Abstract:
BACKGROUND:Excessive gestational weight gain (GWG) contributes to the development of obesity in mother and child. Internet-based interventions have the potential for delivering innovative and interactive options for prevention of excessive GWG to large numbers of people. OBJECTIVE:The objective of this study was to create a novel measure of Internet-based intervention usage patterns and examine whether usage of an Internet-based intervention is associated with reduced risk of excessive GWG. METHODS:The website featured blogs, local resources, articles, frequently asked questions (FAQs), and events that were available to women in both the intervention and control arm. Weekly reminders to use the website and to highlight new content were emailed to participants in both arms. Only intervention arm participants had access to the weight gain tracker and diet and physical activity goal-setting tools. A total of 1335 (898 intervention and 437 control) relatively diverse and healthy pregnant women were randomly assigned to the intervention arm or control arm. Usage patterns were examined for both intervention and control arm participants using latent class analysis. Regression analyses were used to estimate the association between usage patterns and three GWG outcomes: excessive total GWG, excessive GWG rate, and GWG. RESULTS:Five usage patterns best characterized the usage of the intervention by intervention arm participants. Three usage patterns best characterized control arm participants' usage. Control arm usage patterns were not associated with excessive GWG, whereas intervention arm usage patterns were associated with excessive GWG. CONCLUSIONS:The control and intervention arm usage pattern characterization is a unique methodological contribution to process evaluations for self-directed Internet-based interventions. In the intervention arm some usage patterns were associated with GWG outcomes. CLINICALTRIAL:ClinicalTrials.gov; Clinical Trials Number: NCT01331564; https://clinicaltrials.gov/ct2/show/NCT01331564 (Archived by WebCite at http://www.webcitation/6nI9LuX9w).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Graham ML,Strawderman MS,Demment M,Olson CMdoi
10.2196/jmir.6644subject
Has Abstractpub_date
2017-01-09 00:00:00pages
e6issue
1eissn
1439-4456issn
1438-8871pii
v19i1e6journal_volume
19pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Data coordination across multiple health care facilities has become increasingly important for many emerging health care applications. Distrust has been recognized as a key barrier to the success of such applications. Leveraging blockchain technology could provide potential solutions tobuild trust between da...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19029
更新日期:2020-07-27 00:00:00
abstract:BACKGROUND:Social media has penetrated all walks of life. Chinese health care institutions are increasingly utilizing social media to connect with their patients for better health service delivery. Current research has focused heavily on the use of social media in developed countries, with few studies exploring its usa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9607
更新日期:2018-08-09 00:00:00
abstract:BACKGROUND:The rate of smoking commercial tobacco products among American Indian youth is double the rate for white youth. Interventions are needed to reduce this disparity. OBJECTIVE:To test the feasibility of a Web-based intervention to influence attitudes toward and intentions about smoking cigarettes among America...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1682
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:This is a methodological study investigating the online responses to a national debate over an important health and social problem in Russia. Russia is the largest Internet market in Europe, exceeding Germany in the absolute number of users. However, Russia is unusual in that the main search provider is not ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2270
更新日期:2012-12-13 00:00:00
abstract:BACKGROUND:Cancellations and rescheduling of doctor's appointments are common. An automated rescheduling system has the potential to facilitate the rescheduling process so that newly opened slots are promptly filled by patients who need and can take the slot. Building on an existing online patient portal, a large healt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16451
更新日期:2020-06-10 00:00:00
abstract:BACKGROUND:The medical tourism industry is currently popular in India, but there is no confirmation of the common perspectives among the country's medical travelers. OBJECTIVE:This qualitative research study analyzed web-based narratives from health travelers visiting India and described the themes of their experience...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15665
更新日期:2020-05-14 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:Web-based digital repositories allow educational resources to be accessed efficiently and conveniently from diverse geographic locations, hold a variety of resource formats, enable interactive learning, and facilitate targeted access for the user. Unlike some other learning management systems (LMS), resource...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2094
更新日期:2013-01-16 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:There are few studies on the role of technology delivery mode on health intervention outcomes. Furthermore, the opportunity to examine potential mode effects on a program that is theory-based and integrates principles of communication and decision-making science to influence sexual and reproductive health ou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10398
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Obesity is a highly prevalent condition with important health implications. Face-to-face interventions to treat obesity demand a large number of human resources and time, generating a great burden to individuals and health system. In this context, the internet is an attractive tool for delivering weight loss...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析
doi:10.2196/jmir.9609
更新日期:2019-01-08 00:00:00
abstract:BACKGROUND:Crowdsourcing contests (also called innovation challenges, innovation contests, and inducement prize contests) can be used to solicit multisectoral feedback on health programs and design public health campaigns. They consist of organizing a steering committee, soliciting contributions, engaging the community...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.8226
更新日期:2018-03-09 00:00:00
abstract::The growing burden of noncommunicable diseases (NCDs), for example, cardiovascular diseases and chronic respiratory diseases, in low- and middle-income countries (LMICs) presents special challenges for policy makers, due to resource constraints and lack of timely data for decision-making. Concurrently, the increasing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7302
更新日期:2017-05-05 00:00:00
abstract:BACKGROUND:The field of gene therapy is rapidly evolving, and while hopes of treating disorders of the central nervous system and ethical concerns have been articulated within the academic community, little is known about views and opinions of different stakeholder groups. OBJECTIVE:To address this gap, we utilized so...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2313
更新日期:2013-03-04 00:00:00
abstract:BACKGROUND:Three-dimensional scans are increasingly used to quantify biological topographical changes and clinical health outcomes. Traditionally, the use of 3D scans has been limited to specialized centers owing to the high cost of the scanning equipment and the necessity for complex analysis software. Technological a...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17150
更新日期:2020-11-27 00:00:00
abstract:BACKGROUND:Monitoring of patients may decrease treatment costs and improve quality of care. Pain is the most common health problem that people seek help for in hospitals. Therefore, monitoring patients with pain may have significant impact in improving treatment. Several studies have studied factors affecting pain; how...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.7279
更新日期:2017-10-27 00:00:00
abstract:BACKGROUND:Chronic knee pain, most commonly caused by knee osteoarthritis, is a prevalent condition which in most cases can be effectively treated through conservative, non-surgical care involving exercise therapy, education, psychosocial support, and weight loss. However, most people living with chronic knee pain do n...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.9667
更新日期:2018-04-25 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: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: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: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:Universities have begun deploying public Internet systems that allow for easy search of their experts, expertise, and intellectual networks. Deployed first in biomedical schools but now being implemented more broadly, the initial motivator of these research networking systems was to enable easier identificat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3137
更新日期:2014-02-07 00:00:00
abstract:BACKGROUND:Efficiently sharing health data produced during standard care could dramatically accelerate progress in cancer treatments, but various barriers make this difficult. Not sharing these data to ensure patient privacy is at the cost of little to no learning from real-world data produced during cancer care. Furth...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16810
更新日期:2020-03-20 00:00:00
abstract:BACKGROUND:Cardiovascular disease (CVD) is the leading cause of premature death and disability in Europe, accounting for 4 million deaths per year and costing the European Union economy almost €196 billion annually. There is strong evidence to suggest that exercise-based secondary rehabilitation programs can decrease t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.7782
更新日期:2017-08-02 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 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: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:Provision of online evidence at the point of care is one strategy that could provide clinicians with easy access to up-to-date evidence in clinical settings in order to support evidence-based decision making. OBJECTIVE:The aim was to determine long-term use of an online evidence system in routine clinical p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.974
更新日期:2008-03-19 00:00:00
abstract:BACKGROUND:Social networking services (SNSs) contain abundant information about the feelings, thoughts, interests, and patterns of behavior of adolescents that can be obtained by analyzing SNS postings. An ontology that expresses the shared concepts and their relationships in a specific field could be used as a semanti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7452
更新日期:2017-07-24 00:00:00
abstract:BACKGROUND:Since it was declared a pandemic on March 11, 2020, COVID-19 has dominated headlines around the world and researchers have generated thousands of scientific articles about the disease. The fast speed of publication has challenged researchers and other stakeholders to keep up with the volume of published arti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/23449
更新日期:2020-11-26 00:00:00