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Skip search results from other journals and go to results- 1235 Journal of Medical Internet Research
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Many recent reviews have shown that low engagement is a ubiquitous problem among DMHIs [17-19]. Plus, user engagement is considerably lower in naturalistic settings than in empirical studies [19-21]. To illustrate this, a review of 59 off-the-shelf mental health apps reported a median uptake rate of 4.0% and a 15-day retention rate of only 3.9% [22].
JMIR Ment Health 2025;12:e67190
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RM involves sending CIED data from a patient’s residence via a transmitter or smartphone app. Routine transmissions are usually sent every 90 days and can also be patient- or alert-initiated. RM is a Class 1, Level of Evidence A, professional society recommendation because of its many clinical outcome benefits [1,2]. These include reduced mortality [3-5], fewer hospitalizations [3,6], fewer inappropriate ICD shocks [7], as well as high patient satisfaction [8].
JMIR Cardio 2025;9:e66215
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This laborious process, which demands expertise and resources, faces a bottleneck in scaling up to meet the demand for a vast quantity of quality items. The challenge is particularly pronounced in medical education, where only a progress test administration in a year requires having 2400 multiple-choice items [2], showing the inefficiency of traditional methods in satisfying the needs of question banks in medical schools.
JMIR Form Res 2025;9:e65726
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We iteratively and rigorously engineered detailed “prompts” guiding GPT to emulate a diagnosis-focused or management-focused VP and provide feedback. To instantiate a specific VP, the interface accesses a 1-page case description. Narrative S1 in Multimedia Appendix 1 reports the full prompt and 1 case description.
We selected as topics 2 common problems in ambulatory medicine: chronic cough (a diagnostic task) and diabetes (a management task).
J Med Internet Res 2025;27:e68486
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A threshold of 4 was chosen, as values beyond this range are typically considered extreme in statistical analysis, reducing the influence of outliers while retaining most of the data. This choice was particularly appropriate given that step count data often do not follow a normal distribution, necessitating a more flexible approach to outlier detection [32].
The number of steps ranged from 0 to 60,000 steps.
J Med Internet Res 2025;27:e68199
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Telemedicine is often considered to be a promising solution for sustainable health care delivery as multiple reviews reported a reduction in travel-related emissions [9,10]. Savings were typically setting dependent and ranged anywhere between 0.7 and 372 kg of carbon dioxide equivalents (kg CO2eq) per consultation [10].
J Med Internet Res 2025;27:e67538
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(A) The 5-Cog battery (5-min cognitive assessment). (B) Decision support for a patient with a positive 5-Cog result. (C) Decision support for a patient with a negative 5-Cog result. EMR: electronic medical record.
The United States Institute of Medicine (now the National Academy of Medicine) estimated a 17-year gap from when a clinical innovation is proven effective to when it is routinely implemented in clinical care [51].
JMIR Res Protoc 2025;14:e60471
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Multiple notes can be written to describe the same identified chiropractic visit; for example, a resident chiropractor note and an attending chiropractor note may each contain data relevant to a single visit. We concatenated all notes linked to the same unique visit identifier on the same date of service (regardless of note author) to create a 1-to-1 relationship between visits and clinic notes. A unique character set was used as a delimiter to separate individual notes.
JMIR Med Inform 2025;13:e66466
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SC involves a range of cognitive functions, including the perception, organization, and use of location and object–based information to understand and navigate through physical or mental spaces [12-14]. When integrated, these processes facilitate complex spatial behaviors, such as solving mazes or tracing routes from point A to point B using landmarks or self-positioning as a reference [13].
JMIR Serious Games 2025;13:e66167
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Each DMHI was evaluated based on 2 quality rating scales: the A-MARS and the ARIA. A description of each is provided in the subsequent sections.
The A-MARS [33] is a rating scale adapted from the MARS [34] and was used to review RBs and WBPs. The A-MARS was developed to evaluate health-related e-tools, with a specific expansion of the engagement subscale.
JMIR Mhealth Uhealth 2025;13:e64098
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