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Real-World Mobile Health Implementation and Patient Safety: Multicenter Qualitative Study
Additionally, a standard interview guide was used and a pilot interview was conducted, which was followed by a briefing, to ensure data integrity [36]. To maintain confidentiality, no identifying information, such as participants' names or institutional details, was collected [37].
J Med Internet Res 2025;27:e71086
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I think it’s a shame that there’s no choice anymore. There’s obviously a generation of us that needs to have a transition that’s a little bit smooth, and not like: bam, next year everything’s just different. I think a lot of people my age have problems with that.
For most, this digital experience was work-related where they were trained in specific, mostly simple computer programs useful for their jobs.
JMIR Form Res 2025;9:e60612
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A choice task presented to respondents in this study.
Subsequently, a web-based pilot test was conducted among adults aged 18 years and older with CHD, recruited through the Pure Profile platform, to estimate Bayesian priors for the final survey design. Each choice task began with an introductory scenario, prompting respondents to envision a mobile app offering to assist them with their CHD. In this unlabeled experiment, the alternatives were referred to as mobile app A and B.
JMIR Mhealth Uhealth 2025;13:e58556
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Patient characteristics (n=18; 55% women; mean age 49.5, SD 6.91 y) are presented in a previous study [8]. We provide an overview in Table 1; for a detailed summary of each individual, please refer to a previous report [8]. In the sample of patients interviewed, half (9/18, 50%) met the threshold for current unsafe opioid misuse on a validated psychometric scale (COMM [35]).
JMIR Form Res 2025;9:e57212
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“Sustain talk” is also categorized into six types of statements reflecting a client’s desire, ability, reasons, need, readiness, and commitment to maintaining the target behavior.
Each distinct statement within a motivational interview (also referred to as a “language unit”) is also coded for its “strength” (valence) using scale values ranging from +5 to –5. Positive values reflect the degree to which a statement supports reducing or abstaining from a target behavior (eg, drug use).
J Med Internet Res 2025;27:e59085
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As maintaining a healthy lifestyle is difficult for many adults [5], 1 method of CVD prevention and management is participation in behavioral interventions focused on healthy lifestyle modifications [4]. Position statements from the US Preventive Services Task Force state that lifestyle modification programs that emphasize a healthy diet and physical activity have a wide variety of cardiovascular health benefits and CVD risk reduction among individuals with and without a diagnosis of CVD [6-8].
JMIR Form Res 2025;9:e60676
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Every ECHO session comprised a presession knowledge quiz, introduction, didactic presentation by domain experts, a case presentation by health care workers at an HTN Program site, a postsession knowledge quiz, and a reaction survey. The m Doc Healthcare team worked with a selected HTN Program Site before each session to select and present a case for each ECHO session. Prospective participants registered in advance for each session using an web-based form that included demographic characteristics.
J Med Internet Res 2025;27:e66351
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A cosmetic issue refers to a superficial concern that does not affect users’ ability to complete a task, such as formatting inconsistencies or color preferences; these issues are typically of lower priority for resolution. A minor issue represents a problem with an available workaround, such as restricting numerical input to whole numbers rather than allowing decimals. Major issues, however, can significantly impact data quality, user satisfaction, or system functionality.
JMIR Form Res 2025;9:e64212
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PA measurement reactivity has been observed in a subset of studies to date [25,29-31], and some PA researchers consider reactivity a critical source of bias that warrants increased attention and mitigating actions, such as requiring extra days of observation to get used to the PA monitor or removing the first 1-2 days of PA observation from analyses [30].
JMIR Res Protoc 2025;14:e67438
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However, this research still followed the traditional CBT-I structure (ie, 6 weekly sessions lasting 90-120 minutes) and was not tested in a randomized controlled trial (RCT) [31]. While mindfulness is often incorporated as part of the cognitive component of CBT-I [32], the Headspace Sleep Program positions mindfulness as a foundational approach, introducing it first as a tool for building awareness of sleep habits and patterns.
JMIR Mhealth Uhealth 2025;13:e68665
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