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Journal of Medical Internet Research

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https://www.readbyqxmd.com/read/28526667/patient-centered-decision-support-formative-usability-evaluation-of-integrated-clinical-decision-support-with-a-patient-decision-aid-for-minor-head-injury-in-the-emergency-department
#1
Edward R Melnick, Erik P Hess, George Guo, Maggie Breslin, Kevin Lopez, Anthony J Pavlo, Fuad Abujarad, Seth M Powsner, Lori A Post
BACKGROUND: The Canadian Computed Tomography (CT) Head Rule, a clinical decision rule designed to safely reduce imaging in minor head injury, has been rigorously validated and implemented, and yet expected decreases in CT were unsuccessful. Recent work has identified empathic care as a key component in decreasing CT overuse. Health information technology can hinder the clinician-patient relationship. Patient-centered decision tools to support the clinician-patient relationship are needed to promote evidence-based decisions...
May 19, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28526666/a-smart-toy-to-enhance-the-decision-making-process-at-children-s-psychomotor-delay-screenings-a-pilot-study
#2
María Angeles Gutiérrez García, María Luisa Martín Ruiz, Diego Rivera, Laura Vadillo, Miguel Angel Valero Duboy
BACKGROUND: EDUCERE ("Ubiquitous Detection Ecosystem to Care and Early Stimulation for Children with Developmental Disorders") is an ecosystem for ubiquitous detection, care, and early stimulation of children with developmental disorders. The objectives of this Spanish government-funded research and development project are to investigate, develop, and evaluate innovative solutions to detect changes in psychomotor development through the natural interaction of children with toys and everyday objects, and perform stimulation and early attention activities in real environments such as home and school...
May 19, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28526663/effects-of-using-child-personas-in-the-development-of-a-digital-peer-support-service-for-childhood-cancer-survivors
#3
Pontus Wärnestål, Petra Svedberg, Susanne Lindberg, Jens M Nygren
BACKGROUND: Peer support services have the potential to support children who survive cancer by handling the physical, mental, and social challenges associated with survival and return to everyday life. Involving the children themselves in the design process allows for adapting services to authentic user behaviors and goals. As there are several challenges that put critical requirements on a user-centered design process, we developed a design method based on personas adapted to the particular needs of children that promotes health and handles a sensitive design context...
May 18, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28526671/telehealth-interventions-to-support-self-management-of-long-term-conditions-a-systematic-metareview-of-diabetes-heart-failure-asthma-chronic-obstructive-pulmonary-disease-and-cancer
#4
REVIEW
Peter Hanlon, Luke Daines, Christine Campbell, Brian McKinstry, David Weller, Hilary Pinnock
BACKGROUND: Self-management support is one mechanism by which telehealth interventions have been proposed to facilitate management of long-term conditions. OBJECTIVE: The objectives of this metareview were to (1) assess the impact of telehealth interventions to support self-management on disease control and health care utilization, and (2) identify components of telehealth support and their impact on disease control and the process of self-management. Our goal was to synthesise evidence for telehealth-supported self-management of diabetes (types 1 and 2), heart failure, asthma, chronic obstructive pulmonary disease (COPD) and cancer to identify components of effective self-management support...
May 17, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28526662/attachment-style-and-internet-addiction-an-online-survey
#5
Christiane Eichenberg, Markus Schott, Oliver Decker, Brigitte Sindelar
BACKGROUND: One of the clinically relevant problems of Internet use is the phenomenon of Internet addiction. Considering the fact that there is ample evidence for the relationship between attachment style and substance abuse, it stands to reason that attachment theory can also make an important contribution to the understanding of the pathogenesis of Internet addiction. OBJECTIVE: The aim of this study was to examine people's tendency toward pathological Internet usage in relation to their attachment style...
May 17, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28512081/effects-of-ehealth-literacy-on-general-practitioner-consultations-a-mediation-analysis
#6
Peter Johannes Schulz, Mary Anne Fitzpatrick, Alexandra Hess, Lynn Sudbury-Riley, Uwe Hartung
BACKGROUND: Most evidence (not all) points in the direction that individuals with a higher level of health literacy will less frequently utilize the health care system than individuals with lower levels of health literacy. The underlying reasons of this effect are largely unclear, though people's ability to seek health information independently at the time of wide availability of such information on the Internet has been cited in this context. OBJECTIVE: We propose and test two potential mediators of the negative effect of eHealth literacy on health care utilization: (1) health information seeking and (2) gain in empowerment by information seeking...
May 16, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28506959/health-related-internet-use-in-people-with-cancer-results-from-a-cross-sectional-study-in-two-outpatient-clinics-in-sweden
#7
Susanne Mattsson, Erik Martin Gustaf Olsson, Birgitta Johansson, Maria Carlsson
BACKGROUND: The access to various forms of support during the disease trajectory is crucial for people with cancer. The provision and use of Internet health services is increasing, and it is important to further investigate the preferences and demographical characteristics of its users. Investigating the uptake and perceived value of Internet health services is a prerequisite to be able to meet the needs in the targeted group. OBJECTIVE: The objective of this study was to investigate health-related Internet use among people with cancer...
May 15, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28506958/enhancing-comparative-effectiveness-research-with-automated-pediatric-pneumonia-detection-in-a-multi-institutional-clinical-repository-a-phis-pilot-study
#8
Stephane Meystre, Ramkiran Gouripeddi, Joel Tieder, Jeffrey Simmons, Rajendu Srivastava, Samir Shah
BACKGROUND: Community-acquired pneumonia is a leading cause of pediatric morbidity. Administrative data are often used to conduct comparative effectiveness research (CER) with sufficient sample sizes to enhance detection of important outcomes. However, such studies are prone to misclassification errors because of the variable accuracy of discharge diagnosis codes. OBJECTIVE: The aim of this study was to develop an automated, scalable, and accurate method to determine the presence or absence of pneumonia in children using chest imaging reports...
May 15, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28506957/computer-administered-safety-planning-for-individuals-at-risk-for-suicide-development-and-usability-testing
#9
Edwin D Boudreaux, Gregory K Brown, Barbara Stanley, Rajani S Sadasivam, Carlos A Camargo, Ivan W Miller
BACKGROUND: Safety planning is a brief intervention that has become an accepted practice in many clinical settings to help prevent suicide. Even though it is quick compared to other approaches, it frequently requires 20 min or more to complete, which can impede adoption. A self-administered, Web-based safety planning application could potentially reduce clinician time, help promote standardization and quality, and provide enhanced ability to share the created plan. OBJECTIVE: The aim of this study was to design, build, and test the usability of a Web-based, self-administered safety planning application...
May 15, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28506956/web-based-cognitive-behavior-therapy-for-depression-in-people-with-diabetes-mellitus-a-randomized-controlled-trial
#10
Jill Newby, Lisa Robins, Kay Wilhelm, Jessica Smith, Therese Fletcher, Inika Gillis, Trevor Ma, Adam Finch, Lesley Campbell, Gavin Andrews
BACKGROUND: Depression is twice as common in diabetes mellitus (DM) as the general population and is associated with adverse health outcomes, but access to evidence-based therapies such as cognitive behavioral therapy (CBT) is limited in routine diabetes care. Past research has shown that generic Internet-based cognitive behavioral therapy (iCBT) is an effective treatment for depression in the general population, but it has never been evaluated in people with comorbid depression and DM...
May 15, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28500022/what-matters-in-weight-loss-an-in-depth-analysis-of-self-monitoring
#11
Stefanie Lynn Painter, Rezwan Ahmed, James O Hill, Robert F Kushner, Richard Lindquist, Scott Brunning, Amy Margulies
BACKGROUND: Using technology to self-monitor body weight, dietary intake, and physical activity is a common practice used by consumers and health companies to increase awareness of current and desired behaviors in weight loss. Understanding how to best use the information gathered by these relatively new methods needs to be further explored. OBJECTIVE: The purpose of this study was to analyze the contribution of self-monitoring to weight loss in participants in a 6-month commercial weight-loss intervention administered by Retrofit and to specifically identify the significant contributors to weight loss that are associated with behavior and outcomes...
May 12, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28500020/efficacy-of-a-web-based-guided-recommendation-service-for-a-curated-list-of-readily-available-mental-health-and-well-being-mobile-apps-for-young-people-randomized-controlled-trial
#12
Niranjan Bidargaddi, Peter Musiat, Megan Winsall, Gillian Vogl, Victoria Blake, Stephen Quinn, Simone Orlowski, Gaston Antezana, Geoffrey Schrader
BACKGROUND: Mental disorders are highly prevalent for the people who are aged between 16 and 25 years and can permanently disrupt the development of these individuals. Easily available mobile health (mHealth) apps for mobile phones have great potential for the prevention and early intervention of mental disorders in young adults, but interventions are required that can help individuals to both identify high-quality mobile apps and use them to change health and lifestyle behavior. OBJECTIVES: The study aimed to assess the efficacy of a Web-based self-guided app recommendation service ("The Toolbox") in improving the well-being of young Australians aged between 16 and 25 years...
May 12, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28495662/the-development-validation-and-user-evaluation-of-foodbook24-a-web-based-dietary-assessment-tool-developed-for-the-irish-adult-population
#13
Claire M Timon, Richard J Blain, Breige McNulty, Laura Kehoe, Katie Evans, Janette Walton, Albert Flynn, Eileen R Gibney
BACKGROUND: The application of technology in the area of dietary assessment has resulted in the development of an array of tools, which are often specifically designed for a particular country or region. OBJECTIVE: The aim of this study was to describe the development, validation, and user evaluation of a Web-based dietary assessment tool "Foodbook24." METHODS: Foodbook24 is a Web-based, dietary assessment tool consisting of a 24-hour dietary recall (24HDR) and food frequency questionnaire (FFQ) alongside supplementary questionnaires...
May 11, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28490418/identifying-and-understanding-the-health-information-experiences-and-preferences-of-caregivers-of-individuals-with-either-traumatic-brain-injury-spinal-cord-injury-or-burn-injury-a-qualitative-investigation
#14
Nathan T Coffey, James Cassese, Xinsheng Cai, Steven Garfinkel, Drasti Patel, Rebecca Jones, Dahlia Shaewitz, Ali A Weinstein
BACKGROUND: In order to meet the challenges of caring for an injured person, caregivers need access to health information. However, caregivers often feel that they lack adequate information. Previous studies of caregivers have primarily focused on either their time and emotional burdens or their health outcomes, but the information needs of caregivers have not been thoroughly investigated. OBJECTIVE: The purpose of this investigation was to identify the preferred sources of health information for caregivers supporting individuals with injuries and to explore how access to this information could be improved...
May 10, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28490417/accelerating-digital-mental-health-research-from-early-design-and-creation-to-successful-implementation-and-sustainment
#15
David C Mohr, Aaron R Lyon, Emily G Lattie, Madhu Reddy, Stephen M Schueller
Mental health problems are common and pose a tremendous societal burden in terms of cost, morbidity, quality of life, and mortality. The great majority of people experience barriers that prevent access to treatment, aggravated by a lack of mental health specialists. Digital mental health is potentially useful in meeting the treatment needs of large numbers of people. A growing number of efficacy trials have shown strong outcomes for digital mental health treatments. Yet despite their positive findings, there are very few examples of successful implementations and many failures...
May 10, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28487267/embodied-conversational-agents-in-clinical-psychology-a-scoping-review
#16
Simon Provoost, Ho Ming Lau, Jeroen Ruwaard, Heleen Riper
BACKGROUND: Embodied conversational agents (ECAs) are computer-generated characters that simulate key properties of human face-to-face conversation, such as verbal and nonverbal behavior. In Internet-based eHealth interventions, ECAs may be used for the delivery of automated human support factors. OBJECTIVE: We aim to provide an overview of the technological and clinical possibilities, as well as the evidence base for ECA applications in clinical psychology, to inform health professionals about the activity in this field of research...
May 9, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28483745/mobile-app-for-treatment-of-stress-urinary-incontinence-a-cost-effectiveness-analysis
#17
Malin Sjöström, Lars Lindholm, Eva Samuelsson
BACKGROUND: Mobile apps can increase access to care, facilitate self-management, and improve adherence to treatment. Stress urinary incontinence (SUI) affects 10-35% of women and, currently, an app with instructions for pelvic floor muscle training (PFMT) is available as first-line treatment. A previous randomized controlled study demonstrated that the app benefitted symptom severity and quality of life (QoL); in this study we investigate the cost-effectiveness of the app. OBJECTIVE: The objective of this study was to evaluate the health economy of the app for treating SUI...
May 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28483743/the-virtual-care-climate-questionnaire-development-and-validation-of-a-questionnaire-measuring-perceived-support-for-autonomy-in-a-virtual-care-setting
#18
Eline Suzanne Smit, Alexandra Lelia Dima, Stephanie Annette Maria Immerzeel, Bas van den Putte, Geoffrey Colin Williams
BACKGROUND: Web-based health behavior change interventions may be more effective if they offer autonomy-supportive communication facilitating the internalization of motivation for health behavior change. Yet, at this moment no validated tools exist to assess user-perceived autonomy-support of such interventions. OBJECTIVE: The aim of this study was to develop and validate the virtual climate care questionnaire (VCCQ), a measure of perceived autonomy-support in a virtual care setting...
May 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28483742/automated-text-messaging-as-an-adjunct-to-cognitive-behavioral-therapy-for-depression-a-clinical-trial
#19
Adrian Aguilera, Emma Bruehlman-Senecal, Orianna Demasi, Patricia Avila
BACKGROUND: Cognitive Behavioral Therapy (CBT) for depression is efficacious, but effectiveness is limited when implemented in low-income settings due to engagement difficulties including nonadherence with skill-building homework and early discontinuation of treatment. Automated messaging can be used in clinical settings to increase dosage of depression treatment and encourage sustained engagement with psychotherapy. OBJECTIVES: The aim of this study was to test whether a text messaging adjunct (mood monitoring text messages, treatment-related text messages, and a clinician dashboard to display patient data) increases engagement and improves clinical outcomes in a group CBT treatment for depression...
May 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28483740/evaluation-of-pollen-apps-forecasts-the-need-for-quality-control-in-an-ehealth-service
#20
Katharina Bastl, Uwe Berger, Maximilian Kmenta
BACKGROUND: Pollen forecasts are highly valuable for allergen avoidance and thus raising the quality of life of persons concerned by pollen allergies. They are considered as valuable free services for the public. Careful scientific evaluation of pollen forecasts in terms of accurateness and reliability has not been available till date. OBJECTIVE: The aim of this study was to analyze 9 mobile apps, which deliver pollen information and pollen forecasts, with a focus on their accurateness regarding the prediction of the pollen load in the grass pollen season 2016 to assess their usefulness for pollen allergy sufferers...
May 8, 2017: Journal of Medical Internet Research
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