%0 Journal Article %@ 1438-8871 %I JMIR Publications %V 25 %N %P e52509 %T System-Wide Change Is Essential to Value the Contributions of Women in Medicine and Science %A Jain,Shikha %A Allan,Jessica M %A Bhayani,Rakhee K %+ Department of Medicine, University of Illinois at Chicago, 1740 W Taylor St, Chicago, IL, 60612, United States, 1 773 960 2567, sjain03@gmail.com %K women %K women physicians %K women scientists %K gender equity %K health care %K diversity %K leadership %K intersectionality %K minority tax %K gratitude tax %K glass ceiling %K glass cliff %K academia %K academic medicine %K hierarchy %K change %D 2023 %7 22.9.2023 %9 Editorial %J J Med Internet Res %G English %X The persistent and pervasive gender gap in health care is a fact backed by data, science, and evidence. This editorial aims to describe some of the challenges that continue to persist. Many of the strategies outlined can be implemented both locally and nationally to effect meaningful change and work toward closing the existing gender gap in health care. %M 37738082 %R 10.2196/52509 %U https://www.jmir.org/2023/1/e52509 %U https://doi.org/10.2196/52509 %U http://www.ncbi.nlm.nih.gov/pubmed/37738082 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 25 %N %P e47784 %T The Careers and Professional Well-Being of Women Oncologists During the COVID-19 Pandemic: Responding for Tomorrow %A Majmudar,Shivani %A Graff,Stephanie L %A Kays,Marah %A Braz,Beatriz X %A Matt-Amaral,Laurie %A Markham,Merry J %A Subbiah,Ishwaria M %A Bergsland,Emily %A Jain,Shikha %+ Department of Medicine, University of Illinois at Chicago, 1740 W Taylor St, Chicago, IL, 60612, United States, 1 773 960 2567, sjain03@gmail.com %K oncology %K women %K gender equity %K COVID-19 %K gender inequity %K oncologist %K health care %K women physician %K burnout %K mental health %K well-being %D 2023 %7 21.8.2023 %9 Editorial %J J Med Internet Res %G English %X The COVID-19 pandemic exacerbated gender inequity in medicine, with women physicians reporting greater household responsibilities than their men counterparts and steeper barriers to career advancement. The pandemic highlighted the systemic assumptions and challenges faced by women physicians, which we anticipate is also true in our field of oncology. Prior literature suggests that women physicians were tasked with increased personal and professional responsibilities without compensation for their additional work, as well as derailments in career progression and significant burnout. Our aims are to highlight areas of opportunity to optimize the workplace experience of the oncology workforce and to invest in the professional well-being and sustainability of women oncologists as a step toward global workplace equity and future pandemic preparedness. %M 37603399 %R 10.2196/47784 %U https://www.jmir.org/2023/1/e47784 %U https://doi.org/10.2196/47784 %U http://www.ncbi.nlm.nih.gov/pubmed/37603399 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 25 %N %P e50696 %T Ethical Challenges in AI Approaches to Eating Disorders %A Sharp,Gemma %A Torous,John %A West,Madeline L %+ Department of Neuroscience, Monash University, 99 Commercial Road, Melbourne, 3004, Australia, 61 421253188, gemma.sharp@monash.edu %K eating disorders %K body image %K artificial intelligence %K AI %K chatbot %K ethics %D 2023 %7 14.8.2023 %9 Editorial %J J Med Internet Res %G English %X The use of artificial intelligence (AI) to assist with the prevention, identification, and management of eating disorders and body image concerns is exciting, but it is not without risk. Technology is advancing rapidly, and ensuring that responsible standards are in place to mitigate risk and protect users is vital to the success and safety of technologies and users. %M 37578836 %R 10.2196/50696 %U https://www.jmir.org/2023/1/e50696 %U https://doi.org/10.2196/50696 %U http://www.ncbi.nlm.nih.gov/pubmed/37578836 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 25 %N %P e47800 %T Flattening Hierarchical Structures to Empower Women Trainee Leaders on Social Media Teams %A Kays,Marah N %A Rupert,Deborah D %A Negris,Olivia %A Thompson,Beatrix %A Clayman,Marla L %A Mordell,Lisa %A Pendergrast,Tricia %A Bloomgarden,Eve %A Bhayani,Rakhee K %A Jain,Shikha %+ Division of Hematology and Oncology, University of Illinois at Chicago, 1740 W Taylor St, Chicago, IL, 60612, United States, 1 312 355 1625, sjain03@gmail.com %K social media %K medical education %K gender equity %K women %K empowerment %K pyramidal hierarchy %K residency %K medical training %K health care %K women empowerment %D 2023 %7 5.6.2023 %9 Editorial %J J Med Internet Res %G English %X We share our experience empowering women trainees and leadership through a flattened hierarchical social media team structure with supporting evidence from measurable outcomes. %M 37276011 %R 10.2196/47800 %U https://www.jmir.org/2023/1/e47800 %U https://doi.org/10.2196/47800 %U http://www.ncbi.nlm.nih.gov/pubmed/37276011 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 25 %N %P e47783 %T Investing in Women Trainees: Building a Women in Medicine Group at an Academic Institution %A Zhong,Lydia %A Lee,Koeun %A Baggstrom,Maria Q %A Bhayani,Rakhee K %+ Division of General Medicine, Washington University School of Medicine, 660 S. Euclid Ave., St Louis, MO, United States, 1 9097675384, lmzhong@wustl.edu %K gender equity %K graduate medical education %K women in medicine %K trainee wellness %K women %K gender gap %K inequity %K medical training %K medicine %D 2023 %7 31.5.2023 %9 Editorial %J J Med Internet Res %G English %X Given the importance of proactively supporting women trainees in medicine to address gender inequities, we draw on the experience of a well-established professional development initiative to provide a framework for other institutions seeking to create similar trainee-focused programs. %M 37256684 %R 10.2196/47783 %U https://www.jmir.org/2023/1/e47783 %U https://doi.org/10.2196/47783 %U http://www.ncbi.nlm.nih.gov/pubmed/37256684 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 24 %N 2 %P e35552 %T A Deadly Infodemic: Social Media and the Power of COVID-19 Misinformation %A Gisondi,Michael A %A Barber,Rachel %A Faust,Jemery Samuel %A Raja,Ali %A Strehlow,Matthew C %A Westafer,Lauren M %A Gottlieb,Michael %+ The Precision Education and Assessment Research Lab, Department of Emergency Medicine, Stanford University, 900 Welch Road - Suite 350, Palo Alto, CA, 94304, United States, 1 650 721 4023, mgisondi@stanford.edu %K COVID-19 %K social media %K misinformation %K disinformation %K infodemic %K ethics %K vaccination %K vaccine hesitancy %K infoveillance %K vaccine %D 2022 %7 1.2.2022 %9 Editorial %J J Med Internet Res %G English %X COVID-19 is currently the third leading cause of death in the United States, and unvaccinated people continue to die in high numbers. Vaccine hesitancy and vaccine refusal are fueled by COVID-19 misinformation and disinformation on social media platforms. This online COVID-19 infodemic has deadly consequences. In this editorial, the authors examine the roles that social media companies play in the COVID-19 infodemic and their obligations to end it. They describe how fake news about the virus developed on social media and acknowledge the initially muted response by the scientific community to counteract misinformation. The authors then challenge social media companies to better mitigate the COVID-19 infodemic, describing legal and ethical imperatives to do so. They close with recommendations for better partnerships with community influencers and implementation scientists, and they provide the next steps for all readers to consider. This guest editorial accompanies the Journal of Medical Internet Research special theme issue, “Social Media, Ethics, and COVID-19 Misinformation.” %M 35007204 %R 10.2196/35552 %U https://www.jmir.org/2022/2/e35552 %U https://doi.org/10.2196/35552 %U http://www.ncbi.nlm.nih.gov/pubmed/35007204 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 23 %N 3 %P e24134 %T A Novel Mobile App (Heali) for Disease Treatment in Participants With Irritable Bowel Syndrome: Randomized Controlled Pilot Trial %A Rafferty,Aaron J %A Hall,Rick %A Johnston,Carol S %+ College of Health Solutions, Arizona State University, HLTHN 532 Phoenix Downtown Campus, Phoenix, AZ, 85004, United States, 1 602 496 2539, Carol.johnston@asu.edu %K irritable bowel syndrome %K artificial intelligence %K mobile app %K low FODMAP diet %K randomized controlled trial %D 2021 %7 2.3.2021 %9 Original Paper %J J Med Internet Res %G English %X Background: A diet high in fermentable, oligo-, di-, monosaccharides and polyols (FODMAPs) has been shown to exacerbate symptoms of irritable bowel syndrome (IBS). Previous literature reports significant improvement in IBS symptoms with initiation of a low FODMAP diet (LFD) and monitored reintroduction. However, dietary adherence to the LFD is difficult, with patients stating that the information given by health care providers is often generalized and nonspecific, requiring them to search for supplementary information to fit their needs. Objective: The aim of our study was to determine whether Heali, a novel artificial intelligence dietary mobile app can improve adherence to the LFD, IBS symptom severity, and quality of life outcomes in adults with IBS or IBS-like symptoms over a 4-week period. Methods: Participants were randomized into 2 groups: the control group (CON), in which participants received educational materials, and the experimental group (APP), in which participants received access to the mobile app and educational materials. Over the course of this unblinded online trial, all participants completed a battery of 5 questionnaires at baseline and at the end of the trial to document IBS symptoms, quality of life, LFD knowledge, and LFD adherence. Results: We enrolled 58 participants in the study (29 in each group), and 25 participants completed the study in its entirety (11 and 14 for the CON and APP groups, respectively). Final, per-protocol analyses showed greater improvement in quality of life score for the APP group compared to the CON group (31.1 and 11.8, respectively; P=.04). Reduction in total IBS symptom severity score was 24% greater for the APP group versus the CON group. Although this did not achieve significance (–170 vs –138 respectively; P=.37), the reduction in the subscore for bowel habit dissatisfaction was 2-fold greater for the APP group than for the CON group (P=.05). Conclusions: This initial study provides preliminary evidence that Heali may provide therapeutic benefit to its users, specifically improvements in quality of life and bowel habits. Although this study was underpowered, findings from this study warrant further research in a larger sample of participants to test the efficacy of Heali app use to improve outcomes for patients with IBS. Trial Registration: ClinicalTrials.gov NCT04256551; https://clinicaltrials.gov/ct2/show/NCT04256551 %M 33650977 %R 10.2196/24134 %U https://www.jmir.org/2021/3/e24134 %U https://doi.org/10.2196/24134 %U http://www.ncbi.nlm.nih.gov/pubmed/33650977 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 22 %N 6 %P e19284 %T Digital Health Strategies to Fight COVID-19 Worldwide: Challenges, Recommendations, and a Call for Papers %A Fagherazzi,Guy %A Goetzinger,Catherine %A Rashid,Mohammed Ally %A Aguayo,Gloria A %A Huiart,Laetitia %+ Luxembourg Institute of Health, 1 A-B Rue Thomas Edison, Strassen, 1445, Luxembourg, 352 33669396334, guy.fagherazzi@lih.lu %K coronavirus %K COVID-19 %K digital health %K eHealth %K digital technology %K health care %K surveillance %K communication %K review %K epidemiology %K infodemiology %K public health %D 2020 %7 16.6.2020 %9 Viewpoint %J J Med Internet Res %G English %X The coronavirus disease (COVID-19) pandemic has created an urgent need for coordinated mechanisms to respond to the outbreak across health sectors, and digital health solutions have been identified as promising approaches to address this challenge. This editorial discusses the current situation regarding digital health solutions to fight COVID-19 as well as the challenges and ethical hurdles to broad and long-term implementation of these solutions. To decrease the risk of infection, telemedicine has been used as a successful health care model in both emergency and primary care. Official communication plans should promote facile and diverse channels to inform people about the pandemic and to avoid rumors and reduce threats to public health. Social media platforms such as Twitter and Google Trends analyses are highly beneficial to model pandemic trends as well as to monitor the evolution of patients’ symptoms or public reaction to the pandemic over time. However, acceptability of digital solutions may face challenges due to potential conflicts with users’ cultural, moral, and religious backgrounds. Digital tools can provide collective public health benefits; however, they may be intrusive and can erode individual freedoms or leave vulnerable populations behind. The COVID-19 pandemic has demonstrated the strong potential of various digital health solutions that have been tested during the crisis. More concerted measures should be implemented to ensure that future digital health initiatives will have a greater impact on the epidemic and meet the most strategic needs to ease the life of people who are at the forefront of the crisis. %M 32501804 %R 10.2196/19284 %U http://www.jmir.org/2020/6/e19284/ %U https://doi.org/10.2196/19284 %U http://www.ncbi.nlm.nih.gov/pubmed/32501804 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 21 %N 11 %P e16274 %T From a Digital Bottle: A Message to Ourselves in 2039 %A Jadad,Alejandro R %A Jadad Garcia,Tamen M %+ Dalla Lana School of Public Health, University of Toronto, 155 College St, 6th Floor, Suite 2404, Toronto, ON, M5T 3M7, Canada, 1 4163585631, a.jadad@utoronto.ca %K wisdom %K pandemic %K concepts %K future %K extinction %K self-sabotage %K precariat %K stupidity %K noosphere %K capitalism %D 2019 %7 1.11.2019 %9 Viewpoint %J J Med Internet Res %G English %X We are fully aware that we could have wasted our time writing this message, as nobody might read it. Even those who read it might ignore it, and those who read and care about it might be unable to do anything. It may simply be too late. Nevertheless, this message describes the hopes we had back in 1999, imagining how the incredible digital tools whose birth we were witnessing, could change the world for the better. In 2019, when we wrote these words, we were saddened to realize that most of what we had imagined and proposed in the past 20 years could have been written the day before, without losing an iota of relevance. Whoever or whatever you might be, dear reader—a human, a sentient machine, or a hybrid—we would like you to understand that, rather than an attempt to predict the future, which probably continues to be an impossible endeavor, this message was meant to act as an invitation, regardless of when or where it is found, to engage in a conversation that has already transcended time and space, even if the issues it contains have become irrelevant. %M 31682578 %R 10.2196/16274 %U https://www.jmir.org/2019/11/e16274 %U https://doi.org/10.2196/16274 %U http://www.ncbi.nlm.nih.gov/pubmed/31682578 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 21 %N 10 %P e16172 %T Increasing the Impact of JMIR Journals in the Attention Economy %A Leung,Ricky %+ University at Albany, School of Public Health, 1 University Pl, Room 181, Rensselaer, NY, 12144, United States, 1 6083348781, rleung122@hotmail.com %K JMIR %K medical informatics %K digital health %K publishing %K knowledge translation %K peer-to-peer community %K impact %D 2019 %7 31.10.2019 %9 Viewpoint %J J Med Internet Res %G English %X The Journal of Medical Internet Research (JMIR) has attained remarkable achievements in the past twenty years. By depth, JMIR has published the most impactful research in medical informatics and is top ranked in the field. By width, JMIR has spun off to about thirty sister journals to cover topics such as serious games, mobile health, public health, surveillance, and other medical areas. With ever-increasing data and research findings, academic publishers need to be competitive to win readers’ attention. While JMIR is well-positioned in the field, the journal will need more creative strategies to increase its attention base and maintain its leading position. Viable strategies include the creation of online collaborative spaces, the engagement of more diverse audience from less traditional channels, and partnerships with other publishers and academic institutes. Doing so could also enable JMIR researchers to turn research insights into practical strategies to improve personal health and medical services. %M 31674916 %R 10.2196/16172 %U http://www.jmir.org/2019/10/e16172/ %U https://doi.org/10.2196/16172 %U http://www.ncbi.nlm.nih.gov/pubmed/31674916 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 21 %N 10 %P e16390 %T Beyond the Impact Factor: Reflecting on Twenty Years of Leading Efforts in Research, Innovation in Publishing, and Investment in People %A Torous,John %+ Division of Digital Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center, 75 Fenwood Rd, Boston, MA, 02115, United States, 1 682 7822, jtorous@bidmc.harvard.edu %K JMIR %K publishing %K eHealth %K digital health %K digital medicine %K knowledge dissemination %D 2019 %7 31.10.2019 %9 Viewpoint %J J Med Internet Res %G English %X This viewpoint celebrates the accomplishments of the Journal of Medical Internet Research (JMIR) on its twentieth anniversary and reviews accomplishments around research publications, journal innovation, and supporting people. %M 31674922 %R 10.2196/16390 %U http://www.jmir.org/2019/10/e16390/ %U https://doi.org/10.2196/16390 %U http://www.ncbi.nlm.nih.gov/pubmed/31674922 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 21 %N 2 %P e12913 %T Digital Education in Health Professions: The Need for Overarching Evidence Synthesis %A Car,Josip %A Carlstedt-Duke,Jan %A Tudor Car,Lorainne %A Posadzki,Pawel %A Whiting,Penny %A Zary,Nabil %A Atun,Rifat %A Majeed,Azeem %A Campbell,James %A , %+ Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, Singapore,, Singapore, 65 6340 2480, josip.car@ntu.edu.sg %K methods %K education, medical %K systematic reviews %K evidence-based %K education, distance %K education, professional %D 2019 %7 14.02.2019 %9 Viewpoint %J J Med Internet Res %G English %X Synthesizing evidence from randomized controlled trials of digital health education poses some challenges. These include a lack of clear categorization of digital health education in the literature; constantly evolving concepts, pedagogies, or theories; and a multitude of methods, features, technologies, or delivery settings. The Digital Health Education Collaboration was established to evaluate the evidence on digital education in health professions; inform policymakers, educators, and students; and ultimately, change the way in which these professionals learn and are taught. The aim of this paper is to present the overarching methodology that we use to synthesize evidence across our digital health education reviews and to discuss challenges related to the process. For our research, we followed Cochrane recommendations for the conduct of systematic reviews; all reviews are reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidance. This included assembling experts in various digital health education fields; identifying gaps in the evidence base; formulating focused research questions, aims, and outcome measures; choosing appropriate search terms and databases; defining inclusion and exclusion criteria; running the searches jointly with librarians and information specialists; managing abstracts; retrieving full-text versions of papers; extracting and storing large datasets, critically appraising the quality of studies; analyzing data; discussing findings; drawing meaningful conclusions; and drafting research papers. The approach used for synthesizing evidence from digital health education trials is commonly regarded as the most rigorous benchmark for conducting systematic reviews. Although we acknowledge the presence of certain biases ingrained in the process, we have clearly highlighted and minimized those biases by strictly adhering to scientific rigor, methodological integrity, and standard operating procedures. This paper will be a valuable asset for researchers and methodologists undertaking systematic reviews in digital health education. %M 30762583 %R 10.2196/12913 %U http://www.jmir.org/2019/2/e12913/ %U https://doi.org/10.2196/12913 %U http://www.ncbi.nlm.nih.gov/pubmed/30762583 %0 Journal Article %@ 1438-8871 %I JMIR Publications %V 19 %N 5 %P e137 %T Leveraging Mobile Phones for Monitoring Risks for Noncommunicable Diseases in the Future %A Ellis,Jennifer A %+ Bloomberg Philanthropies, 25 E 78th St., New York, NY,, United States, 1 212 205 0129, Jennifer@bloomberg.org %K mHealth %K low- and middle-income countries %K noncommunicable diseases %K health systems strengthening %D 2017 %7 05.05.2017 %9 Guest Editorial %J J Med Internet Res %G English %X %M 28476721 %R 10.2196/jmir.7622 %U http://www.jmir.org/2017/5/e137/ %U https://doi.org/10.2196/jmir.7622 %U http://www.ncbi.nlm.nih.gov/pubmed/28476721 %0 Journal Article %@ 2291-5222 %I JMIR Publications Inc. %V 3 %N 1 %P e6 %T Intelligent Glasses, Watches and Vests…Oh My! Rethinking the Meaning of “Harm” in the Age of Wearable Technologies %A Jadad,Alejandro R %A Fandiño,Marcela %A Lennox,Robin %+ Centre for Global eHealth Innovation, University Health Network, University of Toronto, TGH/FFE Bldg, 4th Fl., 190 Elizabeth St, Toronto, ON, M5G 2C4, Canada, 1 416 358 5631, ajadad@ehealthinnovation.org %K harm %K digital telecommunication technology %K wearable computing %K Internet %K conceptualization %D 2015 %7 05.02.2015 %9 Guest Editorial %J JMIR mHealth uHealth %G English %X The widespread release and adoption of wearable devices will likely accelerate the “hybrid era”, already initiated by mobile digital devices, with progressively deeper levels of human-technology co-evolution and increasing blurring of our boundaries with machines. Questions about the potentially harmful nature of information and communication technologies have been asked before, since the introduction of the telephone, the Web, and more recently, mobile phones. Our capacity to answer them now is limited by outdated conceptual approaches to harm, mostly derived from drug evaluation; and by the slow and static nature of traditional research tools. In this article, we propose a re-conceptualizing of the meaning of “harm”, which builds on a global effort focused on health, adding flexibility and richness within a context that acknowledges the physical, mental, and social domains in which it can occur. %M 25668291 %R 10.2196/mhealth.3565 %U http://mhealth.jmir.org/2015/1/e6/ %U https://doi.org/10.2196/mhealth.3565 %U http://www.ncbi.nlm.nih.gov/pubmed/25668291 %0 Journal Article %@ 2291-5222 %I JMIR Publications Inc. %V 2 %N 4 %P e40 %T The Medium and the Message: Fitting Sound Health Promotion Methodology Into 160 Characters %A Lim,Megan S C %A Wright,Cassandra %A Hellard,Margaret E %+ Burnet Institute, Centre for Population Health, 85 Commercial Rd, Melbourne, 3004, Australia, 61 385062403, lim@burnet.edu.au %K text messaging %K mobile phone %K health promotion %K program evaluation  %D 2014 %7 03.11.2014 %9 Editorial %J JMIR mHealth uHealth %G English %X Text messaging health promotion projects continue to proliferate due to their relative low-cost, simplicity, non-intrusiveness, and proven effectiveness in several randomized controlled trials. In these past trials, participants have typically been recruited through traditional means, received the text messaging intervention, and then completed evaluation. In this issue of the Journal of Medical Internet Research, Sheoran et al have demonstrated how use of text messaging alone can be a feasible method for all three stages: recruitment, intervention, and evaluation. Use of text messages without any other modes of communication could be a key to population-level dissemination and wider uptake of health promotion messages. However, in the rush to utilize new technologies and in the brevity of 160 characters, it should not be forgotten that quality, rigour, and careful development remain essential in any health promotion practice. %M 25367387 %R 10.2196/mhealth.3888 %U http://mhealth.jmir.org/2014/4/e40/ %U https://doi.org/10.2196/mhealth.3888 %U http://www.ncbi.nlm.nih.gov/pubmed/25367387 %0 Journal Article %@ 1438-8871 %I JMIR Publications Inc. %V 16 %N 7 %P e179 %T On Supplementing “Foot in the Door” Incentives for eHealth Program Engagement %A Mitchell,Marc Steven %A Faulkner,Guy E %+ Faculty of Kinesiology and Physical Education, Graduate Department of Exercise Sciences, University of Toronto, Athletic Center, 55 Harbord St, Toronto, ON, M5S 2W6, Canada, 1 416 660 7881, marc.mitchell@uhn.ca %K cardiovascular risk %K prevention %K rewards %D 2014 %7 25.07.2014 %9 Editorial %J J Med Internet Res %G English %X Financial health incentives, such as paying people to lose weight, are being widely implemented by Western nations and large corporations. A growing number of studies have tested the impact of incentives on health behaviors, though few have evaluated the approach on a population-scale. In this issue of the Journal of Medical Internet Research, Liu et al add to the evidence-base by examining whether a single incentive can motivate enrollment and engagement in a preventive eHealth program in a sample of 142,726 Canadian adults. While the incentives increased enrollment significantly (by a factor of about 28), a very high level of program attrition was noted (90%). The “foot in the door” incentive technique employed was insufficient; enrollees received incentives for signing-up for, but not for engaging with, the eHealth program. To supplement this technique and drive sustained behavior change, several theoretically- and empirically-based strategies are proposed. Specifically, incentives indexed to behavioral achievements over time are highlighted as one approach to boost engagement in this population in the future. %M 25092221 %R 10.2196/jmir.3701 %U http://www.jmir.org/2014/7/e179/ %U https://doi.org/10.2196/jmir.3701 %U http://www.ncbi.nlm.nih.gov/pubmed/25092221 %0 Journal Article %@ 14388871 %I JMIR Publications Inc. %V 16 %N 2 %P e34 %T Harnessing the Social Web for Health and Wellness: Issues for Research and Knowledge Translation %A Ho,Kendall %A , %+ Faculty of Medicine, eHealth Strategy Office, University of British Columbia, Room 215, 855 West 10th Avenue, Vancouver, BC, V5Z 1L7, Canada, 1 6048754111 ext 69153, Kendall.Ho@ubc.ca %K social media %K research %K interdisciplinary %D 2014 %7 11.02.2014 %9 Editorial %J J Med Internet Res %G English %X Social media is a powerful, rapid, and popular way of communication amongst people around the world. How can health professionals and patients use this strategy to achieve optimal disease management and prevention and attainment of wellness? An interdisciplinary group at University of British Columbia, supported by a grant from UBC Peter Wall Institute of Advanced Studies, conducted a research workshop in February 2013 to explore what is known and yet to be researched in using social media for nurturing the growth of virtual communities of people for health and wellness. This two and a half day workshop brought together a group of 30 multidisciplinary experts in closed discussions to reflect on five research themes in detail: (1) individual information acquisition and application, (2) community genesis and sustainability, (3) technological design issues, (4) knowledge management, dissemination, and renewal, and (5) research designs. In addition, a public forum for the general public, which attracted over 195 live participants, over 100 participants via Web casting, 1004 tweets, and 1,124,886 impressions following the #HCSMForum hash tag on Twitter, demonstrated the keen interest of the general public in this topic. Key concepts were captured in JMIR publications in this issue, and future directions, including research, knowledge translation approaches, and strategic partnerships of interdisciplinary researchers with policy makers and industries emerged from the workshop proceedings. %M 24518432 %R 10.2196/jmir.2969 %U http://www.jmir.org/2014/2/e34/ %U https://doi.org/10.2196/jmir.2969 %U http://www.ncbi.nlm.nih.gov/pubmed/24518432 %0 Journal Article %@ 1438-8871 %I Gunther Eysenbach %V 13 %N 4 %P e125 %T eHealth Literacy 2.0: Problems and Opportunities With an Evolving Concept %A Norman,Cameron %+ CENSE Research + Design, 757-155 Dalhousie Street, Toronto, ON, M5B2P7, Canada, 1 4168543805, cameron.norman@utoronto.ca %K eHealth literacy, measurement, consumer eHealth, social media %D 2011 %7 23.12.2011 %9 Guest Editorial %J J Med Internet Res %G English %X As the use of eHealth grows and diversifies globally, the concept of eHealth literacy – a foundational skill set that underpins the use of information and communication technologies (ICT) for health – becomes more important than ever to understand and advance. EHealth literacy draws our collective attention to the knowledge and complex skill set that is often taken for granted when people interact with technology to address information, focusing our attention on learning and usability issues from the clinical through to population health level. Just as the field of eHealth is dynamic and evolving, so too is the context where eHealth literacy is applied and understood. The original Lily Model of eHealth literacy and scale used to assess it were developed at a time when the first generation of web tools gained prominence before the rise of social media. The rapid shifts in the informational landscape created by Web 2.0 tools and environments suggests it might be time to revisit the concept of eHealth Literacy and consider what a second release might look like. %M 22193243 %R 10.2196/jmir.2035 %U http://www.jmir.org/2011/4/e125/ %U https://doi.org/10.2196/jmir.2035 %U http://www.ncbi.nlm.nih.gov/pubmed/22193243 %0 Journal Article %@ 1438-8871 %I Gunther Eysenbach %V 13 %N 4 %P e114 %T WikiBuild: A New Application to Support Patient and Health Care Professional Involvement in the Development of Patient Support Tools %A Archambault,Patrick Michel %+ Centre de santé et de services sociaux Alphonse-Desjardins (Centre hospitalier affilié universitaire de Lévis), 143 rue Wolfe, Lévis, QC, G6V 3Z1, Canada, 1 418 835 7121 ext 3905, patrick.m.archambault@gmail.com %K Medical informatics %K patient-centered care %K wikis %K collaborative writing applications %K knowledge translation %K patient and public involvement %D 2011 %7 08.12.2011 %9 Guest Editorial %J J Med Internet Res %G English %X Active patient and public involvement as partners in their own health care and in the development of health services is key to achieving a health care system that is responsive to patients’ needs and values. It promotes better use of the health care system, and improves health outcomes, quality of life and patient satisfaction. By involving patients and health care professionals as partners in the creation and updating of patient health support tools, wikis—highly accessible, interactive vehicles of communication—have the potential to empower users to implement these support tools in daily life. Acknowledging the potential of wikis, and recognizing that they capitalize on the free and open access to information, scientists, opinion leaders and patient advocates have suggested that wikis could help decision-making constituencies improve the delivery of health care. They might also decrease its cost and improve access to knowledge within developing countries. However, little is known about the efficacy of wikis in helping to attain these goals. There is also a need to know more about the intention of patients and health care workers to use wikis, in what circumstances and what factors will influence their use of wikis. In this issue of the Journal of Medical Internet Research, Gupta et al describe how they developed and tested a new wiki-inspired application to improve asthma care. The researchers involved patients with asthma, primary care physicians, pulmonologists and certified asthma educators in the construction of an asthma action plan. Their paper—entitled “WikiBuild: a new online collaboration process for multistakeholder tool development and consensus building”—is the first description of a wiki-inspired technology built to involve patients and health care professionals in the development of a patient support tool. This innovative study has made important contributions toward how wikis could be generalized to involve multiple stakeholders in the development of other knowledge translation tools such as clinical practice guidelines or decision aids. More specifically, Gupta et al have uncovered potential action mechanisms toward increasing usage of these tools by patients and health care professionals. These are decreasing hierarchical influences, increasing usability and adapting a tool to local context. More research is now needed to determine if the use of the resulting wiki-developed plan will actually be higher than a plan developed using other methods. Furthermore, there is also a need to assess the intention of participants to continue using wiki-based processes on an ongoing basis. It is in this dynamic and continuous retroaction loop that the support tool users—both patients and health care professionals—can adapt and improve the product after its real-life shortcomings are revealed and as new evidence becomes available. As such, a wiki would be more than a simple patient support development tool, but could also become a dynamic and interactive repository and delivery tool that would facilitate ongoing and sustainable patient and professional engagement. %M 22155746 %R 10.2196/jmir.1961 %U http://www.jmir.org/2011/4/e114/ %U https://doi.org/10.2196/jmir.1961 %U http://www.ncbi.nlm.nih.gov/pubmed/22155746