Abstract:
BACKGROUND:Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consuming clinician-administered Home, Education, Eating, Activities, Drugs and Alcohol, Sexuality, Suicide and Depression, Safety (HEEADSSS) interview. The Youth version, Case-finding and Help Assessment Tool (YouthCHAT) is a relatively new, locally developed, electronic tablet-based composite screener for identifying similar psychosocial issues to HEEADSSS. OBJECTIVE:This study aimed to compare the performance and acceptability of YouthCHAT with face-to-face HEEADSSS assessment among 13-year-old high school students. METHODS:A counterbalanced randomized trial of YouthCHAT screening either before or after face-to-face HEEADSSS assessment was undertaken with 129 13-year-old New Zealand high school students of predominantly Māori and Pacific Island ethnicity. Main outcome measures were comparability of YouthCHAT and HEEADSSS completion times, detection rates, and acceptability to students and school nurses. RESULTS:YouthCHAT screening was more than twice as fast as HEEADSSS assessment (mean 8.57 min vs mean 17.22 min; mean difference 8 min 25 seconds [range 6 min 20 seconds to 11 min 10 seconds]; P<.01) and detected more issues overall on comparable domains. For substance misuse and problems at home, both instruments were roughly comparable. YouthCHAT detected significantly more problems with eating or body image perception (70/110, 63.6% vs 25/110, 22.7%; P<.01), sexual health (24/110, 21.8% vs 10/110, 9.1%; P=.01), safety (65/110, 59.1% vs 17/110, 15.5%; P<.01), and physical inactivity (43/110, 39.1% vs 21/110, 19.1%; P<.01). HEEADSSS had a greater rate of detection for a broader set of mental health issues (30/110, 27%) than YouthCHAT (11/110, 10%; P=.001), which only assessed clinically relevant anxiety and depression. Assessment order made no significant difference to the duration of assessment or to the rates of YouthCHAT-detected positive screens for anxiety and depression. There were no significant differences in student acceptability survey results between the two assessments. Nurses identified that students found YouthCHAT easy to answer and that it helped students answer face-to-face questions, especially those of a sensitive nature. Difficulties encountered with YouthCHAT included occasional Wi-Fi connectivity and student literacy issues. CONCLUSIONS:This study provides preliminary evidence regarding the shorter administration time, detection rates, and acceptability of YouthCHAT as a school-based psychosocial screener for young people. Although further research is needed to confirm its effectiveness in other age and ethnic groups, YouthCHAT shows promise for aiding earlier identification and treatment of common psychosocial problems in young people, including possible use as part of an annual, school-based, holistic health check. TRIAL REGISTRATION:Australian New Zealand Clinical Trials Network Registry (ACTRN) ACTRN12616001243404p; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371422.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Thabrew H,D'Silva S,Darragh M,Goldfinch M,Meads J,Goodyear-Smith Fdoi
10.2196/13911subject
Has Abstractpub_date
2019-12-03 00:00:00pages
e13911issue
12eissn
1439-4456issn
1438-8871pii
v21i12e13911journal_volume
21pub_type
杂志文章,随机对照试验abstract::Artificial intelligence (AI) is seen as a strategic lever to improve access, quality, and efficiency of care and services and to build learning and value-based health systems. Many studies have examined the technical performance of AI within an experimental context. These studies provide limited insights into the issu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17707
更新日期:2020-07-07 00:00:00
abstract:BACKGROUND:Social networks are common in digital health. A new stream of research is beginning to investigate the mechanisms of digital health social networks (DHSNs), how they are structured, how they function, and how their growth can be nurtured and managed. DHSNs increase in value when additional content is added, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4297
更新日期:2015-06-25 00:00:00
abstract:BACKGROUND:Patients' participation in their health care is recognized as a key component in high-quality health care. Persons with persistent pain are recommended treatments with a cognitive approach from a biopsychosocial explanation of pain, in which a patient's active participation in their rehabilitation is in focu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5970
更新日期:2017-01-18 00:00:00
abstract:BACKGROUND:The Internet offers diverse opportunities for disease management, through information websites (Health 1.0) and interactive applications such as peer support forums, online consults, and insight into electronic medical records (Health 2.0). However, various skills are required to benefit from Health 1.0 and ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2428
更新日期:2013-02-11 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::Wearable sensor technology could have an important role for clinical research and in delivering health care. Accordingly, such technology should undergo rigorous evaluation prior to market launch, and its performance should be supported by evidence-based marketing claims. Many studies have been published attempting to...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10108
更新日期:2018-07-02 00:00:00
abstract:BACKGROUND:Mobile apps are an evolving trend in the medical field. To date, few apps in an oncological context exist. OBJECTIVE:The aim was to analyze the attitude of health care professionals (HCPs) toward telemedicine, mHealth, and mobile apps in the field of oncology. METHODS:We developed and conducted an online s...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6399
更新日期:2016-11-24 00:00:00
abstract:BACKGROUND:Men who use the Internet to seek sex with other men (MISM) are increasingly using the Internet to find sexual health information and to seek sexual partners, with some research suggesting HIV transmission is associated with sexual partnering online. Aiming to "meet men where they are at," some AIDS service o...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4503
更新日期:2015-12-09 00:00:00
abstract:BACKGROUND:Intimate partner violence (IPV) is a major public health concern. eHealth interventions may reduce exposure to violence and health-related consequences as the technology provides a safe and flexible space for the target population. However, the evidence is unclear. OBJECTIVE:The goal of the review is to exa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2020-12-11 00:00:00
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 cr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6644
更新日期:2017-01-09 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: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:Internet technologies can create advanced and rich web-based apps that allow radiologists to easily access teleradiology systems and remotely view medical images. However, each technology has its own drawbacks. It is difficult to balance the advantages and disadvantages of these internet technologies and ide...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16224
更新日期:2020-09-25 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: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:Although the use of patient-generated data (PGD) in the optimization of patient care shows great promise, little is known about whether patients who track their PGD necessarily share the data with their clinicians. Meanwhile, health literacy-an important construct that captures an individual's ability to man...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18937
更新日期:2020-12-22 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:Influenza is a viral respiratory disease capable of causing epidemics that represent a threat to communities worldwide. The rapidly growing availability of electronic "big data" from diagnostic and prediagnostic sources in health care and public health settings permits advance of a new generation of methods ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7101
更新日期:2017-06-15 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 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: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:In support of professional practice, asynchronous communication between the patient and the provider is implemented separately or in combination with Internet-based self-management interventions. This interaction occurs primarily through electronic messaging or discussion boards. There is little evidence as ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2014-01-16 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-06-19 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2011-09-25 00:00:00
abstract:BACKGROUND:Little is known about the effectiveness of mobile apps in aiding smoking cessation or their validity for automated collection of data on smoking cessation outcomes. OBJECTIVE:We conducted a preliminary evaluation of SF28 (SF28 is the name of the app, short for SmokeFree28)-an app aimed at helping smokers to...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3479
更新日期:2015-01-16 00:00:00
abstract:BACKGROUND:Clinical documentation has undergone a change due to the usage of electronic health records. The core element is to capture clinical findings and document therapy electronically. Health care personnel spend a significant portion of their time on the computer. Alternatives to self-typing, such as speech recog...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5072
更新日期:2015-11-03 00:00:00
abstract:BACKGROUND:The current COVID-19 pandemic is showing negative effects on human health as well as on social and economic life. It is a critical and challenging task to revive public life while minimizing the risk of infection. Reducing interactions between people by social distancing is an effective and prevalent measure...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21613
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:Wearable and mobile devices that capture multimodal data have the potential to identify risk factors for high stress and poor mental health and to provide information to improve health and well-being. OBJECTIVE:We developed new tools that provide objective physiological and behavioral measures using wearabl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2018-06-08 00:00:00
abstract:BACKGROUND:A substantial proportion of parents of children on cancer treatment report psychological distress such as symptoms of post-traumatic stress (PTSS), depression, and anxiety. During their child's treatment many parents also experience an economic burden. OBJECTIVE:The aim of this study was to evaluate the lon...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-07-27 00:00:00