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Enablers, Challenges, and Lessons Learned From a Digital Health Intervention (Sehatmandi App) in Afghanistan: Qualitative Study

Enablers, Challenges, and Lessons Learned From a Digital Health Intervention (Sehatmandi App) in Afghanistan: Qualitative Study

However, the sustainability of m Health solutions in resource-constrained settings is often hindered by inadequate digital infrastructure, limited digital literacy, insufficient integration with health systems, and funding constraints [5].

Saleem Sayani, Farah Jabeen, Saira Samnani, Abdul Muqeet, Amna Khan, Ghulamuddin Delawar, Meraj Subzlani

J Med Internet Res 2025;27:e74923


Evaluating the Implementation of Online Postal Self-Sampling for Sexually Transmitted Infections in England: Multisite Qualitative Study

Evaluating the Implementation of Online Postal Self-Sampling for Sexually Transmitted Infections in England: Multisite Qualitative Study

There is a lack of evidence as to why certain delivery models were decided on, how they have been implemented, or how implementation strategies have influenced the sustainability of OPSS into sexual health service delivery. There is extensive evidence about factors influencing the adoption and embedding of digital health interventions in health care [18].

Tommer Spence, Jo Gibbs, Geoff Wong, Alison Howarth, Andrew Copas, David Crundwell, Louise Jackson, Catherine H Mercer, Hamish Mohammed, Vanessa Apea, Sara Day, Jonathan Ross, Ann Sullivan, Andrew Winter, Claire Dewsnap, Fiona M Burns, Jessica Sheringham

J Med Internet Res 2025;27:e72812


Aligning With the Goals of the Planetary Health Concept Regarding Ecological Sustainability and Digital Health: Scoping Review

Aligning With the Goals of the Planetary Health Concept Regarding Ecological Sustainability and Digital Health: Scoping Review

When examining the digitalization of health care through the lens of ecological sustainability, it is crucial to evaluate existing frameworks designed to promote environmental sustainability in the health care sector. The central question is how effectively these frameworks can be adopted for digitalization and whether they synergize to enhance sustainability or create obstacles to each other’s implementation.

Mathea Berger, Jan Peter Ehlers, Julia Nitsche

J Med Internet Res 2025;27:e71795


Best Practices in Organizing Digital Transformation: Qualitative Case Study in Dutch Hospital Care

Best Practices in Organizing Digital Transformation: Qualitative Case Study in Dutch Hospital Care

Support from health care professionals is crucial for the success and sustainability of the transformation, and without addressing these financial barriers, it will be difficult to maintain this support. This study has several strengths and limitations. First, the qualitative study design and semistructured interviews provide an in-depth and comprehensive understanding of hospital experiences with digital transformation.

Tanja Schiffelers, Kaya Kapteijns, Laura Hochstenbach, Bas Kietselaer, Esther Talboom-Kamp, Marieke Spreeuwenberg

J Med Internet Res 2025;27:e63576


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

Data were modeled in Sima Pro LCA software v9.5.0.1 (PRé Sustainability). We combined self-collected data with generic background information on other life cycle stages such as the production of plastics, derived from the Ecoinvent v3.9 database [20]. For vehicle use and electricity generation, we used tailored data to accurately represent current standards in the Netherlands [21,22].

Egid M van Bree, Lynn E Snijder, Hans C Ossebaard, Evelyn A Brakema

J Med Internet Res 2025;27:e67538


Implementation of a Web-Based Program for Advance Care Planning and Evaluation of its Complexity With the Nonadoption, Abandonment, Scale-Up, Spread, And Sustainability (NASSS) Framework: Qualitative Evaluation Study

Implementation of a Web-Based Program for Advance Care Planning and Evaluation of its Complexity With the Nonadoption, Abandonment, Scale-Up, Spread, And Sustainability (NASSS) Framework: Qualitative Evaluation Study

To identify issues that may hamper the implementation of e Health tools early, the NASSS (nonadoption, abandonment, scale-up, spread, and sustainability) framework has been developed by Prof T Greenhalgh and her team at Oxford University. The framework is aimed to encourage timely reflecting e Health applications in health care and to systematically explore the chances of successful implementation of these e Health applications by identifying complexities and reducing them [8].

Doris van der Smissen, Maud A Schreijer, Lisette J E W C van Gemert-Pijnen, Rudolf M Verdaasdonk, Agnes van der Heide, Ida J Korfage, Judith A C Rietjens

JMIR Aging 2025;8:e49507


Feasibility, User Acceptance, and Outcomes of Using a Cancer Prehabilitation App for Exercise: Pilot Cohort Study

Feasibility, User Acceptance, and Outcomes of Using a Cancer Prehabilitation App for Exercise: Pilot Cohort Study

These gaps include (1) studies focusing on older adults or those experiencing bereavement, (2) research on the long-term sustainability of telehealth interventions, and (3) comparative studies that directly evaluate telehealth versus in-person interventions. Similarly, in our patient population, addressing these knowledge gaps is crucial for overcoming challenges associated with nonreadiness and nonacceptance of technology-enabled prehabilitation programs.

Fuquan Zhang, Deepali Bang, Christine Alejandro Visperas, Mon Hnin Tun, San San Tay

JMIR Form Res 2025;9:e64427


Reducing Greenhouse Gas Emissions and Modifying Nitrous Oxide Delivery at Stanford: Observational, Pilot Intervention Study

Reducing Greenhouse Gas Emissions and Modifying Nitrous Oxide Delivery at Stanford: Observational, Pilot Intervention Study

By collecting annual emissions data within the SHC system, improvements to sustainability and infrastructure could be explored. Global warming potential (GWP) represents the energy a gas is able to absorb relative to carbon dioxide (CO2), with a larger GWP representing increased planetary warming [4].

Eric P Kraybill, David Chen, Saadat Khan, Praveen Kalra

JMIR Perioper Med 2025;8:e64921