Mitigation of Participant Loss to Follow-Up Using Facebook: All Our Families Longitudinal Pregnancy Cohort
This study used data from the All Our Families cohort. Of the 2827 mother-child dyads within the cohort, 237 participants were lost to follow-up. Participants were considered lost to follow-up if they had agreed to participate in additional research, completed at least one of the perinatal questionnaires, did not complete the 5-year postpartum questionnaire, and could not be contacted after numerous attempts via phone, email, or mail. Participants were considered to be matched to a Facebook profile if 2 or more characteristics matched information previously collected. Participants were sent both a friend request and a pers...
Source: Journal of Medical Internet Research - February 15, 2019 Category: General Medicine Authors: Nikki Lee Stephenson Erin Hetherington Shawn Dodd Alexander Mathews Suzanne Tough Source Type: research

A Framework for Analyzing and Measuring Usage and Engagement Data (AMUsED) in Digital Interventions: Viewpoint
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...
Source: Journal of Medical Internet Research - February 15, 2019 Category: General Medicine Authors: Sascha Miller Ben Ainsworth Lucy Yardley Alex Milton Mark Weal Peter Smith Leanne Morrison Source Type: research

Patient-Level Prediction of Cardio-Cerebrovascular Events in Hypertension Using Nationwide Claims Data
Conclusions: We developed and compared machine learning models predicting high-risk vascular diseases in hypertensive patients so that they may manage their blood pressure based on their risk level. By relying on the prediction model, a government can predict high-risk patients at the nationwide level and establish health care policies in advance. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 15, 2019 Category: General Medicine Authors: Jaram Park Jeong-Whun Kim Borim Ryu Eunyoung Heo Se Young Jung Sooyoung Yoo Source Type: research

Health Care and Cybersecurity: Bibliometric Analysis of the Literature
Conclusions: Our results revealed an overall increase in research on cybersecurity and identified major gaps and opportunities for future work. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 15, 2019 Category: General Medicine Authors: Mohammad S Jalali Sabina Razak William Gordon Eric Perakslis Stuart Madnick Source Type: research

Digital Education in Health Professions: The Need for Overarching Evidence Synthesis
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. The aim of this paper is to present the overar...
Source: Journal of Medical Internet Research - February 14, 2019 Category: General Medicine Authors: Josip Car Jan Carlstedt-Duke Lorainne Tudor Car Pawel Posadzki Penny Whiting Nabil Zary Rifat Atun Azeem Majeed James Campbell Digital Health Education Collaboration Source Type: research

Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes (Part 1): Randomized Controlled Trial
This study aimed to examine the effectiveness of a technology-based supportive educational parenting program (SEPP) on parenting outcomes during the perinatal period in couples. Methods: A randomized, single-blinded, parallel-armed, controlled trial was conducted. The study recruited 236 parents (118 couples) from an antenatal clinic of a tertiary hospital in Singapore. Eligible parents were randomly assigned to the intervention group (n=118) or the control group (n=118). The SEPP is based on Bandura’s self-efficacy theory and Bowlby’s theory of attachment. Components of the intervention include 2 telephone-bas...
Source: Journal of Medical Internet Research - February 13, 2019 Category: General Medicine Authors: Shefaly Shorey Yvonne Peng Mei Ng Esperanza Debby Ng An Ling Siew Evalotte Morelius Joanne Yoong Mihir Gandhi Source Type: research

Evaluation of Mothers ’ Perceptions of a Technology-Based Supportive Educational Parenting Program (Part 2): Qualitative Study
Conclusions: Mothers who received the intervention were overall satisfied with the support provided by the technology-based supportive educational parenting program. The success of the educational program in this study highlights the need to supplement standard care in hospitals with technology-based educational programs. Future research should include fathers’ perceptions to attain an in-depth understanding of overall participants’ experiences and needs in the future development of supportive and educational programs. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 13, 2019 Category: General Medicine Authors: Shefaly Shorey Esperanza Debby Ng Source Type: research

Use of Learning Analytics Data in Health Care –Related Educational Disciplines: Systematic Review
Conclusions: The nature of e-learning activities reported in this review was varied and not detailed well. In addition, there appeared to be inadequate reporting of learning analytics data observed in over half of the selected papers with regards to definitions and lack of detailed information of what the analytic was recording. Although learning analytics data capture is popular, a lack of detail is apparent with regards to the capturing of meaningful and comparable data. In particular, most analytics record access to a management system or particular e-learning materials, which may not necessarily detail meaningful learn...
Source: Journal of Medical Internet Research - February 13, 2019 Category: General Medicine Authors: Albert KM Chan Michael G Botelho Otto LT Lam Source Type: research

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?
Conclusions: This is the first study to estimate the value for money of the supply- and demand-side of an mHealth initiative. The adoption of MOTECH to improve MNCH service delivery and uptake represents good value for money in Ghana and should be considered for expansion. Integration with other mHealth solutions, including e-Tracker, may provide opportunities to continue or combine beneficial components of MOTECH to achieve a greater impact on health. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 13, 2019 Category: General Medicine Authors: Michelle Willcox Anitha Moorthy Diwakar Mohan Karen Romano David Hutchful Garrett Mehl Alain Labrique Amnesty LeFevre Source Type: research

Older Adults ’ Perspectives on Using Digital Technology to Maintain Good Mental Health: Interactive Group Study
Conclusions: Older adults are motivated to use digital technologies to improve their mental health, but barriers remain that developers need to address for this population to access them. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 13, 2019 Category: General Medicine Authors: Jacob A Andrews Laura JE Brown Mark S Hawley Arlene J Astell Source Type: research

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
Conclusions: The 13 dimensions from heiQ, HLQ, and eHLQ can be used in combination to describe a user’s health technology readiness level and degree of enablement. Further studies in other populations are needed to understand whether the associations between dimensions are consistent and the number of dimensions can be reduced. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 12, 2019 Category: General Medicine Authors: Lars Kayser Sine Rossen Astrid Karnoe Gerald Elsworth Jette Vibe-Petersen Jesper Frank Christensen Mathias Ried-Larsen Richard H Osborne Source Type: research

Implementing Blockchains for Efficient Health Care: Systematic Review
Conclusions: Blockchain could create a mechanism to manage access to EHRs stored on the cloud. Using a blockchain can increase interoperability while maintaining privacy and security of data. It contains inherent integrity and conforms to strict legal regulations. Increased interoperability would be beneficial for health outcomes. Although this technology is currently unfamiliar to most, investments into creating a sufficiently user-friendly interface and educating users on how best to take advantage of it would lead to improved health outcomes. International Registered Report Identifier (IRRID): RR2-10.2196/10994 (Source:...
Source: Journal of Medical Internet Research - February 12, 2019 Category: General Medicine Authors: Anuraag A Vazirani Odhran O ' Donoghue David Brindley Edward Meinert Source Type: research

Mobile Digital Education for Health Professions: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration
Conclusions: The evidence base suggests that mLearning is as effective as traditional learning or possibly more so. Although acknowledging the heterogeneity among the studies, this synthesis provides encouraging early evidence to strengthen efforts aimed at expanding health professions education using mobile devices in order to help tackle the global shortage of health professionals. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 12, 2019 Category: General Medicine Authors: Gerard Dunleavy Charoula Konstantia Nikolaou Sokratis Nifakos Rifat Atun Gloria Chun Yi Law Lorainne Tudor Car Source Type: research

Design and Development of a Person-Centered Patient Portal Using Participatory Stakeholder Co-Design
Conclusions: Inclusion of all stakeholders in the design and development of patient-facing software can help ensure that the necessary elements of person-centeredness, clinician acceptability, and informatics feasibility are achieved. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 11, 2019 Category: General Medicine Authors: John Kildea John Battista Briana Cabral Laurie Hendren David Herrera Tarek Hijal Ackeem Joseph Source Type: research

Is Blockchain Technology Suitable for Managing Personal Health Records? Mixed-Methods Study to Test Feasibility
Conclusions: This study confirms that it is possible to exchange PHR data in a private blockchain network. However, to develop a blockchain-based PHR platform that can be used in practice, many improvements are required, including reductions in data size, improved personal information protection, and reduced operating costs. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 8, 2019 Category: General Medicine Authors: Yu Rang Park Eunsol Lee Wonjun Na Sungjun Park Yura Lee Jae-Ho Lee Source Type: research

Evaluating the Quality of Health Information in a Changing Digital Ecosystem
Conclusions: Both traditional and data-driven categories of codes used in this work yielded insights about the resources and highlighted challenges faced by their users. This exploratory study underscores the challenges of consumer health information seeking and the importance of developing support tools that would help users seek, evaluate, and analyze information in the changing digital ecosystem. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 8, 2019 Category: General Medicine Authors: Alla Keselman Catherine Arnott Smith Anita C Murcko David R Kaufman Source Type: research

An Internet-Based Childhood Obesity Prevention Program (Time2bHealthy) for Parents of Preschool-Aged Children: Randomized Controlled Trial
Conclusions: The trial demonstrated that a parent-focused eHealth childhood obesity prevention program can provide support to improve dietary-related practices and self-efficacy but was not successful in reducing BMI. The target sample size was not achieved, which would have affected statistical power. Trial Registration: Australian New Zealand Clinical Trials Registry ANZCTR12616000119493; https://www.anzctr.org.au/ Trial/Registration/TrialReview.aspx?id=370030 (Archived by WebCite at http://www.webcitation.org/74Se4S7ZZ). (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 8, 2019 Category: General Medicine Authors: Megan L Hammersley Anthony D Okely Marijka J Batterham Rachel A Jones Source Type: research

Cardiac Rehabilitees ’ Technology Experiences Before Remote Rehabilitation: Qualitative Study Using a Grounded Theory Approach
Conclusions: The findings show that persons affected by heart disease had different experiences with technology and expectations toward counseling, while all rehabilitees expected technology to be easy to use and their experiences to be smooth and problem-free. The results can be used more widely in different contexts of social and health care for the planning of and training in remote rehabilitation counseling and education. Trial Registration: ISRCTN Registry ISRCTN61225589; http://www.isrctn.com/ISRCTN61225589 (Archived by WebCite at http://www.webcitation.org/74jmrTXFD) (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 7, 2019 Category: General Medicine Authors: Marjo-Riitta Anttila Heikki Kivist ö Arja Piirainen Katja Kokko Anita Malinen Mika Pekkonen Tuulikki Sj ögren Source Type: research

Digital Interventions to Reduce Sedentary Behaviors of Office Workers: Scoping Review
Conclusions: This review is the first to map and describe the use of digital technologies in research on SB reduction in office workers. Interdisciplinary collaborations can help to maximize the potential of technologies. As novel modes of delivery that capitalize on embedded computing and electronics, wireless technologies have been developed and piloted in engineering, computing, and design fields, efforts can be directed to move them to the next phase of evaluation with more rigorous study designs. Quality of research may be improved by fostering conversations between different research communities and encouraging resea...
Source: Journal of Medical Internet Research - February 7, 2019 Category: General Medicine Authors: Yitong Huang Steve Benford Holly Blake Source Type: research

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
Conclusions: The intervention is extended to patients undergoing general surgical procedures and for malignant indications. New intervention tools such as a mobile app, an activity tracker, and an eConsult were developed. Trial Registration: Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686  (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 6, 2019 Category: General Medicine Authors: Chantal M den Bakker Frederieke G Schaafsma Eva van der Meij Wilhelmus JHJ Meijerink Baukje van den Heuvel Astrid H Baan Paul HP Davids Petrus C Scholten Suzan van der Meij W Marchien van Baal Annette D van Dalsen Daniel J Lips Jan Willem van der Steeg Wo Source Type: research

Weight Management in Young Adults: Systematic Review of Electronic Health Intervention Components and Outcomes
Conclusions: Findings highlight the limited evidence base for eHealth weight management interventions targeting young adults. The complex nature of weight management presents an ongoing challenge for interventionists to identify what works, for whom, how, and when. The quality of the evidence in this review was generally assessed as weak; however, assessment tools such as the EPHPP are principally concerned with what should be and this is seldom equivalent to what works. Thus, while sampling, study design and retention rates will remain key determining factors of reliability and validity, further research attention directe...
Source: Journal of Medical Internet Research - February 6, 2019 Category: General Medicine Authors: Taylor Jade Willmott Bo Pang Sharyn Rundle-Thiele Abi Badejo Source Type: research

Health Care Professionals ’ Perceptions of Home Telemonitoring in Heart Failure Care: Cross-Sectional Survey
Conclusions: HCPs in Norway and Lithuania are currently nonusers of TM in daily HF care. However, they perceive a future with TM to improve the quality of care for HF patients. Financial barriers and HF patients’ condition may have an impact on the use of TM, whereas sufficient funding from health care authorities and improved knowledge may encourage the more widespread use of TM in the Nordic Baltic region and beyond. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 6, 2019 Category: General Medicine Authors: Ina Thon Aamodt Edita Lycholip Jelena Celutkiene Anna Str ömberg Dan Atar Ragnhild S ørum Falk Thomas von Lueder Ragnhild Helles ø Tiny Jaarsma Irene Lie Source Type: research

Detecting Potential Adverse Drug Reactions Using a Deep Neural Network Model
Conclusions: Our model is effective in identifying the potential ADRs of a drug and the possible ADRs of a new drug. Most importantly, it can detect potential ADRs irrespective of whether they have been reported in the past. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 6, 2019 Category: General Medicine Authors: Chi-Shiang Wang Pei-Ju Lin Ching-Lan Cheng Shu-Hua Tai Yea-Huei Kao Yang Jung-Hsien Chiang Source Type: research

Online Information-Seeking About Potential Breast Cancer Symptoms: Capturing Online Behavior With an Internet Browsing Tracking Tool
Conclusions: Making a cancer attribution for an unfamiliar breast change did not necessarily translate into cancer-termed searches. Equally, not all internet searches led to a cancer attribution. The findings suggest that online information-seeking may not necessarily help women who experience unfamiliar breast cancer symptoms understand their condition. Despite some technical issues, this study showed that it is feasible to use an online browser tracking tool to capture in real time information-seeking about unfamiliar symptoms. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 6, 2019 Category: General Medicine Authors: Afrodita Marcu Cecile Muller Emma Ream Katriina L Whitaker Source Type: research

Correction: A Web-Based Acceptance-Facilitating Intervention for Identifying Patients ’ Acceptance, Uptake, and Adherence of Internet- and Mobile-Based Pain Interventions: Randomized Controlled Trial
(Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 6, 2019 Category: General Medicine Authors: Jiaxi Lin Bianca Faust David Daniel Ebert Lena Kr ämer Harald Baumeister Source Type: research

Step Counts of Middle-Aged and Elderly Adults for 10 Months Before and After the Release of Pok émon GO in Yokohama, Japan
Conclusions: The present study confirmed a difference in step counts between players and nonplayers before and after the release of Pokémon GO. According to our analysis, step counts were higher until 7 months after the release. The player group maintained their step counts in winter, despite the decrease in step counts of nonplayers. In subgroup analyses, players were more likely to be men, aged
Source: Journal of Medical Internet Research - February 5, 2019 Category: General Medicine Authors: Kimihiro Hino Yasushi Asami Jung Su Lee Source Type: research

The Messages Presented in Electronic Cigarette –Related Social Media Promotions and Discussion: Scoping Review
Conclusions: The social media landscape is dominated by pro-vaping messages disseminated by the vaping industry and vaping proponents. The uncertainty surrounding e-cigarette regulation expressed within the public health field appears not to be reflected in ongoing social media dialogues and highlights the need for public health professionals to interact with the public to actively influence social media conversations and create a more balanced discussion. With the vaping industry changing so rapidly, real-time monitoring and surveillance of how these devices are discussed, promoted, and used on social media is necessary i...
Source: Journal of Medical Internet Research - February 5, 2019 Category: General Medicine Authors: Kahlia McCausland Bruce Maycock Tama Leaver Jonine Jancey Source Type: research

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
Conclusions: The Context-Mechanism-Outcome configurations we developed suggest that, when delivered with adjunct support, certain PSD features contribute to moderate-to-high use of iCBT prevention and treatment programs for children and adolescents with anxiety. Standardization of the definition and measurement of program use, formal testing of individual and combined PSD features, and use of real-world design and testing methods are important next steps to improving how we develop and deliver increasingly useful treatments to target users. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 5, 2019 Category: General Medicine Authors: Ashley D Radomski Lori Wozney Patrick McGrath Anna Huguet Lisa Hartling Michele P Dyson Kathryn Bennett Amanda S Newton Source Type: research

What Affects the Completion of Ecological Momentary Assessments in Chronic Pain Research? An Individual Patient Data Meta-Analysis
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. Methods: This individual patient data meta-analysis was based on 12 EMA datasets that examined patients with chronic noncancer-rela...
Source: Journal of Medical Internet Research - February 5, 2019 Category: General Medicine Authors: Masakatsu Ono Stefan Schneider Doerte U Junghaenel Arthur A Stone Source Type: research

Corrigendum and Editorial Warning Regarding Use of the MMAS-8 Scale (A Remote Medication Monitoring System for Chronic Heart Failure Patients to Reduce Readmissions: A Two-Arm Randomized Pilot Study)
(Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 5, 2019 Category: General Medicine Authors: Timothy M Hale Kamal Jethwani Manjinder Singh Kandola Fidencio Saldana Joseph C Kvedar Source Type: research

Developing a Web-Based Comic for Newly Diagnosed Women With Breast Cancer: An Action Research Approach
Conclusions: Using action research, this study illustrated that the comic that sheds light on issues of feelings, emotions, and thoughts that are present when a woman is diagnosed with breast cancer and provides a communication medium to explain the steps in the process. Meanwhile, it implies that hope will be able to overcome the challenges that will be faced. Within the Web-based decision aid for patients with breast cancer, the animated comic acts as an information resource and is aimed at patients’ understanding of impacts of emotions arising when suffering from breast cancer. It is potentially applicable as a th...
Source: Journal of Medical Internet Research - February 4, 2019 Category: General Medicine Authors: Tzu-I Lee Shuh-Jen Sheu Hsueh-Chin Chang Yu-Ting Hung Ling-Ming Tseng Shin-Shang Chou Te-Hsin Liang Hui-Ju Liu Hui-Ling Lu Mei-Chun Chen Ying-Chun Liu Chi-Shan Tsai Jui-Chiung Sun Source Type: research

Developing a Decision-Aid Website for Breast Cancer Surgery: An Action Research Approach
Conclusions: We have created the first breast cancer surgery decision-making assistance tool in Taiwan using a “Web-based” and multifunctional website design. This site aims to provide health care knowledge, psychological healing, and emotional support functions, as well as decision-making capability enhancement simulations. We look forward to assisting breast cancer patients in their decision-making process and expect our website to increase patient’s autonomy and improve their communication with clinicians. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 4, 2019 Category: General Medicine Authors: Yu-Ting Hung Ching-Fang Wu Te-Hsin Liang Shin-Shang Chou Guan-Liang Chen Pei-Ni Wu Guan-Rong Su Tsuey-Huah Jang Chang-Yi Liu Ching-Yen Wang Ling-Ming Tseng Shuh-Jen Sheu Source Type: research

Beyond One-Off Integrations: A Commercial, Substitutable, Reusable, Standards-Based, Electronic Health Record –Connected App
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. After expanding their product’s reach by relying on a universal, open API for integ...
Source: Journal of Medical Internet Research - February 1, 2019 Category: General Medicine Authors: Kenneth D Mandl Daniel Gottlieb Alyssa Ellis Source Type: research

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
Conclusions: Our framework periodically integrated and compared surveillance data from multiple hospitals and the TWCDC website to maintain a certain prediction quality and proactively provide monitored results. Our results can be extended to other infectious diseases, mitigating the time and effort required for data collection and analysis. Furthermore, this approach may be developed as a cost-effective electronic surveillance tool for the early and accurate prediction of epidemics of influenza and other infectious diseases in densely populated regions and nations. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 1, 2019 Category: General Medicine Authors: Cheng-Yi Yang Ray-Jade Chen Wan-Lin Chou Yuarn-Jang Lee Yu-Sheng Lo Source Type: research

Digital Marketing to Promote Healthy Weight Gain Among Pregnant Women in Alberta: An Implementation Study
Conclusions: This study supports the use of digital marketing as an important avenue for delivering health messages and directing Web users to credible sources of information. The opportunity to reach large, yet targeted audiences, along with the ability to monitor and evaluate metrics to optimize activities throughout a campaign is a powerful advantage over traditional marketing tactics. Health organizations can use the results and insights of this study to help inform the design and implementation of similar Web-based activities. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - February 1, 2019 Category: General Medicine Authors: Jocelyn E Graham Jana L Moore Rhonda C Bell Terri Miller Source Type: research

Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China
Conclusions: Despite the low rate of internet access among the elderly population, the internet shows its potential as a platform for achieving better hypertension management in China. Strategies for reducing the disparities in hypertension management and overall disease burden of hypertension among the elderly population might consider the internet as a platform. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - January 31, 2019 Category: General Medicine Authors: Yinzi Jin Mingxia Jing Luyu Zhang Suhang Song Xiaochen Ma Source Type: research

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
This study investigated the CHA2DS2-VASc score to stratify patients with cardiovascular diseases receiving a fourth-generation synchronous telehealth program. Methods: This was a retrospective cohort study. We recruited patients with cardiovascular disease who received the fourth-generation synchronous telehealth program at the National Taiwan University Hospital between October 2012 and June 2015. We enrolled 431 patients who had joined a telehealth program and compared them to 1549 control patients. Risk of cardiovascular hospitalization was estimated with Kaplan-Meier curves. The CHA2DS2-VASc score was used as the compo...
Source: Journal of Medical Internet Research - January 31, 2019 Category: General Medicine Authors: Jen-Kuang Lee Chi-Sheng Hung Ching-Chang Huang Ying-Hsien Chen Pao-Yu Chuang Jiun-Yu Yu Yi-Lwun Ho Source Type: research

Consumer Health Search on the Web: Study of Web Page Understandability and Its Integration in Ranking Algorithms
Conclusions: The findings reported in this paper are important for specialized search services tailored to support the general public in seeking health advice on the Web, as they document and empirically validate state-of-the-art techniques and settings for this domain application. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - January 30, 2019 Category: General Medicine Authors: Joao Palotti Guido Zuccon Allan Hanbury Source Type: research

Consumer Health Information Technology in the Prevention of Substance Abuse: Scoping Review
Conclusions: This review found CHIT platforms to be efficacious and cost-effective in the real-world settings. We also observed a gradual shift in the types and use of CHIT platforms over the past few decades and mapped out their progression. In addition, the review detected a shift in consumer preferences and behaviors from face-to-face interactions to technology-based platforms. However, the studies included in this review only focused on the aspect of primary prevention. Future reviews could assess the effectiveness of platforms for secondary prevention and for prevention of substance abuse among comorbid populations. (...
Source: Journal of Medical Internet Research - January 30, 2019 Category: General Medicine Authors: Apoorva Milind Pradhan Leah Park Fadia T Shaya Joseph Finkelstein Source Type: research

Perceptions of Visualizing Physical Activity as a 3D-Printed Object: Formative Study
Conclusions: These novel findings highlight the potential utility of 3D objects of physical activity as a mechanism to enhance children’s and adolescents’ understanding of, and motivation to increase, their PAL. This study suggests that 3D printing may offer a unique strategy for promoting physical activity in these groups. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - January 30, 2019 Category: General Medicine Authors: Sam Graeme Morgan Crossley Melitta Anne McNarry Joanne Hudson Parisa Eslambolchilar Zoe Knowles Kelly Alexandra Mackintosh Source Type: research

Human-Centered Design of Video-Based Health Education: An Iterative, Collaborative, Community-Based Approach
Drawing on 5 years of experience designing, producing, and disseminating video health education programs globally, we outline the process of creating accessible, engaging, and relevant video health education content using a community-based, human-centered design approach. We show that this approach can yield a new generation of interventions, which are better aligned with the needs and contexts of target communities. The participation of target communities and local stakeholders in the content production and design process fosters ownership of the content and increases the likelihood that the resulting intervention will re...
Source: Journal of Medical Internet Research - January 30, 2019 Category: General Medicine Authors: Maya Adam Shannon A McMahon Charles Prober Till B ärnighausen Source Type: research

Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review
Conclusions: These findings indicate that iACT can be an efficacious and acceptable treatment for adults with GAD and general anxiety symptoms. More RCT studies are needed to corroborate these early iACT findings using empirical treatments in active control groups (eg, internet-delivered cognitive behavioral therapy). This would potentially validate the promising results found for SAD and IAD as well as address the full spectrum of anxiety disorders. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - January 29, 2019 Category: General Medicine Authors: Joshua Kelson Audrey Rollin Brad Ridout Andrew Campbell Source Type: research

Association Between Cancer Incidence and Mortality in Web-Based Data in China: Infodemiology Study
This study aimed to explore whether a correlation exists between the incidence and mortality of cancers and normalized internet search volumes on the big data platform, Baidu. We also assessed whether the distribution of people who searched for specific types of cancer differed by gender. Finally, we determined whether there were regional disparities among people who searched the Web for cancer-related information. Methods: Standard Boolean operators were used to choose search terms for each type of cancer. Spearman’s correlation analysis was used to explore correlations among monthly search index values for each can...
Source: Journal of Medical Internet Research - January 29, 2019 Category: General Medicine Authors: Chenjie Xu Yi Wang Hongxi Yang Jie Hou Li Sun Xinyu Zhang Xinxi Cao Yabing Hou Lan Wang Qiliang Cai Yaogang Wang Source Type: research

Farm Owners and Workers as Key Informants in User-Centered Occupational Health Prototype Development: A Stakeholder-Engaged Project
Conclusions: The development of a complex prototype intended to impact patient care is a significant undertaking. Reinventing a paper-based process that can eventually integrate with an electronic health record or a private company’s human resources system requires substantial stakeholder input from each facet including patients, employers, and clinical care teams. The prototype is available for testing, but further research is needed in the form of clinical trials to assess the effectiveness of the process and the software’s impact on patients and employers. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - January 29, 2019 Category: General Medicine Authors: Bryan Weichelt Casper Bendixsen Matthew Keifer Source Type: research

Electronic Health Program to Empower Patients in Returning to Normal Activities After Colorectal Surgical Procedures: Mixed-Methods Process Evaluation Alongside a Randomized Controlled Trial
Conclusions: The intervention needs more interaction with and feedback from health care professionals and needs more tailored guidance in case of different recovery or treatment courses. To ensure a successful implementation of the program in daily practice, some adjustments are required to optimize the program in a blended care form. Trial Registration: Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC= 5686 (Archieved by WebCite at http://www.webcitation.org/75LrJaHrr) (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - January 29, 2019 Category: General Medicine Authors: Chantal M den Bakker Judith AF Huirne Frederieke G Schaafsma Charlotte de Geus Hendrik J Bonjer Johannes R Anema Source Type: research

How Women Use Digital Technologies for Health: Qualitative Interview and Focus Group Study
Conclusions: The findings demonstrate the nuanced and complex ways in which the participants were engaging with and contributing to online sources of information and using these sources together with face-to-face encounters with doctors and other health care professionals and friends and family members. They highlight the lay forms of expertise that the women had developed in finding, assessing, and creating health knowledges. The study also emphasized the key role that many women play in providing advice and health care for family members not only as digitally engaged patients but also as digitally engaged carers. (Source...
Source: Journal of Medical Internet Research - January 25, 2019 Category: General Medicine Authors: Deborah Lupton Sarah Maslen Source Type: research

Measuring the Implementation of Behavioral Intervention Technologies: Recharacterization of Established Outcomes
Behavioral intervention technologies (BITs) are websites, software, mobile apps, and sensors designed to help users address or change behaviors, cognitions, and emotional states. BITs have the potential to transform health care delivery, and early research has produced promising findings of efficacy. BITs also favor new models of health care delivery and provide novel data sources for measurement. However, there are few examples of successful BIT implementation and a lack of consensus on as well as inadequate descriptions of BIT implementation measurement. The aim of this viewpoint paper is to provide an overview and chara...
Source: Journal of Medical Internet Research - January 25, 2019 Category: General Medicine Authors: Eric DA Hermes Aaron R Lyon Stephen M Schueller Joseph E Glass Source Type: research

A Modular Health-Related Quality of Life Instrument for Electronic Assessment and Treatment Monitoring: Web-Based Development and Psychometric Validation of Core Thrive Items
Conclusions: Thrive appears to be a useful approach for capturing important domains for patients with chronic conditions. This core set serves as a foundation to begin developing modular condition-specific versions in the near future. Cross-walking against traditional PROs from the PatientsLikeMe platform is underway, in addition to clinical validation and comparison with biomarkers. Thrive is licensed under Creative Commons Attribution ShareAlike 4.0. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - January 25, 2019 Category: General Medicine Authors: Paul Wicks Stacey McCaffrey Kim Goodwin Ryan Black Michael Hoole James Heywood Source Type: research

Electronic Systems for Patients to Report and Manage Side Effects of Cancer Treatment: Systematic Review
Conclusions: Electronic systems have the potential to help patients manage side effects of cancer treatment, with some evidence to suggest a positive effect on patient-centered outcomes. However, comparison across studies is difficult due to the wide range of assessment tools used. There is a need to develop guidelines for assessing and reporting engagement with systems, and a set of core outcomes for evaluation. We hope that this review will contribute to the field by introducing a taxonomy for characterizing system features. Trial Registration: PROSPERO CRD42016035915; www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CR...
Source: Journal of Medical Internet Research - January 24, 2019 Category: General Medicine Authors: Lorraine Warrington Kate Absolom Mark Conner Ian Kellar Beverly Clayton Michael Ayres Galina Velikova Source Type: research

Server-Focused Security Assessment of Mobile Health Apps for Popular Mobile Platforms
This study aimed to (1) identify relevant security concerns on the server side of mHealth apps, (2) test a subset of mHealth apps regarding their vulnerability to those concerns, and (3) compare the servers used by mHealth apps with servers used in all domains. Methods: Server security characteristics relevant to the security of mHealth apps were assessed, presented, and discussed. To evaluate servers, appropriate tools were selected. Apps from the Android and iOS app stores were selected and tested, and the results for functional and other backend servers were evaluated. Results: The 60 apps tested communicate with 823 se...
Source: Journal of Medical Internet Research - January 23, 2019 Category: General Medicine Authors: Jannis M üthing Raphael Br üngel Christoph M Friedrich Source Type: research