Abstract:
BACKGROUND:Improvements in mobile telecommunication technologies have enabled clinicians to collect patient-reported outcome (PRO) data more frequently, but there is as yet limited evidence regarding the frequency with which PRO data can be collected via smartphone applications (apps) in breast cancer patients receiving chemotherapy. OBJECTIVE:The primary objective of this study was to determine the feasibility of an app for sleep disturbance-related data collection from breast cancer patients receiving chemotherapy. A secondary objective was to identify the variables associated with better compliance in order to identify the optimal subgroups to include in future studies of smartphone-based interventions. METHODS:Between March 2013 and July 2013, patients who planned to receive neoadjuvant chemotherapy for breast cancer at Asan Medical Center who had access to a smartphone app were enrolled just before the start of their chemotherapy and asked to self-report their sleep patterns, anxiety severity, and mood status via a smartphone app on a daily basis during the 90-day study period. Push notifications were sent to participants daily at 9 am and 7 pm. Data regarding the patients' demographics, interval from enrollment to first self-report, baseline Beck's Depression Inventory (BDI) score, and health-related quality of life score (as assessed using the EuroQol Five Dimensional [EQ5D-3L] questionnaire) were collected to ascertain the factors associated with compliance with the self-reporting process. RESULTS:A total of 30 participants (mean age 45 years, SD 6; range 35-65 years) were analyzed in this study. In total, 2700 daily push notifications were sent to these 30 participants over the 90-day study period via their smartphones, resulting in the collection of 1215 self-reporting sleep-disturbance data items (overall compliance rate=45.0%, 1215/2700). The median value of individual patient-level reporting rates was 41.1% (range 6.7-95.6%). The longitudinal day-level compliance curve fell to 50.0% at day 34 and reached a nadir of 13.3% at day 90. The cumulative longitudinal compliance curve exhibited a steady decrease by about 50% at day 70 and continued to fall to 45% on day 90. Women without any form of employment exhibited the higher compliance rate. There was no association between any of the other patient characteristics (ie, demographics, and BDI and EQ5D-3L scores) and compliance. The mean individual patient-level reporting rate was higher for the subgroup with a 1-day lag time, defined as starting to self-report on the day immediately after enrollment, than for those with a lag of 2 or more days (51.6%, SD 24.0 and 29.6%, SD 25.3, respectively; P=.03). CONCLUSIONS:The 90-day longitudinal collection of daily self-reporting sleep-disturbance data via a smartphone app was found to be feasible. Further research should focus on how to sustain compliance with this self-reporting for a longer time and select subpopulations with higher rates of compliance for mobile health care.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Min YH,Lee JW,Shin YW,Jo MW,Sohn G,Lee JH,Lee G,Jung KH,Sung J,Ko BS,Yu JH,Kim HJ,Son BH,Ahn SHdoi
10.2196/jmir.3421subject
Has Abstractpub_date
2014-05-23 00:00:00pages
e135issue
5eissn
1439-4456issn
1438-8871pii
v16i5e135journal_volume
16pub_type
杂志文章abstract:BACKGROUND:In public health surveillance, measuring how information enters and spreads through online communities may help us understand geographical variation in decision making associated with poor health outcomes. OBJECTIVE:Our aim was to evaluate the use of community structure and topic modeling methods as a proce...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6045
更新日期:2016-08-29 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:Periodic prompts serve as tools for health behavior interventions to encourage and maintain behavior changes. Past literature reviews have examined periodic messages targeting specific behaviors (smoking, physical activity, diet, etc) or media (telephone, email, face-to-face, newsletter, etc) and have found ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2837
更新日期:2014-03-25 00:00:00
abstract:BACKGROUND:Health literacy research seems to lack a consensus on what aspects to include into literacy in the context of health and on how to operationalize these concepts for measurement purposes. In addition to health literacy, several other concepts, such as electronic health (eHealth) literacy and mental health lit...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10273
更新日期:2018-12-19 00:00:00
abstract:BACKGROUND:Cognitive impairment is one of the most debilitating manifestations of multiple sclerosis. Currently, the assessment of cognition relies on a time-consuming and extensive neuropsychological examination, which is only available in some centers. OBJECTIVE:To enable simpler, more accessible cognitive screening...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/24356
更新日期:2021-01-20 00:00:00
abstract:BACKGROUND:Implementation intentions are mental representations of simple plans to translate goal intentions into behavior under specific conditions. Studies show implementation intentions can produce moderate to large improvements in behavioral goal achievement. Human associative memory mechanisms have been implicated...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8217
更新日期:2017-11-30 00:00:00
abstract:BACKGROUND:Effectiveness of and engagement with website-delivered physical activity interventions is moderate at best. Increased exposure to Internet interventions is reported to increase their effectiveness; however, there is a lack of knowledge about which specific intervention elements are able to maintain website e...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1792
更新日期:2012-01-11 00:00:00
abstract:BACKGROUND:The Internet is a significant source of medical information and is now being shown to be an important conduit for delivering various health-related interventions. OBJECTIVE:This paper aimed to examine the utility and impact of an Internet intervention for childhood encopresis as part of standard medical car...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1081
更新日期:2008-06-30 00:00:00
abstract:BACKGROUND:The application of mobile health (mHealth) platforms to monitor recovery in the postdischarge period has increased in recent years. Despite widespread enthusiasm for mHealth, few studies have evaluated the usability and user experience of mHealth in patients with surgical drainage. OBJECTIVE:Our objectives ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17686
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:Groups and individuals that seek to negatively influence public opinion about the safety and value of vaccination are active in online and social media and may influence decision making within some communities. OBJECTIVE:We sought to measure whether exposure to negative opinions about human papillomavirus (...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4343
更新日期:2015-06-10 00:00:00
abstract:BACKGROUND:Profound vitamin B12 deficiency is a known cause of disease, but the role of low or intermediate levels of B12 in the development of neuropathy and other neuropsychiatric symptoms, as well as the relationship between eating meat and B12 levels, is unclear. OBJECTIVE:The objective of our study was to investi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8667
更新日期:2018-01-05 00:00:00
abstract:BACKGROUND:No existing Web-based nutrition education interventions have been evaluated in light of socioeconomic status just in Japan. OBJECTIVE:The aim was to investigate the effect of a Web-based intervention program on reducing vegetable intake disparities between low- and middle-income Japanese adults. METHODS:In...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.8031
更新日期:2017-11-24 00:00:00
abstract:BACKGROUND:Individuals with chronic obstructive pulmonary disease (COPD) live with the burden of a progressive life-threatening condition that is often accompanied by anxiety and depression. The severity of the condition is usually considered from a clinical perspective and characterized according to the Global Initiat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10924
更新日期:2019-06-02 00:00:00
abstract:BACKGROUND:E-liquid is one of the main components in electronic nicotine delivery systems (ENDS). ENDS review comments could serve as an early warning on use patterns and even function to serve as an indicator of problems or adverse events pertaining to the use of specific e-liquids-much like types of responses tracked...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9373
更新日期:2018-08-15 00:00:00
abstract:BACKGROUND:In randomized controlled trials Internet sites have been shown to be effective in the treatment of depression and anxiety. However, it is unclear if the positive effects demonstrated in these trials transfer to community users of such sites. OBJECTIVE:To compare anxiety and depression outcomes for spontaneo...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6.4.e46
更新日期:2004-12-22 00:00:00
abstract::Formal Internet interventions exist in a broad context of diverse online health resources, which share elements in common like information, advice and peer support. However, most online health resources are not created by healthcare professionals. Internet interventions need to be designed to "compete" in that wider c...
journal_title:Journal of medical Internet research
pub_type: 评论,社论
doi:10.2196/jmir.8.3.e24
更新日期:2006-09-29 00:00:00
abstract:BACKGROUND:Social network sites have been growing in popularity across broad segments of Internet users, and are a convenient means to exchange information and support. Research on their use for health-related purposes is limited. OBJECTIVE:This study aimed to characterize the purpose, use, and creators of Facebook gr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1560
更新日期:2011-02-04 00:00:00
abstract:BACKGROUND:Despite the significant effect of computerized physician order entry (CPOE) in reducing nonintercepted medication errors among neonatal inpatients, only a minority of hospitals have successfully implemented such systems. Physicians' resistance and users' frustration seem to be two of the most important barri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1284
更新日期:2010-02-26 00:00:00
abstract:BACKGROUND:Point-of-care international normalized ratio (INR) monitoring devices simplify warfarin management by allowing selected patients to monitor their own therapy in their homes. Patient self-testing (PST) has been shown to improve the clinical outcomes of warfarin therapy compared to usual care. OBJECTIVE:To co...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2255
更新日期:2013-07-12 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:Today, college students are dealing with depression at some of the highest rates in decades. As the primary mental health service provider, university counseling centers are limited in their capacity and efficiency to provide mental health care due to time constraints and reliance on students' self-reports. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10139
更新日期:2018-07-17 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: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: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 cha...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3020
更新日期:2014-02-24 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:The mEducator Best Practice Network (BPN) implemented and extended standards and reference models in e-learning to develop innovative frameworks as well as solutions that enable specialized state-of-the-art medical educational content to be discovered, retrieved, shared, and re-purposed across European Insti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3650
更新日期:2015-10-09 00:00:00
abstract:BACKGROUND:Misinformation about COVID-19 is common and has been spreading rapidly across the globe through social media platforms and other information systems. Understanding what the public knows about COVID-19 and identifying beliefs based on misinformation can help shape effective public health communications to ens...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/23805
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:Diabetes self-management education has been shown to be effective in controlled trials. The 6-week Better Choices, Better Health-Diabetes (BCBH-D) self-management program was also associated with an improvement in health outcomes in a 6-month translation study. OBJECTIVE:The objective of this study was to d...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6484
更新日期:2016-12-15 00:00:00
abstract:BACKGROUND:Antimicrobial resistance has reached globally alarming levels and is becoming a major public health threat. Lack of efficacious antimicrobial resistance surveillance systems was identified as one of the causes of increasing resistance, due to the lag time between new resistances and alerts to care providers....
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2043
更新日期:2012-05-29 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