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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

In AIG, this can be interpreted as the need to harmonize the collaboration of a subject matter expert and AI tools working together on developing item and cognitive models. In this paper, we propose a hybrid AIG method that uses AI to generate an item model (template) and a cognitive model for applying the item template in a template-based item generation process.

Yavuz Selim Kıyak, Andrzej A Kononowicz

JMIR Form Res 2025;9:e65726

Modernizing the Staging of Parkinson Disease Using Digital Health Technology

Modernizing the Staging of Parkinson Disease Using Digital Health Technology

Given the crossover nature of this viewpoint, Figure 1 was created to present a timeline of the history of the classification of PD alongside the history of digital health technology. In the past 60 years, there has been a tangential modernization of both classification and staging techniques and digital health technology.

John Michael Templeton, Christian Poellabauer, Sandra Schneider, Morteza Rahimi, Taofeek Braimoh, Fhaheem Tadamarry, Jason Margolesky, Shanna Burke, Zeina Al Masry

J Med Internet Res 2025;27:e63105

The Role of AI in Nursing Education and Practice: Umbrella Review

The Role of AI in Nursing Education and Practice: Umbrella Review

Systematic reviews, including the one by Gonzalez-Garcia et al [45], provided detailed eligibility justifications, strengthening the reliability of their findings. Their approach highlighted a commitment to methodological rigor and consistency. Some reviews, such as the one by Montejo et al [36], adopted broader inclusion criteria that, while providing a comprehensive perspective, limited the depth of the insights. A more refined focus could enhance the specificity and relevance of findings.

Rabie Adel El Arab, Omayma Abdulaziz Al Moosa, Fuad H Abuadas, Joel Somerville

J Med Internet Res 2025;27:e69881

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

Epidemiological Characteristics of Intestinal Protozoal Infections and Their Risk Factors in Malaysia: Systematic Review and Meta-Analysis Protocol

Epidemiological Characteristics of Intestinal Protozoal Infections and Their Risk Factors in Malaysia: Systematic Review and Meta-Analysis Protocol

The following electronic databases of scientific literature that have been peer-reviewed, as recommended by Siddaway et al [17], will be carefully searched without language restrictions and limited to human research only: Pub Med/MEDLINE, Scopus, Pro Quest, Web of Science, Science Direct, Google Scholar, and Cochrane Library databases. A manual search of reference lists of identified papers will be added to the electronic searches.

Nor Shazlina Mizan, Hassanain Al-Talib, Seok Mui Wang

JMIR Res Protoc 2025;14:e66350

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

Authors’ Reply: Citation Accuracy Challenges Posed by Large Language Models

Authors’ Reply: Citation Accuracy Challenges Posed by Large Language Models

The LLMs have demonstrated a propensity to generate well‐formatted yet fictitious references—a limitation largely attributed to restricted access to subscription-based databases and their reliance on probabilistic text generation [4]. As LLMs evolve, future iterations may integrate more reliable retrieval-based architectures, enhancing their capacity to cite legitimate sources while reducing fabricated references [4,5].

Mohamad-Hani Temsah, Ayman Al-Eyadhy, Amr Jamal, Khalid Alhasan, Khalid H Malki

JMIR Med Educ 2025;11:e73698