e.g. mhealth
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Skip search results from other journals and go to results- 134 Journal of Medical Internet Research
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From Efficacy to Scale: Addressing Digital Health’s Original Sin
Efficacy isn’t enough: Efficacy remains essential, but prioritizing completion over engagement has stalled adoption and prevented scale.
Engagement must be central: Normalizing attrition reporting and adopting software-informed dissemination models are essential to move from efficacy to scale.
In the late 1990s, when I got my start in digital health, top of mind for researchers and investors was disruption. Internet penetration in North America was still limited.
J Med Internet Res 2025;27:e85878
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A key limiting factor for impact is low engagement and adherence [15,16]. To achieve positive outcomes, there is a need to understand how digital tools for pediatric weight management can best support users’ engagement with interventions and their target health behaviors to achieve positive outcomes. This study will aim to assess the impact of such an intervention on health behavior change and explore how engagement can be best supported.
JMIR Res Protoc 2025;14:e71551
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However, as part of the pilot and ongoing rollout of HB4 HNEKids, routine quality assurance data has been collected to monitor and improve program reach, engagement, and overall health outcomes.
Dose is an important aspect of any m Health intervention, particularly long-term programs such as HB4 HNEKids. The dose of a program can have a direct effect on participant engagement, and therefore the effectiveness of an intervention [8].
JMIR Form Res 2025;9:e70158
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The underrepresentation of emotional resonance in educational content represents a missed opportunity for medical professionals to enhance trust and engagement on platforms like Tik Tok. By analyzing SSRI-related Tik Toks through the dual lens of video and content tone, our study builds upon previous research by linking stylistic elements to viewer engagement and perception.
JMIR Ment Health 2025;12:e77383
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How Engagement Changes Over Time in a Digital Eating Disorder App: Observational Study
Notably, most of these definitions only captured summary-level or endpoint measurements of engagement, so little is known about how engagement changes over time and if changes in engagement contribute to treatment gains.
JMIR Mhealth Uhealth 2025;13:e68824
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Engagement offers a broader conceptualization, encompassing both behavioral adherence and subjective experiences such as motivation, satisfaction, and perceived relevance [8,12]. Considering engagement in online interventions is therefore crucial to maximize the effectiveness of online interventions [5,12,13].
Several studies have explored factors influencing user engagement with online interventions.
JMIR Cancer 2025;11:e64983
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While digital innovation offers a potentially cost-effective means to deliver public health programs at scale within low-income settings, user engagement rates are typically low [7].
JMIR Pediatr Parent 2025;8:e76992
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Furthermore, time-varying effects of a JITAI can be studied with an MRT, for instance, to evaluate a JITAI’s impact on engagement during the first day of app use (when engagement is typically high) compared to the tenth week of app use (when engagement is typically lower) [46].
Study design. JITAI: just-in-time adaptive intervention; MRT: microrandomized trial; RCT: randomized controlled trial.
JMIR Res Protoc 2025;14:e77532
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The engagement with the intervention was assessed via the number of conversational turns and milestones completed in the interventions (the predefined milestones are described in Figure 8 and further detailed in Multimedia Appendix 1, section A2). The maximum number of conversational turns varied among the different conditions, and this factor was considered when calculating the engagement.
J Med Internet Res 2025;27:e67174
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The “global engagement” analyses were designed to understand whether regular and sustained engagement with the dashboard across any measure was associated with measure performance.
For the global analyses, we classified practices according to the sessions and actions across all measures based on a published framework for dashboard engagement [20].
J Med Internet Res 2025;27:e72709
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