Journal of Medical Internet Research
The leading peer-reviewed journal for digital medicine and health and health care in the internet age.
Editor-in-Chief:
Gunther Eysenbach, MD, MPH, FACMI, Founding Editor and Publisher; Adjunct Professor, School of Health Information Science, University of Victoria, Canada
Impact Factor 6.0 More information about Impact Factor CiteScore 11.7 More information about CiteScore
Recent Articles

The rapid expansion of rehabilitation needs in China has intensified pressure on a workforce that remains unevenly distributed. Digital health technologies (DHTs) offer potential to increase service reach and efficiency. However, little is known about how rehabilitation professionals currently gather and document clinical information, nor about their readiness to integrate digital tools into routine practice within China’s rapidly digitalizing health system.


Recurrent outbreaks of the highly pathogenic avian influenza (HPAI) A (H5N1) virus in farmed poultry, and reports of infections in dairy cattle herds in the United States since March 2024, have triggered concerns about the spillover threat to human populations and a subsequent influenza pandemic. The increasing threat that H5N1 poses to human health has led to more vigilant public health monitoring of these developments. In addition to intensifying surveillance, preventative strategies—like vaccinating those at higher risk—are being evaluated to help minimize infection and spread.

The #MeToo movement, initiated in 2006 and amplified on social media in 2017, mobilized women worldwide to share experiences of sexual harassment and assault online. While the movement increased awareness, it also revealed deep social divisions in digital spaces. Supportive discussions promoted solidarity and healing, whereas antagonistic responses reinforced backlash and secondary victimization. In India, the Indian Entertainment Industry (IEI) became a focal point where survivors’ disclosures highlighted structural gender inequalities. These polarized reactions function as digital-health signals, reflecting stigma, psychosocial distress, and conditions that shape women’s safety and mental well-being. Examining these narratives as indicators of public health risk helps identify patterns of structural inequity and secondary mental health burdens among survivors.

Despite the transformative potential of large language models (LLMs) in health care, the rapid development of these tools has outpaced their rigorous evaluation. While artificial intelligence–specific reporting guidelines have been developed to address standardized reporting of artificial intelligence studies, there is currently no specific tool available for risk of bias assessment of LLM question-answer (QA) studies. Existing risk-of-bias tools for medical research are not well suited to the unique challenges of evaluating LLM-QA studies, which creates a critical gap in assessing their safety and effectiveness.

Nurses in long-term care spend up to one-third of their working time on documentation, contributing to administrative burden and limited time for direct care. Artificial intelligence (AI) speech assistants have shown potential to accelerate documentation, but longitudinal evidence from real-world long-term care settings remains scarce.

Traditional health care systems struggle to ensure the security of medical data. To address these issues, organizations are exploring blockchain-based solutions, which offer strong security for managing medical data and transactions. Despite these benefits, adoption remains limited because many health care organizations are hesitant to implement blockchain apps due to perceived risks associated with these apps.

Liver cirrhosis (LC) can lead to several complications. Esophageal variceal bleeding (EVB) and esophagogastric variceal bleeding (EGVB) are particularly severe, leading to a high risk of mortality. Early identification of esophageal varices and esophagogastric varices is essential. Several studies have constructed prediction models for EVB and EGVB in patients with LC. However, robust systematic evidence to prove their performance is lacking.

Young adults increasingly rely on social media for nutrition information. However, little is known about (1) which types of eating-related content they actively engage with and why, and (2) how they interpret, evaluate, and incorporate this content into their everyday food choices and health behaviors.

Preterm delivery is an increasing worldwide health concern linked to increased neurodevelopmental risks. Early intervention is crucial for harnessing neuroplasticity to enhance developmental and functional performance outcomes; however, access to early intervention is frequently hindered by logistical, financial, and labor constraints. The Homeostasis–Enrichment–Plasticity (HEP) Approach is a family-centered early intervention model based on enriched environments, designed to improve infants’ sensory-motor, cognitive, and socio-emotional development.

Autism spectrum disorder (ASD) is often underdiagnosed in low- and middle-income countries due to limited specialist access, sociocultural stigma, and fragmented screening systems. Artificial intelligence (AI)–powered screening tools may improve early detection by enabling low-cost, accessible assessments. However, adoption depends on stakeholder trust, ethical safeguards, and alignment with local health system capacities.
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