MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Medical Internet Research' source. Wed, 08 Feb 2012 18:50:27 +0100 http://www.medworm.com/index.php?rid=5668399&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe23%2F Conclusions: Although there were no significant group differences on primary outcome measures, our pilot data provide tentative support for the feasibility (acceptability and user satisfaction) and initial efficacy of an Internet-based intervention for improving well-being in children and adolescents with a chronic respiratory condition. Trial registration: Australian New Zealand Clinical Trials Registry number: ACTRN12610000214033; http://www.anzctr.org.au/trial_view.aspx?ID=308074 (Archived by WebCite at http://www.webcitation.org/63BL55mXH) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5668399 Wed, 08 Feb 2012 05:00:00 +0100 5668399 http://www.medworm.com/index.php?rid=5668400&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe5%2F Conclusions: Internet-based smoking cessation interventions can help large numbers of smokers quit. Large-scale international outcome studies can be successfully implemented using automated Internet sites. Interpretation of the studies’ results can be aided by extrapolating from results obtained from subsamples that are followed up by phone or similar cohort maintenance methods. Trial Registration: ClinicalTrials.gov NCT00721786; http://clinicaltrials.gov/ct2/show/NCT00721786 (Archived by WebCite at http://www.webcitation.org/63mhoXYPw) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5668400 Tue, 07 Feb 2012 05:00:00 +0100 5668400 http://www.medworm.com/index.php?rid=5668401&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe24%2F Conclusions: This study shows that the support system prototype has valuable potential to improve the ROM practice and it is worthwhile to further develop it into a more mature system. Furthermore, the results add to prior research into web applications for people with psychotic disorders, in that it shows that this group of end users can work with web-based and computer-based systems, despite the cognitive problems they experience. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5668401 Mon, 06 Feb 2012 05:00:00 +0100 5668401 http://www.medworm.com/index.php?rid=5660731&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe21%2F Conclusions: We tested our tool for 3D, Web-based, patient-specific consultation in the clinical scenario of breast augmentation. This example shows that the current state of development allows for creation of responsive and effective Web-based, 3D medical tools, even with highly complex and time-consuming computation, by off-loading them to a dedicated high-performance data center. The efficient combination of advanced technologies, based on analysis and understanding of human anatomy and physiology, will allow the development of further Web-based reconstruction and predictive interfaces at different scales of the human body. The consultation tool presented herein exemplifies the potential of combining advancements in the core areas of computer science and biomedical engineering with the ... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5660731 Fri, 03 Feb 2012 05:00:00 +0100 5660731 http://www.medworm.com/index.php?rid=5649645&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe9%2F Conclusions: Workers are often unable to find correct answers to OSH questions when using common information sources, generally informational websites. Because workers frequently misjudge the quality of the information they find, other strategies are required to assist workers in finding correct answers. Expert advice provided through an online expert network can be effective for this purpose. As many people experience difficulties in finding correct answers to their health questions, expert networks may be an attractive new source of information for health fields in general. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5649645 Thu, 02 Feb 2012 05:00:00 +0100 5649645 http://www.medworm.com/index.php?rid=5649646&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe20%2F Conclusions: Results demonstrate the potential of using modern information and communication technologies to engage young women in health research and penetrate into nonurban communities. The success of this method has implications for future medical and population research in this and other demographics. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5649646 Wed, 01 Feb 2012 05:00:00 +0100 5649646 http://www.medworm.com/index.php?rid=5649647&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe22%2F Conclusions: The trust-based metric HealthTrust showed promising results when used to retrieve diabetes content from YouTube. Our research indicates that social network analysis may be used to identify trustworthy social media in health communities. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5649647 Tue, 31 Jan 2012 05:00:00 +0100 5649647 http://www.medworm.com/index.php?rid=5649648&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe17%2F Conclusions: The present study suggests that one reason young adults do not seek care might be that they view the mental health system negatively and feel disconnected from these services. To decrease young adults’ sense of powerlessness and isolation, efforts should focus on creating and developing resources and services that allow young adults to feel connected and empowered. Through an understanding of the experiences of young adults with mental health problems, and their experiences of and attitudes toward receiving care, we provide some recommendations for improving receptivity and knowledge of mental health care services. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5649648 Mon, 30 Jan 2012 05:00:00 +0100 5649648 http://www.medworm.com/index.php?rid=5639301&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe19%2F Conclusions: The present study documented differences between respondents high and low in eHealth literacy in terms of background attributes, information consumption, and outcomes of the information search. The association of eHealth literacy with background attributes indicates that the Internet reinforces existing social differences. The more comprehensive and sophisticated use of the Internet and the subsequent increased gains among the high eHealth literate create new inequalities in the domain of digital health information. There is a need to educate at-risk and needy groups (eg, chronically ill) and to design technology in a mode befitting more consumers. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5639301 Fri, 27 Jan 2012 05:00:00 +0100 5639301 http://www.medworm.com/index.php?rid=5630278&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe1%2F Conclusions: The virtual coach was beneficial in maintaining activity level. The long-term benefits and additional applications of this technology warrant further study. Trial Registration: ClinicalTrials.gov NCT00792207; http://clinicaltrials.gov/ct2/show/NCT00792207 (Archived by WebCite at http://www.webcitation.org/63sm9mXUD) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5630278 Thu, 26 Jan 2012 05:00:00 +0100 5630278 http://www.medworm.com/index.php?rid=5630279&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe13%2F Conclusions: Key messages from CBT can be delivered by mobile phone, and young people report that these are helpful. Change in clinician-rated depression symptom scores from baseline to 12 months, yet to be completed, will provide evidence on the effectiveness of the intervention. If proven effective, this form of delivery may be useful in many countries lacking widespread mental health services but with extensive mobile phone coverage. ClinicalTrial: Australia New Zealand Clinical Trials Registry (ACTRN): 12609000405213; http://www.anzctr.org.au/trial_view.aspx?ID=83667 (Archived by WebCite at http://www.webcitation.org/64aueRqOb) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5630279 Tue, 24 Jan 2012 05:00:00 +0100 5630279 http://www.medworm.com/index.php?rid=5610692&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe16%2F Conclusions: Primary care providers have high expectations for how online weight-loss programs should deliver services to patients and fit into the clinical workflow. Efforts to integrate online weight-loss programs into the primary care setting should address efficacy and safety of online weight-loss programs in clinic-based populations; acceptable methods of sending reports to primary care providers about their patients’ progress; and elimination or reduction of costs to patients. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5610692 Thu, 19 Jan 2012 05:00:00 +0100 5610692 http://www.medworm.com/index.php?rid=5610693&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe15%2F Conclusions: A majority of assessed partners perceived a need for psychoeducational interventions surrounding hereditary breast cancer risk. Internet-based, interactive resources may be an efficient mechanism to reach large numbers of partners with tailored content. Research is warranted to inform the design and deployment of these resources to ensure quality and high impact, and ultimately to examine ways to integrate these resources into clinical care. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5610693 Wed, 18 Jan 2012 05:00:00 +0100 5610693 http://www.medworm.com/index.php?rid=5599124&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe14%2F Conclusions: Our prescription surveillance system presents great potential for monitoring influenza activity and for providing early detection of infectious disease outbreaks. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5599124 Mon, 16 Jan 2012 05:00:00 +0100 5599124 http://www.medworm.com/index.php?rid=5583803&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe6%2F Conclusions: This pilot study confirms that the implementation of PIES within a clinical practice is feasible and acceptable to patients with a recent diagnosis of prostate cancer. PIES improved key decision-making process variables and reduced the emotional impact of a difficult medical decision. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5583803 Fri, 13 Jan 2012 05:00:00 +0100 5583803 http://www.medworm.com/index.php?rid=5583804&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe3%2F Conclusion: This review illustrates that while many SMS applications for disease prevention exist, few have been evaluated. The dearth of peer-reviewed studies and the limited evidence found in this systematic review highlight the need for high-quality efficacy studies examining behavioral, social, and economic outcomes of SMS applications and mobile phone interventions aimed to promote health in developing country contexts. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5583804 Thu, 12 Jan 2012 05:00:00 +0100 5583804 http://www.medworm.com/index.php?rid=5583806&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe4%2F Conclusions: Overall engagement with the 10,000 Steps website was high, and the results demonstrate the relative effectiveness of interactive components to enhance website engagement. However, only exposure to the interactive individual challenge feature was positively associated with all website engagement indicators. More research is needed to examine the influence of intervention components on website engagement, as well as the relationship between website engagement and physical activity change. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5583806 Wed, 11 Jan 2012 05:00:00 +0100 5583806 http://www.medworm.com/index.php?rid=5583805&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe12%2F . (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5583805 Wed, 11 Jan 2012 05:00:00 +0100 5583805 http://www.medworm.com/index.php?rid=5583807&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe10%2F In a recent JMIR article, El Emam, Moreau and Jonker highlight the importance of using strong passwords to protect personal health information in clinical trials [1]. An important implication that was not fully discussed is the potential problem people may have to create passwords that are complex but at the same time easy to remember. To address this problem we propose the PsychoPass methord, a simple way to create strong passwords which are easy to remember. This method relies on mental practice and is not an hardware or a software to download. The idea is that a password can be created, memorized and recalled by just thinking of an action sequence instead of a word or string of characters. To be more specific, the method consists of the following steps (see Figure 1 and 2): (1) begin wi... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5583807 Tue, 10 Jan 2012 05:00:00 +0100 5583807 http://www.medworm.com/index.php?rid=5561647&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe2%2F Conclusions: This Web-based diabetes-specific CBT depression treatment is suitable for use in patients with severe mental health problems and those with a less severe clinical profile. ClinicalTrial: International Standard Randomized Controlled Trial Number (ISRCTN): 24874457; http://www.controlled-trials.com/ISRCTN24874457 (Archived by WebCite at http://www.webcitation.org/63hwdviYr) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5561647 Thu, 05 Jan 2012 05:00:00 +0100 5561647 http://www.medworm.com/index.php?rid=5561649&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe7%2F Discussion). The original decision to cite them as references was made for the sake of convenience for our readers, to prevent them from having to look up the references in a separate file or by DOI. JMIR has no space limitations and prefers to cite references in the article rather than in an Appendix; for readers downloading a PDF file it is more convenient to have all references in a single file rather than having to download a separate Appendix. The decision to now move these references into a Multimedia Appendix was made after a reader pointed out that citing these articles may increase JMIR’s impact factor. Although none of the two peer-reviewers, both experts in scientometrics, were originally concerned about citing the included articles as references, and even though any potential... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5561649 Wed, 04 Jan 2012 05:00:00 +0100 5561649 http://www.medworm.com/index.php?rid=5561648&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2012%2F1%2Fe8%2F An error in the CHERRIES statement has been corrected (J Med Internet Res 2004;6[3]:e34). In the original paper, in table 1, denominator and numerator were flipped in the recommendations on how response rates (view rate, participation rate, and completion rate) should be calculated. The view rate should be the ratio of unique survey visitors divided by unique site visitors. The participation rate should be the ratio of those who agreed to participate divided by unique first survey page visitors. The completion rate is the ratio of the number of people who finished the survey divided by those who agreed to participate. The corrections have been made in the table in both columns. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5561648 Wed, 04 Jan 2012 05:00:00 +0100 5561648 http://www.medworm.com/index.php?rid=5561650&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe126%2F Conclusions: CONSORT-EHEALTH has the potential to improve reporting and provides a basis for evaluating the validity and applicability of eHealth trials. Subitems describing how the intervention should be reported can also be used for non-RCT evaluation reports. As part of the development process, an evaluation component is essential; therefore, feedback from authors will be solicited, and a before-after study will evaluate whether reporting has been improved. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5561650 Sat, 31 Dec 2011 05:00:00 +0100 5561650 http://www.medworm.com/index.php?rid=5553149&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe122%2F Conclusion: We found that posters felt they received more benefits from online communities than lurkers did, including emotional support, helping other patients, and expressing their emotions. Yet even lurkers were found to gain a certain amount of peer support through online communities, especially with regard to advice and insight/universality. The results demonstrate that participation in online communities—even as a lurker—may be beneficial to breast cancer patients’ mental health. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5553149 Thu, 29 Dec 2011 05:00:00 +0100 5553149 http://www.medworm.com/index.php?rid=5553150&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe124%2F The impact and uptake of information and communication technologies that support health care are rather low. Current frameworks for eHealth development suffer from a lack of fitting infrastructures, inability to find funding, complications with scalability, and uncertainties regarding effectiveness and sustainability. These issues can be addressed by defining a better implementation strategy early in the development of eHealth technologies. A business model, and thus business modeling, help to determine such an implementation strategy by involving all important stakeholders in a value-driven dialogue on what the technology should accomplish. This idea also seems promising to eHealth, as it can contribute to the whole development of eHealth technology. We therefore suggest that business mod... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5553150 Wed, 28 Dec 2011 05:00:00 +0100 5553150 http://www.medworm.com/index.php?rid=5545432&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe117%2F Conclusions: The challenge of Web-based alcohol treatment programs no longer seems to be their effectiveness but keeping participants involved until the end of the treatment program. Further research should investigate whether the suggested strategies to improve adherence decrease attrition rates in Web-based interventions. If we can succeed in improving attrition rates, the success of Web-based alcohol interventions will also improve and, as a consequence, their public health impact will increase. Trial: International Standard Randomized Controlled Trial Number (ISRCTN): 39104853; http://www.controlled-trials.com/ISRCTN39104853 (Archived by WebCite at http://www.webcitation.org/63IKDul1T) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5545432 Tue, 27 Dec 2011 05:00:00 +0100 5545432 http://www.medworm.com/index.php?rid=5538961&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe125%2F As the use of eHealth grows and diversifies globally, the concept of eHealth literacy – a foundational skill set that underpins the use of information and communication technologies (ICT) for health – becomes more important than ever to understand and advance. EHealth literacy draws our collective attention to the knowledge and complex skill set that is often taken for granted when people interact with technology to address information, focusing our attention on learning and usability issues from the clinical through to population health level. Just as the field of eHealth is dynamic and evolving, so too is the context where eHealth literacy is applied and understood. The original Lily Model of eHealth literacy and scale used to assess it were developed at a time when the first generat... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538961 Fri, 23 Dec 2011 05:00:00 +0100 5538961 http://www.medworm.com/index.php?rid=5538962&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe116%2F Conclusion: Web-based and face-to-face approaches to the delivery of education to clinicians on the subject of exercise prescription for falls prevention produced equivalent results in all of the outcome domains. Practical considerations should arguably drive choice of delivery method, which may favor Web-based provision for its ability to overcome access issues for health professionals in regional and remote settings. Trial Registration: Australian New Zealand Clinical Trials Registry number: ACTRN12610000135011; http://www.anzctr.org.au/ACTRN12610000135011.aspx (Archived by WebCite at http://www.webcitation.org/63MicDjPV) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538962 Thu, 22 Dec 2011 05:00:00 +0100 5538962 http://www.medworm.com/index.php?rid=5538963&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe112%2F Conclusions: While the Internet appears to offer promise in increasing equitable access to information and support for cancer survivors for both metropolitan and regional areas, it is viewed less favorably for support and by particular subgroups (eg, older people and those without a university degree) within the survivor population. Promoting greater understanding of this mode of support may be required to achieve its potential. Information and support options other than Web-based approaches may continue to be needed by vulnerable groups of cancer survivors. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538963 Wed, 21 Dec 2011 05:00:00 +0100 5538963 http://www.medworm.com/index.php?rid=5538965&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe118%2F Conclusions: These findings support the use of Web-based tools and mobile technologies to change dietary behavior. The combination of a fully automated Web-based planning tool with mobile text reminders led to lower self-reported consumption of high-fat foods and greater reductions in portion sizes than in a control condition. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538965 Tue, 20 Dec 2011 05:00:00 +0100 5538965 http://www.medworm.com/index.php?rid=5538964&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe120%2F Conclusions: Results confirm and extend previous findings showing a minimally intensive weight-loss intervention can be delivered via podcast, but prompting and mobile communication via Twitter and monitoring app without feedback did not enhance weight loss. Trial Registration: Clinicaltrials.gov NCT01139255; http://clinicaltrials.gov/ct2/show/NCT01139255 (Archived by WebCite at http://www.webcitation.org/625OjhiDy) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538964 Tue, 20 Dec 2011 05:00:00 +0100 5538964 http://www.medworm.com/index.php?rid=5526677&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe118 Conclusions: These findings support the use of Web-based tools and mobile technologies to change dietary behavior. The combination of a fully automated Web-based planning tool with mobile text reminders led to lower self-reported consumption of high-fat foods and greater reductions in portion sizes than in a control condition. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5526677 Tue, 20 Dec 2011 05:00:00 +0100 5526677 http://www.medworm.com/index.php?rid=5526676&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe120 Conclusions: Results confirm and extend previous findings showing a minimally intensive weight-loss intervention can be delivered via podcast, but prompting and mobile communication via Twitter and monitoring app without feedback did not enhance weight loss. Trial Registration: Clinicaltrials.gov NCT01139255; http://clinicaltrials.gov/ct2/show/NCT01139255 (Archived by WebCite at http://www.webcitation.org/625OjhiDy) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5526676 Tue, 20 Dec 2011 05:00:00 +0100 5526676 http://www.medworm.com/index.php?rid=5538966&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe119%2F Conclusions: Online social networks might facilitate smoking cessation in several ways. Identifying new theories, translating these into functional interventions, and evaluating the results will require a concerted transdisciplinary effort. This report presents a series of research questions to assist researchers, developers, and funders in the process of efficiently moving this field forward. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538966 Mon, 19 Dec 2011 05:00:00 +0100 5538966 http://www.medworm.com/index.php?rid=5538968&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe115%2F Conclusions: The case studies illustrate how a new technology and a business model enabled by new technology can be harnessed to find new innovative ways for the organization and content of scholarly publishing. Several recent launches of OA journals by major subscription publishers demonstrate that OA is rapidly gaining acceptance as a sustainable alternative to subscription-based scholarly publishing. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538968 Fri, 16 Dec 2011 05:00:00 +0100 5538968 http://www.medworm.com/index.php?rid=5538967&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe123%2F Conclusions: Tweets can predict highly cited articles within the first 3 days of article publication. Social media activity either increases citations or reflects the underlying qualities of the article that also predict citations, but the true use of these metrics is to measure the distinct concept of social impact. Social impact measures based on tweets are proposed to complement traditional citation metrics. The proposed twimpact factor may be a useful and timely metric to measure uptake of research findings and to filter research findings resonating with the public in real time. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538967 Fri, 16 Dec 2011 05:00:00 +0100 5538967 http://www.medworm.com/index.php?rid=5516197&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe115 Conclusions: The case studies illustrate how a new technology and a business model enabled by new technology can be harnessed to find new innovative ways for the organization and content of scholarly publishing. Several recent launches of OA journals by major subscription publishers demonstrate that OA is rapidly gaining acceptance as a sustainable alternative to subscription-based scholarly publishing. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5516197 Fri, 16 Dec 2011 05:00:00 +0100 5516197 http://www.medworm.com/index.php?rid=5516196&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe123 Conclusions: Tweets can predict highly cited articles within the first 3 days of article publication. Social media activity either increases citations or reflects the underlying qualities of the article that also predict citations, but the true use of these metrics is to measure the distinct concept of social impact. Social impact measures based on tweets are proposed to complement traditional citation metrics. The proposed twimpact factor may be a useful and timely metric to measure uptake of research findings and to filter research findings resonating with the public in real time. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5516196 Fri, 16 Dec 2011 05:00:00 +0100 5516196 http://www.medworm.com/index.php?rid=5538969&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe121%2F Conclusion: Tailoring an Internet-based intervention for smoking cessation seems to increase the success rates in the short term, but not in the long term. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538969 Thu, 15 Dec 2011 05:00:00 +0100 5538969 http://www.medworm.com/index.php?rid=5538970&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe110%2F Conclusions: Japanese moderately used the Internet via personal computers for health purposes, and rarely used the Internet via cell phones. Older people, people with lower education levels, and people with lower household incomes were less likely to access the Internet via cell phone. The Internet moderately improved users’ health-related knowledge and attitudes but seldom changed their health-related abilities and activities. To encourage communication between health providers and consumers, it is important to improve eHealth literacy, especially in middle-aged people. It is also important to make adequate amendments to the reimbursement payment system and nationwide eHealth privacy and security framework, and to develop a collaborative relationship among industry, government, and ... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5538970 Wed, 14 Dec 2011 05:00:00 +0100 5538970 http://www.medworm.com/index.php?rid=5506512&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe111 Conclusions: To demonstrate the impact of eHealth technologies more effectively, a fresh way of thinking is required about how technology can be used to innovate health care. It also requires new concepts and instruments to develop and implement technologies in practice. The proposed framework serves as an evidence-based roadmap. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5506512 Tue, 13 Dec 2011 05:00:00 +0100 5506512 http://www.medworm.com/index.php?rid=5495751&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe109 Conclusions: Equivalency of the Hospital Anxiety and Depression Scale (HADS) and the Physical Component Score and Mental Component Score of the SF-12v2 for online and offline data were demonstrated. Equivalency was not demonstrated for the Fatigue Symptom Inventory. Explanations for the difference in fatigue score between the online and offline samples are unclear. Research that seeks to match samples and control for extraneous online and offline variables is called for, along with exploration of factors that may mediate the completion of questionnaires or alter the respondents’ relationship with the same, to enhance progress in this area. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5495751 Mon, 12 Dec 2011 05:00:00 +0100 5495751 http://www.medworm.com/index.php?rid=5488224&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe107 Conclusions: This study provides promising evidence that Web-based interventions could potentially provide an effective method of promoting hand hygiene in the home. Data were collected during the 2010 influenza pandemic, when participants in both groups had already been exposed to extensive publicity about the need for hand hygiene, suggesting that our intervention could add to existing public health campaigns. However, further research is required to determine the effects of the intervention on actual infection rates. Trial: International Standard Randomized Controlled Trial Number (ISRCTN): 75058295; http://www.controlled-trials.com/ISRCTN75058295 (Archived by WebCite at http://www.webcitation.org/62KSbkNmm) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5488224 Fri, 09 Dec 2011 05:00:00 +0100 5488224 http://www.medworm.com/index.php?rid=5488226&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe108 Conclusion: Use of a wiki-inspired method allowed for effective collaborative design of content and format aspects of an AAP while minimizing logistical requirements, maximizing geographical representation, and mitigating hierarchical group dynamics. Our method faced unique software and hardware challenges, and raises certain questions regarding its effect on group functioning. Potential uses of our method are broad, and further studies are required. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5488226 Thu, 08 Dec 2011 05:00:00 +0100 5488226 http://www.medworm.com/index.php?rid=5488225&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe114 Active patient and public involvement as partners in their own health care and in the development of health services is key to achieving a health care system that is responsive to patients’ needs and values. It promotes better use of the health care system, and improves health outcomes, quality of life and patient satisfaction. By involving patients and health care professionals as partners in the creation and updating of patient health support tools, wikis—highly accessible, interactive vehicles of communication—have the potential to empower users to implement these support tools in daily life. Acknowledging the potential of wikis, and recognizing that they capitalize on the free and open access to information, scientists, opinion leaders and patient advocates have sugge... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5488225 Thu, 08 Dec 2011 05:00:00 +0100 5488225 http://www.medworm.com/index.php?rid=5488227&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe106 Conclusion: Although Health 2.0 Internet technology has significantly increased opportunities for having contact with fellow patients, only a minority seem to be interested in organized forms of peer contact (either online or face-to-face). Patients seem somewhat more positive about face-to-face contact than about online contact. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5488227 Wed, 07 Dec 2011 05:00:00 +0100 5488227 http://www.medworm.com/index.php?rid=5477711&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe113 During the last 5 years, an ethical debate has emerged, often in public media, about the potential positive and negative effects of physician rating sites and whether physician rating sites created by insurance companies or government agencies are ethical in their current states. Due to the lack of direct evidence of physician rating sites’ effects on physicians’ performance, patient outcomes, or the public’s trust in health care, most contributions refer to normative arguments, hypothetical effects, or indirect evidence. This paper aims, first, to structure the ethical debate about the basic concept of physician rating sites: allowing patients to rate, comment, and discuss physicians’ performance, online and visible to everyone. Thus, it provides a more thorough an... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5477711 Tue, 06 Dec 2011 05:00:00 +0100 5477711 http://www.medworm.com/index.php?rid=5477712&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe103 Conclusion: This review shows promising results on the effectiveness of Internet interventions to enhance patients’ adherence to prescribed long-term medications. Although there is evidence according to the data synthesis, the results must be interpreted with caution due to low-quality adherence measurements. Future studies using high-quality measurements to assess medication adherence are recommended to establish more robust evidence for the effectiveness of eHealth interventions on medication adherence. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5477712 Mon, 05 Dec 2011 05:00:00 +0100 5477712 http://www.medworm.com/index.php?rid=5470077&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe104 Conclusions: Statistically, the results of this study attest that improving coherence has a small effect on consumer comprehension of clinical text, but the task is extremely labor intensive and not scalable. Further research is needed using texts from more diverse clinical domains and more heterogeneous participants, including actual patients. Since comprehensibility of clinical text appears difficult to automate, informatics support tools may most productively support the health care professionals tasked with making clinical information understandable to patients. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5470077 Fri, 02 Dec 2011 05:00:00 +0100 5470077 http://www.medworm.com/index.php?rid=5470078&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe102 Conclusion: Although college students are highly connected to, and feel comfortable with, using the Internet to find health information, their eHealth literacy skills are generally sub par. College students, especially in the health and medical professions, would be well served to receive more customized college-level instruction that improves general eHealth literacy. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5470078 Thu, 01 Dec 2011 05:00:00 +0100 5470078 http://www.medworm.com/index.php?rid=5459229&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe101 Conclusion: In the single knowledge resource we studied, email alerts containing research-based synopses were rarely retrieved. Our findings help us to better understand the effect of push on pull and to improve the integration of research-based information within electronic resources for clinicians. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5459229 Wed, 30 Nov 2011 05:00:00 +0100 5459229 http://www.medworm.com/index.php?rid=5459230&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe105 Conclusions: Health information professionals agree that PHRs should be lifetime records, that they will be useful as more information is stored electronically, and that data security is paramount. To maximize the benefits of PHR, activation strategies should be developed and extended across disciplines and professionals so that patients begin to receive the benefits associate with using PHRs. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5459230 Tue, 29 Nov 2011 05:00:00 +0100 5459230 http://www.medworm.com/index.php?rid=5442795&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe100 Conclusion: There was no evidence that combining a CVD risk message with a planning tool reduces saturated fat intake more than either alone. Further research is required to identify ways in which matching motivational and volitional strategies can lead to greater behavior changes. Trial Registration: International Standard Randomized Controlled Trial Number (ISRCTN): 91154001; http://www.controlled-trials.com/ISRCTN91154001 (Archived by WebCite at http://www.webcitation.org/62sBoGeOO) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5442795 Thu, 24 Nov 2011 05:00:00 +0100 5442795 http://www.medworm.com/index.php?rid=5442796&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe98 Conclusions: A workflow with a sequence of machine-based steps and human classification of NLP-discovered phrases can support researchers who need to identify relevant messages in a much larger corpus. Discovered phrases and keywords are useful search strings to aid targeted retrieval. We demonstrate the potential value of our procedures for qualitative researchers by retrieving a manageable set of messages concerning systemic and oral disease. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5442796 Wed, 23 Nov 2011 05:00:00 +0100 5442796 http://www.medworm.com/index.php?rid=5442797&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe99 Conclusions: Among the sedentary patients in primary health care who participated in the follow-up, the e-SBI appeared effective at promoting short-term improvement of physical activity for about half of them. The results were similar when the e-SBI was patient-initiated or staff-referred. The e-SBI may be a low-cost complement to lifestyle behavior interventions in routine primary health care and could work as a stand-alone technique not requiring the involvment of primary health care staff. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5442797 Tue, 22 Nov 2011 05:00:00 +0100 5442797 http://www.medworm.com/index.php?rid=5432688&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe97 Conclusions: The results provide grounds for expecting the NIH Public Access Policy to have a positive impact on EBP and health care more generally given that between a quarter and a third of participants in this study (1) frequently accessed research literature, (2) expressed an interest in having greater access, and (3) were aware of the policy and expect it to have an impact on their accessing research literature in the future. Results also indicate the value of promoting a greater awareness of the NIH policy, providing training and education in the location and use of the literature, and continuing improvements in the organization of biomedical research for health personnel use. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5432688 Mon, 21 Nov 2011 05:00:00 +0100 5432688 http://www.medworm.com/index.php?rid=5423460&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe96 Conclusions: Apparently minor differences in study design decisions may have a measurable impact on attrition in trials. Further investigation is warranted of the impact of the relevance of outcome measures on follow-up rates and, more broadly, of the consequences of what we ask participants to do when we invite them to take part in research studies. Trial registration: ISRCTN Register 31070347; http://www.controlled-trials.com/ISRCTN31070347/31070347 Archived by WebCite at (http://www.webcitation.org/62cpeyYaY) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5423460 Fri, 18 Nov 2011 05:00:00 +0100 5423460 http://www.medworm.com/index.php?rid=5423461&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe94 Conclusions: The results of this illustrative application suggest that the framework is useful for characterizing task complexity and for diagnosing and explaining barriers encountered in task completion. The framework and analytic approach can be a potentially powerful generative research platform to inform development of rigorous eHealth examination and design instruments, such as to assess eHealth competence, to design and evaluate consumer eHealth tools, and to develop an eHealth curriculum. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5423461 Thu, 17 Nov 2011 05:00:00 +0100 5423461 http://www.medworm.com/index.php?rid=5409982&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe95 Conclusions: Most patients give physicians a favorable rating on online physician-rating sites. A single overall rating to evaluate physicians may be sufficient to assess a patient’s opinion of the physician. The optimal content and rating method that is useful to patients when visiting online physician-rating sites deserves further study. Conducting a qualitative analysis to compare the quantitative ratings would help validate the rating instruments used to evaluate physicians. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5409982 Wed, 16 Nov 2011 05:00:00 +0100 5409982 http://www.medworm.com/index.php?rid=5409983&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe93 Conclusion: Our videoconference program had a long-term effect in alleviating depressive symptoms and loneliness for elderly residents in nursing homes. This intervention also improved long-term emotional social support and short-term appraisal support, and decreased residents’ instrumental social support. However, this intervention had no effect on informational social support. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5409983 Tue, 15 Nov 2011 05:00:00 +0100 5409983 http://www.medworm.com/index.php?rid=5409984&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe91 Conclusions: A sample of adults with intellectual disabilities of all ages, and with varying levels of cognitive function, accessed and enjoyed a virtual-world environment that drew on a health care-related scenario, and remembered aspects of it a week later. The small sample size limits generalizability of findings, but the potential shown for experiential learning to aid retention of knowledge on which consent is based appears promising. Successfully delivering health care-related information in a non-National Health Service setting indicates potential for delivery in institutional, community, or home settings, thereby widening access to the information. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5409984 Mon, 14 Nov 2011 05:00:00 +0100 5409984 http://www.medworm.com/index.php?rid=5401553&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe92 Conclusions: The identified behavioral perceptions may further health policy makers’ understanding of nurses’ concerns regarding and barriers to the adoption of Web 2.0 tools and enable them to better plan the strategy of implementation of Web 2.0 tools for knowledge sharing, learning, social interaction, and the production of collective intelligence. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5401553 Fri, 11 Nov 2011 05:00:00 +0100 5401553 http://www.medworm.com/index.php?rid=5389343&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe86 Conclusions: The eHEALS was assessed as unidimensional in a principal component analysis and the internal consistency of the scale was high, which makes the reliability adequate. However, findings suggest that the validity of the eHEALS instrument requires further study, since the relationship with Internet use was weak and expected relationships with age, education, and actual performance were not significant. Further research to develop a self-report instrument with high correlations with people’s actual eHealth literacy skills is warranted. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5389343 Wed, 09 Nov 2011 05:00:00 +0100 5389343 http://www.medworm.com/index.php?rid=5389344&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe88 Conclusions: The present Intranet-based study shows the potential of applying diverse statistical techniques to deal jointly with qualitative and quantitative self-reported data. The resulting formal description of subject typologies and their relationship with personal characteristics might provide a convenient tool for supporting health promotion in the work environment. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5389344 Tue, 08 Nov 2011 05:00:00 +0100 5389344 http://www.medworm.com/index.php?rid=5389345&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe89 Conclusions: Overall, all five fully automated self-help e-therapy programs appear to be delivering promising high-quality outcomes; however, the results require replication. Trial Registration: Australian and New Zealand Clinical Trials Registry ACTRN121611000704998; http://www.anzctr.org.au/trial_view.aspx?ID=336143 (Archived by WebCite at http://www.webcitation.org/618r3wvOG) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5389345 Fri, 04 Nov 2011 04:00:00 +0100 5389345 http://www.medworm.com/index.php?rid=5389346&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe90 Conclusions: The findings provide strong evidence that the eHealth literacy intervention tested in this study, regardless of the specific learning method used, significantly improved knowledge, skills, and eHealth literacy efficacy from pre to post intervention, was positively perceived by participants, and led to positive changes in their own health care. Collaborative learning did not differ from individualistic learning in affecting the learning outcomes, suggesting the previously widely reported advantages of collaborative over individualistic learning may not be easily applied to the older population in informal settings, though several confounding factors might have contributed to this finding (ie, the largely inexperienced computer user composition of the study sample, potential ins... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5389346 Thu, 03 Nov 2011 04:00:00 +0100 5389346 http://www.medworm.com/index.php?rid=5389347&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe81 Conclusions: Theoretically, this study has (1) identified knowledge-intensive website attributes, (2) enhanced the theoretical foundation of eHealth from the information systems (IS) perspective by adopting the expectation-confirmation theory (ECT), and (3) examined the importance of information and knowledge attributes and explained their impact on user satisfaction. Practically, our empirical results suggest that perceived website quality (ie, information quality, information presentation, and website attractiveness) is a core requirement for knowledge building. In addition, our study has also shown that knowledge confirmation has a greater effect on satisfaction than both knowledge expectation and perceived usefulness. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5389347 Wed, 02 Nov 2011 04:00:00 +0100 5389347 http://www.medworm.com/index.php?rid=5363230&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe79 Conclusions: The study shows the potential clinical usefulness of electronic communication between patients and health care services by demonstrating the potential for saving time. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5363230 Tue, 01 Nov 2011 04:00:00 +0100 5363230 http://www.medworm.com/index.php?rid=5337685&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe82 Conclusions: Recursive partitioning appears to be a useful method of developing search filters. The empirical search filters proposed here can assist in the retrieval of clinical examination studies from Medline; however, because of the low precision of the search strategies, retrieving relevant studies remains challenging. Improving precision may require systematic changes in the tagging of articles by the National Library of Medicine. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5337685 Wed, 19 Oct 2011 04:00:00 +0100 5337685 http://www.medworm.com/index.php?rid=5337686&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe87 Conclusions: Implementing a system to be used in a clinical setting is complex, as several issues can affect system use. In our ongoing large randomized trial, preliminary analysis with the first 50 practices using the system for 3 months demonstrated that our rigorous preimplementation evaluation helped us successfully identify and overcome these barriers before the main trial. Trial: Clinicaltrials.gov NCT00797628; http://clinicaltrials.gov/ct2/show/NCT00797628 (Archived by WebCite at http://www.webcitation.org/61feCfjCy) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5337686 Tue, 18 Oct 2011 04:00:00 +0100 5337686 http://www.medworm.com/index.php?rid=5316683&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe85 Conclusions: The influenza surveillance dashboard serves as a template to illustrate the efficient synthesization and dissemination of multiple-source surveillance data, which may also be applied to other diseases. Surveillance data from multiple sources can be disseminated efficiently using a dashboard design that facilitates the translation of surveillance information to public health actions. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5316683 Fri, 14 Oct 2011 04:00:00 +0100 5316683 http://www.medworm.com/index.php?rid=5316684&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe84 Conclusions: Emails can be key forms of data. They provide richly contextual prospective records of an underresearched dimension of the research process: routine volunteer–researcher interactions during recruitment. Emails record the context of volunteering, and the motivations and priorities of volunteers. They also highlight the “invisible work” of research workers during what are typically considered to be standard administrative tasks. Further research is needed to fully understand the role of routine emails, what they may reveal about volunteers’ decisions to participate, and their implications for research relationships—for example, whether they have the potential to foster rapport, trust, and understanding between volunteer and researcher, and ultimatel... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5316684 Thu, 13 Oct 2011 04:00:00 +0100 5316684 http://www.medworm.com/index.php?rid=5316685&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F4%2Fe83 Conclusions: The weight loss achieved by 12- and 52-week subscribers of a commercial Web-based weight loss program is likely to be in the range of the primary and sensitivity analysis results. While this suggests that, on average, clinically important weight loss may be achieved, further research is required to evaluate the efficacy of this commercial Web-based weight loss program prospectively using objective measures. The potential association between greater website use and increased weight loss also requires further evaluation, as strategies to improve participants’ use of Web-based program features may be required. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5316685 Wed, 12 Oct 2011 04:00:00 +0100 5316685 http://www.medworm.com/index.php?rid=5275203&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe71 Conclusion: Innovations in health care will diffuse more rapidly when technology is employed that is simple to use and has applicable components for interactivity. This would foresee the patients’ need for continuous and personalized feedback, in particular for patients with a greater need for care. From this study several factors appear to influence increased use of eHealth technologies: (1) avoiding selective enrollment, (2) making use of participatory design methods, and (3) developing push factors for persistence. Further research should focus on the causal relationship between using the system’s features and actual usage, as such a view would provide important evidence on how specific technology features can engage and captivate users. (Source: Journal of Medical Internet ... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5275203 Fri, 30 Sep 2011 04:00:00 +0100 5275203 http://www.medworm.com/index.php?rid=5275202&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe78 Conclusions: The Internet is one mechanism through which the long-term information and support needs of cancer genetics patients can be met. The StoryBank is one of the first places where patient and staff stories have been allied to every aspect of a patient pathway through a service and provides patients with an experiential perspective of the cancer genetics “journey.” The StoryBank was developed in direct response to patient feedback and is an innovative example of patient involvement in service development. The stories are a useful resource for newly referred patients, current patients, the general public, and health care professionals. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5275202 Fri, 30 Sep 2011 04:00:00 +0100 5275202 http://www.medworm.com/index.php?rid=5275201&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe74 Conclusions: Online pharmacies are an important phenomenon that is continuing to spread, despite partial regulation, due to intrinsic difficulties linked to the impalpable and evanescent nature of the Web and its global dimension. To enhance the benefits and minimize the risks of online pharmacies, a 2-level approach could be adopted. The first level should focus on policy, with laws regulating the phenomenon at an international level. The second level needs to focus on the individual. This approach should aim to increase health literacy, required for making appropriate health choices, recognizing risks and making the most of the multitude of opportunities offered by the world of medicine 2.0. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5275201 Fri, 30 Sep 2011 04:00:00 +0100 5275201 http://www.medworm.com/index.php?rid=5262334&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe76 Conclusions: Although overall response as well as participation rates to both types of invitations were similar, adding a paper version of a questionnaire to a Web-only invitation resulted in more respondents filling out the paper-based version. In addition, women who were older, had a higher level of education, or were students, were more likely to have filled out the Web-based version of the questionnaire. Given the many advantages of Web-based over paper-based questionnaires, researchers should strongly consider using Web-based questionnaires, although possible response bias when using these types of questionnaires should be taken into account. Trial Registration: Nederlands Trial Register NTR2922; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2922 (Archived by WebCite at ht... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5262334 Thu, 29 Sep 2011 04:00:00 +0100 5262334 http://www.medworm.com/index.php?rid=5262333&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe75 Conclusion: Low-income parents of children with special health care needs have access to and use the Internet as a source of information about their children's health. However, some parents are unable to distinguish between high and low quality information and are not confident in using the Internet. This information is timely because as the pressure to use the Internet to empower consumers and exchange information increases, issues related to access and disparities must be better understood. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5262333 Thu, 29 Sep 2011 04:00:00 +0100 5262333 http://www.medworm.com/index.php?rid=5262336&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe72 During the last decades a variety of telemedicine applications have been trialed worldwide. However, telemedicine is still an example of major potential benefits that have not been fully attained. Health care regulators are still debating why institutionalizing telemedicine applications on a large scale has been so difficult and why health care professionals are often averse or indifferent to telemedicine applications, thus preventing them from becoming part of everyday clinical routines. We believe that the lack of consolidated procedures for supporting decision making by health care regulators is a major weakness. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5262336 Wed, 28 Sep 2011 04:00:00 +0100 5262336 http://www.medworm.com/index.php?rid=5262335&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe69 Conclusions: The OS4 is a brief, reliable, and valid instrument for measuring online social support for smoking cessation. Results should be replicated and extended, but this study suggests the OS4 can be used to advance theory, understand mechanisms, and potentially help to improve the tailoring of Internet-based smoking cessation treatments. It can also inspire development of similar measures for other online health-related intervention research. Trial registration: Clinicaltrials.gov #NCT00282009; http://clinicaltrials.gov/ct2/show/NCT00282009 (Archived by WebCite at http://www.webcitation.org/60XNj3xM6) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5262335 Wed, 28 Sep 2011 04:00:00 +0100 5262335 http://www.medworm.com/index.php?rid=5262337&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe68 Conclusions: Mixed-mode surveys are an alternative method to postal surveys that yield comparable response rates and groups of respondents, at lower costs. Moreover, quality of health care was not rated differently by respondents to the mixed-mode or postal survey. Researchers should consider using mixed-mode surveys instead of postal surveys, especially when investigating younger or more highly educated populations. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5262337 Tue, 27 Sep 2011 04:00:00 +0100 5262337 http://www.medworm.com/index.php?rid=5262338&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe77 Conclusions: The results of this pilot study suggest that virtual worlds offer the potential for a new medical education pedagogy that will enhance learning outcomes for patient-centered communication skills training. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5262338 Mon, 26 Sep 2011 04:00:00 +0100 5262338 http://www.medworm.com/index.php?rid=5251803&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe70 Conclusions: Both the cell phone questionnaire and the accelerometer showed high within-subject variations. Furthermore, day-to-day variations in PAL within subjects assessed using the cell phone agreed well with corresponding accelerometer values. Consequently, our cell phone questionnaire is a promising tool for assessing levels of physical activity. The tool may be useful for large-scale prospective studies. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5251803 Sun, 25 Sep 2011 04:00:00 +0100 5251803 http://www.medworm.com/index.php?rid=5251804&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe73 Conclusions: The consistent pattern of findings speaks in favor of their robustness and contributes to theory validation regarding e-loyalty. The importance of a theory-driven solution to a practice-based problem (ie, low actual use) needs to be stressed in view of the importance of the Internet in terms of intervention development. Longitudinal studies are needed to investigate whether people will actually revisit intervention websites and whether this leads to changes in health risk behaviors. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5251804 Sat, 24 Sep 2011 04:00:00 +0100 5251804 http://www.medworm.com/index.php?rid=5251805&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe66 Conclusions: We developed a health observation method based on self-reporting by participants via the Internet. We validated the usefulness of the WDQH by its practical use in syndromic surveillance. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5251805 Fri, 23 Sep 2011 04:00:00 +0100 5251805 http://www.medworm.com/index.php?rid=5251806&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe65 Conclusions: While a wide selection of mobile applications seems to be available for people with diabetes, this study shows there are obvious gaps between the evidence-based recommendations and the functionality used in study interventions or found in online markets. Current results confirm personalized education as an underrepresented feature in diabetes mobile applications. We found no studies evaluating social media concepts in diabetes self-management on mobile devices, and its potential remains largely unexplored. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5251806 Thu, 22 Sep 2011 04:00:00 +0100 5251806 http://www.medworm.com/index.php?rid=5239516&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe67 Cloud computing is a new way of delivering computing resources and services. Many managers and experts believe that it can improve health care services, benefit health care research, and change the face of health information technology. However, as with any innovation, cloud computing should be rigorously evaluated before its widespread adoption. This paper discusses the concept and its current place in health care, and uses 4 aspects (management, technology, security, and legal) to evaluate the opportunities and challenges of this computing model. Strategic planning that could be used by a health organization to determine its direction, strategy, and resource allocation when it has decided to migrate from traditional to cloud-based health services is also discussed. (Source: Journal of Me... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5239516 Wed, 21 Sep 2011 04:00:00 +0100 5239516 http://www.medworm.com/index.php?rid=5210621&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe54 Conclusions: There are subtle but measurable differences in how people interpret risk estimates of varying precision. Adding decimal places in risk calculators offers little to no benefit and some cost. Rounding to the nearest integer is likely preferable for communicating risk estimates via risk calculators so that they might be remembered correctly and judged as believable. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5210621 Wed, 07 Sep 2011 04:00:00 +0100 5210621 http://www.medworm.com/index.php?rid=5185339&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe64 Conclusion: Pharmaceutical companies use eDTCA 2.0 to market themselves and their top-selling drugs. eDTCA 2.0 is also used by illicit online drug sellers. Regulators worldwide must take into account the current eDTCA 2.0 presence when attempting to reach policy and safety goals. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5185339 Tue, 30 Aug 2011 23:00:00 +0100 5185339 http://www.medworm.com/index.php?rid=5176344&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe59 Conclusions: Routine adoption of smartphones by residents appeared to improve efficiency over the use of pagers for physicians, nurses, and allied health professionals. This was balanced by negative communication issues of increased interruptions, a gap in perceived urgency, weakened interprofessional relationships, and unprofessional behavior. Further communication interventions are required that balance efficiency and interruptions while maintaining or even improving interprofessional relationships and professionalism. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5176344 Sun, 28 Aug 2011 23:00:00 +0100 5176344 http://www.medworm.com/index.php?rid=5164056&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe58 Conclusions: Smokers accessing the Internet for information on quitting appear to differentiate cessation treatments by how much interpersonal interaction or support the treatment entails. Quitting date, smoking level, and sociodemographic variables can identify smokers with varying levels of interest in the 3 classes of cessation methods identified. These results can potentially be used to more effectively target and increase demand for these treatments among smokers searching the Internet for cessation information. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5164056 Thu, 25 Aug 2011 23:00:00 +0100 5164056 http://www.medworm.com/index.php?rid=5164057&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe60 Conclusions: Interactivity, however visually appealing, can both add to respondent burden and distract people from understanding relevant statistical information. Decision-aid developers need to be aware that interactive risk presentations may create worse outcomes than presentations of static risk graphic formats. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5164057 Wed, 24 Aug 2011 23:00:00 +0100 5164057 http://www.medworm.com/index.php?rid=5133267&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe62 Conclusion: Patients offer other patients substantial expertise that differs significantly from the expertise offered by health professionals. Our findings suggest that experienced patients do not necessarily serve as “amateur doctors” who offer more accessible but less comprehensive or detailed medical information. Rather, they offer valuable personal information that clinicians cannot necessarily provide. The characteristics of patient expertise and the resulting design implications that we identified will help informaticians enhance the design of peer-support tools that will help meet patients’ diverse information needs. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5133267 Mon, 15 Aug 2011 23:00:00 +0100 5133267 http://www.medworm.com/index.php?rid=5133268&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe61 Conclusions: CAT-based administration of surveys of patient perception substantially reduced patient burden without compromising the precision of measuring patients’ perceptions of hospitalization. The Excel module of animation-CAT on the wireless COW that we developed is recommended for use in hospitals. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5133268 Sun, 14 Aug 2011 23:00:00 +0100 5133268 http://www.medworm.com/index.php?rid=5120915&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe57 Conclusions: Relatively few differences in perceptions about EHR system adoption and use exist between physicians already using such systems and those not yet using the systems. To maximize the chances of success for new EHR implementations from a behavioral point of view, general doubts about the rationale for such systems must be mitigated through improving design, stressing how EHRs are relevant to physician jobs, and providing substantiating evidence that EHRs are easier to use and more effective than nonusers might expect. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5120915 Thu, 11 Aug 2011 23:00:00 +0100 5120915 http://www.medworm.com/index.php?rid=5120914&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe55 Conclusions: Mobilyze! is a scalable, feasible intervention with preliminary evidence of efficacy. To our knowledge, it is the first ecological momentary intervention for unipolar depression, as well as one of the first attempts to use context sensing to identify mental health-related states. Several lessons learned regarding technical functionality, data mining, and software development process are discussed. Trial Registration: Clinicaltrials.gov NCT01107041; http://clinicaltrials.gov/ct2/show/NCT01107041 (Archived by WebCite at http://www.webcitation.org/60CVjPH0n) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5120914 Thu, 11 Aug 2011 23:00:00 +0100 5120914 http://www.medworm.com/index.php?rid=5120916&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe56 Conclusion: Based on the best available evidence, ALCMOD's computations suggest that implementation of new eHealth technologies would make the Dutch health care system more cost-effective. This type of information may help (1) to identify opportunities for system innovation, (2) to set agendas for further research, and (3) to inform policy decisions about resource allocation. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5120916 Wed, 10 Aug 2011 23:00:00 +0100 5120916 http://www.medworm.com/index.php?rid=5098923&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe52 Conclusions: There is large variation in the reporting of adherence and the association of adherence with outcomes. A lack of agreement about how best to measure adherence is likely to contribute to the variation in findings. Physical and psychological outcomes seem influenced by different types of adherence. A composite measure encompassing time online, activity completion, and active engagements with the intervention may be the best measure of adherence. Further research is required to establish a consensus for measuring adherence and to understand the role of adherence in influencing outcomes. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5098923 Thu, 04 Aug 2011 23:00:00 +0100 5098923 http://www.medworm.com/index.php?rid=5081186&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe53 Conclusion: Consumer reviews and professional medication descriptions generally reported similar effects of two psychotropic medications but differed in their descriptions and in frequency of reporting. Professional medication descriptions offer the advantage of a concise yet comprehensive listing of drug effects, while consumer reviews offer greater context and situational examples of how effects may manifest in various combinations and to varying degrees. The dispersion of consumer reviews across websites limits their integration, but a brief browsing strategy on the two target medications nonetheless retrieved representative consumer content. Current strategies for filtering online health searches to return only trusted or approved websites may inappropriately address the challenge to i... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5081186 Thu, 28 Jul 2011 23:00:00 +0100 5081186 http://www.medworm.com/index.php?rid=5070946&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe51 Conclusions: Adding variables specific to eHealth enhanced the ability of a model of trust to predict trust and readiness to act on advice. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5070946 Tue, 26 Jul 2011 23:00:00 +0100 5070946 http://www.medworm.com/index.php?rid=5053967&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe46 Conclusions: Understanding the persuasive elements of systems supporting behavior change is important. This may help users to engage and keep motivated in their endeavors. Further research is needed to increase our understanding of how and under what conditions specific persuasive features (either in isolation or collectively) lead to positive health outcomes in Web-based health behavior change interventions across diverse health contexts and populations. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5053967 Thu, 21 Jul 2011 23:00:00 +0100 5053967 http://www.medworm.com/index.php?rid=5041378&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe50 Conclusions: 3D visualization paired with video conferencing can be useful for advice-giving over distance, specifically for issues that require a higher level of communicative expressiveness than the telephone can offer. 3D-supported advice-giving can increase the range of issues that can be handled over distance and thus improve access to product information. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5041378 Sun, 17 Jul 2011 23:00:00 +0100 5041378 http://www.medworm.com/index.php?rid=5031625&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe49 Conclusions: Participants from a wide range of age and racial groups expressed interest in a mobile phone-based lifestyle program. Such a program that incorporates the themes that we identified may be able to help motivate participants to increase their physical activity and to improve their diet. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5031625 Wed, 13 Jul 2011 23:00:00 +0100 5031625 http://www.medworm.com/index.php?rid=5022175&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe48 Conclusion: The present review provides evidence supporting the positive effects of ICTs in PA interventions for children and adolescents, especially when used with other delivery approaches (ie, face-to-face). Because ICT delivery approaches are often mixed with other approaches and these studies sometimes lack a comparable control group, additional research is needed to establish the true independent effects of ICT as an intervention delivery mode. Although two-thirds of the studies demonstrated satisfactory methodological quality, several quality criteria should be considered in future studies: clear descriptions of allocation concealment and blinding of outcome assessment, extension of intervention duration, and employment of objective measures in intervention exposure rate. Due to the... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5022175 Tue, 12 Jul 2011 23:00:00 +0100 5022175 http://www.medworm.com/index.php?rid=5022176&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe45 Conclusions: These prototypes demonstrate the utility of abstracting PHR data and services (the PHR platform) from applications that can be tailored to meet the needs of diverse patients. Based on the challenges we faced, we provide recommendations on the structure of publicly available knowledge resources and the use of mobile messaging systems for PHR applications. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5022176 Mon, 11 Jul 2011 23:00:00 +0100 5022176 http://www.medworm.com/index.php?rid=5022177&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F3%2Fe47 Conclusions: This analysis identified factors that predicted retention in an online, prospective study of MSM. Hispanic and black study participants were less likely to be retained in the study compared with white study participants. Because these men bear the greatest burden of HIV incidence among MSM in the United States, it is critical that new research methods be developed to increase retention of these groups in online research studies. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=5022177 Sun, 10 Jul 2011 23:00:00 +0100 5022177 http://www.medworm.com/index.php?rid=4987276&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe42 Conclusion: E-self-help interventions without professional contact are effective in curbing adult problem drinking in high-income countries. In view of the easy scalability and low dissemination costs of such interventions, we recommend exploration of whether these could broaden the scope of effective public health interventions in low- and middle-income countries as well. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4987276 Wed, 29 Jun 2011 23:00:00 +0100 4987276 http://www.medworm.com/index.php?rid=4987275&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe43 Conclusions: Personalized online feedback on alcohol consumption appears to be an effective and easy way to change unhealthy drinking patterns in adult men, at least in the short-term. Trial registration: International Standard Randomized Controlled Trial Number: NTR836; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=836 (Archived by WebCite at http://www.webcitation.org/5ytnEz2vp) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4987275 Wed, 29 Jun 2011 23:00:00 +0100 4987275 http://www.medworm.com/index.php?rid=4978501&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe44 Conclusions: This study provides insights into the latent concerns and challenges faced by older adults and caregivers in managing medications. The results suggest that PHAs should have the following features to accommodate the management strategies and information preferences of this population: (1) provide links to authoritative and reliable information on side effects, drug interactions, and other medication-related concerns in a way that is clear, concise, and easy to navigate, (2) facilitate communication between patients and doctors and pharmacists through electronic messaging and health information exchange, and (3) provide patients the ability to selectively disclose medication information to different clinicians. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4978501 Tue, 28 Jun 2011 23:00:00 +0100 4978501 http://www.medworm.com/index.php?rid=4939307&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe39 Conclusions: Internet-based CBT for SAD is a treatment that can result in large and enduring effects. Trial registration: Clinicaltrials.gov NCT01145690; http://clinicaltrials.gov/ct2/show/NCT01145690 (Archived by WebCite at http://www.webcitation.org/5ygRxDLfK) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4939307 Tue, 14 Jun 2011 23:00:00 +0100 4939307 http://www.medworm.com/index.php?rid=4873981&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe40 Conclusions: Transitioning an academic pediatric rheumatology practice to an EMR can increase family satisfaction with the office visit. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4873981 Thu, 26 May 2011 23:00:00 +0100 4873981 http://www.medworm.com/index.php?rid=4873982&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe41 Conclusions: Monthly no-show rates across all seven Duke Medicine clinics were significantly reduced among patients who registered for portal use, suggesting that in combination with an email reminder feature, this technology may have an important and beneficial effect on clinic operations. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4873982 Wed, 25 May 2011 23:00:00 +0100 4873982 http://www.medworm.com/index.php?rid=4833153&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe37 Conclusion: The CAU system is effective for generating a list of candidate terms for human review during CHV development. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4833153 Mon, 16 May 2011 23:00:00 +0100 4833153 http://www.medworm.com/index.php?rid=4823048&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe38 Conclusions: This analysis identified several factors associated with recruitment and retention of MSM in an online survey. Differential click-through rates and increased survey dropout by MSM of color indicate that methods to recruit and retain black and Hispanic MSM in Internet-based research studies are paramount. Although targeting banner advertisements to MSM of color by changing the racial/ethnic composition of the advertisements may increase click-through, decreasing attrition of these study participants once they are engaged in the survey remains a challenge. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4823048 Thu, 12 May 2011 23:00:00 +0100 4823048 http://www.medworm.com/index.php?rid=4807239&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe36 Conclusions: The prevalence of nonauthoritative webpages with information about supplements in the context of H1N1/swine flu and the increasing number of searches for these pages suggest that the public is interested in alternatives to traditional prevention and treatment of H1N1. The quality of this information is often questionable and clinicians should be cognizant that patients may be at risk of adverse events associated with the use of supplements for H1N1. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4807239 Mon, 09 May 2011 23:00:00 +0100 4807239 http://www.medworm.com/index.php?rid=4791060&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe31 Conclusion: The smartphone client-server teleradiology system appears promising and may have the potential to allow urgent management decisions in acute stroke. However, this study was retrospective, involved relatively few patient studies, and only two readers. Generalizing conclusions about its clinical utility, especially in other diagnostic use cases, should not be made until additional studies are performed. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4791060 Thu, 05 May 2011 23:00:00 +0100 4791060 http://www.medworm.com/index.php?rid=4764409&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe35 Conclusions: Although the amount of online health-related information and services is consistently growing, it appears that the general population lacks the skills to keep up. Most problematic appear to be the lack of information and strategic Internet skills, which, in the context of health, are very important. The lack of these skills is also problematic for members of younger generations, who are often considered skilled Internet users. This primarily seems to account for the operational and formal Internet skills. The results of the study strongly call for policies to increase the level of Internet skills. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4764409 Thu, 28 Apr 2011 23:00:00 +0100 4764409 http://www.medworm.com/index.php?rid=4737211&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe33 Conclusions: Older-adult users of general health services were more likely to use HIT than nonusers of general health services, while older-adult users of specialized health services were not different from nonusers of specialized health services in their odds of HIT use. The findings have implications for narrowing the age-related and socioeconomic status-related gaps in HIT use. The access gaps among racial/ethnic minority older adults and poorly educated and/or low-income older adults are especially striking and call for concerted efforts to facilitate Internet access and HIT use among these disadvantaged older adults. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4737211 Tue, 19 Apr 2011 23:00:00 +0100 4737211 http://www.medworm.com/index.php?rid=4727177&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe34 Conclusions: Current results suggested that the Internet may be a feasible and effective means for increasing depression knowledge and decreasing personal stigma in non–English-speaking immigrant populations residing in English-speaking countries. The lack of change in perceived stigma in this trial is consistent with results in other trials examining online depression stigma interventions in English-speaking groups. Trial Registration: ISRCTN76460837; http://www.controlled-trials.com/ISRCTN76460837 (Archived by WebCite at http://www.webcitation.org/5xjxva4Uq) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4727177 Mon, 18 Apr 2011 23:00:00 +0100 4727177 http://www.medworm.com/index.php?rid=4711065&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F2%2Fe32 Conclusions: Respondents did not use the application as intended. From the proposed framework, a social and economic factor (age) and a condition-related factor (chronic condition) predicted usage. Moreover, users were healthier and more knowledgeable about healthy behavior than nonusers. We found no apparent effects of the intervention, although exploratory analyses showed that choosing to use or not to use the intervention led to different outcomes. Combined with the differences between groups at baseline, this seems to imply that these groups are truly different and should be treated as separate entities. Trial registration: Trial ID number: ISRCTN42687923; http://www.controlled-trials.com/ISRCTN42687923/ (Archived by WebCite at http://www.webcitation.org/5xnGmvQ9Y) (Source: Journal of ... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4711065 Wed, 13 Apr 2011 23:00:00 +0100 4711065 http://www.medworm.com/index.php?rid=4602231&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe28 Conclusions: Results suggest Web-health users visiting and ultimately participating in online health interventions may likely be middle-aged, well-educated, upper middle class women whose detrimental health behaviors put them at risk of obesity, heart disease, some cancers, and diabetes. The success of Internet physical activity and nutrition interventions may depend on the extent to which they lead users to develop self-efficacy for behavior change, but perhaps as important, the extent to which these interventions help them garner social-support for making changes. Success of these interventions may also depend on the extent to which they provide a platform for setting goals, planning, tracking, and providing feedback on targeted behaviors. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4602231 Thu, 17 Mar 2011 00:00:00 +0100 4602231 http://www.medworm.com/index.php?rid=4567437&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe30 The objective of this paper is to develop a clear theoretical model, based on relevant empirical literature, that can guide research into human support components of eHealth interventions. A review of the literature revealed little relevant information from clinical sciences. Applicable literature was drawn primarily from organizational psychology, motivation theory, and computer-mediated communication (CMC) research. We have developed a model, referred to as “Supportive Accountability.” We argue that human support increases adherence through accountability to a coach who is seen as trustworthy, benevolent, and having expertise. Accountability should involve clear, process-oriented expectations that the patient is involved in determining. Reciprocity in the relationship, throug... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4567437 Thu, 10 Mar 2011 00:00:00 +0100 4567437 http://www.medworm.com/index.php?rid=4550487&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe27 Conclusions: The WB-GTH influenced behavior and weight loss in a manner largely consistent with SCT. Improving social support, self-efficacy, outcome expectations, and self-regulation, in varying combinations, led to healthier diet and exercise habits and concomitant weight loss. High initial levels of self-efficacy may be characteristic of Web-health users interested in online interventions and may alter the function of SCT in these programs. Researchers may find that, although increased self-efficacy enhances program outcomes, participants whose self-efficacy is tempered by online interventions may still benefit. Trial Registration: Clinicaltrials.gov NCT00128570; http://clinicaltrials.gov/ct2/show/NCT00128570 (Archived by WebCite at http://www.webcitation.org/5vgcygBII) (Source: Journal... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4550487 Fri, 04 Mar 2011 00:00:00 +0100 4550487 http://www.medworm.com/index.php?rid=4541855&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe25 Conclusions: This analysis confirmed previous findings of a digital divide between urban and rural residents. Internet use and frequency was also lower among those reporting a medical condition than among those without a condition. After we controlled for many factors, however, African Americans and Hispanics were still less likely to use the Internet, and to use it less often, than whites. Policy makers should look for ways to improve the access to, and use of, the Internet among these populations. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4541855 Thu, 03 Mar 2011 00:00:00 +0100 4541855 http://www.medworm.com/index.php?rid=4537244&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe26 Conclusion: Whereas an offer of a £10 Amazon.co.uk gift voucher can increase follow-up rates in online trials, an offer of a lower incentive may not. The marginal costs involved require careful consideration. Trial registration: ISRCTN31070347; http://www.controlled-trials.com/ISRCTN31070347 (Archived by WebCite at http://www.webcitation.org/5wgr5pl3s) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4537244 Wed, 02 Mar 2011 00:00:00 +0100 4537244 http://www.medworm.com/index.php?rid=4533440&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe29 Conclusions: Video iPods offer a novel pedagogical approach to enhance medical students’ medical skill competencies and self-confidence levels. The outcomes illustrate a need for further investigation in order to generalize to the medical school population. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4533440 Tue, 01 Mar 2011 00:00:00 +0100 4533440 http://www.medworm.com/index.php?rid=4518795&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe23 Conclusions: Email use between physicians and patients has changed little between 2005 and 2008. However, future physician interest in using email with patients has decreased. More troubling is the decrease in adherence to best practices designed to protect physicians and patients when using email. Policy makers wanting to harness the potential benefits of physician-patient email should devise plans to encourage adherence to best practices. These plans should also educate physicians on the existence of best practices and methods to incorporate these guidelines into routine workflows. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4518795 Fri, 25 Feb 2011 00:00:00 +0100 4518795 http://www.medworm.com/index.php?rid=4508726&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe20 Conclusions: This study supports a model of evolutionary rather than revolutionary change in online health information use. Given increasing resource constraints, the health care community needs to seek ways of promoting efficient and appropriate health service use, and should aim to harness the potential benefits of the Internet, informed by an understanding of how and why people go online for health. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4508726 Wed, 23 Feb 2011 00:00:00 +0100 4508726 http://www.medworm.com/index.php?rid=4491261&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe21 Conclusions: Differences between POC products are revealed by examining the references cited in the monographs themselves. Citation analysis extended to include key content indicators can be used to compare the evidence levels of the literature supporting the content found in POC products. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4491261 Fri, 18 Feb 2011 00:00:00 +0100 4491261 http://www.medworm.com/index.php?rid=4485140&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe24 We describe how licensing affects development. We argue for the superiority of open source licensing to promote safer, more effective health care information systems. We claim that open source licensing in health care information systems is essential to rational procurement strategy. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4485140 Thu, 17 Feb 2011 00:00:00 +0100 4485140 http://www.medworm.com/index.php?rid=4485141&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe19 Conclusions: Website design features that clearly identify the source and credibility of information and minimize confusion may build trust among older adults and offer an opportunity to increase the utility of the Internet as a health resource for this population. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4485141 Wed, 16 Feb 2011 00:00:00 +0100 4485141 http://www.medworm.com/index.php?rid=4478940&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe22 Conclusions: Results suggest that labeling and packaging standards for international generic drug products are not equivalent to labeling and packaging standards in the United States. This suggests dissimilar and substandard distribution processes compared with those in the United States, which in turn presents a challenge to patient comprehension and health literacy and may affect patient adherence to drug treatment regimens. These findings have strong implications for drug product quality, patient outcomes, therapeutic effectiveness, and safety. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4478940 Tue, 15 Feb 2011 00:00:00 +0100 4478940 http://www.medworm.com/index.php?rid=4478941&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe17 Conclusions: These findings demonstrate that online interventions have the capacity to influence voluntary behaviors, such as those routinely targeted by social marketing campaigns. Given the high reach and low cost of online technologies, the stage may be set for increased public health campaigns that blend interpersonal online systems with mass-media outreach. Such a combination of approaches could help individuals achieve personal goals that, at an individual level, help citizens improve the quality of their lives and at a state level, contribute to healthier societies. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4478941 Mon, 14 Feb 2011 00:00:00 +0100 4478941 http://www.medworm.com/index.php?rid=4461371&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe18 Conclusion: If files containing sensitive patient information must be transferred by email, mechanisms to encrypt them and to ensure that password strength is high are necessary. More sophisticated collaboration tools are required to allow file sharing without password sharing. We provide recommendations to implement these practices. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4461371 Fri, 11 Feb 2011 00:00:00 +0100 4461371 http://www.medworm.com/index.php?rid=4437278&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe16 Conclusions: Facebook groups have become a popular tool for awareness-raising, fundraising, and support-seeking related to breast cancer attracting over one million users. Given their popularity and reach, further research is warranted to explore the implications of social network sites as a health resource across various health conditions, cultures, ages, and socioeconomic groups. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4437278 Fri, 04 Feb 2011 00:00:00 +0100 4437278 http://www.medworm.com/index.php?rid=4415964&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe14 The Internet has become an important health information resource for patients and the general public. Wikipedia, a collaboratively written Web-based encyclopedia, has become the dominant online reference work. It is usually among the top results of search engine queries, including when medical information is sought. Since April 2004, editors have formed a group called WikiProject Medicine to coordinate and discuss the English-language Wikipedia’s medical content. This paper, written by members of the WikiProject Medicine, discusses the intricacies, strengths, and weaknesses of Wikipedia as a source of health information and compares it with other medical wikis. Medical professionals, their societies, patient groups, and institutions can help improve Wikipedia’s health-related e... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4415964 Mon, 31 Jan 2011 00:00:00 +0100 4415964 http://www.medworm.com/index.php?rid=4407697&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe15 In recent years the Web has come into its own as a social platform where health consumers are actively creating and consuming Web content. Moreover, as the Web matures, consumers are gaining access to personalized applications adapted to their health needs and interests. The creation of personalized Web applications relies on extracted information about the users and the content to personalize. The Social Web itself provides many sources of information that can be used to extract information for personalization apart from traditional Web forms and questionnaires. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4407697 Fri, 28 Jan 2011 00:00:00 +0100 4407697 http://www.medworm.com/index.php?rid=4407698&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe11 Conclusions: Participants in a trial of CAC versus therapist-delivered treatment were equally able to engage, bond, and commit to treatment, despite comorbidity typically being associated with increased treatment dropout, problematic engagement, and complexities in treatment planning. The extent to which a client feels that they are directing therapy (Client initiative) may be an important component of change in BI and CAC intervention, especially for hazardous alcohol use. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12607000437460; http://www.anzctr.org.au/trial_view.aspx?ID=82228 (Archived by WebCite at http://www.webcitation.org/5ubuRsULu) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4407698 Thu, 27 Jan 2011 00:00:00 +0100 4407698 http://www.medworm.com/index.php?rid=4401761&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe13 Conclusions: A tailored computer-based environment provided an improved task experience for data entry compared to the same tasks completed on paper. Health literacy was inversely related to task burden. Trial registration: Clinicaltrials.gov NCT00543257; http://www.clinicaltrials.gov/ct2/show/NCT00543257 (Archived by WebCite at http://www.webcitation.org/5vUVH2DYR) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4401761 Wed, 26 Jan 2011 00:00:00 +0100 4401761 http://www.medworm.com/index.php?rid=4395736&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe9 Conclusions: Participants visited the website fairly often and used all of the theoretically important sections, but engagement decreased over 4 months. Usage rates and patterns were similar for a wide range of participants, which has encouraging implications for the potential reach of online interventions. Trial Registration: NCT00987285; http://clinicaltrials.gov/show/NCT00987285 (Archived by WebCite at http://www.webcitation.org/5vpe4RHTV) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4395736 Tue, 25 Jan 2011 00:00:00 +0100 4395736 http://www.medworm.com/index.php?rid=4395737&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe12 Conclusions: Online communities can provide domains of interest and psychometric data to more rapidly develop and prototype patient-reported outcome instruments. The MS-TAQ offers patients and clinicians a simple method for identifying barriers to adherence, which may then be targeted through interventions. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4395737 Mon, 24 Jan 2011 00:00:00 +0100 4395737 http://www.medworm.com/index.php?rid=4383845&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe10 Conclusions: This study was not able to demonstrate a statistically significant effect of the complex video messaging mobile phone intervention compared with simple general health video messages via mobile phone. However, there was sufficient positive feedback about the ease of use of this novel intervention, and the support obtained by observing the role model video messages, to warrant further investigation. Trial registration: Australian New Zealand Clinical Trials Registry Number: ACTRN12606000476538; http://www.anzctr.org.au/trial_view.aspx?ID=81688 (Archived by WebCite at http://www.webcitation.org/5umMU4sZi) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4383845 Fri, 21 Jan 2011 00:00:00 +0100 4383845 http://www.medworm.com/index.php?rid=4379205&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe6 Conclusions: Patient-reported outcomes, like those entered within PatientsLikeMe, offer a unique real-time approach to understand utilization and performance of treatments across many conditions. These patient-reported data can provide a new source of evidence about secondary uses and potentially identify targets for treatments to be studied systematically in traditional efficacy trials. (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4379205 Fri, 21 Jan 2011 00:00:00 +0100 4379205 http://www.medworm.com/index.php?rid=4379206&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe1 Conclusion: Older age, lower socioeconomic status, and lower levels of education were associated with decreased access to and willingness to participate in a Web-based intervention to improve hypertension control. Failure to ameliorate this may worsen health care disparities. Trial Registration: Clinicaltrials.gov NCT00158639; http://www.clinicaltrials.gov/ct2/show/NCT00158639 (Archived by WebCite at http://www.webcitation.org/5v1jnHaeo) (Source: Journal of Medical Internet Research) Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4379206 Thu, 20 Jan 2011 00:00:00 +0100 4379206 http://www.medworm.com/index.php?rid=4374041&cid=s_30443_22_f&fid=30443&url=http%3A%2F%2Fwww.jmir.org%2F2011%2F1%2Fe8 Conclusions: While students and residents in this study are posting photographs that are potentially violations of patient privacy, they only seem to make this lapse in the setting of medical mission trips. Trainees need to learn to equate standards of patient privacy in all medical contexts using both legal and ethical arguments to maintain the highest professional principles. We propose three practical guidelines. First, there should be a legal resource for physicians traveling on medical mission trips such as an online list of local laws, or a telephone legal contact. Second, institutions that organize medical mission trips should plan an ethics seminar prior the departure on any trip since the legal and ethical implications may not be intuitive. Finally, at minimum, traveling physician... Journal of Medical Internet Research journals http://www.medworm.com/rss/comments.php?id=4374041 Wed, 19 Jan 2011 00:00:00 +0100 4374041