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 and cost and can fail to take full account of diseases where there are social stigmas or to identify transient acute risk factors. OBJECTIVE:Here we report that Web search engine queries coupled with information on Wikipedia access patterns can be used to infer health events associated with an individual user and automatically generate Web-based risk markers for some of the common medical conditions worldwide, from cardiovascular disease to sexually transmitted infections and mental health conditions, as well as pregnancy. METHODS:Using anonymized datasets, we present methods to first distinguish individuals likely to have experienced specific health events, and classify them into distinct categories. We then use the self-controlled case series method to find the incidence of health events in risk periods directly following a user's search for a query category, and compare to the incidence during other periods for the same individuals. RESULTS:Searches for pet stores were risk markers for allergy. We also identified some possible new risk markers; for example: searching for fast food and theme restaurants was associated with a transient increase in risk of myocardial infarction, suggesting this exposure goes beyond a long-term risk factor but may also act as an acute trigger of myocardial infarction. Dating and adult content websites were risk markers for sexually transmitted infections, such as human immunodeficiency virus (HIV). CONCLUSIONS:Web-based methods provide a powerful, low-cost approach to automatically identify risk factors, and support more timely and personalized public health efforts to bring human and economic benefits.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Yom-Tov E,Borsa D,Hayward AC,McKendry RA,Cox IJdoi
10.2196/jmir.4082subject
Has Abstractpub_date
2015-01-27 00:00:00pages
e29issue
1eissn
1439-4456issn
1438-8871pii
v17i1e29journal_volume
17pub_type
杂志文章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: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: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 th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3529
更新日期:2014-07-03 00:00:00
abstract:BACKGROUND:The majority of workers, regardless of age or occupational status, report engaging in personal Internet use in the workplace. There is little understanding of the impact that personal Internet use may have on patient care in acute clinical settings. OBJECTIVE:The objective of this study was to investigate t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2421
更新日期:2013-05-17 00:00:00
abstract:BACKGROUND:As the use of digital media for health promotion has become increasingly common, descriptive studies exploring current and innovative marketing strategies can enhance the understanding of effective strategies and best practices. OBJECTIVE:This study aims to describe the implementation of a provincial digita...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11534
更新日期:2019-02-01 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:Unintentional medication nonadherence is common and has been associated with poor health outcomes and increased health care costs. Earlier research demonstrated a relationship between habit strength and medication adherence. Previous research also examined a habit's direct effect on adherence and how habit i...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17883
更新日期:2020-04-28 00:00:00
abstract:BACKGROUND:A growing body of evidence supports the potential effectiveness of electronic health (eHealth) interventions in managing chronic pain. However, research on the needs and preferences of patients with chronic pain in relation to eHealth interventions is scarce. Eliciting user input in the development of eHealt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13205
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Demographic changes over the past decades call for the promotion of health and disease prevention for older patients, as well as strategies to enhance their independence, productivity, and quality of life. OBJECTIVE:Our objective was to examine the effects of a computer-based educational intervention design...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6948
更新日期:2017-02-22 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: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:Snowballing involves recursively pursuing relevant references cited in the retrieved literature and adding them to the search results. Snowballing is an alternative approach to discover additional evidence that was not retrieved through conventional search. Snowballing's effectiveness makes it best practice ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3369
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Video mediated meetings with patients were introduced in outpatient care at a hospital in Sweden. New behaviours and tasks emerged due to changes of roles, work processes and responsibilities. The study investigates effects of digital transformation, in this case how video visits in outpatient care change wo...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9866
更新日期:2018-06-27 00:00:00
abstract:BACKGROUND:A clinical algorithm (Algo) in paper form is used in Quebec, Canada, to allow health care workers other than occupational therapists (OTs) to make bathroom adaptation recommendations for older adults. An integrated knowledge transfer process around Algo suggested an electronic version of this decision suppor...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16175
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using pri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14868
更新日期:2020-03-19 00:00:00
abstract:BACKGROUND:Existing influenza surveillance in the United States is focused on the collection of data from sentinel physicians and hospitals; however, the compilation and distribution of reports are usually delayed by up to 2 weeks. With the popularity of social media growing, the Internet is a source for syndromic surv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3532
更新日期:2014-11-14 00:00:00
abstract:BACKGROUND:The potential for machine learning to disrupt the medical profession is the subject of ongoing debate within biomedical informatics and related fields. OBJECTIVE:This study aimed to explore general practitioners' (GPs') opinions about the potential impact of future technology on key tasks in primary care. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12802
更新日期:2019-03-20 00:00:00
abstract:BACKGROUND:Hospital staff frequently performs the same process hundreds to thousands of times a day. Customizable Internet of Things buttons are small, wirelessly-enabled devices that trigger specific actions with the press of an integrated button and have the potential to automate some of these repetitive tasks. In ad...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9454
更新日期:2018-08-10 00:00:00
abstract:BACKGROUND:Depression is a common mental disorder with a high social burden and significant impact on suicidality and quality of life. Treatment is often limited to drug therapies because of long waiting times to see psychological therapists face to face, despite several guidelines recommending that psychological treat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/15001
更新日期:2020-06-09 00:00:00
abstract:BACKGROUND:The long-term effects of mobile health (mHealth) interventions have not been documented, especially in resource-constrained settings. OBJECTIVE:This study aimed to assess the effects of a 1-year mHealth intervention on blood pressure levels and body weight in low-resource urban settings in Peru, 4 years aft...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/14595
更新日期:2020-04-21 00:00:00
abstract:BACKGROUND:As breast cancer survival rates improve and structural health resources are increasingly being stretched, health providers require people living with and beyond breast cancer (LwBBC) to self-manage aspects of their care. OBJECTIVE:This study aimed to explore how women use and experience social media to self...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16902
更新日期:2020-05-25 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:The increasing use of the Internet and its array of social networks brings new ways for psychotherapists to find out information about their patients, often referred to as patient-targeted googling (PTG). However, this topic has been subject to little empirical research; there has been hardly any attention g...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4306
更新日期:2016-01-05 00:00:00
abstract:BACKGROUND:Social media, mobile and wearable technology, and connected devices have significantly expanded the opportunities for conducting biomedical research online. Electronic consent to collecting such data, however, poses new challenges when contrasted to traditional consent processes. It reduces the participant-r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5662
更新日期:2016-07-20 00:00:00
abstract:BACKGROUND:An understanding of the factors that predict retention and website use are critical to the development of effective Web-based weight loss interventions. However, poor retention (dropout attrition) and website utilization (nonusage attrition) are major inhibitors to the effectiveness of Web-based programs. O...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1640
更新日期:2010-12-14 00:00:00
abstract:BACKGROUND:Methylphenidate, a stimulant used to treat attention deficit hyperactivity disorder, has the potential to be used nonmedically, such as for studying and recreation. In an era when many people actively use social networking services, experience with the nonmedical use or side effects of methylphenidate might ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16466
更新日期:2020-02-24 00:00:00
abstract:BACKGROUND:The COVID-19 pandemic has caused major disruptions worldwide since March 2020. The experience of the 1918 influenza pandemic demonstrated that decreases in the infection rates of COVID-19 do not guarantee continuity of the trend. OBJECTIVE:The aim of this study was to develop a precise spread model of COVID...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19907
更新日期:2020-09-09 00:00:00
abstract:BACKGROUND:Data from controlled trials indicate that Web-based interventions generally suffer from low engagement and high attrition. This is important because the level of exposure to intervention content is linked to intervention effectiveness. However, data from real-life Web-based behavior change interventions are ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4339
更新日期:2015-07-15 00:00:00
abstract:BACKGROUND:Advance care planning is the process of discussing health care treatment preferences based on patients' personal values, and it often involves the completion of advance directives. In the first months of 2020, a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began circulatin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21385
更新日期:2020-08-11 00:00:00
abstract:BACKGROUND:Youth mental health is a significant public health concern due to the high prevalence of mental health problems in this population and the low rate of those affected seeking help. While it is increasingly recognized that prevention is better than cure, most youth prevention programs have utilized interventio...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3176
更新日期:2014-06-04 00:00:00