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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 25, 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 25, 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 24, 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 23, 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 23, 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 22, 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
Conclusions: We found correlational support for defense motivation account underlying confirmation bias in the mental health–related search context. That is, participants tended to select information that supported their prior attitudes, which is not in line with the current scientific evidence. Implications for presenting persuasive Web-based information are also discussed. Trial Registration: ClinicalTrials.gov NCT03899168; https://clinicaltrials.gov/ct2/show/NCT03899168 (Archived by WebCite at http://www.webcitation.org/77Nyot3Do) (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 22, 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 22, 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 22, 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 21, 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 21, 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 18, 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
Conclusions: Our contributions highlight the impact of artificial intelligence and machine learning’s integration into health care. By monitoring numerous physiological parameters simultaneously, wearable technology uniquely improves upon retrospective methods for fertility awareness and enables the first real-time predictive model of ovulation. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 17, 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
Conclusions: This study provides the first evidence of the impact of health professionals’ personal online disclosures on credibility and the health relationship. Public perceptions about professionalism and credibility are integral to developing the evidence base for e-professionalism guidelines and encouraging best practices in social media use. (Source: Journal of Medical Internet Research)
Source: Journal of Medical Internet Research - April 17, 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 16, 2019 Category: General Medicine Authors: Brendan William Munzer Mohammad Mairaj Khan Barbara Shipman Prashant Mahajan Source Type: research