Journal of Medical Internet Research
The leading peer-reviewed journal for digital medicine and health and health care in the internet age.
Editor-in-Chief:
Gunther Eysenbach, MD, MPH, FACMI, Founding Editor and Publisher; Adjunct Professor, School of Health Information Science, University of Victoria, Canada
Impact Factor 5.8 CiteScore 14.4
Recent Articles
![Design of Digital Mental Health Platforms for Family Member Cocompletion: Scoping Review Article Thumbnail](https://asset.jmir.pub/assets/09d8f1e13cf75a9b223ae346b328ba43.png 480w,https://asset.jmir.pub/assets/09d8f1e13cf75a9b223ae346b328ba43.png 960w,https://asset.jmir.pub/assets/09d8f1e13cf75a9b223ae346b328ba43.png 1920w,https://asset.jmir.pub/assets/09d8f1e13cf75a9b223ae346b328ba43.png 2500w)
The COVID-19 pandemic placed an additional mental health burden on individuals and families, resulting in widespread service access problems. Digital mental health interventions suggest promise for improved accessibility. Recent reviews have shown emerging evidence for individual use and early evidence for multiusers. However, attrition rates remain high for digital mental health interventions, and additional complexities exist when engaging multiple family members together.
![Digital Interventions to Modify Skin Cancer Risk Behaviors in a National Sample of Young Adults: Randomized Controlled Trial Article Thumbnail](https://asset.jmir.pub/assets/5000f2b1ccb69b7e7c648dca4dd07ce2.png 480w,https://asset.jmir.pub/assets/5000f2b1ccb69b7e7c648dca4dd07ce2.png 960w,https://asset.jmir.pub/assets/5000f2b1ccb69b7e7c648dca4dd07ce2.png 1920w,https://asset.jmir.pub/assets/5000f2b1ccb69b7e7c648dca4dd07ce2.png 2500w)
![Issues Related to the Use of Visual Social Networks and Perceived Usefulness of Social Media Literacy During the Recovery Phase: Qualitative Research Among Girls With Eating Disorders Article Thumbnail](https://asset.jmir.pub/assets/fad946213e5be177686673f3908d697d.png 480w,https://asset.jmir.pub/assets/fad946213e5be177686673f3908d697d.png 960w,https://asset.jmir.pub/assets/fad946213e5be177686673f3908d697d.png 1920w,https://asset.jmir.pub/assets/fad946213e5be177686673f3908d697d.png 2500w)
The patient-centered approach is essential for quality health care and patient safety. Understanding the service user’s perspective on the factors maintaining the health problem is crucial for successful treatment, especially for patients who do not recognize their condition as clinically relevant or concerning. Despite the association between intensive use of visual social media and body dissatisfaction and eating disorders, little is known about the meanings users assign to posting or searching for edited photos and the strategies they use to protect themselves from digital risks.
![Impact Analysis of COVID-19 Pandemic on Hospital Reviews on Dianping Website in Shanghai, China: Empirical Study Article Thumbnail](https://asset.jmir.pub/assets/d20102066c5f1672a581993282b59b7d.png 480w,https://asset.jmir.pub/assets/d20102066c5f1672a581993282b59b7d.png 960w,https://asset.jmir.pub/assets/d20102066c5f1672a581993282b59b7d.png 1920w,https://asset.jmir.pub/assets/d20102066c5f1672a581993282b59b7d.png 2500w)
In the era of the internet, individuals have increasingly accustomed themselves to gathering necessary information and expressing their opinions on public web-based platforms. The health care sector is no exception, as these comments, to a certain extent, influence people’s health care decisions. During the onset of the COVID-19 pandemic, how the medical experience of Chinese patients and their evaluations of hospitals have changed remains to be studied. Therefore, we plan to collect patient medical visit data from the internet to reflect the current status of medical relationships under specific circumstances.
![Exploring Relations Between Unique Patient Characteristics and Virtual Reality Immersion Level on Anxiety and Pain in Patients Undergoing Venipuncture: Secondary Analysis of a Randomized Control Trial Article Thumbnail](https://asset.jmir.pub/assets/8fae3d981f0ecdf0b3b77d9f17453869.png 480w,https://asset.jmir.pub/assets/8fae3d981f0ecdf0b3b77d9f17453869.png 960w,https://asset.jmir.pub/assets/8fae3d981f0ecdf0b3b77d9f17453869.png 1920w,https://asset.jmir.pub/assets/8fae3d981f0ecdf0b3b77d9f17453869.png 2500w)
Virtual reality (VR) is a well-researched digital intervention that has been used for managing acute pain and anxiety in pediatric patients undergoing various medical procedures. This study focuses on investigating the role of unique patient characteristics and VR immersion level on the effectiveness of VR for managing pediatric pain and anxiety during venipuncture.
![Enhancing Agency in Posttraumatic Stress Disorder Therapies Through Sensorimotor Technologies Article Thumbnail](https://asset.jmir.pub/assets/0b8a9eedccb4919bf659db63e48a91bb.png 480w,https://asset.jmir.pub/assets/0b8a9eedccb4919bf659db63e48a91bb.png 960w,https://asset.jmir.pub/assets/0b8a9eedccb4919bf659db63e48a91bb.png 1920w,https://asset.jmir.pub/assets/0b8a9eedccb4919bf659db63e48a91bb.png 2500w)
Posttraumatic stress disorder (PTSD) is a significant public health concern, with only a third of patients recovering within a year of treatment. While PTSD often disrupts the sense of body ownership and sense of agency (SA), attention to the SA in trauma has been lacking. This perspective paper explores the loss of the SA in PTSD and its relevance in the development of symptoms. Trauma is viewed as a breakdown of the SA, related to a freeze response, with peritraumatic dissociation increasing the risk of PTSD. Drawing from embodied cognition, we propose an enactive perspective of PTSD, suggesting therapies that restore the SA through direct engagement with the body and environment. We discuss the potential of agency-based therapies and innovative technologies such as gesture sonification, which translates body movements into sounds to enhance the SA. Gesture sonification offers a screen-free, noninvasive approach that could complement existing trauma-focused therapies. We emphasize the need for interdisciplinary collaboration and clinical research to further explore these approaches in preventing and treating PTSD.
![Longitudinal Assessment of Seasonal Impacts and Depression Associations on Circadian Rhythm Using Multimodal Wearable Sensing: Retrospective Analysis Article Thumbnail](https://asset.jmir.pub/assets/ac730e9c2ac88d97a260b6b6ef360777.png 480w,https://asset.jmir.pub/assets/ac730e9c2ac88d97a260b6b6ef360777.png 960w,https://asset.jmir.pub/assets/ac730e9c2ac88d97a260b6b6ef360777.png 1920w,https://asset.jmir.pub/assets/ac730e9c2ac88d97a260b6b6ef360777.png 2500w)
Previous mobile health (mHealth) studies have revealed significant links between depression and circadian rhythm features measured via wearables. However, the comprehensive impact of seasonal variations was not fully considered in these studies, potentially biasing interpretations in real-world settings.
![Resilient Artificial Intelligence in Health: Synthesis and Research Agenda Toward Next-Generation Trustworthy Clinical Decision Support Article Thumbnail](https://asset.jmir.pub/assets/8c1c9e4cec0276458b833c4426afe3d8.png 480w,https://asset.jmir.pub/assets/8c1c9e4cec0276458b833c4426afe3d8.png 960w,https://asset.jmir.pub/assets/8c1c9e4cec0276458b833c4426afe3d8.png 1920w,https://asset.jmir.pub/assets/8c1c9e4cec0276458b833c4426afe3d8.png 2500w)
Artificial intelligence (AI)–based clinical decision support systems are gaining momentum by relying on a greater volume and variety of secondary use data. However, the uncertainty, variability, and biases in real-world data environments still pose significant challenges to the development of health AI, its routine clinical use, and its regulatory frameworks. Health AI should be resilient against real-world environments throughout its lifecycle, including the training and prediction phases and maintenance during production, and health AI regulations should evolve accordingly. Data quality issues, variability over time or across sites, information uncertainty, human-computer interaction, and fundamental rights assurance are among the most relevant challenges. If health AI is not designed resiliently with regard to these real-world data effects, potentially biased data-driven medical decisions can risk the safety and fundamental rights of millions of people. In this viewpoint, we review the challenges, requirements, and methods for resilient AI in health and provide a research framework to improve the trustworthiness of next-generation AI-based clinical decision support.
![Patient Portals Fail to Collect Structured Information About Who Else is Involved in a Person’s Care Article Thumbnail](https://asset.jmir.pub/assets/d976862e5c0215086ad8babdd4b476d6.png 480w,https://asset.jmir.pub/assets/d976862e5c0215086ad8babdd4b476d6.png 960w,https://asset.jmir.pub/assets/d976862e5c0215086ad8babdd4b476d6.png 1920w,https://asset.jmir.pub/assets/d976862e5c0215086ad8babdd4b476d6.png 2500w)
The US health care delivery system does not systematically engage or support family or friend care partners. Meanwhile, the uptake and familiarity of portals to personal health information are increasing among patients. Technology innovations, such as shared access to the portal, use separate identity credentials to differentiate between patients and care partners. Although not well-known, or commonly used, shared access allows patients to identify who they do and do not want to be involved in their care. However, the processes for patients to grant shared access to portals are often limited or so onerous that interested patients and care partners often circumvent the process entirely. As a result, the vast majority of care partners resort to accessing portals using a patient’s identity credentials—a “do-it-yourself” solution in conflict with a health systems’ legal responsibility to protect patient privacy and autonomy. The personal narratives in this viewpoint (shared by permission) elaborate on quantitative studies and provide first-person snapshots of challenges faced by patients and families as they attempt to gain or grant shared access during crucial moments in their lives. As digital modalities increase patient roles in health care interactions, so does the importance of making shared access work for all stakeholders involved—patients, clinicians, and care partners. Electronic health record vendors must recognize that both patients and care partners are important users of their products, and health care organizations must acknowledge and support the critical contributions of care partners as distinct from patients.
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