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Health Care Professionals' Engagement With Digital Mental Health Interventions in the United Kingdom and China: Mixed Methods Study on Engagement Factors and Design Implications

Health Care Professionals' Engagement With Digital Mental Health Interventions in the United Kingdom and China: Mixed Methods Study on Engagement Factors and Design Implications

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].

Zheyuan Zhang, Sijin Sun, Laura Moradbakhti, Andrew Hall, Celine Mougenot, Juan Chen, Rafael A Calvo

JMIR Ment Health 2025;12:e67190

Patient and Clinician Perspectives on Alert-Based Remote Monitoring–First Care for Cardiovascular Implantable Electronic Devices: Semistructured Interview Study Within the Veterans Health Administration

Patient and Clinician Perspectives on Alert-Based Remote Monitoring–First Care for Cardiovascular Implantable Electronic Devices: Semistructured Interview Study Within the Veterans Health Administration

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].

Allison Kratka, Thomas L Rotering, Scott Munson, Merritt H Raitt, Mary A Whooley, Sanket S Dhruva

JMIR Cardio 2025;9:e66215

Using a Hybrid of AI and Template-Based Method in Automatic Item Generation to Create Multiple-Choice Questions in Medical Education: Hybrid AIG

Using a Hybrid of AI and Template-Based Method in Automatic Item Generation to Create Multiple-Choice Questions in Medical Education: Hybrid AIG

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.

Yavuz Selim Kıyak, Andrzej A Kononowicz

JMIR Form Res 2025;9:e65726

Virtual Patients Using Large Language Models: Scalable, Contextualized Simulation of Clinician-Patient Dialogue With Feedback

Virtual Patients Using Large Language Models: Scalable, Contextualized Simulation of Clinician-Patient Dialogue With Feedback

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).

David A Cook, Joshua Overgaard, V Shane Pankratz, Guilherme Del Fiol, Chris A Aakre

J Med Internet Res 2025;27:e68486

Environmental Impact of Physical Visits and Telemedicine in Nursing Care at Home: Comparative Life Cycle Assessment

Environmental Impact of Physical Visits and Telemedicine in Nursing Care at Home: Comparative Life Cycle Assessment

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].

Egid M van Bree, Lynn E Snijder, Hans C Ossebaard, Evelyn A Brakema

J Med Internet Res 2025;27:e67538

Older Adults’ Perspectives on Participating in a Synchronous Online Exercise Program: Qualitative Study

Older Adults’ Perspectives on Participating in a Synchronous Online Exercise Program: Qualitative Study

Interpretive description offers a flexible approach to analyzing qualitative data within medical education research, as it can explore individuals’ experiences while producing practical clinical outcomes [19]. The pilot RCT compared community-dwelling older adults aged 65 to 80 years participating in a synchronous online exercise program (ACTIVE) delivered on Zoom with a waitlist control group (CON).

Giulia Coletta, Kenneth S Noguchi, Kayla Beaudoin, Angelica McQuarrie, Ada Tang, Rebecca Ganann, Stuart M Phillips, Meridith Griffin

JMIR Aging 2025;8:e66473

Web-Based Human Papillomavirus Education and Professional Skills Intervention for Health Care Providers: Protocol for a Randomized Controlled Trial

Web-Based Human Papillomavirus Education and Professional Skills Intervention for Health Care Providers: Protocol for a Randomized Controlled Trial

The human papillomavirus (HPV) is a primarily sexually transmitted infection that affects approximately 40 million Americans and is associated with 6 types of cancer [1]. A total of 3 HPV vaccines (nonvalent, quadrivalent, and bivalent) have been developed, licensed, and shown to be effective in preventing high-risk HPV infection. Current immunization guidelines recommend that children aged 11-12 years initiate a 2-dose HPV vaccine series but can begin as early as 9 years of age.

Jacob Martinez, Jacquelin I Cordero, Meagan Whitney, Katie L LaRoche, Gabriel Frietze, Eva M Moya, Kristin Gosselink

JMIR Res Protoc 2025;14:e60790

Infoveillance of COVID-19 Infections in Dentistry Using Platform X: Descriptive Study

Infoveillance of COVID-19 Infections in Dentistry Using Platform X: Descriptive Study

The first was a manual approach using X Pro (previously known as Tweet Deck), a user interface provided by X that allows searching tweets given some keywords or phrases as shown in Figure 2. This approach was used based on evidence from the literature [7]. AD, OA, AA, and SQ independently conducted the search, collected the tweets, and stored them. All relevant information was stored on a Microsoft Excel sheet on a password-protected computer.

Alghalia Al-Mansoori, Ola Al Hayk, Sharifa Qassmi, Sarah M Aziz, Fatima Haouari, Tawanda Chivese, Faleh Tamimi, Alaa Daud

J Med Internet Res 2025;27:e54650

Improving Early Dementia Detection Among Diverse Older Adults With Cognitive Concerns With the 5-Cog Paradigm: Protocol for a Hybrid Effectiveness-Implementation Clinical Trial

Improving Early Dementia Detection Among Diverse Older Adults With Cognitive Concerns With the 5-Cog Paradigm: Protocol for a Hybrid Effectiveness-Implementation Clinical Trial

(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].

Rachel Beth Rosansky Chalmer, Emmeline Ayers, Erica F Weiss, Nicole R Fowler, Andrew Telzak, Diana Summanwar, Jessica Zwerling, Cuiling Wang, Huiping Xu, Richard J Holden, Kevin Fiori, Dustin D French, Celeste Nsubayi, Asif Ansari, Paul Dexter, Anna Higbie, Pratibha Yadav, James M Walker, Harrshavasan Congivaram, Dristi Adhikari, Mairim Melecio-Vazquez, Malaz Boustani, Joe Verghese

JMIR Res Protoc 2025;14:e60471

Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis

Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis

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.

Brian C Coleman, Kelsey L Corcoran, Cynthia A Brandt, Joseph L Goulet, Stephen L Luther, Anthony J Lisi

JMIR Med Inform 2025;13:e66466