Abstract:
BACKGROUND:Exercise is an effective intervention for the prevention of falls; however, some forms of exercises have been shown to be more effective than others. There is a need to identify effective and efficient methods for training health professionals in exercise prescription for falls prevention. OBJECTIVE:The objective of our study was to compare two approaches for training clinicians in prescribing exercise to prevent falls. METHODS:This study was a head-to-head randomized trial design. Participants were physiotherapists, occupational therapists, nurses, and exercise physiologists working in Victoria, Australia. Participants randomly assigned to one group received face-to-face traditional education using a 1-day seminar format with additional video and written support material. The other participants received Web-based delivery of the equivalent educational material over a 4-week period with remote tutor facilitation. Outcomes were measured across levels 1 to 3 of Kirkpatrick's hierarchy of educational outcomes, including attendance, adherence, satisfaction, knowledge, and self-reported change in practice. RESULTS:Of the 166 participants initially recruited, there was gradual attrition from randomization to participation in the trial (n = 67 Web-based, n = 68 face-to-face), to completion of the educational content (n = 44 Web-based, n = 50 face-to-face), to completion of the posteducation examinations (n = 43 Web-based, n = 49 face-to-face). Participant satisfaction was not significantly different between the intervention groups: mean (SD) satisfaction with content and relevance of course material was 25.73 (5.14) in the Web-based and 26.11 (5.41) in the face-to-face group; linear regression P = .75; and mean (SD) satisfaction with course facilitation and support was 11.61 (2.00) in the Web-based and 12.08 (1.54) in the face-to-face group; linear regression P = .25. Knowledge test results were comparable between the Web-based and face-to-face groups: median (interquartile range [IQR]) for the Web-based group was 90.00 (70.89-90.67) and for the face-to-face group was 80.56 (70.67-90.00); rank sum P = .07. The median (IQR) scores for the exercise assignment were also comparable: Web-based, 78.6 (68.5-85.1), and face-to-face, 78.6 (70.8-86.9); rank sum P = .61. No significant difference was identified in Kirkpatrick's hierarchy domain change in practice: mean (SD) Web-based, 21.75 (4.40), and face-to-face, 21.88 (3.24); linear regression P = .89. 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).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Maloney S,Haas R,Keating JL,Molloy E,Jolly B,Sims J,Morgan P,Haines Tdoi
10.2196/jmir.1680subject
Has Abstractpub_date
2011-12-22 00:00:00pages
e116issue
4eissn
1439-4456issn
1438-8871pii
v13i4e116journal_volume
13pub_type
杂志文章,随机对照试验abstract:BACKGROUND:The National Institutes of Health (NIH), US Department of Health and Human Services (HHS), realized the need to better understand its Web users in order to help assure that websites are user friendly and well designed for effective information dissemination. A trans-NIH group proposed a trans-NIH project to ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.944
更新日期:2008-02-15 00:00:00
abstract:BACKGROUND:Those who go online regarding their sexual health are potential users of new Internet-based sexual health interventions. Understanding the size and characteristics of this population is important in informing intervention design and delivery. OBJECTIVE:We aimed to estimate the prevalence in Britain of recen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4373
更新日期:2016-01-20 00:00:00
abstract:BACKGROUND:In the context of the Affordable Care Act, there is extensive emphasis on making provider quality transparent and publicly available. Online public reports of quality exist, but little is known about how visitors find reports or about their purpose in visiting. OBJECTIVE:To address this gap, we gathered web...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3637
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Relatively little is known about the extent to which young adults use the Internet as a health information resource and whether there are factors that distinguish between those who do and do not go online for health information. OBJECTIVE:The aim was to identify the sociodemographic, physical, mental, and r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4048
更新日期:2015-05-18 00:00:00
abstract:BACKGROUND:Most smokers attempt to quit on their own even though cessation aids can substantially increase their chances of success. Millions of smokers seek cessation advice on the Internet, so using it to promote cessation products and services is one strategy for increasing demand for treatments. Little is known, ho...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1666
更新日期:2011-08-26 00:00:00
abstract:BACKGROUND:Web-based surveys have become a new and popular method for collecting data, but only a few studies have directly compared postal and Web-based surveys among physicians, and none to our knowledge among general practitioners (GPs). OBJECTIVE:Our aim is to compare two modes of survey delivery (postal and Web-b...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6308
更新日期:2017-03-22 00:00:00
abstract:BACKGROUND:The police attend numerous domestic violence events each year, recording details of these events as both structured (coded) data and unstructured free-text narratives. Abuse types (including physical, psychological, emotional, and financial) conducted by persons of interest (POIs) along with any injuries sus...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13067
更新日期:2019-03-12 00:00:00
abstract:BACKGROUND:Predatory journals fail to fulfill the tenets of biomedical publication: peer review, circulation, and access in perpetuity. Despite increasing attention in the lay and scientific press, no studies have directly assessed the perceptions of the authors or editors involved. OBJECTIVE:Our objective was to unde...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/13769
更新日期:2019-08-30 00:00:00
abstract:BACKGROUND:The World Health Organization is in the process of developing an international administrative classification for health called the International Classification of Health Interventions (ICHI). The purpose of ICHI is to provide a tool for supporting intervention reporting and analysis at a global level for pol...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12847
更新日期:2019-06-26 00:00:00
abstract::Focusing on primary cancer prevention can reduce its incidence. Changing health behaviors is critical to cancer prevention. Modifiable cancer risk factors include lifestyle behaviors related to vaccination, physical activity, weight control and maintenance, alcohol consumption, and tobacco use. These health habits are...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8882
更新日期:2018-06-05 00:00:00
abstract:BACKGROUND:The complex unfolding of the US opioid epidemic in the last 20 years has been the subject of a large body of medical and pharmacological research, and it has sparked a multidisciplinary discussion on how to implement interventions and policies to effectively control its impact on public health. OBJECTIVE:Th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21212
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:In electronic health (eHealth) evaluations, there is increasing attention for studying the actual usage of a technology in relation to the outcomes found, often by studying the adherence to the technology. On the basis of the definition of adherence, we suggest that the following three elements are necessary...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.8578
更新日期:2017-12-06 00:00:00
abstract:BACKGROUND:An increasing number of doctor reviews are being generated by patients on the internet. These reviews address a diverse set of topics (features), including wait time, office staff, doctor's skills, and bedside manners. Most previous work on automatic analysis of Web-based customer reviews assumes that (1) pr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11141
更新日期:2018-11-12 00:00:00
abstract:BACKGROUND:Data coordination across multiple health care facilities has become increasingly important for many emerging health care applications. Distrust has been recognized as a key barrier to the success of such applications. Leveraging blockchain technology could provide potential solutions tobuild trust between da...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19029
更新日期:2020-07-27 00:00:00
abstract:BACKGROUND:Youths in South Africa are poor utilizers of HIV health services. Medecins Sans Frontieres has been piloting youth-adapted services at a youth clinic in Khayelitsha, including a peer virtual mentorship program over mobile phones, piloted from March 2015 to May 2016. OBJECTIVE:The objective of this study was...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14012
更新日期:2019-12-10 00:00:00
abstract:BACKGROUND:The use of social media has risen tremendously over the past decade with usage rates spanning from 5% American adults in 2005 up to 69% in 2016. A 2011 survey of 4033 clinicians found that 65% physicians use social media for professional purposes. To meet the changing needs and preferences of their customers...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9643
更新日期:2018-10-29 00:00:00
abstract:BACKGROUND:Patients attempt to make appropriate decisions based on their own knowledge when choosing a doctor. In this process, the first question usually faced is that of how to obtain useful and relevant information. This study investigated the types of information sources that are used widely by patients in choosing...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20910
更新日期:2020-09-16 00:00:00
abstract:BACKGROUND:Conversational assistants, such as Siri, Alexa, and Google Assistant, are ubiquitous and are beginning to be used as portals for medical services. However, the potential safety issues of using conversational assistants for medical information by patients and consumers are not understood. OBJECTIVE:To determ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11510
更新日期:2018-09-04 00:00:00
abstract::Analogous to checklists of recommendations such as the CONSORT statement (for randomized trials), or the QUORUM statement (for systematic reviews), which are designed to ensure the quality of reports in the medical literature, a checklist of recommendations for authors is being presented by the Journal of Medical Inte...
journal_title:Journal of medical Internet research
pub_type: 社论
doi:10.2196/jmir.6.3.e34
更新日期:2004-09-29 00:00:00
abstract:BACKGROUND:Spouses and partners ("partners") of women at-risk for ("previvors") and surviving with hereditary breast/ovarian cancer are a primary source of support within their families. Yet, little is known about partners' needs for psychoeducational intervention to enhance their cancer risk knowledge, coping, and sup...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1847
更新日期:2012-01-18 00:00:00
abstract:BACKGROUND:Parents are likely to seek Web-based communities to verify their suspicions of autism spectrum disorder markers in their child. Automated tools support human decisions in many domains and could therefore potentially support concerned parents. OBJECTIVE:The objective of this study was to test the feasibility...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9496
更新日期:2018-04-24 00:00:00
abstract:BACKGROUND:The early diagnosis of various gastrointestinal diseases can lead to effective treatment and reduce the risk of many life-threatening conditions. Unfortunately, various small gastrointestinal lesions are undetectable during early-stage examination by medical experts. In previous studies, various deep learnin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18563
更新日期:2020-11-26 00:00:00
abstract:BACKGROUND:Internet search engines are increasingly being utilized as the first port of call for medical information by the public. The prevalence of allergies in developed countries has risen steadily over time. There exists significant variability in the quality of health-related information available on the web. Ina...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16763
更新日期:2020-05-13 00:00:00
abstract:BACKGROUND:Frequent home blood pressure (BP) measurements result in a better estimation of the true BP. However, traditional cuff-based BP measurements are troublesome for patients. OBJECTIVE:This study aimed to evaluate the feasibility of a cuffless device for ambulatory systolic blood pressure (SBP) measurement. ME...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11164
更新日期:2019-06-19 00:00:00
abstract:BACKGROUND:Given the recognized importance of preventing poor dietary behaviors during adolescence, we need a better understanding of college students' dietary behaviors. Studies have found that individual factors and electronic health (eHealth) literacy may affect one's dietary behaviors. However, few studies have ful...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13140
更新日期:2019-11-26 00:00:00
abstract:BACKGROUND:Over the past decade, physician-rating websites have been gaining attention in scientific literature and in the media. However, little knowledge is available about the awareness and the impact of using such sites on health care professionals. It also remains unclear what key predictors are associated with th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2702
更新日期:2013-08-28 00:00:00
abstract:BACKGROUND:Web-based self-help interventions for problem drinking are coming of age. They have shown promising results in terms of cost-effectiveness, and they offer opportunities to reach out on a broad scale to problem drinkers. The question now is whether certain groups of problem drinkers benefit more from such Web...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1102
更新日期:2008-11-22 00:00:00
abstract:BACKGROUND:Reporting cumulative antimicrobial susceptibility testing data on a regular basis is crucial to inform antimicrobial resistance (AMR) action plans at local, national, and global levels. However, analyzing data and generating a report are time consuming and often require trained personnel. OBJECTIVE:This stu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/19762
更新日期:2020-10-02 00:00:00
abstract:BACKGROUND:Many systematic reviews exist on the use of remote patient monitoring (RPM) interventions to improve clinical outcomes and psychological well-being of patients with heart failure. However, research is broadly distributed from simple telephone-based to complex technology-based interventions. The scope and foc...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.6571
更新日期:2017-01-20 00:00:00
abstract:BACKGROUND:Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the interv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15318
更新日期:2019-09-13 00:00:00