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Many recent reviews have shown that low engagement is a ubiquitous problem among DMHIs [17-19]. Plus, user engagement is considerably lower in naturalistic settings than in empirical studies [19-21]. To illustrate this, a review of 59 off-the-shelf mental health apps reported a median uptake rate of 4.0% and a 15-day retention rate of only 3.9% [22].
JMIR Ment Health 2025;12:e67190
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RM involves sending CIED data from a patient’s residence via a transmitter or smartphone app. Routine transmissions are usually sent every 90 days and can also be patient- or alert-initiated. RM is a Class 1, Level of Evidence A, professional society recommendation because of its many clinical outcome benefits [1,2]. These include reduced mortality [3-5], fewer hospitalizations [3,6], fewer inappropriate ICD shocks [7], as well as high patient satisfaction [8].
JMIR Cardio 2025;9:e66215
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This laborious process, which demands expertise and resources, faces a bottleneck in scaling up to meet the demand for a vast quantity of quality items. The challenge is particularly pronounced in medical education, where only a progress test administration in a year requires having 2400 multiple-choice items [2], showing the inefficiency of traditional methods in satisfying the needs of question banks in medical schools.
JMIR Form Res 2025;9:e65726
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We iteratively and rigorously engineered detailed “prompts” guiding GPT to emulate a diagnosis-focused or management-focused VP and provide feedback. To instantiate a specific VP, the interface accesses a 1-page case description. Narrative S1 in Multimedia Appendix 1 reports the full prompt and 1 case description.
We selected as topics 2 common problems in ambulatory medicine: chronic cough (a diagnostic task) and diabetes (a management task).
J Med Internet Res 2025;27:e68486
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Telemedicine is often considered to be a promising solution for sustainable health care delivery as multiple reviews reported a reduction in travel-related emissions [9,10]. Savings were typically setting dependent and ranged anywhere between 0.7 and 372 kg of carbon dioxide equivalents (kg CO2eq) per consultation [10].
J Med Internet Res 2025;27:e67538
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Multiple notes can be written to describe the same identified chiropractic visit; for example, a resident chiropractor note and an attending chiropractor note may each contain data relevant to a single visit. We concatenated all notes linked to the same unique visit identifier on the same date of service (regardless of note author) to create a 1-to-1 relationship between visits and clinic notes. A unique character set was used as a delimiter to separate individual notes.
JMIR Med Inform 2025;13:e66466
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SC involves a range of cognitive functions, including the perception, organization, and use of location and object–based information to understand and navigate through physical or mental spaces [12-14]. When integrated, these processes facilitate complex spatial behaviors, such as solving mazes or tracing routes from point A to point B using landmarks or self-positioning as a reference [13].
JMIR Serious Games 2025;13:e66167
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Each DMHI was evaluated based on 2 quality rating scales: the A-MARS and the ARIA. A description of each is provided in the subsequent sections.
The A-MARS [33] is a rating scale adapted from the MARS [34] and was used to review RBs and WBPs. The A-MARS was developed to evaluate health-related e-tools, with a specific expansion of the engagement subscale.
JMIR Mhealth Uhealth 2025;13:e64098
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The overall study is an RCT (registered at clinicaltrials.gov under NCT04867668) with 3 treatment arms plus a no-exposure control arm. Using the Virtual Lab platform, participants were recruited into the study (details below), completed a baseline survey, and were then randomized to 1 of the 4 study arms. The design was to achieve a specific number of impressions per arm as follows: 0 (control), 8 (low), 16 (medium), and 32 (high) over 3 time points over a planned 9-month period (baseline to endline).
J Med Internet Res 2025;27:e72002
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The Expanded Disability Status Scale (EDSS) is the most widely used clinical outcome measure and is considered by the Food and Drug Administration to be the gold standard for phase 3 trials in PMS. The EDSS, however, is semiquantitative, has limited reliability, and only captures a person’s state at one short point in time during a clinical visit [1].
JMIR Mhealth Uhealth 2025;13:e57599
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