Abstract:
BACKGROUND:Despite the widespread use and advancements of mobile technology that facilitate rich communication modes, there is little evidence demonstrating the value of smartphones for effective interclinician communication and knowledge processes. OBJECTIVE:The objective of this study was to determine the effects of different synchronous smartphone-based modes of communication, such as (1) speech only, (2) speech and images, and (3) speech, images, and image annotation (guided noticing) on the recall and transfer of visually and verbally represented medical knowledge. METHODS:The experiment was conducted from November 2011 to May 2012 at the University Hospital Basel (Switzerland) with 42 medical students in a master's program. All participants analyzed a standardized case (a patient with a subcapital fracture of the fifth metacarpal bone) based on a radiological image, photographs of the hand, and textual descriptions, and were asked to consult a remote surgical specialist via a smartphone. Participants were randomly assigned to 3 experimental conditions/groups. In group 1, the specialist provided verbal explanations (speech only). In group 2, the specialist provided verbal explanations and displayed the radiological image and the photographs to the participants (speech and images). In group 3, the specialist provided verbal explanations, displayed the radiological image and the photographs, and annotated the radiological image by drawing structures/angle elements (speech, images, and image annotation). To assess knowledge recall, participants were asked to write brief summaries of the case (verbally represented knowledge) after the consultation and to re-analyze the diagnostic images (visually represented knowledge). To assess knowledge transfer, participants analyzed a similar case without specialist support. RESULTS:Data analysis by ANOVA found that participants in groups 2 and 3 (images used) evaluated the support provided by the specialist as significantly more positive than group 1, the speech-only group (group 1: mean 4.08, SD 0.90; group 2: mean 4.73, SD 0.59; group 3: mean 4.93, SD 0.25; F2,39=6.76, P=.003; partial η(2)=0.26, 1-β=.90). However, significant positive effects on the recall and transfer of visually represented medical knowledge were only observed when the smartphone-based communication involved the combination of speech, images, and image annotation (group 3). There were no significant positive effects on the recall and transfer of visually represented knowledge between group 1 (speech only) and group 2 (speech and images). No significant differences were observed between the groups regarding verbally represented medical knowledge. CONCLUSIONS:The results show (1) the value of annotation functions for digital and mobile technology for interclinician communication and medical informatics, and (2) the use of guided noticing (the integration of speech, images, and image annotation) leads to significantly improved knowledge gains for visually represented knowledge. This is particularly valuable in situations involving complex visual subject matters, typical in clinical practice.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Pimmer C,Mateescu M,Zahn C,Genewein Udoi
10.2196/jmir.2758subject
Has Abstractpub_date
2013-11-27 00:00:00pages
e263issue
11eissn
1439-4456issn
1438-8871pii
v15i11e263journal_volume
15pub_type
杂志文章,随机对照试验abstract:BACKGROUND:The Internet is a trusted source of health information for growing majorities of Web users. The promise of online health interventions will be realized with the development of purely online theory-based programs for Web users that are evaluated for program effectiveness and the application of behavior change...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1551
更新日期:2011-03-17 00:00:00
abstract:BACKGROUND:The Health Information Technology for Economic and Clinical Health (HITECH) Act imposes pressure on health care organizations to qualify for "Meaningful Use". It is assumed that portals should increase patient participation in medical decisions, but whether or not the use of portals improves outcomes remains...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3171
更新日期:2015-02-10 00:00:00
abstract:BACKGROUND:Web-based behavioral programs efficiently disseminate health information to a broad population, and online tailoring may increase their effectiveness. While the number of Internet-based behavioral interventions has grown in the last several years, additional information is needed to understand the characteri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1086
更新日期:2009-08-26 00:00:00
abstract:BACKGROUND:Different studies have reported the effectiveness of Web-based computer-tailored lifestyle interventions, but economic evaluations of these interventions are scarce. OBJECTIVE:The objective was to assess the cost-effectiveness and cost-utility of a sequential and a simultaneous Web-based computer-tailored l...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3159
更新日期:2014-03-20 00:00:00
abstract:BACKGROUND:Scaling up improved management of severe acute malnutrition has been identified as the nutrition intervention with the largest potential to reduce child mortality, but lack of operational capacity at all levels of the health system constrains scale-up. We therefore developed an interactive malnutrition eLear...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/10396
更新日期:2018-10-03 00:00:00
abstract:BACKGROUND:Word embeddings are dense numeric vectors used to represent language in neural networks. Until recently, there had been no publicly released embeddings trained on clinical data. Our work is the first to study the privacy implications of releasing these models. OBJECTIVE:This paper aims to demonstrate that t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18055
更新日期:2020-07-15 00:00:00
abstract:BACKGROUND:Statistical shape models are widely used in biomedical research. They are routinely implemented for automatic image segmentation or object identification in medical images. In these fields, however, the acquisition of the large training datasets, required to develop these models, is usually a time-consuming ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2930
更新日期:2013-11-12 00:00:00
abstract:BACKGROUND:To improve working conditions and prevent illness and deaths related to overwork, the Taiwanese government in 2015, 2016, and 2018 amended regulations regarding working time, overtime, shifts, and rest days. Such policy changes may lead to a rising public awareness of overwork-related issues, which may in tu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18181
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:The contents of traditional communication media and new internet social media reflect the interests of society. However, certain barriers and a lack of attention towards mental disorders have been previously observed. OBJECTIVE:The objective of this study is to measure the relevance of influential American ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9582
更新日期:2018-05-28 00:00:00
abstract:BACKGROUND:Millions of people use the Internet as a source for health information yet little is understood about the use of the Internet for other health-related activities. OBJECTIVE:We conducted the present study to understand, among primary care patients, the interest in and experience with using the Internet for a...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4.3.e19
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how be...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7897
更新日期:2017-07-12 00:00:00
abstract:BACKGROUND:Since 2000, the Centre for Online Health (COH) at The University of Queensland has offered a range of online eHealth courses at the undergraduate and postgraduate level. While online learning has a number of advantages, in some domains, it can present some challenges to the development of practical skills an...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2029
更新日期:2012-12-18 00:00:00
abstract:BACKGROUND:Local and organic foods have shown increased importance and market size in recent years. However, attitudes, sentiment, and habits related to such foods in the context of video social networks have not been thoroughly researched. Given that such media have become some of the most important venues of internet...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16761
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:The Internet offers diverse opportunities for disease management, through information websites (Health 1.0) and interactive applications such as peer support forums, online consults, and insight into electronic medical records (Health 2.0). However, various skills are required to benefit from Health 1.0 and ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2428
更新日期:2013-02-11 00:00:00
abstract:BACKGROUND:Social networks are common in digital health. A new stream of research is beginning to investigate the mechanisms of digital health social networks (DHSNs), how they are structured, how they function, and how their growth can be nurtured and managed. DHSNs increase in value when additional content is added, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4297
更新日期:2015-06-25 00:00:00
abstract:BACKGROUND:Health care portals have the potential to provide consumers with timely, transparent access to health care information and engage them in the care process. OBJECTIVE:The objective was to examine the use, utility, and impact on engagement in care and caregiver-provider communication of a client/family portal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6811
更新日期:2017-04-06 00:00:00
abstract:BACKGROUND:Type 2 diabetes mellitus (T2DM) is a highly prevalent chronic metabolic disease characterized by hyperglycemia and cardiovascular risks. Without proper treatment, T2DM can lead to long-term complications. Diabetes self-management is recognized as the cornerstone of overall diabetes management. Web-based self...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2800
更新日期:2013-12-13 00:00:00
abstract:BACKGROUND:The prioritization of sustainable patient-centered care in contemporary health care has resulted in an increased focus on patient empowerment, which in turn is considered to facilitate patient independence, self-management, and self-efficacy. However, a definitional consensus of empowerment remains elusive, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.7809
更新日期:2017-09-29 00:00:00
abstract:BACKGROUND:Health behavior interventions using periodic prompts have utilized technology, such as the Internet, that allows messages to be sent to participants in cost-effective ways. To our knowledge, no comprehensive evidence review has been performed specifically to evaluate the effectiveness of communicating regula...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1138
更新日期:2009-05-14 00:00:00
abstract:BACKGROUND:Poor quality primary health care is a major issue in China, particularly in blindness prevention. Artificial intelligence (AI) could provide early screening and accurate auxiliary diagnosis to improve primary care services and reduce unnecessary referrals, but the application of AI in medical settings is sti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14316
更新日期:2019-10-17 00:00:00
abstract:BACKGROUND:The main German-speaking countries (Germany, Austria, Switzerland) have implemented digital contact tracing apps to assist the authorities' COVID-19 containment strategies. Low user rates can impact contact tracing and thus the ability to control the spread of the novel coronavirus. OBJECTIVE:This study aim...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/25525
更新日期:2021-01-09 00:00:00
abstract:BACKGROUND:A critical aspect of clinical and translational science (CTS) is interdisciplinary and collaborative research, which increasingly requires a wide range of computational and human resources. However, few studies have systematically analyzed such resource needs of CTS researchers. OBJECTIVE:To improve our und...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1905
更新日期:2012-06-05 00:00:00
abstract:BACKGROUND:The digital revolution has led to a boom in the number of available online health care resources. To navigate these resources successfully, digital literacy education is required. Learners who can evaluate the reliability and validity of online health care information are likely to be more effective at avoid...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15177
更新日期:2020-02-26 00:00:00
abstract::The Internet is commonly used to provide treatment information to patients diagnosed with cancer. Notably missing from the existing websites is information on the cost of cancer care in terms of medical costs to the patient and work-related consequences. The purpose of this paper is to describe what is known about the...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7.3.e29
更新日期:2005-07-01 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:Exposure to risk behavior on social media is associated with risk behavior tendencies among adolescents, but research on the mechanisms underlying the effects of social media exposure is sparse. OBJECTIVE:This study aimed to investigate the motivations of social media use and the mediating and moderating me...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14303
更新日期:2019-06-27 00:00:00
abstract:BACKGROUND:A 2012 World Health Organization report recognizes betel nut use as an urgent public health threat faced by the Western Pacific region. However, compared with other addictive substances, little is known about how betel nuts are depicted on social media platforms. In particular, image-based social media platf...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13954
更新日期:2020-07-09 00:00:00
abstract:BACKGROUND:Approximately half of American adults do not meet recommended physical activity guidelines. Face-to-face lifestyle interventions improve health outcomes but are unlikely to yield population-level improvements because they can be difficult to disseminate, expensive to maintain, and inconvenient for the recipi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1338
更新日期:2010-12-17 00:00:00
abstract:BACKGROUND:Theoretical models help to explain or predict the adoption of electronic health (eHealth) technology and illustrate the complexity of the adoption process. These models provide insights into general factors that influence the use of eHealth technology. However, they do not give hospitals much actionable know...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16921
更新日期:2020-05-19 00:00:00
abstract::One Digital Health is a proposed unified structure. The conceptual framework of the One Digital Health Steering Wheel is built around two keys (ie, One Health and digital health), three perspectives (ie, individual health and well-being, population and society, and ecosystem), and five dimensions (ie, citizens' engage...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/22189
更新日期:2021-01-24 00:00:00