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Implementation Outcomes of Reusable Learning Objects in Health Care Education Across Three Malaysian Universities: Evaluation Using the RE-AIM Framework

Implementation Outcomes of Reusable Learning Objects in Health Care Education Across Three Malaysian Universities: Evaluation Using the RE-AIM Framework

RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) is an established implementation science framework used in the health care setting to measure how effectively an evidence-based intervention is implemented [13]. It has been used in several studies to evaluate the implementation outcomes of health care provider education programs [14,15].

Hooi Min Lim, Chin Hai Teo, Yew Kong Lee, Ping Yein Lee, Kuhan Krishnan, Zahiruddin Fitri Abu Hassan, Phelim Voon Chen Yong, Wei Hsum Yap, Renukha Sellappans, Enna Ayub, Nurhanim Hassan, Sazlina Shariff Ghazali, Nurul Amelina Nasharuddin, Puteri Shanaz Jahn Kassim, Faridah Idris, Klas Karlgren, Natalia Stathakarou, Petter Mordt, Stathis Konstantinidis, Michael Taylor, Cherry Poussa, Heather Wharrad, Chirk Jenn Ng

JMIR Med Educ 2025;11:e63882

Factors Influencing the Maintenance of Public Health Behaviors After an Epidemic: Cross-Sectional Study

Factors Influencing the Maintenance of Public Health Behaviors After an Epidemic: Cross-Sectional Study

Therefore, this study aims to investigate the status of public health behavior maintenance in the postpandemic era. By integrating the MTM and the PADM, we seek to uncover the key factors and mechanisms that influence the maintenance of public health behaviors.

Xingmin Wang, Hongli Yan, Lushaobo Shi, Ting Li, Yi Xia, Dong Wang

JMIR Public Health Surveill 2025;11:e66535

Wheelchair Servicing for Older Adults: Cross-Sectional Study

Wheelchair Servicing for Older Adults: Cross-Sectional Study

In an effort to improve quality, the World Health Organization (WHO) Guidelines have recommended device quality testing using standards and routine follow-up with users, including the maintenance and repair of wheelchair parts [7]. However, this crucial area has been largely neglected. The maintenance checklists and programs developed by the WHO and research groups have enhanced users’ knowledge, performance, and compliance but have yet to prevent community failures [8].

Anand Mhatre, Abigail Dumm, Muyun Zhao, Lorena Parra Rodriguez

JMIR Rehabil Assist Technol 2025;12:e66472

Evaluation of the Development, Implementation, Maintenance, and Impact of 3 Digital Surveillance Tools Deployed in Malawi During the COVID-19 Pandemic: Protocol for a Modified Delphi Expert Consensus Study

Evaluation of the Development, Implementation, Maintenance, and Impact of 3 Digital Surveillance Tools Deployed in Malawi During the COVID-19 Pandemic: Protocol for a Modified Delphi Expert Consensus Study

Participants must have first-hand experience (design, implementation, use, or maintenance) with COVID-19 digital surveillance systems. There will be no restrictions on the level of expertise or years of experience in their field of work. The panel will consist of approximately 40 participants (Textbox 1). Participants will be excluded if they lack the necessary expertise or are unable to make a commitment to being available for the duration of Delphi study rounds.

Alanna Denny, Isaach Ndemera, Kingston Chirwa, Joseph Tsung Shu Wu, Griphin Baxter Chirambo, Simeon Yosefe, Ben Chilima, Matthew Kagoli, Hsin-yi Lee, Kwong Leung Joseph Yu, John O'Donoghue

JMIR Res Protoc 2024;13:e58389

Understanding Patients’ Preferences for a Digital Intervention to Prevent Posttreatment Deterioration for Bulimia-Spectrum Eating Disorders: User-Centered Design Study

Understanding Patients’ Preferences for a Digital Intervention to Prevent Posttreatment Deterioration for Bulimia-Spectrum Eating Disorders: User-Centered Design Study

Reference 15: Technology-enhanced maintenance of treatment gains in eating disorders: efficacy of an Reference 17: Internet-based maintenance treatment for patients with eating disordersmaintenance

Jianyi Liu, Alyssa Giannone, Hailing Wang, Lucy Wetherall, Adrienne Juarascio

JMIR Form Res 2024;8:e60865

The Impact of Rapid Handpump Repairs on Diarrhea Morbidity in Children: Cross-Sectional Study in Kwale County, Kenya

The Impact of Rapid Handpump Repairs on Diarrhea Morbidity in Children: Cross-Sectional Study in Kwale County, Kenya

Community-based management, the model by which local communities are responsible for the repair and maintenance of their pumps, became the default management model for rural water supply in the late 1970s, with mixed success [19-24], and an estimated one in four handpumps in sub-Saharan Africa are out of action today [25].

Patrick Thomson, Justin Stoler, Michelle Byford, David J Bradley

JMIR Public Health Surveill 2024;10:e42462

Assessing the Pragmatic Nature of Mobile Health Interventions Promoting Physical Activity: Systematic Review and Meta-analysis

Assessing the Pragmatic Nature of Mobile Health Interventions Promoting Physical Activity: Systematic Review and Meta-analysis

Items within the Maintenance-Setting dimension were only addressed by 3 interventions, including potential long-term adaptations (eg, implementing an educational app component) [56,72,74]. The sustainability of the program in the RE-AIM context was not discussed at all. The overall PRECIS-2 score across all interventions was 2.93/5 (SD 0.54).

Chad Stecher, Bjorn Pfisterer, Samantha M Harden, Dana Epstein, Jakob M Hirschmann, Kathrin Wunsch, Matthew P Buman

JMIR Mhealth Uhealth 2023;11:e43162

Older Wheelchair Users Recommend Age-Friendly Design Improvements to a Wheelchair Maintenance App: Mixed Methods Development Study

Older Wheelchair Users Recommend Age-Friendly Design Improvements to a Wheelchair Maintenance App: Mixed Methods Development Study

Despite this evidence, preventative maintenance is rarely conducted. This can be attributed to unfavorable health care policies; lack of user training, knowledge, and capability; and lack of tools for repair, among several other reasons. Researchers have developed resources such as training programs and maintenance checklists that include consensus-based, generic maintenance schedules for inspection and cleaning of wheelchair parts to support maintenance practices [17].

Alyssa Boccardi, Fangzheng Wu, Jon Pearlman, Anand Mhatre

JMIR Aging 2022;5(4):e39301

Fitbit Use and Activity Levels From Intervention to 2 Years After: Secondary Analysis of a Randomized Controlled Trial

Fitbit Use and Activity Levels From Intervention to 2 Years After: Secondary Analysis of a Randomized Controlled Trial

However, there are few studies examining maintenance of longer-term physical activity behavior beyond the intervention period [9] and those that do suggest that physical activity declines over time [10-12]. An improved understanding of maintenance behaviors is needed to optimize interventions to sustain increases in physical activity over the long term.

Sheri J Hartman, Ruohui Chen, Rowena M Tam, Hari K Narayan, Loki Natarajan, Lin Liu

JMIR Mhealth Uhealth 2022;10(6):e37086

Residual Effect of Texting to Promote Medication Adherence for Villagers with Schizophrenia in China: 18-Month Follow-up Survey After the Randomized Controlled Trial Discontinuation

Residual Effect of Texting to Promote Medication Adherence for Villagers with Schizophrenia in China: 18-Month Follow-up Survey After the Randomized Controlled Trial Discontinuation

As of August 1, 2021, we have not yet identified other studies that have been explored the maintenance of the effect after a texting-based intervention was withdrawn in people with schizophrenia. Although we identified no similar studies that focused on the same participants as ours, studies of behavioral interventions using mobile texting in other populations suggested that the program effects lasted 8 to 12 weeks after the termination of texting [17].

Yiyuan Cai, Wenjie Gong, Wenjun He, Hua He, James P Hughes, Jane Simoni, Shuiyuan Xiao, Stephen Gloyd, Meijuan Lin, Xinlei Deng, Zichao Liang, Bofeng Dai, Jing Liao, Yuantao Hao, Dong Roman Xu

JMIR Mhealth Uhealth 2022;10(4):e33628