Abstract:
BACKGROUND:Given the substantial improvements in cancer screening and cancer treatment in the United States, millions of adult cancer survivors live for years following their initial cancer diagnosis and treatment. However, latent side effects can occur and some symptoms can be alleviated or managed effectively via changes in lifestyle behaviors. OBJECTIVE:The purpose of this study was to test the effectiveness of a six-week Web-based multiple health behavior change program for adult survivors. METHODS:Participants (n=352) were recruited from oncology clinics, a tumor registry, as well as through online mechanisms, such as Facebook and the Association of Cancer Online Resources (ACOR). Cancer survivors were eligible if they had completed their primary cancer treatment from 4 weeks to 5 years before enrollment. Participants were randomly assigned to the Web-based program or a delayed-treatment control condition. RESULTS:In total, 303 survivors completed the follow-up survey (six months after completion of the baseline survey) and participants in the Web-based intervention condition had significantly greater reductions in insomnia and greater increases in minutes per week of vigorous exercise and stretching compared to controls. There were no significant changes in fruit and vegetable consumption or other outcomes. CONCLUSIONS:The Web-based intervention impacted insomnia and exercise; however, a majority of the sample met or exceeded national recommendations for health behaviors and were not suffering from depression or fatigue at baseline. Thus, the survivors were very healthy and well-adjusted upon entry and their ability to make substantial health behavior changes may have been limited. Future work is discussed, with emphasis placed on ways in which Web-based interventions can be more specifically analyzed for benefit, such as in regard to social networking. TRIAL REGISTRATION:Clinicaltrials.gov NCT00962494; http://www.clinicaltrials.gov/ct2/show/NCT00962494 (Archived by WebCite at http://www.webcitation.org/6NIv8Dc6Q).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Bantum EO,Albright CL,White KK,Berenberg JL,Layi G,Ritter PL,Laurent D,Plant K,Lorig Kdoi
10.2196/jmir.3020subject
Has Abstractpub_date
2014-02-24 00:00:00pages
e54issue
2eissn
1439-4456issn
1438-8871pii
v16i2e54journal_volume
16pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Prevention of depression is important due to the substantial burden of disease associated with it. To this end, we developed a novel, brief, and low-threshold Web-based self-help approach for depressive complaints called complaint-directed mini-interventions (CDMIs). These CDMIs focus on highly prevalent com...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6581
更新日期:2017-01-04 00:00:00
abstract:BACKGROUND:Using mobile technology for symptom management and self-care can improve patient-clinician communication and clinical outcomes in patients with cancer. The interactive app Interaktor has been shown to reduce symptom burden during cancer treatment. It includes symptom assessment, an alert system for contact w...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/17058
更新日期:2020-08-10 00:00:00
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:Conducting and analyzing clinical studies of cough and cold medications is challenging due to the rapid onset and short duration of the symptoms. The use of Internet-based surveillance tools is a new approach in clinical studies that is gradually becoming popular and may become a useful method of recruitment...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2868
更新日期:2014-06-19 00:00:00
abstract:BACKGROUND:As the process of producing official health statistics for lifestyle diseases is slow, researchers have explored using Web search data as a proxy for lifestyle disease surveillance. Existing studies, however, are prone to at least one of the following issues: ad-hoc keyword selection, overfitting, insufficie...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13347
更新日期:2020-01-27 00:00:00
abstract:BACKGROUND:Preexposure prophylaxis (PrEP) is available as a daily pill for preventing infection with the human immunodeficiency virus (HIV). Innovative methods of administering PrEP systemically or topically are being discussed and developed. OBJECTIVE:The objective of our study was to assess attitudes toward differen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5713
更新日期:2016-05-19 00:00:00
abstract:BACKGROUND:Mental disorders are responsible for a high level of disability burden in students attending university. However, many universities have limited resources available to support student mental health. Technology-based interventions may be highly relevant to university populations. Previous reviews have targete...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2639
更新日期:2013-05-27 00:00:00
abstract:BACKGROUND:Alcohol misuse is a major social and public health issue in Australia, with an estimated cost to the community of Aus $30 billion per annum. Until recently, a major barrier in addressing this significant public health issue is the fact that the majority of individuals with alcohol use disorders and alcohol m...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9605
更新日期:2018-05-17 00:00:00
abstract:BACKGROUND:Supporting patients to engage in (Web-based) self-management tools is increasingly gaining importance, but the engagement of health care professionals is lagging behind. This can partly be explained by resistance among health care professionals. OBJECTIVE:The aim of this study was to investigate drivers of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14985
更新日期:2019-12-17 00:00:00
abstract:BACKGROUND:The McMaster Optimal Aging Portal (the Portal) was launched in 2014 as a knowledge translation (KT) tool to increase access to evidence-based health information. OBJECTIVE:The purpose of this study was to understand if and how dissemination of mobility information through the Portal impacts physical activit...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/15125
更新日期:2020-02-11 00:00:00
abstract:BACKGROUND:Middle class populations have supported shared medical records, including Internet-accessible medical records. The attitudes of lower income populations, and of physicians, are less clear. OBJECTIVES:The objective of this study was to compare the attitudes toward shared outpatient medical records among (1) ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7.2.e13
更新日期:2005-05-24 00:00:00
abstract:BACKGROUND:Patients suffering from depression have a high risk of relapse and readmission in the weeks following discharge from inpatient wards. Electronic self-monitoring systems that offer patient-communication features are now available to offer daily support to patients, but the usability, acceptability, and adhere...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6673
更新日期:2017-04-21 00:00:00
abstract:BACKGROUND:The use of eHealth tools (eg, the internet, mobile apps, and connected devices) in the management of chronic diseases and for rheumatoid arthritis is growing. eHealth may improve the overall quality of care provided to patients with chronic diseases. OBJECTIVE:The primary objective of this study was to desc...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19998
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:Online health communities (OHCs) provide a convenient and commonly used way for people to connect around shared health experiences, exchange information, and receive social support. Users often interact with peers via multiple communication methods, forming a multirelational social network. Use of OHCs is co...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5985
更新日期:2016-08-25 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:Nutrigenomics forms the basis of personalized nutrition by customizing an individual's dietary plan based on the integration of life stage, current health status, and genome information. Some common genes that are included in nutrition-based multigene test panels include CYP1A2 (rate of caffeine break down),...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12580
更新日期:2019-06-28 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) describes the use of portable electronic devices with software applications to provide health services and manage patient information. With approximately 5 billion mobile phone users globally, opportunities for mobile technologies to play a formal role in health services, particularly...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2130
更新日期:2013-01-25 00:00:00
abstract:BACKGROUND:Precision medicine has resulted in increasing complexity in the treatment of cancer. Web-based educational materials can help address the needs of oncology health care professionals seeking to understand up-to-date treatment strategies. OBJECTIVE:This study aimed to assess learning styles of oncology health...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7506
更新日期:2017-07-25 00:00:00
abstract:BACKGROUND:In early life, both mothers and fathers are important influences on their children's diet, active play, and obesity risk. Parents are increasingly relying on the internet and social media as a source of information on all aspects of parenting. However, little is known about the use of Web-based sources of in...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11454
更新日期:2019-01-23 00:00:00
abstract::A growing number of investigators have commented on the lack of models to inform the design of behavioral intervention technologies (BITs). BITs, which include a subset of mHealth and eHealth interventions, employ a broad range of technologies, such as mobile phones, the Web, and sensors, to support users in changing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3077
更新日期:2014-06-05 00:00:00
abstract:BACKGROUND:Informed consent is one of the key elements in biomedical research. The introduction of electronic informed consent can be a way to overcome many challenges related to paper-based informed consent; however, its novel opportunities remain largely unfulfilled due to several barriers. OBJECTIVE:We aimed to pro...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19129
更新日期:2020-10-08 00:00:00
abstract:BACKGROUND:Only a few telemedicine applications have made their way into regular care. One reason is the lack of acceptance of telemedicine by potential end users. OBJECTIVE:The aim of this systematic review was to identify theoretical predictors that influence the acceptance of telemedicine. METHODS:An electronic se...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13117
更新日期:2019-05-21 00:00:00
abstract:BACKGROUND:The internet allows patients to easily look for health information. However, how Chinese patients with breast cancer use the internet has rarely been investigated, and there is a scarcity of information about the influence of internet use on survival. OBJECTIVE:This observational study aimed to investigate ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16768
更新日期:2020-04-17 00:00:00
abstract:BACKGROUND:While individual access to health records has traditionally been through paper and other physical media, there has been a recent push toward digitizing this process. Direct patient access to health data through application programming interfaces (APIs) is an important part of current United States policy ini...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/14871
更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:Mental health problems are highly prevalent among college students. Most students with poor mental health, however, do not receive professional help. Internet-based self-help formats may increase the utilization of treatment. OBJECTIVE:The aim of this randomized controlled trial was to evaluate the efficacy...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.9293
更新日期:2018-04-23 00:00:00
abstract:BACKGROUND:Influenza is a viral respiratory disease capable of causing epidemics that represent a threat to communities worldwide. The rapidly growing availability of electronic "big data" from diagnostic and prediagnostic sources in health care and public health settings permits advance of a new generation of methods ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7101
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:Digital self-monitoring, particularly of weight, is increasingly prevalent. The associated data could be reused for clinical and research purposes. OBJECTIVE:The aim was to compare participants who use connected smart scale technologies with the general population and explore how use of smart scale technolo...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4767
更新日期:2016-01-21 00:00:00
abstract:BACKGROUND:In March 2012, the US Centers for Disease Control and Prevention (CDC) launched the first-ever paid national tobacco education campaign. At a cost of US $54 million, "Tips from Former Smokers" (Tips) ran for 3 months across multiple media, depicting the suffering experienced by smokers and their families in ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3645
更新日期:2015-01-20 00:00:00
abstract:BACKGROUND:Sleepio is a proven digital sleep improvement program based on cognitive behavioral therapy techniques. Users have the option to join an online community that includes weekly expert discussions, peer-to-peer discussion forums, and personal message walls. OBJECTIVE:The aim of this study was to conduct an onl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5654
更新日期:2016-04-25 00:00:00
abstract:BACKGROUND:Many patients with eating disorders do not receive help for their symptoms, even though these disorders have severe morbidity. The Internet may offer alternative low-threshold treatment interventions. OBJECTIVE:This study evaluated the effects of a Web-based cognitive behavioral therapy (CBT) intervention u...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3946
更新日期:2015-06-18 00:00:00