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 symptoms severe enough to warrant specialized mental health care. METHODS:A multicenter, pragmatic randomized controlled trial was conducted across several outpatient mental health programs affiliated with 3 hospital programs in Ontario, Canada. Individuals referred to or receiving treatment, aged 16 years or older, with access to the internet and an email address, and having the ability to navigate a Web-based mental health application were eligible. A total of 812 participants were randomized 2:1 to receive immediate (immediate treatment group, ITG) or delayed (delayed treatment group, DTG) access for 3 months to the Big White Wall (BWW), a multicomponent Web-based mental health intervention based in the United Kingdom and New Zealand. The primary outcome was the total score on the Recovery Assessment Scale, revised (RAS-r) which measures mental health recovery. Secondary outcomes were total scores on the Patient Health Questionnaire-9 item (PHQ-9), the Generalized Anxiety Disorder Questionnaire-7 item (GAD-7), the EuroQOL 5-dimension quality of life questionnaire (EQ-5D-5L), and the Community Integration Questionnaire. An exploratory analysis examined the association between actual BWW use (categorized into quartiles) and outcomes among study completers. RESULTS:Intervention participants achieved small, statistically significant increases in adjusted RAS-r score (4.97 points, 95% CI 2.90 to 7.05), and decreases in PHQ-9 score (-1.83 points, 95% CI -2.85 to -0.82) and GAD-7 score (-1.55 points, 95% CI -2.42 to -0.70). Follow-up was achieved for 55% (446/812) at 3 months, 48% (260/542) of ITG participants and 69% (186/270) of DTG participants. Only 58% (312/542) of ITG participants logged on more than once. Some higher BWW user groups had significantly greater improvements in PHQ-9 and GAD-7 relative to the lowest use group. CONCLUSIONS:The Web-based application may be beneficial; however, many participants did not engage in an ongoing way. This has implications for patient selection and engagement as well as delivery and funding structures for similar Web-based interventions. TRIAL REGISTRATION:ClinicalTrials.gov NCT02896894; https://clinicaltrials.gov/ct2/show/NCT02896894 (Archived by WebCite at http://www.webcitation.org/78LIpnuRO).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Hensel JM,Shaw J,Ivers NM,Desveaux L,Vigod SN,Cohen A,Onabajo N,Agarwal P,Mukerji G,Yang R,Nguyen M,Bouck Z,Wong I,Jeffs L,Jamieson T,Bhatia RSdoi
10.2196/10838subject
Has Abstractpub_date
2019-06-04 00:00:00pages
e10838issue
6eissn
1439-4456issn
1438-8871pii
v21i6e10838journal_volume
21pub_type
杂志文章,多中心研究,随机对照试验abstract:BACKGROUND:The ease by which the Internet is able to distribute information to geographically-distant users on a wide variety of computers makes it an obvious candidate for a technological solution for electronic patient record systems. Indeed, second-generation Internet technologies such as the ones described in this ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3.1.e8
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Information is lacking about the capacity of those working in community practice settings to utilize health information technology for colorectal cancer screening. OBJECTIVE:To address this gap we asked those working in community practice settings to share their perspectives about how the implementation of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2914
更新日期:2013-12-18 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:Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals. OBJECTIVE:The primary aim of this study was to further our understanding of the clinical effects associat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1357
更新日期:2010-06-16 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:A previous study among Antwerp college and university students showed that more male (10.2%-11.1%) than female (1.8%-6.2%) students are at risk for problematic alcohol use. The current literature shows promising results in terms of feasibility and effectiveness for the use of brief electronic interventions t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1869
更新日期:2012-04-23 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:The electronic cigarette (e-cigarette) industry has grown in size and organizational complexity in recent years, most notably with the entry of major tobacco companies in 2012 and the proliferation of vape shops. Many brands maintain retail websites that present e-cigarette marketing claims and sell directly...
journal_title:Journal of medical Internet research
pub_type: 历史文章,杂志文章
doi:10.2196/jmir.8550
更新日期:2018-03-12 00:00:00
abstract:BACKGROUND:In this digital era, eHealth literacy is an essential skill set to leverage health information available online to promote health outcomes. South Korea has an advanced health information technology infrastructure, including widespread use of the internet and mobile phones. A few studies have explored eHealth...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8759
更新日期:2018-04-20 00:00:00
abstract:BACKGROUND:The prevalence of chronic diseases such as type 2 diabetes and chronic low back pain is rising. Patient empowerment is a key strategy in the management of chronic diseases. Patient empowerment can be fostered by Web-based interactive health communication applications (IHCAs) that combine health information w...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3904
更新日期:2015-03-03 00:00:00
abstract:BACKGROUND:Despite the amount of online health information, there are several barriers that limit the Internet's adoption as a source of health information. One of these barriers is highlighted in conceptualizations of the digital divide which include the differential possession of Internet skills, or "eHealth literacy...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1581
更新日期:2011-04-29 00:00:00
abstract:BACKGROUND:Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the interv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15318
更新日期:2019-09-13 00:00:00
abstract::This paper concerns the use of the Internet in the research process, from identifying research issues through qualitative research, through using the Web for surveys and clinical trials, to pre-publishing and publishing research results. Material published on the Internet may be a valuable resource for researchers des...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.4.2.e13
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Digital health stations offer an affordable and accessible platform for people to monitor their health; however, there is limited information regarding the demographic profile of users and the health benefits of this technology. OBJECTIVE:This study aimed to assess the demographic representativeness of heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14977
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:The quality of physician-patient communication is a critical factor influencing treatment outcomes and patient satisfaction with care. To date, there is little research to document the effect of telemedicine (TM) on physician-patient communication. OBJECTIVE:The objectives of this study are to measure and d...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1193
更新日期:2009-09-30 00:00:00
abstract:BACKGROUND:There has been an exponential increase in the general population's usage of the internet and of information accessibility; the current demand for online consumer health information (OCHI) is unprecedented. There are multiple studies on internet access and usage, quality of information, and information needs....
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9326
更新日期:2018-05-04 00:00:00
abstract:BACKGROUND:The delivery of mobile health (mHealth) services is acceptable to mental health consumers. However, despite the benefits of accessibility, cost-effectiveness, anonymity, and ability to tailor content to individual needs, consumer engagement remains a hurdle for uptake and continued use. This may be unsurpris...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7273
更新日期:2017-04-07 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: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: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::People across the world have been greatly affected by the ongoing coronavirus disease (COVID-19) pandemic. The high infection risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospitals is particularly problematic for recently delivered mothers and currently pregnant women who require professiona...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19916
更新日期:2020-07-22 00:00:00
abstract:BACKGROUND:The emergence of the Internet has increased access to health information and can facilitate active individual engagement in health care decision making. Hispanics are the fastest-growing minority group in the United States and are also the most underserved in terms of access to online health information. A g...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3499
更新日期:2014-07-22 00:00:00
abstract::[This corrects the article DOI: .]. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,已发布勘误
doi:10.2196/17123
更新日期:2019-11-19 00:00:00
abstract:BACKGROUND:The Internet is widely available and commonly used for health information; therefore, Web-based weight loss programs could provide support to large parts of the population in self-guided weight loss. Previous studies showed that Web-based weight loss interventions can be effective, depending on the quality o...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2648
更新日期:2013-10-14 00:00:00
abstract:BACKGROUND:Web-based self-help interventions for problem drinking are coming of age. They have shown promising results in terms of cost-effectiveness, and they offer opportunities to reach out on a broad scale to problem drinkers. The question now is whether certain groups of problem drinkers benefit more from such Web...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1102
更新日期:2008-11-22 00:00:00
abstract:BACKGROUND:Type 2 diabetes is a serious, pervasive metabolic condition that disproportionately affects ethnic minority patients. Telehealth interventions can facilitate type 2 diabetes monitoring and prevent secondary complications. However, trials designed to test the effectiveness of telehealth interventions may unde...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6374
更新日期:2016-09-26 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:Walking represents a large part of daily physical activity. It reduces both overall and cardiovascular diseases and mortality and is suitable for cardiac patients. A step counter measures walking activity and might be a motivational tool to increase and maintain physical activity. There is a lack of knowledg...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5191
更新日期:2016-04-04 00:00:00
abstract:BACKGROUND:Sleep issues such as insomnia affect over 50 million Americans and can lead to serious health problems, including depression and obesity, and can increase risk of injury. Social media platforms such as Twitter offer exciting potential for their use in studying and identifying both diseases and social phenome...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4476
更新日期:2015-06-08 00:00:00
abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is now the fourth leading cause of death in the world, and it continues to increase in developing countries. The World Health Organization expects COPD to be the third most common cause of death in the world by 2020. Effective and continuous postdischarge care can...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6743
更新日期:2017-07-21 00:00:00