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Reach-Accept testing in the Chatbot arm was lower than in SMS text messaging (174/1051, 16.6% vs 555/1066, 52.1%; a RR 0.317, 98.33% CI 0.27‐0.38; P
Reach-Accept testing was higher among participants messaged every 10 days vs every 30 days (860/15,717, 5.5% vs 752/15,722, 4.8%; a RR 1.144, 97.5% CI 1.03‐1.28; P=.01; Table 2), and lower if the participants were offered access to PN compared with those in the no PN condition (680/15,718, 4.3% vs 932/15,721, 5.9%; a RR 0.729, 97.5% CI 0.65‐0.81; P
Out of 2117 participants
J Med Internet Res 2025;27:e74145
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The Fisher exact test yielded P=.01, indicating a statistically significant difference.
As shown in Table 2, the average word count of the original notes was 320 words, and the average length reduction of the H-summaries and U-summaries was 22% (SD 15%) and 23% (SD 15%) words, respectively. A negative number for length reduction in Table 2 indicates that the summary generated had more words than the original text.
In our analysis, we identified 3 instances of false information in U-summaries.
JMIR Med Inform 2025;13:e66476
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As part of this grant, 2 distinct experimental protocols have been designed: (1) this study protocol, which aims to investigate temperature modulation of shearing forces at the heel; and (2) our companion study protocol (Gordon et al [35]), which aims to investigate temperature modulation of sustained mechanical loading at the sacrum [35].
JMIR Res Protoc 2025;14:e73250
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The threshold for statistical significance was set at an alpha value of .05 (P
Communications that were coded as primarily relating to communicable disease and with an mpox subtopic underwent additional review to codify communication intent. The coding schema used was grounded in a bioethical framework for classifying the intent of communications during a public health emergency [21].
The framework proposes a continuum that spans informing the public to coercing behavior change (see Figure 1).
J Med Internet Res 2025;27:e68200
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Mean EMAs completed in the incentivized arm was 13.3 (SD 11.2, range 0‐40, average completion rate of 31.7% out of 42 total EMA prompts) and 4.7 (SD 5.8, range 0‐28, average completion rate of 11.2% out of 42 total EMA prompts) in the nonincentivized arm (P
Smoking cessation outcomes overall and by group.
a EMA: ecological momentary assessment.
J Med Internet Res 2025;27:e67630
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A Bonferroni correction was applied to all P values by multiplying each P value by 4, the number of tests conducted, to correct for multiple comparisons; a P value less than .05 was considered statistically significant after correction.
Timelines of OARS use were also described for MOUD providers and case managers. All analyses were conducted in R (version 4.2.1; R Foundation for Statistical Computing). All qualitative data were analyzed using a coding reliability thematic analysis approach [16].
J Med Internet Res 2025;27:e69953
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All P values for Pearson correlation coefficients
b PSS-4: Perceived Stress Scale-4.
c ACC: adversity coping capability.
d PHQ-4: Patient Health Questionnaire-4.
e Not applicable.
Figure 1 shows the distribution of perceived xingfu and happiness scores. As both perceived xingfu and happiness peaked at scores of 7 (22%) and 8 (23%); therefore, perceived xingfu ≥7 was classified as high perceived xingfu in the logistic regression model.
JMIR Form Res 2025;9:e73350
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