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A significant driver of these costs is the fee-for-service payment model, which incentivizes the use of costly health care resources and services, even though they may not improve patient outcomes or quality of life. The Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015 marked a pivotal transition from a volume-oriented to value-based payment model for health care services [2-4].
J Med Internet Res 2025;27:e70430
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Participants are also asked if they have a history of osteoporosis. If yes, the research coordinator obtains an electronically signed HIPAA authorization from the potential participant for further screening to be completed by a study investigator.
Block randomization, stratified by self-reported sex assigned at birth, is done using a web-based treatment arm assignment system with a 1:1 assignment after the one-week baseline.
JMIR Res Protoc 2025;14:e72213
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We designed a think-aloud protocol for usability testing based on examples from the literature [19,20,24]. We sent study materials (the visual KI toolkit described above, a brief summary document, and a 5 min introductory video) to participants in advance of scheduled interviews for their review and preparation.
JMIR Form Res 2025;9:e76740
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VPSs involving unilateral conversation simulators, either with options to select from limited predefined responses to a series of virtual patient questions [25], or learners responding orally to a recorded vignette [22], as well as virtual avatars controlled by a live person [26,27] have also been tested, with varied results.
JMIR Form Res 2025;9:e71667
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Exploring Parents’ Immediate Reactions to Digital Suicide Risk Alerts: Descriptive Study
To assess emotional responses, participants rated a range of emotion items (eg, nervous, confused, sad, and guilty) on a scale from 0=not at all to 4=extremely. To assess cognitive responses, participants rated the degree to which they had specific thoughts (eg, “This is my fault”, “I failed them as a parent/caregiver”, and “We will get through this”) immediately after reviewing the alert on a scale from 0=not at all to 4=extremely.
J Med Internet Res 2025;27:e66349
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We hypothesized that a comprehensive information on effective and individualized prevention strategies in a single, easily accessible, Web-based tool could improve informed decision-making by the eligible population and potentially encourage the adoption of effective prevention strategies. A centrally administered web portal enables easy access to health care, transfer of knowledge, and the rapid adaptation of health information [11].
JMIR Cancer 2025;11:e76393
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Related to the Log2 Lose technology, participants met requirements if they were able to speak and read English; able to download and use the Fitbit and My Fitness Pal smartphone apps daily; owned a smartphone with a data and texting plan; had reliable internet access; had the ability to participate in video calls via a smartphone, tablet, or computer; and as described below, later in the trial agreed to create a Gmail account after Google acquired Fitbit.
JMIR Form Res 2025;9:e70842
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The automated message informs them of their potential eligibility for the study and includes a link to alert our research coordinators of their initial interest. A reminder message will be sent after 5 days if the patient has not responded to the initial message. Patients who indicate interest will be prompted to complete a prescreen questionnaire in REDCap (Vanderbilt University) [43,44] to confirm eligibility.
JMIR Res Protoc 2025;14:e77236
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Digital Lifestyle Interventions to Support Healthy Gestational Weight Gain: Scoping Review
Digital lifestyle interventions have emerged as a promising solution to the challenges of supporting healthy GWG. Several studies have shown the potential of using digital lifestyle programs in a pregnant population. For example, Redman et al [31] reported that their e Health intervention combining digital and nondigital components positively impacted healthy GWG, while Feng et al [32] found reduced GWG in participants using a smartphone-based intervention compared with matched controls.
J Med Internet Res 2025;27:e71548
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Accordingly, we investigated how sociodemographic and clinical factors were related to patients’ reported DHL using data from a multicenter cross-sectional study of patients with non-Hodgkin lymphoma (NHL) or colorectal carcinoma (CRC). We also examined whether a single-item screener could be derived from a widely used DHL questionnaire to maximize screening opportunities in the oncology clinic and inform future studies.
JMIR Cancer 2025;11:e67911
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