Abstract:
BACKGROUND:Serious gaming could support patients in learning to cope with chronic pain or functional somatic syndromes and reduce symptom burdens.
OBJECTIVE:To realize this potential, insight is needed into how, why, for whom, and when it works in actual treatment circumstances.
METHODS:Following a realist approach, process evaluations were performed before, during, and after a two-armed, natural quasi-experiment (n=275). A group of patients with interfering chronic pain or fatigue symptoms received a short additional blended mindfulness-based serious gaming intervention during a multidisciplinary rehabilitation program. A control group only received the regular rehabilitation program. During two sessions before and one session after the experiment, expectations about serious gaming processes were discussed in focus groups with local care providers, implementers, and experts. Patients participated in a survey (n=114) and in semistructured interviews (n=10). The qualitative data were used to develop tentative expectations about aspects of serious gaming that, in certain patients and circumstances, trigger mechanisms of learning and health outcome change. Hypotheses about indicative quantitative data patterns for tentative expectations were formulated before inspecting, describing, and analyzing-with regression models-routinely collected clinical outcome data. An updated program theory was formulated after mixing the qualitative and quantitative results.
RESULTS:Qualitative data showed that a subset of patients perceived improvement of their self-awareness in moments of daily social interactions. These results were explained by patients, who played the serious game LAKA, as a "confrontation with yourself," which reflected self-discrepancies. Important characteristics of serious gaming in the study's context included innovation factors of relative advantage with experiential learning opportunity, compatibility with the treatment approach, and the limited flexibility in regard to patient preferences. Perceived patient factors included age and style of coping with stress or pain. Learning perceptions could also depend on care provider role-taking and the planning and facilitating (ie, local organization) of serious gaming introduction and feedback sessions in small groups of patients. Quantitative data showed very small average differences between the study groups in self-reported depression, pain, and fatigue changes (-.07 journal_name journal_title authors doi subject pub_date pages issue eissn issn pii journal_volume pub_type
abstract:BACKGROUND:Men continue to smoke in greater numbers than women; however, few interventions have been developed and tested to support men's cessation. Men tend to rely on quitting strategies associated with stereotypical manliness, such as willpower, stoicism, and independence, but they may lack the self-efficacy skills...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4491
更新日期:2015-08-10 00:00:00
abstract:BACKGROUND:Conversational assistants, such as Siri, Alexa, and Google Assistant, are ubiquitous and are beginning to be used as portals for medical services. However, the potential safety issues of using conversational assistants for medical information by patients and consumers are not understood. OBJECTIVE:To determ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11510
更新日期:2018-09-04 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:Reporting cumulative antimicrobial susceptibility testing data on a regular basis is crucial to inform antimicrobial resistance (AMR) action plans at local, national, and global levels. However, analyzing data and generating a report are time consuming and often require trained personnel. OBJECTIVE:This stu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/19762
更新日期:2020-10-02 00:00:00
abstract:BACKGROUND:Recruitment of health research participants through social media is becoming more common. In the United States, 80% of adults use at least one social media platform. Social media platforms may allow researchers to reach potential participants efficiently. However, online research methods may be associated wi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/23021
更新日期:2020-10-07 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:Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings. OBJECTIVE:The objective of our study was to determine whether di...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9160
更新日期:2018-05-09 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:Mobile apps for mobile phones and tablet devices are widely used by children and young people aged 0-18 years with long-term health conditions, such as chronic kidney disease (CKD), and their healthy peers for social networking or gaming. They are also poised to become a major source of health guidance. Howe...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7760
更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:Patients suffering from depression have a high risk of relapse and readmission in the weeks following discharge from inpatient wards. Electronic self-monitoring systems that offer patient-communication features are now available to offer daily support to patients, but the usability, acceptability, and adhere...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6673
更新日期:2017-04-21 00:00:00
abstract::Brain-machine interfaces hold promise for the restoration of sensory and motor function and the treatment of neurological disorders, but clinical brain-machine interfaces have not yet been widely adopted, in part, because modest channel counts have limited their potential. In this white paper, we describe Neuralink's ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16194
更新日期:2019-10-31 00:00:00
abstract:BACKGROUND:Hydroxyurea, chronic blood transfusions, and bone marrow transplantation are efficacious, disease-modifying therapies for sickle cell disease but involve complex risk-benefit trade-offs and decisional dilemma compounded by the lack of comparative studies. A patient decision aid can inform patients about thei...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/14462
更新日期:2019-12-04 00:00:00
abstract::In October 2015, the "Chinese American Physicians E-Hospital" celebrated its "grand opening" online. All physicians affiliated with this E-Hospital are bilingual Chinese American physicians, who provide services ranging from initial teleconsulting to international transfer and treatment in the United States. Such tele...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5432
更新日期:2016-05-23 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:Since 2000, the Centre for Online Health (COH) at The University of Queensland has offered a range of online eHealth courses at the undergraduate and postgraduate level. While online learning has a number of advantages, in some domains, it can present some challenges to the development of practical skills an...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2029
更新日期:2012-12-18 00:00:00
abstract:BACKGROUND:The early diagnosis of various gastrointestinal diseases can lead to effective treatment and reduce the risk of many life-threatening conditions. Unfortunately, various small gastrointestinal lesions are undetectable during early-stage examination by medical experts. In previous studies, various deep learnin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18563
更新日期:2020-11-26 00:00:00
abstract:BACKGROUND:Nonpharmaceutical interventions (NPIs) (such as wearing masks and social distancing) have been implemented by governments around the world to slow the spread of COVID-19. To promote public adherence to these regimes, governments need to understand the public perceptions and attitudes toward NPI regimes and t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/21419
更新日期:2020-09-03 00:00:00
abstract:BACKGROUND:Individuals with chronic obstructive pulmonary disease (COPD) live with the burden of a progressive life-threatening condition that is often accompanied by anxiety and depression. The severity of the condition is usually considered from a clinical perspective and characterized according to the Global Initiat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10924
更新日期:2019-06-02 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: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:Groups and individuals that seek to negatively influence public opinion about the safety and value of vaccination are active in online and social media and may influence decision making within some communities. OBJECTIVE:We sought to measure whether exposure to negative opinions about human papillomavirus (...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4343
更新日期:2015-06-10 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:Personal health records (PHRs) remain a relatively new technology and concept in practice even though they have been discussed in the literature for more than 50 years. There is no consensus on the definition of a PHR or PHR system even within the professional societies of health information technology. OBJ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1781
更新日期:2011-11-29 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: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:In Taiwan, which has one of the most rapidly aging populations in the world, it is becoming increasingly critical to promote successful aging strategies that are effective, easily usable, and acceptable to institutionalized older adults. Although many practitioners and professionals have explored aromatherap...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17096
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:An increasing number of doctor reviews are being generated by patients on the internet. These reviews address a diverse set of topics (features), including wait time, office staff, doctor's skills, and bedside manners. Most previous work on automatic analysis of Web-based customer reviews assumes that (1) pr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11141
更新日期:2018-11-12 00:00:00
abstract:BACKGROUND:Web-based computer-tailored interventions for multiple health behaviors can improve the strength of behavior habits in people who want to reduce their cardiovascular risk. Nonetheless, few randomized controlled trials have tested this assumption to date. OBJECTIVE:The study aim was to test an 8-week Web-bas...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5147
更新日期:2016-04-11 00:00:00
abstract:BACKGROUND:An increasing number of people have access to the Internet, and more people are seeking tobacco cessation resources online every year. Despite the proliferation of various online interventions and their evident acceptance and reach, little research has addressed their impact in the real world. Typically, low...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9.4.e28
更新日期:2007-09-30 00:00:00
abstract:BACKGROUND:Although web-based interventions for promoting health and health-related behavior can be effective, poor adherence is a common issue that needs to be addressed. Technology as a means to communicate the content in web-based interventions has been neglected in research. Indeed, technology is often seen as a bl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2104
更新日期:2012-11-14 00:00:00