JMIR Research Protocols

Most people with dementia reside in the community and are cared for by family members. Family caregivers play an essential role in supporting their loved ones with dementia and require adequate education and support to address their care needs. In recent years, there has been growing interest in the use of chatbot technologies in health care, particularly to provide education and support for caregivers. However, evidence on the development, use, and effectiveness of these technologies in dementia care remains limited.

Postoperative insomnia is one of the common complaints caused by spinal metastatic cancer surgery. It affects patients’ functional recovery, greatly reduces their quality of life, and adversely impacts disease prognosis. Compared with traditional pharmacological treatments, acupuncture is an alternative therapy for postoperative insomnia. However, standardized, high-quality randomized controlled trials on electroacupuncture for postoperative insomnia in patients with spinal metastasis (SM) are scarce, and there is a lack of clear inclusion criteria for this specific population. Postoperative insomnia in patients with SM has distinct clinical characteristics compared with general cancer-related insomnia, necessitating targeted investigation.

Heavy cannabis use may impact neurocognitive functions, particularly prefrontal and limbic systems responsible for risk/reward processing and executive function, which are essential for certain health behaviors, such as HIV prevention. Rigorous research into the effects of cannabis on neurocognitive functions remains limited, particularly among populations with a high burden of HIV.

Diabetic peripheral neuropathy (DPN) is a length-dependent, symmetric sensorimotor polyneuropathy with a substantial global and regional burden. Current pharmacologic options are largely symptomatic and do not modify the disease. Lymphovenous bypass (LVB), a supermicrosurgical procedure established for lymphedema, may modulate lymphatic-immune-microvascular dysfunction relevant to DPN.

The Collaborative Model Building Project to Understand Sexual Violence (CAMPUS) study seeks to address alcohol-involved sexual violence (AISV) by collaboratively developing an agent-based model (ABM) that can support the decisions of college campuses seeking to address this issue among students. As a first step toward ABM development, we used collaborative model building (CMB), an adaptation of group model building, to co-develop a causal loop diagram (CLD) depicting key causes and effects of AISV and opportunities for intervention. Our goal of cocreating a CLD that can be translated into an ABM to support intervention decision-making differentiates our approach from other participatory systems science studies.

Mental health conditions impose a significant burden worldwide, often remaining untreated due to multiple demand- and supply-side barriers such as stigma, limited awareness, and poor access to services. Mobile-based interventions offer a scalable solution to address some of these barriers, including low rates of help-seeking. However, most evidence has emerged from high-income countries, with minimal research in the Indian setting, particularly among psychologically distressed individuals not currently seeking treatment.

Few children achieve the recommended daily levels of physical activity. Active school transportation (AST) offers a valuable opportunity to increase children’s physical activity. Initiatives promoting AST in early childhood are important and have the potential to reverse the decline in physical activity.

Children’s leisure time has changed in recent decades—with more time spent on screen media and less time face-to-face with peers—potentially affecting their physical and mental well-being.

Close contacts of individuals with active pulmonary tuberculosis (TB) face an elevated risk of TB acquisition, necessitating systematic screening for latent TB infection and subsequent TB preventive treatment (TPT). Major TPT regimens require ≥3 months of drug exposure and demonstrate suboptimal safety profiles, significantly compromising treatment completion rates. Therefore, the development of shorter, safer chemoprophylaxis strategies represents a critical need in global TB control. Among close contacts, school-aged children and adolescents constitute the most vulnerable demographic subgroup, warranting prioritized intervention efforts.

Migraine ranks among the leading causes of disability worldwide. Comorbid depressive symptoms are highly prevalent in patients with migraine and are associated with worsened pain severity, greater migraine-related disability, and poorer migraine prognosis. Despite this burdensome comorbidity, the treatment of these co-occurring disorders has rarely been studied. While mindfulness-based cognitive therapy (MBCT) shows promise for addressing both migraine-related disability and depressive symptoms, its traditional format—8 weekly 2-hour sessions in person—creates substantial access barriers, particularly for patients who experience frequent debilitating migraine and mood symptoms.

In Vietnam, economically disadvantaged women face compounded risks due to gender inequality, financial instability, and limited access to mental health care. Community health stations (CHSs), the frontline entry point into the health system and the most accessible primary care facilities, typically lack trained mental health providers, further exacerbating an already existing treatment gap. While evidence-based treatments for depression exist, most interventions address either mental health or economic hardship separately, limiting their effectiveness in resource-constrained settings.

Health care professionals play a crucial role in executing, supporting, and assessing quality improvement programs. Clearly defined competencies in health care quality are essential for optimal performance and serve as the foundation for both quality practice and the design of a capacity development program.