Abstract:
BACKGROUND:Children's participation in health care is one of the most important components in the management of their disease. Electronic health (eHealth) services that are adapted to the needs of children have the potential for restructuring how children and professionals work together. Therefore, a digital interactive assessment and communication tool, Sisom, was developed to give children aged between 6 and 12 years a voice in their own health care. However, the implementation of eHealth services such as Sisom in daily practice in pediatric health care is rarely investigated. OBJECTIVE:The aim of this study was to explore the process of implementing Sisom for children in pediatric care in Sweden. More specifically, the study aimed to (1) evaluate whether the implementation strategy was conducted as planned, (2) understand the barriers and facilitators of the implementation strategy in pediatric care settings, (3) gain insight into how professionals work with the specific intervention, and (4) gain insight into the usefulness and effects of the intervention from the professionals' perspectives. METHODS:A process evaluation design was used to study the implementation of Sisom at 4 pediatric care centers in Sweden. An extensive amount of qualitative and quantitative data was collected before, during, and after the intervention through self-report checklists, memos, and interviews with professionals. In total, 46 children, aged between 6 and 13 years, participated. The children used Sisom on two occasions during 6 months. When they used Sisom, a printed report formed the basis for a forthcoming dialogue between professionals, children, and their parents. RESULTS:To our knowledge, this is the first implementation study of an eHealth communication tool aimed at strengthening children's participation in pediatric health care. Key factors for successful implementation were alignment of the solution with the values and goals of the organization, health care professionals' beliefs in the usefulness and usability of the solution, and health care professionals' willingness to change their professional roles guided by the solution. CONCLUSIONS:The results from the study show that it is possible to restructure health care delivery toward a child-centered approach, if there is a willingness and preparedness in the organization to implement an eHealth solution with the aim of restructuring the way of working with children's participation.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Svedberg P,Arvidsson S,Larsson I,Carlsson IM,Nygren JMdoi
10.2196/14271subject
Has Abstractpub_date
2019-11-15 00:00:00pages
e14271issue
11eissn
1439-4456issn
1438-8871pii
v21i11e14271journal_volume
21pub_type
杂志文章,多中心研究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: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: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: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:Diabetes self-management education has been shown to be effective in controlled trials. The 6-week Better Choices, Better Health-Diabetes (BCBH-D) self-management program was also associated with an improvement in health outcomes in a 6-month translation study. OBJECTIVE:The objective of this study was to d...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6484
更新日期:2016-12-15 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::A growing number of investigators have commented on the lack of models to inform the design of behavioral intervention technologies (BITs). BITs, which include a subset of mHealth and eHealth interventions, employ a broad range of technologies, such as mobile phones, the Web, and sensors, to support users in changing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3077
更新日期:2014-06-05 00:00:00
abstract::Analogous to checklists of recommendations such as the CONSORT statement (for randomized trials), or the QUORUM statement (for systematic reviews), which are designed to ensure the quality of reports in the medical literature, a checklist of recommendations for authors is being presented by the Journal of Medical Inte...
journal_title:Journal of medical Internet research
pub_type: 社论
doi:10.2196/jmir.6.3.e34
更新日期:2004-09-29 00:00:00
abstract:BACKGROUND:Blended group therapy (bGT) has been investigated a several times for anxiety and depression, but information on patients' adherence to and therapists' perception of the novel format is nonexistent. Furthermore, many studies investigated mainly female and highly educated populations, limiting the validity of...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11860
更新日期:2019-04-28 00:00:00
abstract:BACKGROUND:Understanding public behavioral responses to the coronavirus disease (COVID-19) epidemic and the accompanying infodemic is crucial to controlling the epidemic. OBJECTIVE:The aim of this study was to assess real-time public awareness and behavioral responses to the COVID-19 epidemic across 12 selected countr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21143
更新日期:2020-08-03 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: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::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: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 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:Mental health conditions are prevalent among US veterans and pose a number of self-management and health care navigation challenges. Post-Traumatic Stress Disorder (PTSD) with comorbid chronic medical conditions (CMCs) is especially common, in both returning Iraq or Afghanistan and earlier war-era veterans. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5594
更新日期:2016-10-26 00:00:00
abstract:BACKGROUND:Many patients with eating disorders do not receive help for their symptoms, even though these disorders have severe morbidity. The Internet may offer alternative low-threshold treatment interventions. OBJECTIVE:This study evaluated the effects of a Web-based cognitive behavioral therapy (CBT) intervention u...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3946
更新日期:2015-06-18 00:00:00
abstract:BACKGROUND:Predatory journals fail to fulfill the tenets of biomedical publication: peer review, circulation, and access in perpetuity. Despite increasing attention in the lay and scientific press, no studies have directly assessed the perceptions of the authors or editors involved. OBJECTIVE:Our objective was to unde...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/13769
更新日期:2019-08-30 00:00:00
abstract:BACKGROUND:Major depression accounts for the greatest burden of all diseases globally. The peak onset of depression occurs between adolescence and young adulthood, and for many individuals, depression displays a relapse-remitting and increasingly severe course. Given this, the development of cost-effective, acceptable,...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3304
更新日期:2014-09-16 00:00:00
abstract:BACKGROUND:The prioritization of sustainable patient-centered care in contemporary health care has resulted in an increased focus on patient empowerment, which in turn is considered to facilitate patient independence, self-management, and self-efficacy. However, a definitional consensus of empowerment remains elusive, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.7809
更新日期:2017-09-29 00:00:00
abstract:BACKGROUND:Emergency physicians face the challenge of relieving acute pain daily. While opioids are a potent treatment for pain, the opioid epidemic has ignited a search for nonopioid analgesic alternatives that may decrease the dose or duration of opioid exposure. While behavioral therapies and complementary medicine ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/18537
更新日期:2020-05-20 00:00:00
abstract:BACKGROUND:Word embeddings are dense numeric vectors used to represent language in neural networks. Until recently, there had been no publicly released embeddings trained on clinical data. Our work is the first to study the privacy implications of releasing these models. OBJECTIVE:This paper aims to demonstrate that t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18055
更新日期:2020-07-15 00:00:00
abstract:BACKGROUND:Electronic devices (eDevices) may have positive or negative influences on family communication and well-being depending on how they are used. OBJECTIVE:We examined eDevice use during family time and its association with the quality of family communication and well-being in Hong Kong Chinese adults. METHODS...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20529
更新日期:2020-10-14 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: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:Decision support systems based on reinforcement learning (RL) have been implemented to facilitate the delivery of personalized care. This paper aimed to provide a comprehensive review of RL applications in the critical care setting. OBJECTIVE:This review aimed to survey the literature on RL applications for...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/18477
更新日期:2020-07-20 00:00:00
abstract:BACKGROUND:Videoconferencing-based treatments have shown great potential in increasing engagement and compliance by decreasing the barriers of time and distance. In general, employees tend to experience a lot of stress, but find it difficult to visit a clinic during office hours. OBJECTIVE:The purpose of this study wa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/10760
更新日期:2018-10-22 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:Many health information providers on the Internet and doctors with email accounts are confronted with the phenomenon of receiving unsolicited emails from patients asking for medical advice. Also, a growing number of websites offer "ask-the-doctor" services, where patients can ask questions to health professi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2.1.e1
更新日期:2000-01-01 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