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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

Gierl et al’s [3] item: “A 22-year-old female sees her doctor and reports that she’s been experiencing a mild cough and slight body aches that have developed over a few days. Upon examination, she presents with an oral temperature of 37°C. What is the most likely diagnosis?

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

Comparison of Smart Display Versus Laptop Platforms for an eHealth Intervention to Improve Functional Health for Older Adults With Multiple Chronic Conditions: Protocol for a Randomized Clinical Trial

Comparison of Smart Display Versus Laptop Platforms for an eHealth Intervention to Improve Functional Health for Older Adults With Multiple Chronic Conditions: Protocol for a Randomized Clinical Trial

Developed by our Agency for Healthcare Research and Quality Center of Excellence in Active Aging, it was first tested in a randomized controlled trial (RCT) involving a community sample of 390 participants age 65+ years who received a laptop either with or without Elder Tree access for 12 months [28].

David H Gustafson Sr, Marie-Louise Mares, Darcie C Johnston, John J Curtin, Klaren Pe-Romashko, Gina Landucci

JMIR Res Protoc 2025;14:e64449

Innovating Care for Postmenopausal Women Using a Digital Approach for Pelvic Floor Dysfunctions: Prospective Longitudinal Cohort Study

Innovating Care for Postmenopausal Women Using a Digital Approach for Pelvic Floor Dysfunctions: Prospective Longitudinal Cohort Study

As an example, in a randomized controlled trial, postmenopausal women (n=48) who did not receive PFMT experienced a 50% increase in urinary leakage after one year, while those who performed PFMT showed significant improvement in their condition [27], underscoring the need for appropriate care for this population. Digital pelvic rehabilitation solutions have arisen as a potential alternative to improve both access and adherence to treatment.

Ana P Pereira, Dora Janela, Anabela C Areias, Maria Molinos, Xin Tong, Virgílio Bento, Vijay Yanamadala, Jennesa Atherton, Fernando Dias Correia, Fabíola Costa

JMIR Mhealth Uhealth 2025;13:e68242

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

Digital Ergonomics of NavegApp, a Novel Serious Game for Spatial Cognition Assessment: Content Validity and Usability Study

Digital Ergonomics of NavegApp, a Novel Serious Game for Spatial Cognition Assessment: Content Validity and Usability Study

SC involves a range of cognitive functions, including the perception, organization, and use of location and object–based information to understand and navigate through physical or mental spaces [12-14]. When integrated, these processes facilitate complex spatial behaviors, such as solving mazes or tracing routes from point A to point B using landmarks or self-positioning as a reference [13].

Juan Pablo Sanchez-Escudero, David Aguillon, Stella Valencia, Mauricio A Garcia-Barrera, Daniel Camilo Aguirre-Acevedo, Natalia Trujillo

JMIR Serious Games 2025;13:e66167

Exploring Technical Features to Enhance Control in Videoconferencing Psychotherapy: Quantitative Study on Clinicians’ Perspectives

Exploring Technical Features to Enhance Control in Videoconferencing Psychotherapy: Quantitative Study on Clinicians’ Perspectives

Therapists’ concerns about the management of VCTs and VCP were analyzed in a previous study [10] where a varied sample of therapists responded to a semistructured interview based on their VCP experience.

Francesco Cataldo, Shanton Chang, Antonette Mendoza, George Buchanan, Nicholas Van Dam

J Med Internet Res 2025;27:e66904