Abstract:
BACKGROUND:The peer-led, social media-delivered intervention is an emerging method in sexual health promotion. However, no research has yet investigated its effectiveness as compared with other online channels or in an Asian population. OBJECTIVE:The objective of this study is to compare a peer-led, social media-delivered, safer sex intervention with a sexual health website. Both conditions target Chinese college students in Hong Kong. METHODS:A randomized controlled trial was conducted with a peer-led, safer sex Facebook group as the intervention and an existing online sexual health website as the control. The intervention materials were developed with peer input and followed the information-motivation-behavioral skills model; the intervention was moderated by peer educators. The participants filled out the online questionnaires before and after the 6-week intervention period. Outcome evaluations included safer sex attitudes, behavioral skills, and behaviors, while process evaluation focused on online experience, online-visiting frequency, and online engagement. The effect of online-visiting frequency and online engagement on outcome variables was investigated. RESULTS:Of 196 eligible participants-100 in the control group and 96 in the intervention group-who joined the study, 2 (1.0%) control participants joined the Facebook group and 24 of the remaining 194 participants (12.4%) were lost to follow-up. For the process evaluation, participants in the intervention group reported more satisfying online experiences (P<.001) and a higher level of online-visiting frequency (P<.001). They also had more positive comments when compared with the control group. For outcome evaluation, within-group analysis showed significant improvement in condom use attitude (P=.02) and behavioral skills (P<.001) in the intervention group, but not in the control group. No significant between-group difference was found. After adjusting for demographic data, increased online-visiting frequency was associated with better contraceptive use behavioral intention (P=.05), better behavioral skills (P=.02), and more frequent condom use (P=.04). CONCLUSIONS:A peer-led, social media-delivered, safer sex intervention was found to be feasible and effective in improving attitudes toward condom use and behavioral skills, but was not significantly more effective than a website. Future research may focus on the long-term effectiveness and cost-effectiveness of this popular method, as well as the potential cultural differences of using social media between different countries. TRIAL REGISTRATION:Chinese Clinical Trial Registry (ChiCTR): ChiCTR-IOR-16009495; http://www.chictr.org.cn/showprojen.aspx?proj=16234 (Archived by WebCite at http://www.webcitation.org/6s0Fc2L9T).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Sun WH,Wong CKH,Wong WCWdoi
10.2196/jmir.7403subject
Has Abstractpub_date
2017-08-09 00:00:00pages
e284issue
8eissn
1439-4456issn
1438-8871pii
v19i8e284journal_volume
19pub_type
杂志文章,随机对照试验abstract:BACKGROUND:The police attend numerous domestic violence events each year, recording details of these events as both structured (coded) data and unstructured free-text narratives. Abuse types (including physical, psychological, emotional, and financial) conducted by persons of interest (POIs) along with any injuries sus...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13067
更新日期:2019-03-12 00:00:00
abstract:BACKGROUND:There is a growing body of evidence regarding eHealth interventions that target substance use disorders. Development and funding decisions in this area have been challenging, due to a lack of understanding of what parts of an intervention work in which context. OBJECTIVE:We conducted a realist review of the...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/20557
更新日期:2021-01-21 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:Since December 2019, an outbreak of the coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly in Wuhan and worldwide. However, previous studies on pregnant patients were limited. OBJECTIVE:The aim of this study is to evaluate the clinical ch...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19642
更新日期:2020-08-24 00:00:00
abstract:BACKGROUND:As the population ages, many more people will be in need of long-term care. According to a recent report by Alzheimer's Disease International and the Karolinska Institute, 84% of people with dementia are cared for at home and 16% in nursing homes. Several Web-based interventions have been developed to assist...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12504
更新日期:2019-11-28 00:00:00
abstract:BACKGROUND:Stress is a common experience in today's society. Smartphone ownership is widespread, and smartphones can be used to monitor health and well-being. Smartphone-based self-assessment of stress can be done in naturalistic settings and may potentially reflect real-time stress level. OBJECTIVE:The objectives of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.6397
更新日期:2017-02-13 00:00:00
abstract:BACKGROUND:The Institute of Medicine recommends Survivorship Care Plans (SCPs) for all cancer survivors. However, it is unclear whether certain patient groups may or may not benefit from SCPs. OBJECTIVE:The aim was to assess whether the effects of an automatically generated paper SCP on patients' satisfaction with inf...
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/jmir.4914
更新日期:2016-07-08 00:00:00
abstract:BACKGROUND:Although effective smoking cessation interventions exist, information is limited about their cost-effectiveness and cost-utility. OBJECTIVE:To assess the cost-effectiveness and cost-utility of an Internet-based multiple computer-tailored smoking cessation program and tailored counseling by practice nurses w...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.2059
更新日期:2013-03-14 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:In the United States, there is a national shortage of organs donated for transplant. Among the solid organs, most often kidneys are donated by living donors, but the lack of information and complicated processes limit the number of individuals who serve as living kidney donors. Social media can be a tool for...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2016-12-20 00:00:00
abstract:BACKGROUND:Most patients with diabetes mellitus (DM) are followed by primary care physicians, who often lack knowledge or confidence to prescribe insulin properly. This contributes to clinical inertia and poor glycemic control. Effectiveness of traditional continuing medical education (CME) to solve that is limited, so...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6944
更新日期:2017-03-09 00:00:00
abstract:BACKGROUND:Since the outbreak of COVID-19, the Chinese government and the Chinese Center for Disease Control and Prevention have released COVID-19-related information to the public through various channels to raise their concern level of the pandemic, increase their knowledge of disease prevention, and ensure the uptak...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20487
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Patients are increasingly taking an active role in their health. In doing so, they combine both mass and interpersonal media to gratify their cognitive and affective needs (ie, convergence). Owing to methodological challenges when studying convergence, a detailed view of how patients are using different type...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18303
更新日期:2020-10-19 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: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:The digital revolution has led to a boom in the number of available online health care resources. To navigate these resources successfully, digital literacy education is required. Learners who can evaluate the reliability and validity of online health care information are likely to be more effective at avoid...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15177
更新日期:2020-02-26 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:In the context of the Affordable Care Act, there is extensive emphasis on making provider quality transparent and publicly available. Online public reports of quality exist, but little is known about how visitors find reports or about their purpose in visiting. OBJECTIVE:To address this gap, we gathered web...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3637
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Use of mobile technology has made a huge impact on communication, access, and information/resource delivery to adolescents. Mobile technology is frequently used by adolescents. OBJECTIVE:The purpose of this study was to understand the health information needs of adolescents in the context of their everyday ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2395
更新日期:2013-03-06 00:00:00
abstract:BACKGROUND:Behavioral interventions can meaningfully improve cardiometabolic conditions. Digital therapeutics (DTxs) delivering these interventions may provide benefits comparable to pharmacologic therapies, displacing medications for some patients. OBJECTIVE:Our objective was to estimate the economic impact of a digi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15814
更新日期:2019-10-09 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
abstract:BACKGROUND:Frequent home blood pressure (BP) measurements result in a better estimation of the true BP. However, traditional cuff-based BP measurements are troublesome for patients. OBJECTIVE:This study aimed to evaluate the feasibility of a cuffless device for ambulatory systolic blood pressure (SBP) measurement. ME...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11164
更新日期:2019-06-19 00:00:00
abstract:BACKGROUND:Theoretical models help to explain or predict the adoption of electronic health (eHealth) technology and illustrate the complexity of the adoption process. These models provide insights into general factors that influence the use of eHealth technology. However, they do not give hospitals much actionable know...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16921
更新日期:2020-05-19 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
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更新日期:2019-06-26 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:Artificial intelligence (AI) and the Internet of Intelligent Things (IIoT) are promising technologies to prevent the concerningly rapid spread of coronavirus disease (COVID-19) and to maximize safety during the pandemic. With the exponential increase in the number of COVID-19 patients, it is highly possible ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/19104
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:Worldwide nearly 3 million people die from chronic obstructive pulmonary disease (COPD) every year. Integrated disease management (IDM) improves quality of life for COPD patients and can reduce hospitalization. Self-management of COPD through eHealth is an effective method to improve IDM and clinical outcome...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8262
更新日期:2017-08-16 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
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更新日期:2018-03-09 00:00:00
abstract:BACKGROUND:Concerns over health information on the Internet have generated efforts to enhance credibility markers; yet how users actually assess the credibility of online health information is largely unknown. OBJECTIVE:This study set out to (1) establish a parsimonious and valid questionnaire instrument to measure cr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6.3.e24
更新日期:2004-09-03 00:00:00
abstract:BACKGROUND:The Internet is a trusted source of health information for growing majorities of Web users. The promise of online health interventions will be realized with the development of purely online theory-based programs for Web users that are evaluated for program effectiveness and the application of behavior change...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1551
更新日期:2011-03-17 00:00:00