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Sociodemographic, Attitudinal, and Behavioral Correlates of Using Nutrition, Weight Loss, and Fitness Websites: An Online Survey
Conclusions: The results highlighted the importance of individual differences in the usage of health-related websites. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 3, 2019 Category: General Medicine Authors: Carlos A Almenara Hana Machackova David Smahel Source Type: research

Guideline Development for Technological Interventions for Children and Young People to Self-Manage Attention Deficit Hyperactivity Disorder: Realist Evaluation
Conclusions: Complex intervention development for complex populations such as CAYP with ADHD should adopt methods such as RE, to account for the context it is delivered in, and co-design, which involves developing the intervention in partnership with key stakeholders to increase the likelihood that the intervention will succeed. The development of the guidelines outlined in this paper could be used for the future development of technologies that aim to facilitate self-management in CAYP with ADHD. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 2, 2019 Category: General Medicine Authors: Lauren Powell Jack Parker Val Harpin Susan Mawson Source Type: research

To Each Stress Its Own Screen: A Cross-Sectional Survey of the Patterns of Stress and Various Screen Uses in Relation to Self-Admitted Screen Addiction
Conclusions: We showed a robust but heterogeneous link between screen dependency and emotional and perceptual stressors that shift the pattern of screen usage toward entertainment and social networking. Our findings underline the potential of using ludic and interactive apps for intervention against stress. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 1, 2019 Category: General Medicine Authors: Najmeh Khalili-Mahani Anna Smyrnova Lisa Kakinami Source Type: research

A Stroke Risk Detection: Improving Hybrid Feature Selection Method
Conclusions: This study has proposed, developed, and evaluated a new feature selection method for identifying the most important features for building effective and parsimonious models for stroke risk detection. The findings of this research provide several novel research contributions and practical implications. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 1, 2019 Category: General Medicine Authors: Yonglai Zhang Yaojian Zhou Dongsong Zhang Wenai Song Source Type: research

Patients ’ Needs and Requirements for eHealth Pain Management Interventions: Qualitative Study
Conclusions: This study provides insight into user preferences for eHealth interventions aiming to address self-management for chronic pain. Participants highlighted important factors to be considered when designing and developing eHealth interventions for self-management of chronic pain, illustrating the importance and benefit of including users in the development of eHealth interventions. Trial Registration: ClinicalTrials.gov NCT03705104; https://clinicaltrials.gov/ct2/show/NCT03705104. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 31, 2019 Category: General Medicine Authors: Ingrid Konstanse Ledel Solem Cecilie Varsi Hilde Eide Ol öf Birna Kristjansdottir Jelena Mirkovic Elin B ørøsund Mette Haaland- Øverby Karina Heldal Karlein MG Schreurs Lori B Waxenberg Karen Elizabeth Weiss Eleshia J Morrison Lise Solberg Nes Source Type: research

Designing Robust N-of-1 Studies for Precision Medicine: Simulation Study and Design Recommendations
Conclusions: Simulation can facilitate rapid optimization of N-of-1 study designs and increase the likelihood of study success while minimizing participant burden. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 31, 2019 Category: General Medicine Authors: Bethany Percha Edward B Baskerville Matthew Johnson Joel T Dudley Noah Zimmerman Source Type: research

Exploring the Challenges of Implementing a Web-Based Telemonitoring Strategy for Teenagers With Inflammatory Bowel Disease: Empirical Case Study
Conclusions: The challenges to be addressed are merely complicated (++) rather than complex (+), which means that our program may be difficult but not impossible to sustain within existing sites. After integrating the technology and its use with local workflows first, we believe that our telemonitoring strategy will be ready for sustained adoption. In contrast with what we did ourselves, we recommend others to use the NASSS framework prospectively and in real time to predict and explore the challenges to implementing new technologies. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 28, 2019 Category: General Medicine Authors: Alie Dijkstra Anke Heida Patrick Ferry van Rheenen Source Type: research

Acceptability and Feasibility of Implementing Accelorometry-Based Activity Monitors and a Linked Web Portal in an Exercise Referral Scheme: Feasibility Randomized Controlled Trial
Conclusions: To our knowledge, this is the first study to evaluate short- and long-term feasibility and acceptability of integrating wearable technologies into community-based ERSs. The findings highlight device- and context-specific barriers to doing this in routine practice, with typical exercise referral populations. Key criteria for progression to a full-scale evaluation were not met. Trial Registration: ISRCTN Registry ISRCTN85785652; http://www.isrctn.com/ISRCTN85785652 (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 28, 2019 Category: General Medicine Authors: Jemma Hawkins Joanna M Charles Michelle Edwards Britt Hallingberg Linda McConnon Rhiannon Tudor Edwards Russell Jago Mark Kelson Kelly Morgan Simon Murphy Emily J. Oliver Sharon A. Simpson Graham Moore Source Type: research

Computer-Mediated Communication to Facilitate Synchronous Online Focus Group Discussions: Feasibility Study for Qualitative HIV Research Among Transgender Women Across the United States
Conclusions: Synchronous CMC focus group discussions provide a secure opportunity to convene participants across geographic space with minimal time burden and without losing the standardized approach that is expected of focus group discussions. This method may provide an optimal alternative to engaging hard-to-reach participants in focus group discussions. Participants with limited technological literacy or inconsistent access to a phone and/or cellular data or service, as well as circumstances necessitating immediate cash incentives may, however, require additional support and accommodation when participating in CMC focus...
Source: Journal of Medical Internet Research - March 28, 2019 Category: General Medicine Authors: Andrea L Wirtz Erin E Cooney Aeysha Chaudhry Sari L Reisner American Cohort To Study HIV Acquisition Among Transgender Women (LITE) Source Type: research

User-Centered Design of a Web-Based Tool to Support Management of Chemotherapy-Related Toxicities in Cancer Patients
Conclusions: Web-based tools integrating just-in-time self-management advice and HCP support into routine care may address gaps in systems for managing chemotherapy-related toxicities. Attention to the integration of new electronic tools into self-care by patients and practice was a strong theme for both patients and HCP participants and is a key issue that needs to be addressed for wide-scale adoption. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 27, 2019 Category: General Medicine Authors: Rebecca M Prince Anthony Soung Yee Laura Parente Katherine A Enright Eva Grunfeld Melanie Powis Amna Husain Sonal Gandhi Monika K Krzyzanowska Source Type: research

Exploring How Evidence is Used in Care Through an Organizational Ethnography of Two Teaching Hospitals
Conclusions: This paper outlines one way through which the ethos of evidence-based medicine has been incorporated into the daily work of care. Here, multiple Web-based forms of evidence were mixed with other information. This is different from the way that is often articulated by health administrators and policy makers whereby clinical practice guideline adherence is equated with practicing evidence-based medicine. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 27, 2019 Category: General Medicine Authors: Bryn Lander Ellen Balka Source Type: research

Serious Gaming and Gamification Education in Health Professions: Systematic Review
Conclusions: Serious gaming/gamification appears to be at least as effective as controls, and in many studies, more effective for improving knowledge, skills, and satisfaction. However, the available evidence is mostly of low quality and calls for further rigorous, theory-driven research. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 27, 2019 Category: General Medicine Authors: Sarah Victoria Gentry Andrea Gauthier Beatrice L ' Estrade Ehrstrom David Wortley Anneliese Lilienthal Lorainne Tudor Car Shoko Dauwels-Okutsu Charoula K Nikolaou Nabil Zary James Campbell Josip Car Source Type: research

Design and Evaluation of Personalized Motivational Messages by a Virtual Agent that Assists in Post-Traumatic Stress Disorder Therapy
Conclusions: Expert input can successfully be used to develop a personalized motivational message system. Messages generated by such a system seem to improve people’s motivation and trust in PTSD therapy as well as the user’s feeling of being heard by a virtual agent. Given the importance of motivation, trust, and therapeutic alliance for successful therapy, we anticipate that the proposed system can improve adherence in e-mental therapy for PTSD and that it can provide a blueprint for the development of an adaptive system for persuasive messages based on expert input. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 26, 2019 Category: General Medicine Authors: Myrthe L Tielman Mark A Neerincx Willem-Paul Brinkman Source Type: research

Online Health Information Seeking and eHealth Literacy Among Patients Attending a Primary Care Clinic in Hong Kong: A Cross-Sectional Survey
Conclusions: Online health information seeking is prevalent among primary care patients in Hong Kong, but only a minority shared the information with doctors. Websites were chosen more for convenience than for accuracy or authoritativeness. Doctors should recognize patients’ online health information-seeking behavior, and facilitate and empower them to search for high-quality online health information. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 26, 2019 Category: General Medicine Authors: David Ka-Ki Wong Man-Kuen Cheung Source Type: research

Reporting of Patient Experience Data on Health Systems ’ Websites and Commercial Physician-Rating Websites: Mixed-Methods Analysis
Conclusions: The lack of variation in star ratings on health system sites may make it difficult to differentiate between clinicians. Most health systems report that they remove offensive comments, and we notably found fewer negative comments on health system websites compared to commercial physician-rating sites. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 26, 2019 Category: General Medicine Authors: Tara Lagu Caroline M. Norton Lindsey M. Russo Aruna Priya Sarah L. Goff Peter K. Lindenauer Source Type: research