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Effectiveness of Digital Lifestyle Interventions on Depression, Anxiety, Stress, and Well-Being: Systematic Review and Meta-Analysis

Effectiveness of Digital Lifestyle Interventions on Depression, Anxiety, Stress, and Well-Being: Systematic Review and Meta-Analysis

To be included in this systematic review and meta-analysis, studies needed to meet the following criteria: (1) involve adults (aged ≥18 years) of any health status and (2) include a digitally delivered lifestyle intervention targeting physical activity, diet, sleep, or any combination thereof.

Jacinta Brinsley, Edward J O'Connor, Ben Singh, Grace McKeon, Rachel Curtis, Ty Ferguson, Georgia Gosse, Iris Willems, Pieter-Jan Marent, Kimberley Szeto, Joseph Firth, Carol Maher

J Med Internet Res 2025;27:e56975

Development of a Voice-Activated Virtual Assistant to Improve Insomnia Among Young Adult Cancer Survivors: Mixed Methods Feasibility and Acceptability Study

Development of a Voice-Activated Virtual Assistant to Improve Insomnia Among Young Adult Cancer Survivors: Mixed Methods Feasibility and Acceptability Study

Participants were instructed to engage with the prototype system twice daily for 14 days, including entering sleep logs, receiving smart speaker–delivered education about relevant content (eg, sleep hygiene, relaxation strategies), and reviewing personalized data regarding screen time use.

Hunter Groninger, Hannah Arem, Lylian Ayangma, Lisa Gong, Eric Zhou, Daniel Greenberg

JMIR Form Res 2025;9:e64869

Monitoring Sleep Quality Through Low α-Band Activity in the Prefrontal Cortex Using a Portable Electroencephalogram Device: Longitudinal Study

Monitoring Sleep Quality Through Low α-Band Activity in the Prefrontal Cortex Using a Portable Electroencephalogram Device: Longitudinal Study

Sleep is a fundamental behavior closely related to daily life, and sleep quality plays a crucial role in human health [1-4]. Poor sleep quality often leads to various types of physical ailments [5-7]. Previous studies have conducted systematic research across different species (flies [8], rodents [9-14], cats [15,16], nonhuman primates [17], and humans [18-21]) to characterize the neural mechanisms across multiple stages of sleep.

Chuanliang Han, Zhizhen Zhang, Yuchen Lin, Shaojia Huang, Jidong Mao, Weiwen Xiang, Fang Wang, Yuping Liang, Wufang Chen, Xixi Zhao

J Med Internet Res 2025;27:e67188

Associations Between Sleep Duration and Activity of Daily Living Disability Among Older Adults in China: Cross-Sectional Study

Associations Between Sleep Duration and Activity of Daily Living Disability Among Older Adults in China: Cross-Sectional Study

This report emphasizes that sleep loss is an extremely important risk factor for mental health issues. At present, the relationship between sleep duration and ADL disability has received much attention [13]. A longitudinal observational study suggested that short sleep duration during inpatient rehabilitation might be against greater functional ability at discharge among individuals with acute stroke [14].

Huimin Fan, Weijie Yu, Hongguo Rong, Xiaokun Geng

Interact J Med Res 2025;14:e65075

Diaphragmatic Breathing Interfaces to Promote Relaxation for Mitigating Insomnia: Pilot Study

Diaphragmatic Breathing Interfaces to Promote Relaxation for Mitigating Insomnia: Pilot Study

Many people attempt to compensate for poor sleep patterns by spending excessive time in bed, which often increases anxiety about sleep. Sleep restriction reduces the time spent in bed to approximately match the actual sleep time, while stimulus control helps to reestablish the connection between the bed and sleep, reducing anxiety and frustration [4]. Relaxation training is an important adjunct to insomnia treatment, particularly diaphragmatic breathing.

Yi-Jen Lai, Hsiao-Yean Chiu, Ko-Chiu Wu, Chun-Wei Chang

JMIR Serious Games 2025;13:e67000

Weighted Blankets for Agitation in Hospitalized Patients with Dementia: Protocol for a Randomized Controlled Trial

Weighted Blankets for Agitation in Hospitalized Patients with Dementia: Protocol for a Randomized Controlled Trial

Weighted blankets have been studied in patients with psychiatric diagnoses in both the inpatient and outpatient settings, and they appear to be associated with decreased anxiety and improved sleep [14,15]. Weighted blankets have also been associated with improved chronic pain and reduced anger scores [16,17]. Currently, however, there are no studies investigating the use of weighted blankets to address agitation in hospitalized patients with dementia.

Holly A Schenzel, Allyson K Palmer, Neel B Shah, Donna K Lawson, Karen M Fischer, Maria I Lapid, Ruth E DeFoster

JMIR Res Protoc 2025;14:e57264

Parental Perceptions of Priorities and Features for a Mobile App to Promote Healthy Lifestyle Behaviors in Preschool Children: Mixed Methods Evaluation

Parental Perceptions of Priorities and Features for a Mobile App to Promote Healthy Lifestyle Behaviors in Preschool Children: Mixed Methods Evaluation

For example, Townsend et al [10,11] describe 12 dietary and behavioral determinants for childhood obesity risk reduction: fat, dietary fiber, fruit or vegetables, calcium or dairy, sweetened beverages, restaurant-prepared food, breakfast, energy density of eaten foods, physical activity, TV-viewing, sleep duration, and parenting.

Jessica R Thompson, Summer J Weber, Shelagh A Mulvaney, Susanna Goggans, Madeline Brown, Anthony Faiola, Lynn Maamari, Pamela C Hull

JMIR Pediatr Parent 2025;8:e65451

Changing User Experience of Wearable Activity Monitors Over 7 Years: Repeat Cross-Sectional Survey Study

Changing User Experience of Wearable Activity Monitors Over 7 Years: Repeat Cross-Sectional Survey Study

In addition, inadequate sleep [7] and suboptimal dietary patterns [8] are recognized as critical determinants of poor health, influencing both physical and mental well-being. Together, these lifestyle factors form a quartet of behaviors that significantly impact global health, underscoring the need for effective interventions and public health strategies.

Darcy Beckett, Rachel Curtis, Kimberley Szeto, Carol Maher

J Med Internet Res 2025;27:e56251

Using a Consumer Wearable Activity Monitoring Device to Study Physical Activity and Sleep Among Adolescents in Project Viva: Cohort Study

Using a Consumer Wearable Activity Monitoring Device to Study Physical Activity and Sleep Among Adolescents in Project Viva: Cohort Study

Fitbit assigns 3 values to indicate sleep stages for each minute during sleep periods, “1” indicates being asleep; “2” indicates being in a restless state, which may indicate restlessness during sleep or wakefulness; and “3” indicates being awake during the sleep period. Otherwise, sleep is categorized as “NA,” which indicates being fully awake (ie, not part of a sleep period) [38]. We defined a series of sleep metrics based on previous studies [39-41].

Yutong Zhang, Nicole Bornkamp, Marie-France Hivert, Emily Oken, Peter James

JMIR Pediatr Parent 2025;8:e59159

The Prognostic Significance of Sleep and Circadian Rhythm for Myocardial Infarction Outcomes: Case-Control Study

The Prognostic Significance of Sleep and Circadian Rhythm for Myocardial Infarction Outcomes: Case-Control Study

Data analysis by the widely used parametric method provided sleep parameters, including sleep onset latency, total sleep time, sleep efficiency, wake after sleep onset, and times of awakening, and all 34 participants were included in the analysis. The estimation of these parameters is based on the observation that there is less motion during sleep than during wakefulness [27].

Wei-Chih Chin, Pao-Hsien Chu, Lung-Sheng Wu, Kuang-Tso Lee, Chen Lin, Chien-Te Ho, Wei-Sheng Yang, I-Hang Chung, Yu-Shu Huang

J Med Internet Res 2025;27:e63897