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The Role of Frontline Leaders in Building Health Professional Support for a New Patient Portal: Survey Study
Conclusions: Findings suggest that assuring good informing, communicating a clear vision to frontline leaders, and acknowledging organizational readiness for change can increase health professional support for electronic health (eHealth) services in the pre-implementation phase. Results highlight the role of frontline leaders in engaging professionals in the planning and implementation of eHealth services and in building health professionals’ positive attitudes toward the implementation of eHealth services. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 21, 2019 Category: General Medicine Authors: Sari Kujala Iiris H örhammer Tarja Heponiemi Kim Josefsson Source Type: research

Investigating the Effect of Paid and Free Feedback About Physicians' Telemedicine Services on Patients ’ and Physicians’ Behaviors: Panel Data Analysis
Conclusions: Our findings contribute to the extant literature on service feedback in the telemedicine markets and provide insight for relevant stakeholders into how to design an effective feedback mechanism to improve patients’ service experience and physicians’ engagement. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 21, 2019 Category: General Medicine Authors: Hualong Yang Xiaofei Zhang Source Type: research

Experiences With Video Consultations in Specialized Palliative Home-Care: Qualitative Study of Patient and Relative Perspectives
Conclusions: Video consultations in SPC for home-based patients are feasible and facilitate a strengthened involvement and communication between patients, relatives, and SPC team members. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 20, 2019 Category: General Medicine Authors: Karen Frydenrejn Funderskov Mette Raunki ær Dorthe Boe Danbj ørg Ann-Dorthe Zwisler Lene Munk Mia Jess Karin Brochstedt Dieperink Source Type: research

Associations Between the Use of eHealth and Out-of-Hours Services in People With Type 1 Diabetes: Cross-Sectional Study
Conclusions: People with T1D were frequent users of OOH services, and the OOH visitors were frequent users of eHealth. The use of OOH services was positively associated with the use of health apps, with self-reported anxiety/depression, and with feeling anxious based on information from the Internet. Likewise, deciding to consult a doctor based on information from the Internet was positively associated with OOH visits. The use of eHealth seems to have a significant impact on people with T1D. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 20, 2019 Category: General Medicine Authors: Anne Helen Hansen Tor Claudi Eirik Årsand Source Type: research

Artificial Intelligence and the Future of Primary Care: Exploratory Qualitative Study of UK General Practitioners ’ Views
Conclusions: This study presents timely information on physicians’ views about the scope of artificial intelligence (AI) in primary care. Overwhelmingly, GPs considered the potential of AI to be limited. These views differ from the predictions of biomedical informaticians. More extensive, stand-alone qualitative work would provide a more in-depth understanding of GPs’ views. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 19, 2019 Category: General Medicine Authors: Charlotte Blease Ted J Kaptchuk Michael H Bernstein Kenneth D Mandl John D Halamka Catherine M DesRoches Source Type: research

The Association Between Medication Adherence for Chronic Conditions and Digital Health Activity Tracking: Retrospective Analysis
Conclusions: Adopters of digital health activity trackers tend to be more adherent to hypertension, diabetes, and dyslipidemia medications, and adherence increases with tracking frequency. This suggests that there may be value in examining new ways to further promote medication adherence through programs that incentivize health tracking and leveraging insights derived from connected devices to improve health outcomes. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 19, 2019 Category: General Medicine Authors: Tom Quisel Luca Foschini Susan M Zbikowski Jessie L Juusola Source Type: research

Can Smartphone Apps Increase Physical Activity? Systematic Review and Meta-Analysis
Conclusions: This meta-analysis provides modest evidence supporting the effectiveness of smartphone apps to increase physical activity. To date, apps have been most effective in the short term (eg, up to 3 months). Future research is needed to understand the time course of intervention effects and to investigate strategies to sustain intervention effects over time. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 18, 2019 Category: General Medicine Authors: Amelia Romeo Sarah Edney Ronald Plotnikoff Rachel Curtis Jillian Ryan Ilea Sanders Alyson Crozier Carol Maher Source Type: research

WeChat as a Platform for Problem-Based Learning in a Dental Practical Clerkship: Feasibility Study
Conclusions: The results of this study indicate the feasibility and acceptability of the app, WeChat, for problem-based learning in a dental practical clerkship. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 18, 2019 Category: General Medicine Authors: Wei Zhang Zheng-Rong Li Zhi Li Source Type: research

A Human(e) Factor in Clinical Decision Support Systems
The overwhelming amount, production speed, multidimensionality, and potential value of data currently available—often simplified and referred to as big data —exceed the limits of understanding of the human brain. At the same time, developments in data analytics and computational power provide the opportunity to obtain new insights and transfer data-provided added value to clinical practice in real time. What is the role of the health care professional in collaboration with the data scientist in the changing landscape of modern care? We discuss how health care professionals should provide expert knowledge in each of the...
Source: Journal of Medical Internet Research - March 18, 2019 Category: General Medicine Authors: Tim Bezemer Mark C H de Groot Enja Blasse Maarten J ten Berg Teus H Kappen Annelien L Bredenoord Wouter W van Solinge Imo E Hoefer Saskia Haitjema Source Type: research

The Case for a Hippocratic Oath for Connected Medical Devices: Viewpoint
Prior to graduating from medical school, soon-to-be physicians take the Hippocratic Oath, a symbolic declaration to provide care in the best interest of patients. As the medical community increasingly deploys connected devices to deliver patient care, a critical question emerges: should the manufacturers and adopters of these connected technologies be governed by the symbolic spirit of the Hippocratic Oath? In 2016, I Am The Cavalry, a grassroots initiative from the cybersecurity research community, published the first Hippocratic Oath for Connected Medical Devices (HOCMD), containing 5 principles. Over the past three year...
Source: Journal of Medical Internet Research - March 18, 2019 Category: General Medicine Authors: Beau Woods Andrea Coravos Joshua David Corman Source Type: research

Improving the Quality of Consumer Health Information on Wikipedia: Case Series
Conclusions: The Wikipedia Editathon is an effective way to continuously enhance the quality of health information available on Wikipedia. It is also an excellent way of bridging health technology with best-evidence medical facts and disseminating accurate, useful information to the public. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 17, 2019 Category: General Medicine Authors: Shira Schecter Weiner Jill Horbacewicz Lane Rasberry Yocheved Bensinger-Brody Source Type: research

Searching for Information on the Risks of Combined Hormonal Contraceptives on the Internet: A Qualitative Study Across Six European Countries
Conclusions: Despite the large number of websites containing information about oral CHCs and their risks, particularly VTE, only a limited number referred to information from accredited health agency sources. We argue this is a missed opportunity for accredited health agencies to share high-quality information to assist women using CHCs to make informed decisions about contraception. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 17, 2019 Category: General Medicine Authors: Paula Gomes Alves Irene Petersen Fiona Stevenson Source Type: research

Health-Related Internet Usage and Design Feature Preference for E-Mental Health Programs Among Men and Women
Conclusions: Factors such as sex and age influenced design feature preferences for an e-mental health program. Working women who are at high risk for MDEs preferred interactive programs incorporating practice and exercise for reducing stress, quality information about work stress, and some guidance from professionals. This suggests that sex and age should be taken into account when designing e-mental health programs to meet the needs of individuals seeking help via Web-based mental health programs and to enhance their use. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 17, 2019 Category: General Medicine Authors: Rachel Smail-Crevier Gabrielle Powers Chelsea Noel JianLi Wang Source Type: research

Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial
Conclusions: The introduction of clinical virtual simulation in nursing education has the potential to improve knowledge retention and clinical reasoning in an initial stage and over time, and it increases the satisfaction with the learning experience among nursing students. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 17, 2019 Category: General Medicine Authors: Jos é Miguel Padilha Paulo Puga Machado Ana Ribeiro Jos é Ramos Patr ício Costa Source Type: research

Cancer-Related Internet Use and Its Association With Patient Decision Making and Trust in Physicians Among Patients in an Early Drug Development Clinic: A Questionnaire-Based Cross-Sectional Observational Study
Conclusions: Despite the plethora of websites related to cancer and cancer clinical trials, patients in early-phase clinical trial settings trust their physicians more than Web-based information. Cancer-related organizations should provide regularly updated links to trustworthy websites with cancer and clinical trial information for patients and providers and educate providers on reliable cancer websites so that they can better direct their patients to appropriate internet content. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - March 13, 2019 Category: General Medicine Authors: Goldy C. George Eucharia C. Iwuanyanwu Adrianna S. Buford Sarina A. Piha-Paul Vivek Subbiah Siqing Fu Daniel D. Karp Shubham Pant Christina O. Hinojosa Kenneth R. Hess Charles S. Cleeland Elmer V. Bernstam Funda Meric-Bernstam David S. Hong Source Type: research