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 5.8 CiteScore 14.4
Recent Articles
![Assessing Message Deployment During Public Health Emergencies Through Social Media: Empirical Test of Optimizing Content for Effective Dissemination Article Thumbnail](https://asset.jmir.pub/assets/789748488a7670f13842a54c38bd02ea.png 480w,https://asset.jmir.pub/assets/789748488a7670f13842a54c38bd02ea.png 960w,https://asset.jmir.pub/assets/789748488a7670f13842a54c38bd02ea.png 1920w,https://asset.jmir.pub/assets/789748488a7670f13842a54c38bd02ea.png 2500w)
During an infodemic, timely, reliable, and accessible information is crucial to combat the proliferation of health misinformation. While message testing can provide vital information to make data-informed decisions, traditional methods tend to be time- and resource-intensive. Recognizing this need, we developed the rapid message testing at scale (RMTS) approach to allow communicators to repurpose existing social media advertising tools and understand the full spectrum of audience engagement.
![Supportive eHealth Technologies and Their Effects on Physical Functioning and Quality of Life for People With Lung Cancer: Systematic Review Article Thumbnail](https://asset.jmir.pub/assets/a118201cef65dee27e331e5543b664fb.png 480w,https://asset.jmir.pub/assets/a118201cef65dee27e331e5543b664fb.png 960w,https://asset.jmir.pub/assets/a118201cef65dee27e331e5543b664fb.png 1920w,https://asset.jmir.pub/assets/a118201cef65dee27e331e5543b664fb.png 2500w)
Despite advancements in treatment and early diagnosis, people with lung cancer are not living as long as those with other cancers. The more common symptoms of lung cancer, such as breathlessness, fatigue, and depression, can be alleviated by improving patients’ physical functioning. Therefore, good symptom management and improved health-related quality of life (HRQoL) are priorities in this patient group. However, current health care services have limited capacity to provide this support. One way to address this issue of health care resources is to empower patients to self-manage their condition using eHealth technologies.
![Association Between Prosuicide Website Searches Through Google and Suicide Death in the United States From 2010 to 2021: Lagged Time-Series Analysis Article Thumbnail](https://asset.jmir.pub/assets/ff26f3273ce34308f1304f3596861a55.png 480w,https://asset.jmir.pub/assets/ff26f3273ce34308f1304f3596861a55.png 960w,https://asset.jmir.pub/assets/ff26f3273ce34308f1304f3596861a55.png 1920w,https://asset.jmir.pub/assets/ff26f3273ce34308f1304f3596861a55.png 2500w)
The rate of suicide death has been increasing, making understanding risk factors of growing importance. While exposure to explicit suicide-related media, such as description of means in news reports or sensationalized fictional portrayal, is known to increase population suicide rates, it is not known whether prosuicide website forums, which often promote or facilitate information about fatal suicide means, are related to change in suicide deaths overall or by specific means.
![Pitfalls in Developing Machine Learning Models for Predicting Cardiovascular Diseases: Challenge and Solutions Article Thumbnail](https://asset.jmir.pub/assets/1b0fe48bc8b6037ec0ae155741ade7d1.png 480w,https://asset.jmir.pub/assets/1b0fe48bc8b6037ec0ae155741ade7d1.png 960w,https://asset.jmir.pub/assets/1b0fe48bc8b6037ec0ae155741ade7d1.png 1920w,https://asset.jmir.pub/assets/1b0fe48bc8b6037ec0ae155741ade7d1.png 2500w)
In recent years, there has been explosive development in artificial intelligence (AI), which has been widely applied in the health care field. As a typical AI technology, machine learning models have emerged with great potential in predicting cardiovascular diseases by leveraging large amounts of medical data for training and optimization, which are expected to play a crucial role in reducing the incidence and mortality rates of cardiovascular diseases. Although the field has become a research hot spot, there are still many pitfalls that researchers need to pay close attention to. These pitfalls may affect the predictive performance, credibility, reliability, and reproducibility of the studied models, ultimately reducing the value of the research and affecting the prospects for clinical application. Therefore, identifying and avoiding these pitfalls is a crucial task before implementing the research. However, there is currently a lack of a comprehensive summary on this topic. This viewpoint aims to analyze the existing problems in terms of data quality, data set characteristics, model design, and statistical methods, as well as clinical implications, and provide possible solutions to these problems, such as gathering objective data, improving training, repeating measurements, increasing sample size, preventing overfitting using statistical methods, using specific AI algorithms to address targeted issues, standardizing outcomes and evaluation criteria, and enhancing fairness and replicability, with the goal of offering reference and assistance to researchers, algorithm developers, policy makers, and clinical practitioners.
![Efficacy of Mobile App–Based Cognitive Behavioral Therapy for Insomnia: Multicenter, Single-Blind Randomized Clinical Trial Article Thumbnail](https://asset.jmir.pub/assets/9ab9d8a46e587d93a3207bc6f3298feb.png 480w,https://asset.jmir.pub/assets/9ab9d8a46e587d93a3207bc6f3298feb.png 960w,https://asset.jmir.pub/assets/9ab9d8a46e587d93a3207bc6f3298feb.png 1920w,https://asset.jmir.pub/assets/9ab9d8a46e587d93a3207bc6f3298feb.png 2500w)
![The Use of Online Consultation Systems and Patient Experience of Primary Care: Cross-Sectional Analysis Using the General Practice Patient Survey Article Thumbnail](https://asset.jmir.pub/assets/4555df833b9a9e62d520ef8dbea9f8ab.png 480w,https://asset.jmir.pub/assets/4555df833b9a9e62d520ef8dbea9f8ab.png 960w,https://asset.jmir.pub/assets/4555df833b9a9e62d520ef8dbea9f8ab.png 1920w,https://asset.jmir.pub/assets/4555df833b9a9e62d520ef8dbea9f8ab.png 2500w)
NHS England encourages the use of online consultation (OC) systems alongside traditional access methods for patients to contact their general practice online and for practices to manage workflow. Access is a key driver of patients’ primary care experience. The use of online technology and patient experience vary by sociodemographic characteristics.
![A Web-Based Resilience-Enhancing Program to Improve Resilience, Physical Activity, and Well-being in Geriatric Population: Randomized Controlled Trial Article Thumbnail](https://asset.jmir.pub/assets/2e7fea6f877c503167740ae3daca0660.png 480w,https://asset.jmir.pub/assets/2e7fea6f877c503167740ae3daca0660.png 960w,https://asset.jmir.pub/assets/2e7fea6f877c503167740ae3daca0660.png 1920w,https://asset.jmir.pub/assets/2e7fea6f877c503167740ae3daca0660.png 2500w)
Resilience is a protective factor in healthy aging, helping to maintain and recover physical and mental functions. The Resilience in Illness Model has proven effective in fostering resilience and well-being. Physical activity is crucial for older adults’ independence and well-being, even as aging causes a progressive decline. Additionally, older adults face challenges such as spousal loss and physical disability, making preventive intervention strategies necessary.
![Performance of ChatGPT Across Different Versions in Medical Licensing Examinations Worldwide: Systematic Review and Meta-Analysis Article Thumbnail](https://asset.jmir.pub/assets/8b230f1bdcc976b4fe9ec83b6987e91b.png 480w,https://asset.jmir.pub/assets/8b230f1bdcc976b4fe9ec83b6987e91b.png 960w,https://asset.jmir.pub/assets/8b230f1bdcc976b4fe9ec83b6987e91b.png 1920w,https://asset.jmir.pub/assets/8b230f1bdcc976b4fe9ec83b6987e91b.png 2500w)
Over the past 2 years, researchers have used various medical licensing examinations to test whether ChatGPT (OpenAI) possesses accurate medical knowledge. The performance of each version of ChatGPT on the medical licensing examination in multiple environments showed remarkable differences. At this stage, there is still a lack of a comprehensive understanding of the variability in ChatGPT’s performance on different medical licensing examinations.
![Comparison of the Quality of Discharge Letters Written by Large Language Models and Junior Clinicians: Single-Blinded Study Article Thumbnail](https://asset.jmir.pub/assets/ef7dfcf4b55cfff55b07048911369223.png 480w,https://asset.jmir.pub/assets/ef7dfcf4b55cfff55b07048911369223.png 960w,https://asset.jmir.pub/assets/ef7dfcf4b55cfff55b07048911369223.png 1920w,https://asset.jmir.pub/assets/ef7dfcf4b55cfff55b07048911369223.png 2500w)
Discharge letters are a critical component in the continuity of care between specialists and primary care providers. However, these letters are time-consuming to write, underprioritized in comparison to direct clinical care, and are often tasked to junior doctors. Prior studies assessing the quality of discharge summaries written for inpatient hospital admissions show inadequacies in many domains. Large language models such as GPT have the ability to summarize large volumes of unstructured free text such as electronic medical records and have the potential to automate such tasks, providing time savings and consistency in quality.
![Effects of Immersive Technology–Based Education for Undergraduate Nursing Students: Systematic Review and Meta-Analysis Using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Approach Article Thumbnail](https://asset.jmir.pub/assets/8794f4c2abac0494780482d67ab84ea5.png 480w,https://asset.jmir.pub/assets/8794f4c2abac0494780482d67ab84ea5.png 960w,https://asset.jmir.pub/assets/8794f4c2abac0494780482d67ab84ea5.png 1920w,https://asset.jmir.pub/assets/8794f4c2abac0494780482d67ab84ea5.png 2500w)
The adoption of immersive technology in simulation-based nursing education has grown significantly, offering a solution to resource limitations and enabling safe access to clinical environments. Despite its advantages, there are still diverse reports regarding the effectiveness of immersive technology. It is crucial to verify the effectiveness of immersive technology in nursing education to inform future educational programs.
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