalable analytics for the information that will be key to the delivery of precision medicine initiatives. Organizations that can take advantage of the technical advances found in data science platforms will have the opportunity to provide comprehensive access to health care data for...
Source: Journal of Medical Internet Research - April 9, 2019 Category: General Medicine Authors: Jacob McPadden Thomas JS Durant Dustin R Bunch Andreas Coppi Nathaniel Price Kris Rodgerson Charles J Torre Jr William Byron Allen L Hsiao Harlan M Krumholz Wade L Schulz Source Type: research

Implementation of a Novel Electronic Patient-Directed Smoking Cessation Platform for Cancer Patients: Interrupted Time Series Analysis
The objective of this study was to implement and evaluate the adoption and impact of an innovative Smoking Cessation e-referral System (CEASE) to promote referrals to smoking cessation programs in cancer patients. Methods: A patient-directed electronic smoking cessation platform (CEASE) was developed to promote smoking screening and referral and implemented at 1 of Canada’s largest cancer centers. The implementation and evaluation were guided by the Ottawa Model of Research Use. An interrupted time series design was used to examine the impact of CEASE on screening rates, referrals offered, and referrals accepted comp...
Source: Journal of Medical Internet Research - April 9, 2019 Category: General Medicine Authors: Meredith Elana Giuliani Geoffrey Liu Wei Xu Mihaela Dirlea Peter Selby Janet Papadakos Nazek Abdelmutti Dongyang Yang Lawson Eng David Paul Goldstein Jennifer Michelle Jones Source Type: research

Addressing Diabetes and Poorly Controlled Hypertension: Pragmatic mHealth Self-Management Intervention
Conclusion: We did not reduce uncontrolled hypertension even among the more highly engaged. However, 83% of a predominately minority and low-income population completed at least 67% of the multimodal mHealth intervention. Findings suggest that combining an automated electronic health record system to identify at-risk patients with a tailored mHealth protocol can provide education to this population. While this intervention was insufficient to effect behavioral change resulting in better hypertension control, it does suggest that this FQHC population will engage in low-cost population health applications with a potentially ...
Source: Journal of Medical Internet Research - April 9, 2019 Category: General Medicine Authors: Allison A. Lewinski Uptal D. Patel Clarissa J. Diamantidis Megan Oakes Khaula Baloch Matthew J. Crowley Jonathan Wilson Jane Pendergast Holly Biola L. Ebony Boulware Hayden B. Bosworth Source Type: research

Technology-Based Alcohol Interventions in Primary Care: Systematic Review
Conclusions: Our systematic review has highlighted a pattern of growth in the number of studies evaluating technology-based alcohol interventions in primary care. Although these interventions appear to be largely beneficial in primary care, outcomes may be enhanced by provider involvement and implementation strategy use. This review enables better understanding of the typologies and efficacy of these interventions and informs recommendations for those developing and implementing technology-based alcohol interventions in primary care settings. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 8, 2019 Category: General Medicine Authors: Alex T Ramsey Jason M Satterfield Donald R Gerke Enola K Proctor Source Type: research

What Do Patients Say About Doctors Online? A Systematic Review of Studies on Patient Online Reviews
Conclusions: PORs contain valuable information that can generate insights into quality of care and patient-provider relationship, but it has not been systematically used for studies of health care quality. With the advancement of machine learning and data analysis tools, we anticipate more research on PORs based on testable hypotheses and rigorous analytic methods. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) CRD42018085057; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=85057 (Archived by WebCite at http://www.webcitation.org/76ddvTZ1C) (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 8, 2019 Category: General Medicine Authors: Y Alicia Hong Chen Liang Tiffany A Radcliff Lisa T Wigfall Richard L Street Source Type: research