Abstract:
BACKGROUND:Incorporating cognitive testing into routine clinical practice is a challenge in multiple sclerosis (MS), given the wide spectrum of both cognitive and physical impairments people can have and the time that testing requires. Shortened paper and verbal assessments predominate but still are not used routinely. Computer-based tests are becoming more widespread; however, changes in how a paper test is implemented can impact what exactly is being assessed in an individual. The Symbol Digit Modalities Test (SDMT) is one validated test that forms part of the cognitive batteries used in MS and has some computer-based versions. We developed a tablet-based SDMT variant that has the potential to be ultimately deployed to patients' own devices. OBJECTIVE:This paper aims to develop, validate, and deploy a computer-based SDMT variant, the Cognition Reaction (CoRe) test, that can reliably replicate the characteristics of the paper-based SDMT. METHODS:We carried out analysis using Pearson and intraclass correlations, as well as a Bland-Altman comparison, to examine consistency between the SDMT and CoRe tests and for test-retest reliability. The SDMT and CoRe tests were evaluated for sensitivity to disability levels and age. A novel metric in CoRe was found: question answering velocity could be calculated. This was evaluated in relation to disability levels and age for people with MS and compared with a group of healthy control volunteers. RESULTS:SDMT and CoRe test scores were highly correlated and consistent with 1-month retest values. Lower scores were seen in patients with higher age and some effect was seen with increasing disability. There was no learning effect evident. Question answering velocity demonstrated a small increase in speed over the 90-second duration of the test in people with MS and healthy controls. CONCLUSIONS:This study validates a computer-based alternative to the SDMT that can be used in clinics and beyond. It enables accurate recording of elements of cognition relevant in MS but offers additional metrics that may offer further value to clinicians and people with MS.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Middleton RM,Pearson OR,Ingram G,Craig EM,Rodgers WJ,Downing-Wood H,Hill J,Tuite-Dalton K,Roberts C,Watson L,Ford DV,Nicholas R,UK MS Register Research Group.doi
10.2196/18234subject
Has Abstractpub_date
2020-09-23 00:00:00pages
e18234issue
9eissn
1439-4456issn
1438-8871pii
v22i9e18234journal_volume
22pub_type
杂志文章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:Improving recovery from acute symptoms and preventing relapse are two significant challenges in severe mental illness. We developed a personalized smartphone-based app to monitor symptoms in real time and validated its acceptance, reliability, and validity. OBJECTIVE:To assess (i) acceptability of continuou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/17019
更新日期:2020-08-13 00:00:00
abstract:BACKGROUND:The death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. COVID-19 has caused an immense psychological burden on the population, especially among doctors and nurses who are faced with high infection risks and increased workload. OBJECTIVE:The aim of this study was to compare the mental hea...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/24983
更新日期:2021-01-18 00:00:00
abstract:BACKGROUND:There is no functional pharmacovigilance system in Cambodia to our knowledge. Mobile phone-based tools, such as short message service (SMS) text messages, are increasingly used for surveillance purposes. OBJECTIVE:To pilot-test the FrontlineSMS mobile phone-based tool for notification of adverse events, usi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2477
更新日期:2013-04-16 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:Parenting a child through cancer is a distressing experience, and a subgroup of parents report negative long-term psychological consequences years after treatment completion. However, there is a lack of evidence-based psychological interventions for parents who experience distress in relation to a child's ca...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9457
更新日期:2018-04-18 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:Self-guided internet-based cognitive behavioral therapies (iCBTs) for depressive symptoms may substantially increase accessibility to mental health treatment. Despite this, questions remain as to the generalizability of the research on self-guided iCBT. OBJECTIVE:We sought to describe the clinical entry cri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10113
更新日期:2018-11-09 00:00:00
abstract:BACKGROUND:Provision of online evidence at the point of care is one strategy that could provide clinicians with easy access to up-to-date evidence in clinical settings in order to support evidence-based decision making. OBJECTIVE:The aim was to determine long-term use of an online evidence system in routine clinical p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.974
更新日期:2008-03-19 00:00:00
abstract:BACKGROUND:Mobile phone use and the adoption of healthy lifestyle software apps ("health apps") are rapidly proliferating. There is limited information on the users of health apps in terms of their social demographic and health characteristics, intentions to change, and actual health behaviors. OBJECTIVE:The objective...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5604
更新日期:2017-04-19 00:00:00
abstract:BACKGROUND:In many countries, there has been substantial progress in establishing the electronic transmission of patients' health information between health care providers, but little is known about how best to engage patients in the process. OBJECTIVE:We explored patients' views about sharing of electronic health inf...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1164
更新日期:2009-08-06 00:00:00
abstract:BACKGROUND:The medical tourism industry is currently popular in India, but there is no confirmation of the common perspectives among the country's medical travelers. OBJECTIVE:This qualitative research study analyzed web-based narratives from health travelers visiting India and described the themes of their experience...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15665
更新日期:2020-05-14 00:00:00
abstract:BACKGROUND:The application of mobile health (mHealth) platforms to monitor recovery in the postdischarge period has increased in recent years. Despite widespread enthusiasm for mHealth, few studies have evaluated the usability and user experience of mHealth in patients with surgical drainage. OBJECTIVE:Our objectives ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17686
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:Unhealthy lifestyle behaviors often co-occur and are related to chronic diseases. One effective method to change multiple lifestyle behaviors is web-based computer tailoring. Dropout from Internet interventions, however, is rather high, and it is challenging to retain participants in web-based tailored progr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1968
更新日期:2012-03-08 00:00:00
abstract:BACKGROUND:Diabetic retinopathy (DR), a common complication of diabetes mellitus, is the leading cause of impaired vision in adults worldwide. Smartphone ophthalmoscopy involves using a smartphone camera for digital retinal imaging. Utilizing smartphones to detect DR is potentially more affordable, accessible, and easi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
doi:10.2196/16658
更新日期:2020-05-15 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:A majority of adolescents report the use of some form of social media, and many prefer to communicate via social networking sites. Social media may offer new opportunities in diabetes management, particularly in terms of how health care teams provide tailored support and treatment to adolescents with diabete...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12149
更新日期:2019-05-30 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:In December 2019, pneumonia cases of unknown origin were reported in Wuhan City, Hubei Province, China. Identified as the coronavirus disease (COVID-19), the number of cases grew rapidly by human-to-human transmission in Wuhan. Social media, especially Sina Weibo (a major Chinese microblogging social media s...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19087
更新日期:2020-05-17 00:00:00
abstract:BACKGROUND:Enormous amounts of data are recorded routinely in health care as part of the care process, primarily for managing individual patient care. There are significant opportunities to use these data for other purposes, many of which would contribute to establishing a learning health system. This is particularly t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9134
更新日期:2018-05-29 00:00:00
abstract:BACKGROUND:Those who go online regarding their sexual health are potential users of new Internet-based sexual health interventions. Understanding the size and characteristics of this population is important in informing intervention design and delivery. OBJECTIVE:We aimed to estimate the prevalence in Britain of recen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4373
更新日期:2016-01-20 00:00:00
abstract:BACKGROUND:One of the essential elements of a strategic approach to improving patients' experience is to measure and report on patients' experiences in real time. Real-time feedback (RTF) is increasingly being collected using digital technology; however, there are several factors that may influence the success of the d...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9076
更新日期:2019-01-14 00:00:00
abstract:BACKGROUND:Self-reported medical history information is included in many studies. However, data on the validity of Web-based questionnaires assessing medical history are scarce. If proven to be valid, Web-based questionnaires may provide researchers with an efficient means to collect data on this parameter in large pop...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3847
更新日期:2015-06-16 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:Digital health social networks (DHSNs) are widespread, and the consensus is that they contribute to wellness by offering social support and knowledge sharing. The success of a DHSN is based on the number of participants and their consistent creation of externalities through the generation of new content. To ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/jmir.6330
更新日期:2017-02-17 00:00:00
abstract::Digital health is an advancing phenomenon in modern health care systems. Currently, numerous stakeholders in various countries are evaluating the potential benefits of digital health solutions at the individual, population, and/or organizational levels. Additionally, driving factors are being created from the customer...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9732
更新日期:2018-05-18 00:00:00
abstract:BACKGROUND:Massive open online courses (MOOCs), as originally conceived, promised to provide educational access to anyone with an internet connection. However, the expansiveness of MOOC education has been found to be somewhat limited. Nonetheless, leading universities continue to offer MOOCs, including many in the heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17318
更新日期:2020-07-08 00:00:00
abstract:BACKGROUND:Sleepio is a proven digital sleep improvement program based on cognitive behavioral therapy techniques. Users have the option to join an online community that includes weekly expert discussions, peer-to-peer discussion forums, and personal message walls. OBJECTIVE:The aim of this study was to conduct an onl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5654
更新日期:2016-04-25 00:00:00
abstract::The use of Facebook groups by health care researchers and professionals for chronic disease management, namely type 2 diabetes mellitus and coronary heart disease, is in its early stages and challenges are emerging. While Facebook groups offer great potential to deliver health support, research of Facebook groups for ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7558
更新日期:2018-01-17 00:00:00
abstract:BACKGROUND:Patient registries are commonly used to track survival and medical outcomes in large cohorts. However, large-scale collection of health-related quality of life (HRQOL) data is more challenging because such data must be collected directly from patients. Internet-based HRQOL questionnaires are a potential solu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1214
更新日期:2010-08-19 00:00:00