Abstract:
BACKGROUND:Lesbians and gay men have disproportionately high rates of depression and anxiety, and report lower satisfaction with treatments. In part, this may be because many health care options marginalize them by assuming heterosexuality, or misunderstand and fail to respond to the challenges specifically faced by these groups. E-therapies have particular potential to respond to the mental health needs of lesbians and gay men, but there is little research to determine whether they do so, or how they might be improved. OBJECTIVE:We sought to examine the applicability of existing mental health e-therapies for lesbians and gay men. METHODS:We reviewed 24 Web- and mobile phone-based e-therapies and assessed their performance in eight key areas, including the use of inclusive language and content and whether they addressed mental health stressors for lesbians and gay men, such as experiences of stigma related to their sexual orientation, coming out, and relationship issues that are specific to lesbians and gay men. RESULTS:We found that e-therapies seldom addressed these stressors. Furthermore, 58% (14/24) of therapies contained instances that assumed or suggested the user was heterosexual, with instances especially prevalent among better-evidenced programs. CONCLUSIONS:Our findings, and a detailed review protocol presented in this article, may be used as guides for the future development of mental health e-therapies to better accommodate the needs of lesbians and gay men.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Rozbroj T,Lyons A,Pitts M,Mitchell A,Christensen Hdoi
10.2196/jmir.3529subject
Has Abstractpub_date
2014-07-03 00:00:00pages
e166issue
7eissn
1439-4456issn
1438-8871pii
v16i7e166journal_volume
16pub_type
杂志文章,评审abstract:BACKGROUND:Web-based self-directed mental health applications are rapidly emerging to address health service gaps and unmet needs for information and support. OBJECTIVE:The aim of this study was to determine if a multicomponent, moderated Web-based mental health application could benefit individuals with mental health...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2196/10838
更新日期:2019-06-04 00:00:00
abstract:BACKGROUND:There is a high prevalence of children and young people (CYP) experiencing mental health (MH) problems. Owing to accessibility, affordability, and scalability, an increasing number of digital health interventions (DHIs) have been developed and incorporated into MH treatment. Studies have shown the potential ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16317
更新日期:2020-06-23 00:00:00
abstract:BACKGROUND:Field-testing is a quality assurance criterion in the development of patient decision-support technologies (PDSTs), as identified in the consensus statement of the International Patient Decision Aids Standards Collaboration. We incorporated field-testing into the development of a Web-based, prostate-specific...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9.3.e21
更新日期:2007-07-13 00:00:00
abstract:BACKGROUND:The eHealth Literacy Scale (eHEALS) is one of only a few available measurement scales to assess eHealth literacy. Perhaps due to the relative paucity of such measures and the rising importance of eHealth literacy, the eHEALS is increasingly a choice for inclusion in a range of studies across different groups...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5998
更新日期:2017-02-27 00:00:00
abstract:BACKGROUND:Increasing cases of diabetes, a general lack of routinely operational prevention, and a long history of separating disease prevention and treatment call for immediate engagement of frontier clinicians. This applies especially to village doctors who work in rural China where the majority of the nation's vast ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3228
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:In traditional epidemiological studies, participants are likely motivated by perceived benefits, feelings of accomplishment, and belonging. No study has explored motives for participation in a Web-based cohort and the associated participant characteristics, although such information is useful for enhancing r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3161
更新日期:2014-08-07 00:00:00
abstract:BACKGROUND:The death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. COVID-19 has caused an immense psychological burden on the population, especially among doctors and nurses who are faced with high infection risks and increased workload. OBJECTIVE:The aim of this study was to compare the mental hea...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/24983
更新日期:2021-01-18 00:00:00
abstract:BACKGROUND:Brief motivational interviewing (MI) can contribute to reductions in morbidity and mortality related to coronary artery disease, through health behavior change. Brief MI, unlike more intensive interventions, was proposed to meet the needs of clinicians with little spare time. While the provision of face-to-f...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6298
更新日期:2016-08-18 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: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:In recent years, online physician-rating websites have become prominent and exert considerable influence on patients' decisions. However, the quality of these decisions depends on the quality of data that these systems collect. Thus, there is a need to examine the various data quality issues with physician-r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15916
更新日期:2020-09-28 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::[This corrects the article DOI: 10.2196/17595.]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
doi:10.2196/25511
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Attempts in current health care practice to make health care more accessible, effective, and efficient through the use of information technology could include implementation of computer-based dietary menu generation. While several of such systems already exist, their focus is mainly to assist healthy individ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6.1.e4
更新日期:2004-01-30 00:00:00
abstract:BACKGROUND:Over the last two decades, the number of studies on electronic symptom reporting has increased greatly. However, the field is very heterogeneous: the choices of patient groups, health service innovations, and research targets seem to involve a broad range of foci. To move the field forward, it is necessary t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2214
更新日期:2012-10-03 00:00:00
abstract:BACKGROUND:Human immunodeficiency virus (HIV) is a serious health problem in the Russian Federation. However, the true scale of HIV in Russia has long been the subject of considerable debate. Using digital surveillance to monitor diseases has become increasingly popular in high income countries. But Internet users may ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2936
更新日期:2013-11-12 00:00:00
abstract:BACKGROUND:The literature indicates that Web-based health information seeking is mostly used for seeking information on well-established diseases. However, only a few studies report health information seeking in the absence of a doctor's visit and in the context of acute symptoms. OBJECTIVE:This survey aimed to estima...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15148
更新日期:2020-01-10 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:Stress-related disorders are associated with significant suffering, functional impairment, and high societal costs. Internet-based cognitive behavioral therapy (ICBT) is a promising treatment for stress-related disorders but has so far not been subjected to health economic evaluation. OBJECTIVE:The objectiv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/14675
更新日期:2019-09-13 00:00:00
abstract:BACKGROUND:In a recent uncontrolled trial of a new therapist-assisted Web-based treatment of adolescent victims of sexual abuse, the treatment effects were found to be promising. However, the study suffered a large pretreatment withdrawal rate that appeared to emanate from reluctance among the participants to disclose ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1455
更新日期:2010-12-19 00:00:00
abstract:BACKGROUND:Web-based programs for smoking prevention are being increasingly used with some success among adolescents. However, little is known about the mechanisms that link the experience of such programs to intended nicotine or tobacco control outcomes. OBJECTIVE:Based on the experiential learning theory and extende...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.7174
更新日期:2017-02-16 00:00:00
abstract:BACKGROUND:The escalating cost of global health care is driving the development of new technologies to identify early indicators of an individual's risk of disease. Traditionally, epidemiologists have identified such risk factors using medical databases and lengthy clinical studies but these are often limited in size a...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4082
更新日期:2015-01-27 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:Coronavirus disease (COVID-19) has been an unprecedented challenge to the global health care system. Tools that can improve the focus of surveillance efforts and clinical decision support are of paramount importance. OBJECTIVE:The aim of this study was to illustrate how new medical informatics technologies ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18948
更新日期:2020-04-22 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: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:Online pharmacies are companies that sell pharmaceutical preparations, including prescription-only drugs, on the Internet. Very little is known about this phenomenon because many online pharmacies operate from remote countries, where legal bases and business practices are largely inaccessible to internationa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1795
更新日期:2011-09-30 00:00:00
abstract:BACKGROUND:There has been a rapid rise in the popularity of electronic cigarettes (e-cigarettes) over the last decade, with growth predicted to continue. The uptake of these devices has escalated despite inconclusive evidence of their efficacy as a smoking cessation device and unknown long-term health consequences. As ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/11953
更新日期:2019-02-05 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:Internet-based health resources can support informal caregivers who are caring for children or adolescents with health care needs. However, few studies discriminate informal caregivers' needs from those of their care recipients or those of people caring for adults. OBJECTIVE:This study reviews the literatur...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.4124
更新日期:2016-03-03 00:00:00